Well-Being and Emotional Resiliency in Academic Medicine

Well-being in academic medicine is a critical issue facing faculty members, clinicians, researchers, residents, and students. The pandemic has only heightened the need to solve problems around well-being in academic medicine, but the AAMC addressed these issues long before. Among other initiatives, the AAMC was an early participant in the National Academy of Medicine’s Action Collaborative on Clinician Well-Being and Resilience, a network of organizations dedicated to promoting clinician well-being across all career stages and specialties.

The well-being resources on this page have been curated by the AAMC with the help of the AAMC Council of Faculty and Academic Societies (CFAS). Please email Eric Weissman, senior director of CFAS engagement, if you have any books, articles, or other resources to share with your colleagues and we will consider including them on these pages. To engage with the AAMC’s faculty well-being initiatives in more depth, contact Catherine Florio Pipas, MD, chair of the CFAS Faculty Resilience Committee and member of the CFAS Ad Board.

• Together: The Healing Power of Human Connection in a Sometimes Lonely World
  Written by Vivek Murthy, MD, the 19th surgeon general of the United States, this book shares Murthy’s own experiences and observations about the toll that disconnection and loneliness are taking on the health of our society. He makes the case that loneliness is a public health concern because of its influence on a variety of epidemics, including substance use disorders, anxiety, and depression. Murthy goes beyond diagnosing the problem and proposes solutions to help people and society become more connected.
   
• Physician and Nurse Well-Being and Preferred Interventions to Address Burnout in Hospital Practice: Factors Associated With Turnover, Outcomes, and Patient Safety
  A study published in JAMA found a link between burnout and retention problems among nurses and physicians in a hospital setting. The study concluded that hospitals that can be “characterized as having too few nurses and unfavorable work environments had higher rates of clinician burnout, turnover, and unfavorable patient safety ratings.” Furthermore, those nurses and physicians who remained were less likely to be interested in well-being programs and resiliency training.
   
• How hospitals are using A.I. to fight doctor burnout
  This article from CNBC discusses how hospitals are using artificial intelligence, including an app from Microsoft's Nuance unit, to reduce burnout among physicians and nurses by helping to offload some of their administrative tasks.
   
• National Plan for Health Workforce Well-Being
  The National Academy of Medicine released the National Plan for Health Workforce Well-Being in October 2022 to drive collective action to strengthen health workforce well-being and restore the health of the nation.
   
• Changes in Burnout and Satisfaction With Work-Life Integration in Physicians Over the First 2 Years of the COVID-19 Pandemic
  This article published in Mayo Clinic Proceedings and coauthored by Tait Shanafelt, MD, Colin P. West, MD, PhD, and Lotte M. Dyrbye, MD, evaluates the prevalence of burnout and satisfaction with work-life integration in US physicians at the end of 2021, compared with 2020, 2017, 2014, and 2011.
   
• Associations of physician burnout with career engagement and quality of patient care: systematic review and meta-analysis
  This meta-analysis provides compelling evidence that physician burnout is associated with poor function and sustainability of healthcare organizations primarily by contributing to the career disengagement and turnover of physicians and secondarily by reducing the quality of patient care.
   
• Many Medical Schools Lack Safeguards to Address, Prevent Faculty Bullying
  MedPage Today covered the often-underreported challenges presented by faculty bullying within medical schools, reporting on the work of Maya Iyer, MD, MEd, of Nationwide Children's Hospital in Columbus, Ohio, and colleagues, in a paper published in JAMA Network Open.
   
• American Diagnosis’: Two Indigenous Students Share Their Path to Medicine - Kaiser Health News
  ‘Rezilience,’ Season 4 of the ‘American Diagnosis’ podcast, traces the resilience of Indigenous peoples in the U.S. taking action to protect the health and well-being of their communities.
   

• National Suicide Prevention Lifeline: 1-800-273-8255
• Physician Support Line: 1-888-409-0141
• Mental Health America: a community-based nonprofit dedicated to addressing the needs of those living with mental illness and to promoting the overall mental health of all.
• American Foundation for Suicide Prevention's Interactive Screening Program: Institutions can implement this online program utilized by mental health services.
• Preventing Physician Suicide: an online module from the American Medical Association’s (AMA's) Steps Forward initiative (0.5 CME credits).
• Validated Instruments To Assess Work-Related Dimensions of Well-Being: from the National Academy of Medicine's Action Collaborative on Clinician Well-Being and Resilience.

• Transition in a Time of Disruption
  This report contains practical guidance to support learners in the transition to graduate medical education from the American Association of Colleges of Osteopathic Medicine, the AAMC, the ACGME, and ECFMG.
   
• Medical School Wellness Curriculum Collection
  This is a collection of wellness resources submitted by AAMC member schools.
   
