1. 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!

2. 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

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

4. 1. State of the Consortium: Organization, Sites

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

6. 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

7. 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

8. 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 s and links
Provide feedback on enrollment activity
Assist in presentations
Assist in data analysis and sample manuscript language

9. 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.

10. 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

11. 2016 PRB-RSC Sites

12. 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

13. 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

14. PHASE 1- 1693/2723 (62%) RESIDENTS, 34 SITES
PRB-RSC 2016 Annual Study
PHASE /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

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

16. 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)

17. 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

18. 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) – Phase 2 Study – Establishing Relationship of Pediatric Resident Burnout to Performance (Staples/Serwint)
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

19. 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) – 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

20. 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

21. 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

22. 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)

23. PRB-RSC Program Reports - Prototype

24. PRB-RSC Program Reports - Prototype

25. 5. PRB-RSC Website

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

27. 7. Other Items

28. Questions