Developing and Delivering a Wellbeing Agenda for Trainees.
CCCF ePoster library. Quinn A. Nov 1, 2016; 150962; 81
Dr. Aoife Quinn
Dr. Aoife Quinn
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Topic: Education

Developing and Delivering a Wellbeing Agenda for Trainees.

Quinn, A 1; Moore D 2.
1. Dept of Anaesthesia and Critical Care, Beaumont Hospital, Beaumont Dublin 9, Ireland.
2. Dept of Anaesthesia, Beaumont Hospital, Dublin 9, Ireland

Physician burnout, stress related illness, and substance abuse problems are issues that are cropping up with increasing frequency 1.  Promoting wellbeing and resilience may be a means of mitigating some of index triggers. Other organizations have demonstrated the benefit of implementing mentoring systems, and  some positive outcomes associated with wellbeing2,3,4. The majority of  Irish trainees in ICM are anaesthetic trainees, and  fall under the care of both The Joint Faculty of Intensive Care Medicine and The College of Anaethetists in Ireland. Trainees are represented at the College board level by the Committee of Anaesthetic trainees ( CAT).

Wellbeing, reslience and self care are topics which do not receive recognition under current training arrangements. The CAT sought to improve the wellbeing experiences of all trainees. 
 We describe the experiences of Irish trainees developing  and implementing a wellbeing agenda for other trainees.
In an attempt to foster wellbeing several tasks were undertaken, targeting developing a sense of community, developing the skilled helper mentoring scheme, supporting beginer trainees, and highlighting the benefits of promoting wellbeing.

One of the issues facing trainees is frequently moving city. Social media is very popular and so a Facebook group for anaesthetic trainees was set up in an attempt to foster a sense of community, share information about hospitals, accommodation and training opportunities.

There is a lack of a mentor service. Two trainees underwent a mentoring training course under the auspices of the AAGBI. On successful completion of the course, a centralized mentoring scheme was established. This involved education on the benefits of engaging with a mentoring programme, achieved by writing articles in local trainee newsletter and Irish Medical Journal, ensuring the confidentiality of the scheme, and the recruitment of further trained mentors. Slowly numbers of trainees utilizing the scheme are increasing. A range of issues are being discussed including optimizing opportunities, career directions, and tackling workplace bullying.
Starting a training scheme can be daunting. In an attempt to address this a buddy scheme was introduced whereby all trainees starting the first year of training where paired up with a buddy who was starting the fifth year of training. Potentially this improves peer support for each other, faciltites sharing of information, and may be a first port of contact for the trainee in difficulty.
Finally, to showcase the importance of wellbeing the CAT organized a wellbeing day. This was based on the concept of the healthy mind platter, and a series of talks were held on wellbeing, exercise, nutrition, mindfulness, sleep, mentoring followed by interactive workshops on yoga, mentoring, mindfulness and building a resilience strategy. Feedback from the day indicated benefit for participants, particularly in the areas of self care, sleep hygiene, healthy eating, and exercise. 
Although it’s difficult to formally quantify the impact of the implementation of such strategies, anecdotally trainees are satisfied with the new strategies. We plan to audit the process in twelve months time to help determine on going direction.
In the interim the measures outlined above help generate discussion about the importance of wellbeing and mental health, and make it more acceptable for doctors to prioritize the address their own wellbeing needs.

1. Shanafelt TD, Hasan O, Dyrbye LN, Sinsky C, Satele D, Sloan J, West CP. Changes in Burnout and Satisfaction with Work Life Balance in Physicians and the General US Working Population Between 2011 and 2014. Mayo Clin Proc. 2015 Dec; 90(12):1600-13
2. Oxley J, Fleming W, Golding L, Pask H, Steven A. Mentoring for doctors: enhancing the benefit. A working paper produced on behalf of the Doctors’ Forum 2004 
3. Steven, A, J Oxley, and WG Fleming. Mentoring for NHS Doctors: Perceived Benefits across the Personal–professional Interface. Journal of the Royal Society of Medicine 101.11 (2008): 552–557. PMC. 
4. Connor MP, Bynoe AG, Redfern N, Pokora N, Clarke J. Developing senior doctors as mentors: a form of continuing professional development. Report of an initiative to develop a network of senior doctors as mentors. Med Educ. 2000;34:747–53.

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