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Trainee Wellness and Safety in the Context of Covid-19

The Experience of One Institution

Bibliographic Data

ID21613731
AuthorsMichael T Kemp (0000-0001-8287-9984, M.T. Kempis a general surgery resident, Department of Surgery, University of Michigan, Ann Arbor, Michigan; ORCID:.), Samantha J Rivard (0000-0003-1274-1183, S.J. Rivardis a general surgery resident, Department of Surgery, University of Michigan, Ann Arbor, Michigan; ORCID:.), Sara Anderson (0000-0001-8833-5427, University of Michigan), Christopher O Audu (0000-0002-4183-8825, C.O. Auduis a vascular surgery resident, Department of Surgery, University of Michigan, Ann Arbor, Michigan; ORCID:.), Meredith Barrett (0000-0002-2559-199X, M. Barrettis a transplant surgery fellow, Department of Surgery, University of Michigan, Ann Arbor, Michigan; ORCID:.), Brian T Fry (0000-0002-7185-8579, B.T. Fryis a general surgery resident, Department of Surgery, University of Michigan, Ann Arbor, Michigan; ORCID:.), Megan Lane (0009-0005-4051-4203, University of Michigan), Joceline V Vu (0000-0002-3681-0799, University of Michigan), Bree Ann C Young (University of Michigan), Michael J Englesbe (0000-0001-8691-9111, University of Michigan), Michael Englesbe (M. Englesbeis professor of surgery, Section of Transplant Surgery, Department of Surgery, University of Michigan, Ann Arbor, Michigan; ORCID:.), Gurjit Sandhu (0000-0003-0258-7899, G. Sandhuis associate professor of surgery and learning health sciences and vice chair of resident professional development, Department of Surgery, University of Michigan, Ann Arbor, Michigan; ORCID:.), Dawn M Coleman (0000-0001-5622-7253, University of Michigan, corresponding author)
Year2021
Volume96
Issue5
Pages655-660
Publication date2021-05-01
Open AccessNo
TypeARTICLE
VenueAcademic Medicine (JOURNAL)
Journal identifiersISSN: 1040-2446 • E-ISSN: 1938-808X
PublisherOxford University Press (OUP) (PUBLISHER)
DOI10.1097/acm.0000000000003853
PMID33208674
OpenAlexW3103864622
LanguageEN
Citations received1
References cited14

The COVID-19 pandemic has had significant ramifications for provider well-being. During these unprecedented and challenging times, one institution’s Department of Surgery put in place several important initiatives for promoting the well-being of trainees as they were redeployed to provide care to COVID-19 patients. In this article, the authors describe these initiatives, which fall into 3 broad categories: redeploying faculty and trainees, ensuring provider safety, and promoting trainee wellness. The redeployment initiatives are the following: reframing the team mindset, creating a culture of grace and forgiveness, establishing a multidisciplinary wellness committee, promoting centralized leadership, providing clear communication, coordinating between departments and programs, implementing phased restructuring of the department’s services, establishing scheduling flexibility and redundancy, adhering to training regulations, designating a trainee ombudsperson, assessing physical health risks for high-risk individuals, and planning for structured deimplementation. Initiatives specific to promoting provider safety are appointing a trainee safety advocate, guaranteeing personal protective equipment and relevant information about these materials, providing guidance regarding safe practices at home, and offering alternative housing options when necessary. Finally, the initiatives put in place to directly promote trainee wellness are establishing an environment of psychological safety, providing mental health resources, maintaining the educational missions, solidifying a sense of community by showing appreciation, being attentive to childcare, and using social media to promote community morale. The initiatives to carry out the department’s strategy presented in this article, which were well received by both faculty and trainee members of the authors’ community, may be employed in other departments and even outside the context of COVID-19. The authors hope that colleagues at other institutions and departments, independent of specialty, will find the initiatives described here helpful during, and perhaps after, the pandemic as they develop their own institution-specific strategies to promote trainee wellness

Business · Cognitive reframing · Health care · Medical education · Mental health · Mindset · Patient safety · Political science · Public relations · Restructuring · COVID-19 and healthcare impacts · COVID-19 and Mental Health · Healthcare professionals’ stress and burnout · Medicine · Nursing · Psychology

  • Reflecting on experiences of resident redeployment during the Covid‐19 pandemic

    Open Access•Paula Rowland, Melanie Hammond Mobilio et al.•Medical Education•2026

  • Impact on mental health and perceptions of psychological care among medical and nursing staff in Wuhan during the 2019 novel coronavirus disease outbreak

    Open Access•Lijun Kang, Simeng Ma et al.•Brain, Behavior, and Immunity•2020

  • Supporting the Health Care Workforce During the Covid-19 Global Epidemic

    James G Adams, Ron M Walls•JAMA•2020

  • Burnout and Medical Errors Among American Surgeons

    Open Access•Tait D Shanafelt, Charles M Balch et al.•Annals of Surgery•2010

  • Factors Associated With Mental Health Outcomes Among Health Care Workers Exposed to Coronavirus Disease 2019

    Open Access•Jianbo Lai, Simeng Ma et al.•JAMA Network Open•2020

Citations per year1
Citation span2026 - 2026 (1)
Highly citedNo

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