PRB-RSC Meeting Spring APPD 2017 Members meeting 11:30am-1:00pm 4/7/17 MANHATTAN ROOM  (4th floor, Hilton Anaheim) Commune with your peeps, discuss interventional studies of interest and learn about how you can get more involved in PRB-RSC work!

The Pediatric Resident Burnout – Resilience Study Consortium Update APPD 2017 Annual Study Maneesh Batra, MD and John D Mahan MD for the PRB-RSC Steering Committee

Agenda State of the Consortium: Organization, Sites Plans for Upcoming - 2017 Annual Survey PRB-RSC Projects Underway – Progress Report PRB-RSC Program Reports PRB-RSC Website [http:/pedsresresilience.com] Future Developments Scholarship – Ancillary Studies [existing PRB-RSC data] International Studies Faculty – Resident Survey Interventional Trials Other

1. State of the Consortium: Organization, Sites

PRB-RSC Organization PRB-RSC Steering Committee Research & Scholarship Working Group Program Director Reports Working Group International Studies Working Group PRB-RSC Member Programs

PRB-RSC Steering Committee Maneesh Batra, MD, MPH John D Mahan, MD Kathi Kemper, MD, MPH Betty Staples, MD Janet Serwint, MD, MPH Chuck Schubert, MD, MPH Paria Wilson, MD Hilary McClafferty, MD

PRB-RSC Working Groups PRB-RSC Program Director Reports Working Group Betty Staples/Jason Homme (co-chairs), Leah Phillipi, Amanda Osta, DebRana Objective: Identify standard and specialized program reports that PDs can request from the APPD LEARN datasets PRB-RSC Research & Scholarship Working Group Janet Serwint/Ann Burke/Colin Sox (co-chairs), Miriam Stewart, Casey Hester, Carmen Herrera, Sydney Primis, Jennifer Reese, Kathi Kemper Objective: Review and approve all requests for new studies and scholarship from existing PRB-RSC datasets PRB-RSC International Studies Working Group Maneesh Batra/Chuck Schubert (co-chairs), Sabrina Butteris, Michael Pitt, Molly Shane Objective: Identify collaborative projects and approve efforts for studies involving international pediatric provider/resident programs

APPD LEARN APPD LEARN (Longitudinal Educational Assessment Research Network) Provides infrastructure for multicenter, collaborative pediatric educational research Approved by APPD LEARN Protocol Review Committee Study Assistance Provide IRB kits and help Provide Data Capture system and enrolling emails and links Provide feedback on enrollment activity Assist in presentations Assist in data analysis and sample manuscript language

PRB-RSC Goal To improve pediatric resident resilience, compassion, confidence in providing calm, compassionate care and wellness. Through creation of a Pediatric Resident Burnout - Resilience Study Consortium (PRB-RSC), involving pediatric residents in more than 40 residency programs in the US, we will be equipped to study the epidemiology, natural history and impact of interventions designed to address burnout and resilience in pediatric residents.  

2016 PRB-RSC Sites 41 sites; 34 contributed to 2016 Annual Survey Albert Einstein College of Medicine Baylor/Texas Children’s Boston Children’s Hospital Carolinas Medical Center Case Western/Rainbow Babies/Children Children’s Mercy Crozer-Chester Medical Center Duke U Inova Fairfax Medical Campus Johns Hopkins U Mayo Clinic College of Medicine Medical College of Wisconsin Northwestern U/Lurie Children's Ohio State U/Nationwide Children's Stanford U Tufts Medical Center U of Arizona U of California Davis University of California (Los Angeles) University of California (San Diego) U of Chicago/ Corner Children’s Hospital U of Cincinnati/Cincinnati Children’s U of Colorado/Denver Children's U of Illinois Chicago U of Kansas U of Louisville U of Michigan U of Minnesota U of New Mexico U of Oklahoma- Oklahoma City U of Oklahoma- Tulsa U of Pennsylvania/Children's Philadelphia U of Pittsburgh U of Rochester U of Tennessee U of Texas Houston U of Washington/Seattle Children's U of Wisconsin Vanderbilt U Weill Cornell Medical Center Wright State U

2016 PRB-RSC Sites

2017 New PRB-RSC Sites 12 new sites Carilion Clinic-Virginia Tech Carilion School of Medicine Violet Browitcz Jefferson Medical College/duPont Hospital for Children Colette Mull Louisiana State University (New Orleans) Jerussa Levy; Bonnie Desselle Maine Medical Center Pam Dietz; Brian Youth New York Presbyterian Hospital (Cornell Campus) Susan Bostwick, Jennifer DiPace Newark Beth Israel Medical Center Ketan Kansagra Rush University Medical Center Bridget Voigt Shands Hospital at the University of Florida Nicole Paradise Black; Denise McIntyre Tulane University School of Medicine Jessica Debord University of Alabama Medical Center - Children's Hospital Lauren Nassetta (PI); Michele Nichols University of Rochester Bill Varade University of South Alabama Children's and Women's Hospital Sophia Goslings (PI); Franklin Trimm

