Caring for Each Other: A Resident-Led Peer Debriefing Skills Workshop.

Abstract

Background

Inadequate time and space to process critical incidents contribute to burnout. Residents do not regularly participate in emotional debriefs. An institutional needs assessment revealed only 11% of surveyed pediatrics and combined medicine-pediatrics residents had participated in a debrief.

Objective

The primary objective was to increase resident comfort in participation in peer debriefs after critical incidents from 30% to 50% with implementation of a resident-led peer debriefing skills workshop. Secondary objectives included increasing resident likelihood of leading debriefs and comfort in identifying symptoms of emotional distress.

Methods

Internal medicine, pediatrics, and medicine-pediatrics residents were surveyed for baseline participation in debriefs and comfort in leading peer debriefs. Two senior residents became trained debrief facilitators and led a 50-minute peer debriefing skills workshop for co-residents. Pre- and post-workshop surveys assessed participant comfort in and likelihood of leading peer debriefs. Surveys distributed 6 months post-workshop assessed resident debrief participation. We implemented the Model for Improvement from 2019 to 2022.

Results

Forty-six (77%) and 44 (73%) of the 60 participants completed the pre- and post-workshop surveys. Post-workshop, residents' reported comfort in leading debriefs increased from 30% to 91%. The likelihood of leading a debrief increased from 51% to 91%. Ninety-five percent (42 of 44) agreed that formal training in debriefing is beneficial. Almost 50% (24 of 52) of surveyed residents preferred to debrief with a peer. Six months post-workshop, 22% (15 of 68) of surveyed residents had led a peer debrief.

Conclusions

Many residents prefer to debrief with a peer after critical incidents that cause emotional distress. Resident-led workshops can improve resident comfort in peer debriefing.

Department

Description

Provenance

Citation

Published Version (Please cite this version)

10.4300/jgme-d-22-00513.1

Publication Info

Lee, Grace S, Samantha E Dizon, Colby D Feeney, Yu-Lin Amy Lee, Megan Jordan, Anthony N Galanos and Jane V Trinh (2023). Caring for Each Other: A Resident-Led Peer Debriefing Skills Workshop. Journal of graduate medical education, 15(2). pp. 248–251. 10.4300/jgme-d-22-00513.1 Retrieved from https://hdl.handle.net/10161/27412.

This is constructed from limited available data and may be imprecise. To cite this article, please review & use the official citation provided by the journal.

Scholars@Duke

Feeney

Colby Danielle Feeney

Assistant Professor of Medicine
Lee

Yu-Lin Amy Lee

Assistant Professor of Pediatrics
Jordan

Megan Jordan

Assistant Professor of Medicine

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