1. GME Wellness Orientation Ellen Morrow, MD Bruce Herman, MD

2. Why Wellness? New job Move Working 80 hours/week Stress of caring for sick patients and families

3. Growing Body of Literature

4. Recent editorials JAMA Pediatrics 2015 JAMA Surgery 2015 JAMA 2016

5. Trockel, unpublished data

6. Burnout 3 elements of burnout: –Emotional exhaustion –Depersonalization –Low sense of personal accomplishment Maslach D. Leiter MP. The Truth about Burnout. SF, CA: Jossey-Bass, 1997.

7. Robin Marcus, Chief Wellness Officer

8. Survey Domains Depression Burnout Sleep/fatigue Professional Fulfillment Learning Environment Peer support Work appreciation

9. Survey Administration Anonymous administration via RedCap Fall 2015 Email invitation/link sent to all UofU residents and fellows

10. University of Utah Results Demographics 757 housestaff from all ACGME accredited training programs received survey invitation 423/760 (56%) responded

11. Training Status NPercent Fellow11728 Resident30472 Unknown2 < 1 DepartmentNPercent Anesthesia194.5 Dermatology51.2 Family Med225.2 Internal M7517.7 Neurology133.1 Neurosurgery61.4 OB/GYN153.5 Ophthalmology51.2 Orthopedics143.3 Pathology184.3 Pediatrics8319.6 PM&R81.9 Psychiatry255.9 Radiology255.9 Surgery327.6 Emergency Med81.9 Occupational Med 11 2.6 Urology 8 1.9 Other 31 7.3

12. University of Utah Results Depression, Burnout, Sleep/Fatigue No difference in median scores or incidence when compared by gender, age, relationship status, parenting status. Being a fellow led to lower scores in all 3 domains

15. Median Sleep Scores – Residents and Fellows

16. Graduate Medical Education Wellness Committee Ellen Morrow, Surgery (Co-Chair) Bruce Herman, Pediatric PD (Co-chair, GME Liaison) Alan Smith, Assistant Dean GME/DIO Amy Armstrong, Peds Admin Brad Poss, Associate Dean GME Breanna Stoll, GME Brian Flaherty, Pediatric ICU fellow Brooke Gardner, Employee Health Christina Martin, UUHS Wellness program manager David Pascoe, Chaplain PCH Elizabeth Howell, Psychiatry John Barrett, Emergency Med Katie Fortenberry, Family Medicine Lara Senekjian, Surgery Resident Melissa See, Family Med Resident Michelle Vo, Psychiatry, Director of Wellness for SOM Natalie Moore, OB Paul Thielking, Psychiatry Robin Marcus, UUHS Chief Wellness Officer Sharee Bracken, GME Sonja Van Hala, Family Medicine PD Tina Halliday, Employee Assistance Program

17. GME Wellness website

18. GME Wellness Director New position – starting soon

19. Employee Assistance Program http://uuhsc.utah.edu/eap/ (801) 262-9619 Free Confidential 24/7 Support