2. PRB-RSC Annual Study Key Consortium Activity Foundation for Consortium Work Success in 2016 Greater success in 2017 Treasure trove of data for analysis and dissemination

PHASE 1- 1693/2723 (62%) RESIDENTS, 34 SITES PRB-RSC 2016 Annual Study PHASE 1- 1693/2723 (62%) RESIDENTS, 34 SITES Most (56%) residents experienced burnout; higher rates in med-peds residents Residents who were burned out described: increased stress decreased mental health, empathy, mindfulness, resilience, and compassion

PRB-RSC 2016 Annual Study PHASE 2- 1494 RESIDENTS, 31 SITES

Plans for 2017 Annual Survey Same timing as 2016 survey; same items More sites Methods - Engagement IRB Kit from Beth King (APPD LEARN) Any questions, contact Batra/Mahan or Beth King (APPD LEARN)

Recruitment and Enrollment 6 week window (April 15 – May 31, 2017) Programs may elect to keep window open longer Recruitment strategies High recruitment is key for powering this study Programs encouraged to employ their own recruitment strategies (including inducements) as desired Residents respond to engagement of Program Leadership and commitment to address wellness APPD LEARN will facilitate reminders to non-respondents as often as sites desire

3. Consortium Projects Defining Key Factors In Burnout and Resilience in Pediatric Residents and The Relationship To Performance [2016 Annual Survey] Phase 1 Study – Defining Key Factors in Burnout and Resilience in Pediatric Residents (Mahan/Batra) – 2016 Phase 2 Study – Establishing Relationship of Pediatric Resident Burnout to Performance (Staples/Serwint) - 2016 Pediatric Resident Burnout and Resilience Study Consortium: Current Wellness Activities in Pediatric Resident Burnout – Resilience Member Programs (Wilson/Kemper) – 2015 Pediatric Resident Burnout and Resilience Study Consortium: Perspectives of Program Directors – a National Study (Wilson/Kemper) – 2016

Consortium Projects Defining Key Factors In Burnout and Resilience in Pediatric Residents and The Relationship To Performance [2017 Annual Survey] Phase 1 Study – Factors Involved in Evolution of Burnout and Resilience in Pediatric Residents (Mahan/Batra) – 2017 Phase 2 Study – Relationship of Pediatric Resident Burnout to Performance Over Time (Staples/Serwint) – 2017 Design of Interventional Studies to Prevent and Mitigate Pediatric Resident Burnout and Promote Resilience and Compassionate Care – 2017

PRB-RSC Projects Underway Abstracts/Manuscripts - Progress Report   Topic 1st Author Abstract Deadline* Writing Group Interest 1. Study Design/Burnout Variability and Predictors Batra APPD/PAS 2017 SC in progress 2. Burnout – Interplay of Resident & Program factors Mahan PAS 2017 3. 1 Question Burnout; key items from surveys [item analysis] Schwartz AS in future AS/KK/HM/MB/JDM Open to PIs 4. Burnout – Program interventions (National Survey) Wilson PAS 2016 (Done) SC – finished 5. Burnout – PIMR curriculum McClafferty HM in future PIMR sites 6. Burnout – Milestones Performance Staples SC and 7. Program Wellness Activities (PRB-RSC PD defined) APPD/PAS 2016 – Done  

Opportunities for Scholarship Opportunities for Scholarship in Topics 3 & 6 One investigator (PI invited first from each site) invited to sign up for Writing Group for a Topic (3 or 6) Developing process to propose new ancillary study utilizing available data sets Janet Serwint, Ann Burke and Colin Sox (Co-Chairs) will work with SC to develop process for submissions for study data to go the PRB-RSC Scholarship WG Process to be launched third quarter 2017

4. PRB-RSC Program Reports First prototype sent to all active programs Dec 2016; active sites receive these yearly Customized reports: process to be developed by PRB-RSC Program Director Standard Reports Working Group (Co-Chairs: Betty Staples & Jason Homme)

PRB-RSC Program Reports - Prototype

PRB-RSC Program Reports - Prototype

5. PRB-RSC Website http://pedsresresilience.com

6. Future Developments Scholarship – Ancillary Studies Using PRB-RSC Data Sets Ancillary Study Proposal form to be used International Opportunities – 2017 Faculty - Resident Survey - 2017 Interventional Trials – 2017? Process to be developed this year Separate WG vrs part of Research & Scholarship WG?

7. Other Items

Questions