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CoreWellness Online

Download PDF Download the CoreWellness for Physicians in Training Brochure

The State of Burnout Syndrome in Healthcare (BOS) in the United States 1, 2

·       There is an epidemic of physician burnout, depression and suicide

·       40% to 70% of practicing physicians and physicians-in-training have BOS

·       The definition of BOS includes emotional exhaustion, depersonalization and a diminished sense of personal accomplishment

·       Physicians who have BOS are less likely to make good clinical decisions, are more likely to make medical errors, and reduce their clinical hours

·       What is BOS costing your institution?

About CoreWellnessTM

CoreWellnessTM provides physicians-in-training with the knowledge and practical skills they need to manage stress and adversities typical of medical training programs.  And, it is the only program specifically designed for physicians-in-training that includes resilience skill training.  This is key to developing new thought patterns and expertise to better handle anxiety and adversity in the moment they occur.

Physicians-in-training will learn about burnout syndrome (BOS), improve resilience and achieve self-awareness through proactive wellness and self-care measures. This comprehensive program helps them better understand the impact stressors have on their cognitive, emotional, and physical well-being.

Those in training will learn essential skills that will help them not just survive but flourish and thrive!

The Program

CoreWellness is a self-directed learning program that is cloud-based, turn-key, and accessible on smart phones and devices.   Our implementation team will set up online access for all users and assign modules to make the onboarding process simple and to save you time.

Those in training spend 25 minutes on each module on a monthly or bi-monthly basis. 

The CoreWellnessTM program consists of 19 online self-directed learning modules in the following categories:

·       Background Information on Burnout Syndrome, Wellness and Resilience (Modules 1-3)

·       12 Skill Building Exercises (Modules 4-15)

·       Self-Reflection through self-assessment questionnaires and character strength tools (Modules 16-17)

· Simulated Student Encounters – Interactive simulations where trainees observe burnout in others and prescribe treatment options (Modules 18-19)

Each module has an optional group discussion component that reinforces the knowledge and skills developed in the self-directed modules.  Discussion builds trust and comradery amongst trainees and can be especially useful for module topics such as “Narrative Medicine,” where participants write about a patient experience then ideally share it with a group.

There are also three additional online modules designed to help the institution improve its wellness initiative. These include:

·       A step-by-step Institution Guide to design, launch, and sustain a wellness initiative

·       12 of the top evidenced-based wellness programs in the United States

·       A complete Faculty Facilitator’s Discussion Guide to optimize discussions

CoreWellness Modules

Module 1: Introduction to the Program and Burnout – Introduces the program and the definition of burnout, its etiology, prevalence, and consequences are provided.

Module 2: Wellness – Describes the eight dimensions of wellness including physical, emotional, spiritual, social, intellectual, occupational, environmental, and financial.

Module 3: Resilience – Describes how to improve resilience and the relationship between resilience and cognitive behavioral therapy.

Module 4: Mind Pulse Exercise – Describes the A (adversity), B (beliefs), C (consequences) and builds awareness around thinking patterns.

Module 5: Emotional Temperature Exercise – Instructs how to discover, analyze, and enhance self-awareness regarding events or stressors that trigger strong emotions.

Module 6: Thought X-Ray Exercise – Identifies overly intense or counterproductive emotional/behavioral responses generated by cognitive distortions (thinking traps).

Module 7: Nucleus Beliefs Exercise – Identifies deep-rooted core beliefs about oneself, others, the future, and the world.

Module 8: Gaussian Thought-Distribution Exercise – Puts adversities in perspective by using a probability distribution to determine the likelihood of an event actually occurring.

Module 9: Positive Evidence Points (PEP) Exercise – Demonstrates techniques to build self-esteem through positive self-affirmations, benchmark achievements, and positive feedback.

Module 10: The Mindful Healer – Describes mindfulness exercises for challenging unhelpful beliefs using breathwork, progressive muscle relaxation, visualization, positive imagery, and yoga.

Module 11: Narrative Medicine Exercise – Describes how writing, reflecting, and sharing patient stories can nurture empathy and compassion.

Module 12: Personal Mission-Statement Exercise – Describes how creating a mission statement, regarding one’s overall purpose for going into medicine will increase meaning.

Module 13: Experiencing Gratitude Exercise – Describes how savoring the good things in life and expressing gratitude on a daily basis increases well-being and decreases burnout.

Module 14: Conflict Resolution Exercise – Demonstrates how to diffuse anger and begin the process of negotiation and problem solving.

Module 15: Resident Leadership – Describes how medical students can help lead the effort to build and maintain a culture of wellness within the institution.

Module 16: Self-Assessment Tools – Allows self-reflection and discovery through 27 self-assessment tools and questionnaires.

Module 17: Character Strength Tool – Allows exploration of one’s greatest character strengths and teaches the importance of using them on a regular basis.

Module 18: First Simulated Resident Encounter – Manage a case of a simulated medical student with increasing feelings of frustration, irritability, and trouble sleeping who skips morning report.

Module 19: Second Simulated Resident Encounter – Manage a case of a simulated medical student who is struggling with work-life balance.

Institution Modules

Institution Guide 1: Creating an Effective Wellness Initiative – Describes a 10-step approach to design, launch, and sustain a wellness initiative including needs assessments, budgets, ROI calculations, and metrics.

Institution Guide 2: Wellness Program Examples – Provides information about 12 of the top evidence-based wellness programs in the United States.

Institution Guide 3: Faculty Facilitator’s Discussion Guide – Teaches faculty to effectively facilitate discussion groups following each online CoreWellness module.

References

 1 Prevalence of Burnout Among Physicians: A Systematic Review https://jamanetwork.com/journals/jama/fullarticle/2702871

2 Estimating the Attributable Cost of Physician Burnout in the United States https://annals.org/aim/article-abstract/2734784/estimating-attributable-cost-physician-burnout-united-states

Key Components

  • The only curriculum specifically designed for physicians-in-training to develop resilience and wellness skills so they can better manage stress and adversities typical in medical training
  • Physicians-in-training learn essential skills and self-assessment that help them not just survive, but flourish and thrive
  • Trainees get a better educational experience by diagnosing and prescribing treatment options for burnout, depression, and work-life balance using the latest interactive digital education simulations
  • CoreWellness Online is a self-directed learning program that is available anytime, anywhere on computers or mobile devices including smart phones
  • Turn-key program makes implementation simple and saves administrative time
  • CoreWellness includes a group-discussion guide to allow faculty to reinforce important topics and an overall culture of wellness