Well-Being in the Clinical Learning Environment
In the current health care environment, residents, fellows, and faculty members are at an increased risk for burnout and depression. Psychological, emotional, and physical well-being are critical for developing and sustaining competent, caring, and resilient physicians. Self-care is an important component of professionalism and high-quality patient care; it is also a skill that must be learned and nurtured in the context of other aspects of residency training.
The Vascular program, in partnership with UW Health, endeavors to enhance the meaning that each fellow finds in the experience of being a physician. Some examples of how we accomplish this include:
- Careful attention to scheduling and workload compression. For example, we protect fellows’ outpatient time with patients by having attending and/or resident coverage during fellow clinics
- Minimizing non-physician obligations. UW Health has superb coordinated care services (e.g., case management and social work). Patient transport and phlebotomy services are readily available. Our pharmacy and advanced practice (RN and PA) colleagues assist with management of insulin regimens, anticoagulation, and other protocol-driven medications.
- Providing excellent administrative support from our program coordinator and assistant coordinators.
- Promoting progressive autonomy and flexibility in managing patients on the inpatient and consult services and in clinic.
- Enhancing social and professional relationships:
- Daily interdisciplinary rounds on our neuroscience ward
- Frequent didactic and case conferences
- Journal clubs (over dinner at a faculty member’s house)
- Resident/fellow recruitment dinners at local restaurants
- Annual department-wide holiday party
- Annual Brain Bowl and resident graduation
It is important for both faculty members and fellows to be able to identify the symptoms of burnout, depression, and substance use disorder in themselves and in others, and to know how and where to seek appropriate care. Fellows and faculty members are to alert the program director, other departmental leaders such as the chair, or the GME office if they become concerned that another resident, fellow, or faculty member may be displaying signs of burnout, depression, substance use disorder, suicidal ideation, or potential for violence. To these ends:
- All fellows receive well-being education as part of the on-boarding process.
- Well-being is also addressed at the required patient safety orientation.
- Our monthly newsletter includes information about well-being resources at UW Health, including the Employee Assistance Program.
- Individual well-being and available resources are further discussed at each resident’s semi-annual review and any ad-hoc meetings with the program director.
Resident Medical Care and Patient Coverage
Our program recognizes that fellows, like all people, require periodic and episodic medical, dental, and mental health care, which must often be scheduled during working hours. Our Jeopardy Resident and Day Float systems provide the flexibility to allow residents and fellows to receive the care they need, while their patients remain covered. Please refer to the Work Hours, Leave, and Moonlighting policy for more information on this coverage.
Primary care: The UW Health Welcome Center can assist in transitioning your care to UW Health (if desired), and in selecting a primary care physician. The phone# is 608-821-4819 and more information is available on the UW Health website here.
Women’s health: UW Health has a web page with resources for gynecologic care, pregnancy and fertility, and other specialty services for women.
Urgent care: UW Health has two urgent care clinics, on opposite sides of the city. The West Towne Urgent Care clinic is closer to University Hospital. The UW Health web page has more information, including wait times.
Video visits: UW Health offers on-demand video visits for low-acuity problems such as upper respiratory symptoms, GI upset, pink eye, joint pain and sprains, headache, and minor skin problems. Click here for more information about how to access this service.
It has been shown that sleep deprivation leads to impaired performance on cognitive tasks. Thus, when physicians are sleep deprived, they are at higher risk for committing medical errors and place their patients at risk. Furthermore, sleep deprivation may put the resident at personal risk, since fatigue is associated with increased rates of motor vehicle collisions. Residents learn about the importance of sleep hygiene as part of the onboarding and patient safety activities noted above, and through annual Safety and Infection Control training.
Like all other UW Health employees, neurology fellows are expected to report to work unimpaired in their ability to perform their duties at all times. If a fellow’s medication use may impair his or her fitness for duty, the fellow must report this to the program director or the Employee Health Service. Illicit drug use is, of course, not tolerated in the workplace. For more detailed information, please see the following UW Health policies:
- 9.20 Prospective Employee Health Assessment and Drug Screening
- 9.05 Drug-Free Workplace
- 9.34 Fitness for Duty: Impaired Employee
- 9.22 Health Clearance to Return to Work / Continue to Work
The Employee Assistance Program
SupportLinc employee assistance program – All UW Health employees, physicians, resident physicians and fellows have access to utilize SupportLinc and its services. In addition, UW Health Employees families have access as well (spouse/domestic partner and dependents up to age 26).
- Service Offered by SupportLinc:
- Immediate support available 24/7/365
- Short-term counseling
- Access to in-person or video counseling sessions
- Legal matters and financial questions
- Family and dependent care needs
- Substance abuse questions or issues
- Emotional or stress-related issues
Counseling services are available at no cost to you, your family and your household members!
- Resident contact/access information is:
- SupportLinc smartphone application (available in the Apple App store and Google Play)
- Group Code: UWHEALTHGME
SupportLinc services are available online via the link above, by phone at 1-888-881-5462, and through the SupportLinc smartphone application.
Numerous other well-being resources are also available to fellows, which can be accessed via the UW Health Resident and Fellows Well-being website.
In the unfortunate event of an acute crisis, call or text 988 or chat 988lifeline.org (Suicide and Crisis Lifeline).
Latest revision: 01/01/2024 Jamie Elliott, MD, PhD