1. Tara Neil MD Lisa Zak-Hunter PhD
First Comes Love, Then Comes Marriage, Then Comes Residency - Helping Residents Learn Balance During Residency.
Tara Neil MD
Lisa Zak-Hunter PhD

2. Disclosures
None

3. Literature 54% of physicians have symptoms of burnout
40% are satisfied with work life balance
Changes in Burnout and Satisfaction With Work-Life Balance in Physicians and the General US Working Population Between 2011 and Shanafelt, Tait D. et al. Mayo Clinic Proceedings , Volume 90 , Issue 12 ,

4. Literature Despite changes in practice environment
Graduates are more likely to work less hours
80% feel like work encroaches on personal life
Factors Affecting Physician Professional Satisfaction and Their Implications for Patient Care, Health Systems, and Health Policy. AMA 2013

5. Resident Demographics
54 Residents
80% Married/Coupled
2-3 newly married/yr
46% Parents
5-7 pregnancies/yr
15% Multiple Children
5 Medical Couples
26% ‘local’

6. Relationship Workshop
Relationships
Orientation
Advisor
Formal Curriculum
Social Group
Faculty Panel
Relationship Workshop

7. Orientation Vacation planning Big life planning
Vacation and LOA policies

8. Advisor Continual wellness Adaptation to the community
Schedule planning

9. Curriculum 1st year meeting Wellness plans and meetings Annual retreat
Managing relationships/concerns
Wellness plans and meetings
Plan
1st Meeting
2nd Meeting
Annual retreat
1st year meeting
Meet monthly to discuss well-being, check-in. Chiefs come and field questions. For the most part, flexible topics. One of the consistent topics
is managing relationships
Anticipated concerns
Role of significant others and children
Problems encountered in medical school
Wellness Plans
Plan has 3-4 behavioral items resident plans to do regularly to manage stress/practice their values.
Encourage partnered residents to include a relationship-focused activity
1st meeting: Sept-ish review plan, discuss transition to residency, focus also on family transition, family well-being, local support. Told to discuss with their significant other.
Follow-Up: Feb/March. Review of year. Plan for end of this year. How well pt and their family have fit in to community, coping with training,
staying well as a couple, planning for next year (special focus on childbearing etc)
Follow-up PRN in winter of PGY2
Retreat
Residents AND couples come.
Discuss topics such as:
What predicts divorce and wellness
Type A personality relationships
Group discussion on managing relationships
Gottmans’ sound marital house

10. Social Group
Call back
Residency events

11. Faculty Panel Yearly Pizza Party Offered to medical Students
Diverse panel
Discuss Relationship issues
Open to questions

12. Relationship Workshop
Every months, 3 hr workshop
Not required
Faculty and residents attend
Led by BH faculty who is an MFT
Topics:
What predicts relationship dissolution
Communication and conflict resolution
Increasing couple connection and closeness

13. Other Resources Relationship Counselor contacts Financial Planner
Babysitter list
Physician list
Household outsourcing list

14. Activity Break!

15. Thoughts for the Future
Relationship Retreats
Female lunch- leadership and career planning
Financial Panel

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