WIP 57 - Post ICU Resident Debrief Effects on Resident Burnout and Resiliency

Publication Number: WIP 57.7472

Lauren E. Roach, University of Iowa Stead Family Children's Hospital, Iowa City, IA, United States; Amy A. Hobson, University of Iowa Stead Family Children's Hospital, Iowa City, IA, United States; Samuel R. Richey, University of Iowa Stead Family Children's Hospital, Coralville, IA, United States; Abimbola Olayinka, University of Iowa, Iowa City, IA, United States; Kristin G. Wurster, University of Iowa Roy J. and Lucille A. Carver College of Medicine, Iowa City, IA, United States; Shilpa Balikai, University of Iowa Stead Family Children's Hospita, Iowa City, IA, United States; Glenda K. Rabe, University of Iowa, Iowa City, IA, United States; Carolina Quintana Grijalba, University of Iowa Hospital & Clinic, Iowa City, IA, United States

Background: Burnout is a condition known to be concerning amongst physicians for negatively impacting their personal and professional lives. Among physicians, trainees have the highest rates of burnout , especially when compared to age-matched controls. Wilson et al report that lack of meaningful social connections as well as lack of time to process traumatic events are associated with higher levels of burnout. Due to the pervasiveness of burnout, the American Academy of Pediatrics has released a resiliency curriculum which includes debriefing when traumatic events happen. Because of this need, we decided to create a space for trainee debriefing after intensive care rotations.

Objective: Our goal is to improve pediatric resident burnout, well-being, and resiliency by implementing coping and debriefing sessions after intensive care rotations on the Neonatal Intensive Care Unit (NICU) and Pediatric Intensive Care Unit (PICU).

Design/Methods: This study was approved by the University of Iowa IRB (# 202405420). A preassessment of burnout and resilience levels survey was done with pediatric residents prior to implementing our sessions. We used the Maslach Burnout Inventory (MBI) and Brief Resiliency Score (BRS). We included all postgraduate years of pediatric residency in the initial assessments (n=50). Debriefing sessions were then held the week after their respective ICU rotations. The debriefs were case-based discussions of patients identified by the residents as emotionally challenging. Sessions were led by PICU and NICU physician attendings and fellows, a palliative care physician, and a psychologist. After the session, residents completed a post-intervention burnout and resiliency survey. We plan to compare the pre and post resiliency and burnout scores and compare amongst residents who did or did not attend the debrief. All surveys were created and distributed using Qualtrics software provided by the University of Iowa.