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Chief Resident Leadership Conference : Caring for Your Residents

Chief Resident Leadership Conference : Caring for Your Residents. Roseanne C. Berger, MD Senior Associate Dean for Graduate Medical Education & ACGME Designated Institutional Official (DIO) for UB. Goal: Support residents experiencing problems that impede learning. Fatigue

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Chief Resident Leadership Conference : Caring for Your Residents

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  1. Chief Resident Leadership Conference:Caring for Your Residents Roseanne C. Berger, MD Senior Associate Dean for Graduate Medical Education & ACGME Designated Institutional Official (DIO) for UB

  2. Goal: Support residents experiencing problems that impede learning. • Fatigue • Academic Difficulty • Harassment • Impairment

  3. www.cphny.org 800-338-1833 www.cphny.org 800-338-1833

  4. Warning Signs

  5. Deteriorating personal hygiene Unfocused, confused, distracted Mood swings Unprofessional demeanor or conduct Anger/Abusive Language Frequent lateness, absence or illness Isolation: avoidance of associates Inappropriate response to patient needs or staff requests Ignoring requests to catch up on paperwork Uncooperative and defiant approach to problems and/or performance feedback Selected Warning Signs

  6. Impairment/Substance Abuse • Signs & symptoms of impairment • Report to PD or GME – do not handle yourself • Encourage individual to self-report to GME or Committee on Physician’s Health (CPH) • Treatment options • Coincident with training • Leave of Absence – up to 3 months

  7. CPH Contact Info 1 (800) 338-1833or(518) 436-4723The Committee for Physician Health 99 Washington Avenue, Suite 410Albany, NY 12210Fax: (518) 436-7943Email: terry@cphny.orgAll calls are confidential!

  8. Sexual Harassment in Medical EducationEvents of Sexual Mistreatment Reported by Graduating US Medical School Students • Denied opportunities for training or rewards because of your gender • Subjected to unwanted sexual advances by school personnel • Subjected to offensive sexist remarks/names directed at you personally • Received lower evaluations or grades solely because of gender rather than performance • 19962003 • 4.3% 2.4% • 4.7% 2.1% • 8.7% 4.1% • 6.1% 3.0% Recupero, et. al. Academic Medicine 79(9). 2004

  9. Harrassment/Discrimination Sexual or other forms  If possible, tell harasser to stop Discuss with PD, Chair, DIO, Office of Equity, Diversity, and Affirmative Action 645-2266 https://secure.newmedialearning.com/psh/ubuffalo/

  10. UB/GME Resources • Susan Orrange, M.Ed. sorrange@buffalo.edu • Roseanne Berger, M.D. bergerrc@buffalo.edu • Chief Resident Listserv • Policies on Impairment, Harassment, and Academic Status • www.ACGME.org • Common Program Requirements • RRC Requirements for your program • The Joint Commission http://www.jointcommission.org/

  11. LIFE Curriculum(Learning to Address Impairment and Fatigue to Enhance Patient Safety) • Self-directed learning modules in the areas of: • Fatigue • Disruptive Physicians • Stress & Depression • Substance Abuse • Burnout • Impairment • Negative Feedback

  12. UB Human Resourceshttp://hr.buffalo.edu • Work/life balance • UB Employee discounts • Fitness centers, theme parks & attractions, software, wireless phones, moving services, and more • Learning & Development • Registration & Course Catalog • Short courses in Career and Personal Development, Software and Computer Productivity, Wellness & Worklife Balance • Over 1,000 online, self-directed learning modules (Skillsoft)

  13. Case Scenarios

  14. 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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