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CFAS Connects December Session - Shared screen with speaker view
Eric Weissman
29:47
Please mute!
Nita Ahuja
30:31
If you didn't get a chance to download the report, here is the link. It is also on the invite for today's session. https://store.aamc.org/the-rise-of-wellness-initiatives-in-health-care-using-national-survey-data-to-support-effective-well-being-champions-and-wellness-programs.html
Daisy Smith, American College of Physicians
37:32
Sharing a descriptive article of ACP's national WB champion program and the associated online toolkit with all of you- this was published earlier this week. "Feasibility of a “Network of Champions” in implementing a program to address physician well-being"https://ir.library.louisville.edu/jwellness/vol3/iss3/2Design Your Own Well-being Program toolkit is available on this sitehttps://www.acponline.org/practice-resources/physician-well-being-and-professional-fulfillment/design-your-own-well-being-program
Eric Weissman
39:21
Feel free to enter comments or ask questions in the chat field.
Eric Weissman
40:01
During discussion, you can enter your name if you have a question or comment and we will call upon you to unmute.
Nita Ahuja
40:49
I was struck by the variability in the roles in the report and variability in measurement of tools used to measure wellness
Jon Courand
41:31
Yes Nita, that was a huge surprise!
Nita Ahuja
42:46
@Jon lots of opportunity to define best practices. Unfortunately funding or resources were uniform--too little
Monica Baskin (she/her)
43:22
@Nita... disappointing, but not surprising
Nita Ahuja
43:54
@Monica, true
Jon Courand
44:19
@Monica - thankfully there are beginning to be some good business cases for supporting physician wellbeing!
Adi Haramati
45:26
@Nita @Monica @Jon, is it time to try and standardize the measures? That is, should there be key ones including in any institutional survey
Janine Shapiro
45:30
It would be great to take all these recommendations and see how CFAS can develop needed programming to address next steps
dixon.santana@ttuhsc.edu
46:28
Will these sold be available later for review?
Nita Ahuja
47:08
@Janine you are next
Eric Weissman
47:24
Yes Dixon and everyone - the slides will be available afterwards, as will a recording of this session and a summary in the form of notes.
dixon.santana@ttuhsc.edu
47:25
*slides
Monica Baskin (she/her)
47:44
@Adi, I think it would be great to ID a few standards and survey institutions
Eric Weissman
47:46
When the next edition of the CFAS Bulletin newsletter comes out next week there will be a link to the content.
Nita Ahuja
47:55
Thanks Eric.
dixon.santana@ttuhsc.edu
48:20
Awesome, thank you. BTW, HI. Hope you are well.
Adi Haramati
55:22
@Jon, absolutely agree that the business case for investment is a return on investment if it helps retain staff (physicians and nurses) and insures high quality care continues, both of which are at risk
Nita Ahuja
56:31
@Jon as we work on a ROI and business case for wellness, what are metrics for success
Adi Haramati
57:52
This issue will also come to a head as one measure of leader/manager effectiveness would be the well-being of the unit, absenteeism, turnover, etc
Jon Courand
58:12
@Nita this can include faculty and staff turnover rates, presenteeism, scales like the Professional Fulfilment Index, use of counseling services etc
Arthur Ollendorff - Carilion Clinic
58:38
Why do we accept a system where we treat an issue (like burnout) rather than prevent it? Every system is perfectly designed to deliver the results it gets.
Eric Weissman
58:50
So glad you're raising this point, Monica... it's an area where I think CFAS should have increased focus.
Kelly Quesnelle PhD, IAMSE, UofSC Greenville
59:04
I agree—thank you @ Monica
AAMC: Valerie Dandar
59:05
We have been tracking burnout among scientists and it is continuing to increase!
Kelly Quesnelle PhD, IAMSE, UofSC Greenville
59:34
Now we just need to look at wellness in our graduate programs at School of Medicine, too
Jon Courand
59:44
Agree @Arthur the good news as providers begin to understand this issue, they will seek those places where they are valued
Daisy Smith, American College of Physicians
01:00:31
There is no healthcare system without clinicians- we need to improve working and learning conditions
Nita Ahuja
01:00:56
thank you @Arthur.
