Prescription for Burnout
Prescription for Burnout - How to Transition Healthcare Trainees Into the Clinical Work Environment and Improve Clinician Resilience, Patient Care, and Hospital Efficiency
Prescription for Burnout is a practical and detailed guide based on MedRAP, a comprehensive program implemented at Baylor College of Medicine for 25 years which was designed to advance the professional growth of medical residents and improve their well-being by addressing factors that lead to stress and burnout. The guide has been adapted to facilitate the transition for a wide range of medical clinicians undergoing similar challenges. It provides the framework for implementation of all components of the program, including structuring the curriculum for individual session topics; emphasizes tips to create a positive learning environment; and pre-identifies challenges trainees are likely to encounter and ways to manage them effectively. MedRAP focuses on cost-effective ways to help clinicians-in-training transition into the clinical work environment, cope with the challenges of modern medical practice, provide high quality of care, contribute to patient satisfaction, and function effectively and efficiently. The program also focuses on addressing ACGME competencies such as communication and interpersonal skills, leadership skills, professionalism, and systems-based practice skills. The Quality Improvement component of the program involves the entire healthcare team in improving the efficiency of the hospital work environment and patient care. Because of MedRAP’s efficient design, maximum benefits for medical training programs can be achieved with a judicious commitment of time and resources.
Prescription for Burnout
CHAPTER 11: MODULE 4 - DISCUSSING CODE STATUS
While traditionally only physicians were responsible for obtaining Do Not Resuscitate (DNR) orders and Advance Care Directives, now some states also give this authorization to nurse practitioners and physician assistants. Substantial medical resources are dedicated to End-of-Life care, and therefore, it can be helpful for all healthcare professionals to be familiar with this important subject.
SUMMARY: Module 4 provides general guidelines, factual information and helpful approaches for physicians in training regarding the important topic of discussing code with patients and families.
Author: Iris Mushin, M.Ed, MBA
Contributing Editor: Anoop Agrawal, MB