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

dc.contributor.author

Lee, Grace S

dc.contributor.author

Dizon, Samantha E

dc.contributor.author

Feeney, Colby D

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Lee, Yu-Lin Amy

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Jordan, Megan

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Galanos, Anthony N

dc.contributor.author

Trinh, Jane V

dc.date.accessioned

2023-05-26T17:01:28Z

dc.date.available

2023-05-26T17:01:28Z

dc.date.issued

2023-04

dc.date.updated

2023-05-26T17:01:27Z

dc.description.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.
dc.identifier.issn

1949-8349

dc.identifier.issn

1949-8357

dc.identifier.uri

https://hdl.handle.net/10161/27412

dc.language

eng

dc.publisher

Journal of Graduate Medical Education

dc.relation.ispartof

Journal of graduate medical education

dc.relation.isversionof

10.4300/jgme-d-22-00513.1

dc.subject

Humans

dc.subject

Peer Group

dc.subject

Internal Medicine

dc.subject

Internship and Residency

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Clinical Competence

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Child

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Surveys and Questionnaires

dc.title

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

dc.type

Journal article

pubs.begin-page

248

pubs.end-page

251

pubs.issue

2

pubs.organisational-group

Duke

pubs.organisational-group

School of Medicine

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Clinical Science Departments

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Medicine

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Pediatrics

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Medicine, General Internal Medicine

pubs.organisational-group

Pediatrics, Hematology-Oncology

pubs.organisational-group

Pediatrics, Medicine/Pediatrics

pubs.publication-status

Published

pubs.volume

15

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