In the current health care environment, residents and faculty members are at increased risk for burnout and depression. Psychological, emotional, and physical well-being are critical in the development of the competent, caring, and resilient physician. Self-care is an important component of professionalism; it is also a skill that must be learned and nurtured in the context of other aspects of residency training. Programs, in partnership with their Sponsoring Institutions, have the same responsibility to address well-being as they do to evaluate other aspects of resident competence.
VI.C.1. The program This responsibility must include:
VI.C.1.a) educate all faculty members and residents to recognize the signs of fatigue and sleep deprivation; efforts to enhance the meaning that each resident finds in the experience of being a physician, including protecting time with patients, minimizing non-physician obligations, providing administrative support, promoting progressive autonomy and flexibility, and enhancing professional relationships; (Core)
VI.C.1.b) attention to scheduling, work intensity, and work compression that impacts resident well-being; (Core)
VI.C.1.c) evaluating workplace safety data and addressing the safety of residents and faculty members; (Core)
VI.C.1.d) policies and programs that encourage optimal resident and faculty member well-being; and, (Core)
VI.C.1.d).(1) Residents must be given the opportunity to attend medical, mental health, and dental care appointments, including those scheduled during their working hours. (Core)
VI.C.1.b)educate all e) attention to resident and faculty member burnout, depression, and substance abuse. The program, in partnership with its Sponsoring Institution, must educate faculty members and residents in alertness management and fatigue mitigation processes; and, identification of the symptoms of burnout, depression, and substance abuse, including means to assist those who experience these conditions. Residents and faculty members must also be educated to recognize those symptoms in themselves and how to seek appropriate care. The program, in partnership with its Sponsoring Institution, must: (Core)
VI.C.1.
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e).(1) encourage residents and faculty members to alert the program director or other designated personnel or programs when they are concerned that another resident, fellow, or faculty member may be displaying signs of burnout, depression, substance abuse, suicidal ideation, or potential for violence; (Core)
VI.C.1.e).(2) provide access to appropriate tools for self-screening; and, (Core)
VI.C.1.e).(3) provide access to confidential, affordable mental health assessment, counseling, and treatment, including access to urgent and emergent care 24 hours a day, seven days a week. (Core)
VI.C.2. There are circumstances in which residents may be unable to attend work, including but not limited to fatigue, illness, and family emergencies. Each program must have a process to ensure continuity policies and procedures in place that ensure coverage of patient care in the event that a resident may be unable to perform his/her their patient care duties. (Core)VI.C.3. The sponsoring institution must provide adequate sleep facilities and/or safe transportation options for residents who may be too fatigued to safely return homeresponsibilities. These policies must be implemented without fear of negative consequences for the resident who is unable to provide the clinical work. (Core)