Pediatric Resident Burnout Resilience Study Consortium Meeting Update

 
   
     
PRB-RSC Meeting
  
     Spring APPD 2017
 
Members meeting
11:30am-1:00pm 4/7/17
MANHATTAN ROOM  (4
th
 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
 
1.
State of the Consortium: Organization, Sites
2.
Plans for Upcoming - 
2017 Annual Survey
3.
PRB-RSC Projects Underway – Progress Report
4.
PRB-RSC Program Reports
5.
PRB-RSC Website [http:/pedsresresilience.com]
6.
Future Developments
A.
Scholarship – Ancillary Studies [existing PRB-RSC data]
B.
International Studies
C.
Faculty – Resident Survey
D.
Interventional Trials
7.
Other
 
 
 
1. State of the Consortium:
Organization, Sites
 
 
PRB-RSC Organization
 
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
 
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
 
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
 
A.
Same timing as 2016 survey; same items
B.
More sites
C.
Methods - Engagement
D.
IRB Kit from Beth King (APPD LEARN)
A.
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
 
1.
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
2.
Pediatric Resident Burnout and Resilience Study Consortium:
Current Wellness Activities in Pediatric Resident Burnout –
Resilience Member Programs (Wilson/Kemper) – 2015
3.
Pediatric Resident Burnout and Resilience Study Consortium:
Perspectives of Program Directors – a National Study
(Wilson/Kemper) – 2016
 
Consortium Projects
 
4.
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
5.
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
 
 
Opportunities for Scholarship
 
1.
Opportunities for Scholarship in Topics 3 & 6
A.
One investigator (PI invited first from each site) invited
to sign up for Writing Group for a Topic (3 or 6)
2.
Developing process to propose 
new ancillary
study
 utilizing available data sets
A.
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
B.
Process to be launched third quarter 2017
 
4. PRB-RSC Program Reports
 
1.
PRB-RSC Program Reports
A.
First prototype sent to all active programs
Dec 2016; active sites receive these yearly
B.
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 - Pro
totype
 
5. PRB-RSC Website
 
http://pedsresresilience.com
 
6. Future Developments
 
A.
Scholarship – Ancillary Studies
 
Using PRB-RSC Data Sets
 
Ancillary Study Proposal form to be used
B.
International Opportunities 
– 2017
C.
Faculty - Resident Survey 
- 2017
D.
Interventional Trials
 – 2017?
 
Process to be developed this year
 
Separate WG vrs part of Research & Scholarship
 
WG?
 
7. Other Items
 
 
Questions
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Join the PRB-RSC meeting at APPD 2017 to discuss interventional studies, upcoming surveys, projects progress, and future developments like international studies and intervention trials. Get involved with the PRB-RSC organization, steering committee, and working groups to contribute to pediatric resident burnout resilience research. Explore opportunities for scholarship, collaboration, and program reports at this informative event.

  • Pediatric
  • Resident Burnout
  • Resilience
  • PRB-RSC
  • Interventional Studies

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  1. PRB-RSC Meeting Spring APPD 2017 Members meeting 11:30am-1:00pm 4/7/17 MANHATTAN ROOM (4thfloor, 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 1. State of the Consortium: Organization, Sites 2. Plans for Upcoming - 2017 Annual Survey 3. PRB-RSC Projects Underway Progress Report 4. PRB-RSC Program Reports 5. PRB-RSC Website [http:/pedsresresilience.com] 6. Future Developments A. Scholarship Ancillary Studies [existing PRB-RSC data] B. International Studies C. Faculty Resident Survey D. Interventional Trials 7. Other

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

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

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

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

  16. Plans for 2017 Annual Survey A. Same timing as 2016 survey; same items B. More sites C. Methods - Engagement D. IRB Kit from Beth King (APPD LEARN) A. 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 1. 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 2. Pediatric Resident Burnout and Resilience Study Consortium: Current Wellness Activities in Pediatric Resident Burnout Resilience Member Programs (Wilson/Kemper) 2015 3. Pediatric Resident Burnout and Resilience Study Consortium: Perspectives of Program Directors a National Study (Wilson/Kemper) 2016

  19. Consortium Projects 4. 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 5. 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 1st Author Batra Topic Study Design/Burnout Variability and Predictors Abstract Deadline* Writing Group Interest APPD/PAS 2017 SC in progress 1. 2. Burnout Interplay of Resident & Program factors Mahan PAS 2017 SC in progress 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 APPD/PAS 2017 SC and Open to PIs 7. Program Wellness Activities (PRB-RSC PD defined) Wilson APPD/PAS 2016 Done SC finished

  21. Opportunities for Scholarship 1. Opportunities for Scholarship in Topics 3 & 6 A. One investigator (PI invited first from each site) invited to sign up for Writing Group for a Topic (3 or 6) 2. Developing process to propose new ancillary study utilizing available data sets A. 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 B. Process to be launched third quarter 2017

  22. 4. PRB-RSC Program Reports 1. PRB-RSC Program Reports A. First prototype sent to all active programs Dec 2016; active sites receive these yearly B. 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 http://pedsresresilience.com

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

  27. 7. Other Items

  28. Questions

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