Accepted Type
Oral
Code
OF2-1-3
Acceptance Declaration
Accept
Additional Information
I declare I have no actual or potential conflict of interest in relation to this program.
Was this work accepted for CCME 2020?
no
Category
General Call (Workshop, Oral Presentation, Poster Presentation)
Type
Oral
Sub Type
Education Research
Will the presenter be a:
Resident
Affiliation
Considered for Poster
yes
Title
5C's of understanding resident wellbeing on call: a quality improvement perspective in emergency psychiatry
Length of Presentation
Background/Purpose
Concerns from educational stakeholders at McMaster University in 2019 regarding local Psychiatric Emergency Services (PES) led to a reappraisal of the service infrastructure and role of psychiatry residents. Although a valuable learning and required training experience, working in PES can be inherently stressful. A group of residents applied quality improvement (QI) methods to understand factors impacting resident wellness related to PES during this transformation, and to identify areas for ongoing improvement.
Methods
A QI process was utilized with four phases. First, the problem of resident wellness in PES was defined. A process map provided a working model to understand factors that may impact resident well-being. This was translated into a resident survey, the results of which were analyzed for themes and compared to data from various educational meetings and prior surveys. A subsequent resident survey was administered to explore possible solutions. Project results have been disseminated to key stakeholders to implement change through sequential PDSA cycles.
Results
Five major themes impacting resident wellness related to PES were identified - the "5Cs": communication, care management, comfort and environment, competing demands, and connectedness. It was subsequently recognized that for meaningful change to occur, control and courage were paramount. These concepts led to an expanded "5C+" model of resident wellness.
Conclusion
Results of this QI initiative will help inform hospital, department, and educational leadership as changes in PES continue to unfold. Although McMaster psychiatry residents' experience in PES was the primary focus, this model may be generalizable to learners and staff in other settings.
Keyword 1
Wellness
Keyword 2
Quality improvement
Keyword 3
Psychiatry
Level of Training
Post Graduate
Abstract Themes
Physician & Medical Student Health and Well-being
Additional Theme (First choice)
Additional Theme (Second Choice)
Additional Theme (Third Choice)
Authors
Presenter
Sandra Westcott
Term 1
Yes
Term 2
Yes
Term 3
Yes
Term 4
Yes
Term 5
Yes