• The Rise of Wellness Initiatives in Health Care: Using National Survey Data to Support Effective Well-Being Champions and Wellness Programs
  The CFAS Faculty Resilience Committee authored this report that summarizes the remaining challenges for institutions in addressing health care worker well-being.
   
• Medical Faculty Need to Foster Resilience in Students (and in Themselves)
  “Do as I say, not as I do,” won't solve the problem. Faculty members in academic medicine must model and support self-care for students.
   
• Gender-Based Differences in Burnout: Issues Faced by Women Physicians
  The National Academy of Medicine described how women often experience burnout due to a number of unique factors, including potentially lacking role models, tackling challenges of dual-career couples, reconciling having a finite number of years for childbearing, facing lack of parity in salaries, receiving a lower number of promotions to leadership positions, confronting both conscious and unconscious biases, and experiencing higher rates of sexual harassment.
   
• Academic Medicine May 2021 edition
  In May 2021, the AAMC’s peer-reviewed journal Academic Medicine focused on well-being, mental health, and burnout.
   
• Supporting Graduate Student Mental Health and Well-Being: Evidence-Informed Recommendations for the Graduate Community
  The Council of Graduate Schools and the Jed Foundation collaborated to create an evidence base to inform future policies, programs, and resources for supporting graduate students’ mental health and well-being.
   
• Preventing a Parallel Pandemic — A National Strategy to Protect Clinicians’ Well-Being
  Former President of the National Academy of Medicine Victor Dzau, MD, AAMC President Emeritus Darrell G. Kirch, MD, and President and CEO of the Accreditation Council for Graduate Medical Education (ACGME) Thomas Nasca, MD, wrote a perspective in the New England Journal of Medicine on protecting clinician well-being at the height of the COVID-19 pandemic.
   
• Burnout Among U.S. Medical School Faculty
  An AAMC Analysis in Brief showed that in February 2019, well before the COVID-19 pandemic, at least 20% of faculty members across rank, department, and gender reported feeling like they were burning out.
   
• It's Not Burnout, It's Moral Injury
  This YouTube video from Dr. Zubin Damania (aka ZDoggMD) describes what happens to health care professionals when they can’t give their patients the care they know they could give if they had the necessary tools, resources, and autonomy.
   
• To Care Is Human — Collectively Confronting the Clinician-Burnout Crisis
  The New England Journal of Medicine featured a perspective from Drs. Dzau, Kirch, and Nasca announcing the launch of the Action Collaborative on Clinician Well-Being and Resilience to combat the clinician-burnout crisis. The Action Collaborative was launched as a partnership between the National Academy of Medicine, the AAMC, and the ACGME.
   
• A Doctor's Dozen: Twelve Strategies for Personal Health and a Culture of Wellness
  CFAS Faculty Resilience Committee Chair and CFAS Ad Board member Catherine Florio Pipas, MD, MPH, wrote a book outlining twelve strategies for personal health and maintaining a culture of wellness.
   
• Combating Clinician Burnout With Community-Building
  A 2018 NEJM Catalyst article explores improving morale and reducing turnover with peer-support meetings and shared group email lists for clinician.
   
• AMA STEPS Forward^®
  A collection of modules from the AMA that offer CME credits, address common practice challenges and offer solutions that aim to save 2-3 hours a day, reduce physician burnout and improve well-being, optimize team-based workflows, and enhance patient experiences. This also includes a module on issues of racial and health equity.
   
• Getting to Inbox Zero
  Petra Lewis, MBBS, professor of radiology and obstetrics and gynecology at Geisel School of Medicine at Dartmouth, presents a video on how to avoid being overwhelmed by email by effectively managing your inbox.
   
• Task Managers
  Petra Lewis, MBBS, also describes how to manage numerous tasks effectively by using task managers.

• Learning Resources for Leading: Top Skills, Attributes, and Behaviors Critical for Success
  This collection of resources is intended to help department chairs develop skills in setting expectations, working effectively with colleagues, developing leadership skills, and dealing with challenging responsibilities.
   

• Physician and Health Professional Well-Being
  This course from the American College of Lifestyle Medicine and the Ardmore Institute of Health was created to describe and apply approaches that support health professionals in achieving and sustaining a total healthy lifestyle, including eating a whole food, plant-based diet, being physically active, and engaging in mindfulness and positive psychology activities.
   

• Faculty Training in Mind-Body Medicine
  Originating at Georgetown University School of Medicine, this experiential program provides faculty at health professional schools with the training, tools, and strategic thinking necessary to implement the course in Mind-Body Medicine Skills at their institutions. During a three-day weekend retreat on Maryland’s Eastern Shore, participants will be introduced to meditation, guided imagery, biofeedback, breathing techniques, and other mind-body approaches that can alleviate stress and foster self-awareness and self-care.