Marieke Kruidering (she/her)
01:01:22
there are lot of blogs and twitter post from scientists about burnout in science
Steve Keithahn
01:01:24
Much of the "system" is dictated by federal/state policy, the medical industrial complex, and societal forces....all very challenging to influence.
Ross McKinney
01:01:35
The question is how to provide the amount of care needed by our society with globally inadequate resources.
Jon Courand
01:01:56
In restaurants in California, you see a grade before you walk in … no one is walking into a restaurant with a "D". Imagine doing that for Wellness in Hospital systems.
Nita Ahuja
01:03:26
@Steve: there has been a steep rise in regulation and expectations of us without the support whether its CMS, NIH etc
Ondria Gleason, MD
01:04:18
Nita, Yes! Increased regulations and demands from ALL directions.
Nita Ahuja
01:05:06
@Ondria, yes and we are too busy to protest
Eric Weissman
01:07:24
Glad you're here, Daisy!
Ross McKinney
01:07:35
Waits to see a sub-specialist in many parts of the country are months. Finding primary care in much of the country is difficult-to-impossible. Getting balance in this context is going to be very difficult. It's a big system issue, beyond local system issue,
Nita Ahuja
01:07:36
Thank you @Daisy.
Eric Weissman
01:07:43
Send me a note if you want to learn more about CFAS - eweissman@aamc.org.
Nita Ahuja
01:09:28
Thank you @Ross. Thinking of the old airline analogy of putting our life jackets on first. We need to ensure we keep our teams healthy first to help our patients
Ross McKinney
01:12:30
@Nita - I agree there are many steps we can take (like a sane EMR system that focuses on care instead of billing) , but the ultimate challenge is a more effective delivery system. We'll keep running into capacity questions when we try to advocate for balance.
Adi Haramati
01:14:36
As we consider FACULTY well-being, we need to think broader than clinicians.
J David Warren
01:16:42
Very well said, Adi!
Eric Weissman
01:17:03
Note: The chat text will be preserved and presented as part of the notes for this session. The session also has been recorded, and slides will be available.
Jon Courand
01:17:22
Thanks Eric
Daisy Smith, American College of Physicians
01:17:35
So much of this is about having realistic and doable workloads and redundant staffing solutions and those changes take financial resources. But we can start with connecting faculty with agency and resources to help them to advocate for investment.
Nita Ahuja
01:19:08
@Valencia, glad you made it. No one has done that yet . Would love your input
Daisy Smith, American College of Physicians
01:19:10
https://nam.edu/a-pragmatic-approach-for-organizations-to-measure-health-care-professional-well-being/
Nita Ahuja
01:19:24
Thank you @Daisy
Valencia Walker
01:19:48
Please excuse me for arriving late. I had another AAMC meeting to attend. In terms of today's discussion, has there been any mention of considering the different/unique/compounding issues related to self care and wellness for minoritized faculty?
Edgar R. Meyer (he/him/his)
01:20:30
I have really enjoyed attending this conversation. I can honestly say as someone who has only really just begun his career, the fatigue feels as though I have been working years longer than I actually have. I have to head to another meeting that starts in two minutes, but thank you all for sharing.
J David Warren
01:20:49
Got it. I don’t think there was anything specifically addressed to issues unique to minoritized faculty
Neil Osheroff
01:21:01
Great conversation, many thanks. I need to move to another meeting.
Eric Weissman
01:21:17
Please Mute!
Janine Shapiro
01:21:20
Really like the train the trainer model as a priority initiative as many wellness champions may not have the skills to do their work.
Edgar R. Meyer (he/him/his)
01:21:20
I hate that I am missing this part of the conversation.
AAMC: Valerie Dandar
01:21:23
The AAMC is doing some research on burnout among Women of Color
AAMC: Valerie Dandar
01:21:56
Great point that we need to address!
Monica Baskin (she/her)
01:22:07
Thank you Valencia. I agree. We can certainly bring this up to the Diversity and Inclusion Committee as well.
Valencia Walker
01:22:09
There is a group in California that has also published data and research in this area.
AAMC: Valerie Dandar
01:23:27
Thanks, Valencia!