Chief Resident Leadership Chief Resident Leadership Conference:Conference:
Caring for Your ResidentsCaring for Your ResidentsRoseanne C. Berger, MDRoseanne C. Berger, MD
Senior Associate Dean for Senior Associate Dean for Graduate Medical Education Graduate Medical Education
&&ACGME Designated Institutional Official (DIO) for UBACGME Designated Institutional Official (DIO) for UB
Goal: Support residents Goal: Support residents experiencing problems that impede experiencing problems that impede learning.learning. FatigueFatigue
Academic DifficultyAcademic Difficulty
HarassmentHarassment
ImpairmentImpairment
www.cphny.org 800-338-1833
Relative Risk by Specialty
0 0.5 1 1.5 2 2.5 3 3.5 4
Pathology
General Surgery
Pediatrics
Ophthalmology
Orthopedics
Internal Medicine
Neurology
Psychiatry
Radiology
Thoracic Surgery
OB/ Gyn
Otolaryngology
Family/ General Practice
Plastic surgery
Neurological Surgery
Emergency Medicine
Anesthesiology
www.cphny.org 800-338-1833
Warning Signs
Selected Warning SignsSelected Warning Signs
Deteriorating personal Deteriorating personal
hygienehygiene
Unfocused, confused, Unfocused, confused,
distracteddistracted
Mood swingsMood swings
Unprofessional demeanor or Unprofessional demeanor or
conductconduct
Anger/Abusive LanguageAnger/Abusive Language
Frequent lateness, absence Frequent lateness, absence
or illnessor illness
Isolation: avoidance of Isolation: avoidance of
associatesassociates
Inappropriate response to Inappropriate response to
patient needs or staff patient needs or staff
requests requests
Ignoring requests to catch Ignoring requests to catch
up on paperworkup on paperwork
Uncooperative and defiant Uncooperative and defiant
approach to problems approach to problems
and/or performance and/or performance
feedbackfeedback
Impairment/Substance AbuseImpairment/Substance Abuse
Signs & symptoms of impairmentSigns & symptoms of impairment Report to PD or GME – do not handle Report to PD or GME – do not handle
yourselfyourself Encourage individual to self-report to GME Encourage individual to self-report to GME
or Committee on Physician’s Health (CPH)or Committee on Physician’s Health (CPH) Treatment optionsTreatment options
Coincident with trainingCoincident with training Leave of Absence – up to 3 monthsLeave of Absence – up to 3 months
1 (800) 338-1833or
(518) 436-4723The Committee for Physician Health
99 Washington Avenue, Suite 410Albany, NY 12210
Fax: (518) 436-7943Email: [email protected]
All calls are confidential!
CPH Contact InfoCPH Contact Info
Sexual Harassment in Sexual Harassment in Medical EducationMedical Education
Events of Sexual Mistreatment Reported by Events of Sexual Mistreatment Reported by Graduating US Medical School StudentsGraduating US Medical School Students
Denied opportunities for training or rewards Denied opportunities for training or rewards because of your genderbecause of your gender
Subjected to unwanted sexual advances by Subjected to unwanted sexual advances by school personnelschool personnel
Subjected to offensive sexist remarks/names Subjected to offensive sexist remarks/names directed at you personallydirected at you personally
Received lower evaluations or grades solely Received lower evaluations or grades solely because of gender rather than performancebecause of gender rather than performance
19961996 20032003
4.3%4.3% 2.4%2.4%
4.7%4.7% 2.1%2.1%
8.7%8.7% 4.1%4.1%
6.1%6.1% 3.0%3.0%
Recupero, et. al. Academic Medicine 79(9). 2004
Harrassment/DiscriminationHarrassment/Discrimination
Sexual or other forms Sexual or other forms If possible, tell harasser to stopIf possible, tell harasser to stop Discuss with PD, Chair, DIO, Office of Discuss with PD, Chair, DIO, Office of
Equity, Diversity, and Affirmative Action Equity, Diversity, and Affirmative Action 645-2266 645-2266
https://secure.newmedialearning.com/https://secure.newmedialearning.com/psh/ubuffalo/ psh/ubuffalo/
UB/GME ResourcesUB/GME Resources Susan Orrange, M.EdSusan Orrange, M.Ed. . [email protected]@buffalo.edu Roseanne Berger, M.D. Roseanne Berger, M.D. [email protected] [email protected] Chief Resident ListservChief Resident Listserv Policies on Impairment, Harassment, and Academic Policies on Impairment, Harassment, and Academic
StatusStatus www.ACGME.orgwww.ACGME.org
Common Program RequirementsCommon Program Requirements RRC Requirements for your programRRC Requirements for your program
The Joint CommissionThe Joint Commission
http://www.jointcommission.org/http://www.jointcommission.org/
LIFE CurriculumLIFE Curriculum(Learning to Address Impairment and Fatigue to Enhance Patient Safety)(Learning to Address Impairment and Fatigue to Enhance Patient Safety)
Self-directed learning modules in the Self-directed learning modules in the areas of:areas of: FatigueFatigue Disruptive PhysiciansDisruptive Physicians Stress & DepressionStress & Depression Substance AbuseSubstance Abuse BurnoutBurnout ImpairmentImpairment Negative FeedbackNegative Feedback
UB Human ResourcesUB Human Resources http://hr.buffalo.edu http://hr.buffalo.edu
Work/life balanceWork/life balance UB Employee discountsUB Employee discounts
• Fitness centers, theme parks & attractions, software, Fitness centers, theme parks & attractions, software, wireless phones, moving services, and morewireless phones, moving services, and more
Learning & DevelopmentLearning & Development Registration & Course CatalogRegistration & Course Catalog
• Short courses in Career and Personal Development, Short courses in Career and Personal Development, Software and Computer Productivity, Wellness & Software and Computer Productivity, Wellness & Worklife BalanceWorklife Balance
• Over 1,000 online, self-directed learning modules Over 1,000 online, self-directed learning modules (Skillsoft)(Skillsoft)
Case ScenariosCase Scenarios
Remember…for struggling residents
Make diagnosis and treatment plan
Include objective assessments
Provide frequent honest feedback
Consult appropriate people, resources, and policies
Involve program director and faculty
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