Pediatric Meltdown

237. Physician Wellness: Needed Now More Than Ever


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Could coaching be the key to overcoming burnout and moral injury that plagues the medical profession? 

In this episode of Pediatric Meltdown, Dr. Lia Gaggino welcomes back Dr. Adrienne Mann and Dr. Tyra Fainstad, pioneers in physician well-being research, as they unpack the results from their studies on the impact of group coaching on physicians. Drs. Mann and Fainstad share their journey from a "cute little study" to a groundbreaking national program that offers a lifeline to medical students, residents, and faculty. As they study the struggles and triumphs of physicians battling burnout, moral injury, and self-compassion deficits, they reveal a whole new approach to healing and growth. 

Hear how their innovative program is providing solace to thousands and lighting a path to flourishing in medicine.

[00:05 - 01:17] Transforming Physician Wellness through Coaching

  • Explore the origins of a simple idea during the pandemic that blossomed into a renowned coaching program
  • Understand how pivoting to online platforms expanded their coaching reach significantly beyond initial expectations
  • Discover the importance of addressing burnout, moral injury, and imposter syndrome in healthcare professionals
  • Learn about the innovative group coaching model and its profound impacts versus traditional one-on-one methods

[01:18 - 03:54] Impactful Outcomes of Group Coaching

  • Recognize the need for a targeted approach focusing initially on women due to higher burnout representation
  • Evaluate the coaching methodology's evolution from novice trials to thousands of residents in randomized control settings
  • Appreciate insights into baseline distress levels and how these reveal prevailing systemic issues
  • Analyze how group coaching effectively elevated self-compassion, reduced moral injury, and tackled burnout

[03:55 - 06:06] Inclusivity and Institutional Partnerships

  • Grasp the expanding scope to now include men and diverse genders, enhancing coaching accessibility
  • Reveal the collaboration with institutions to democratize coaching, offering programs at low costs per participant
  • Examine how privacy and anonymity are maintained to encourage participation without stigma
  • Recognize the structural evolution from restricted groups to open participation for trainees at all career stages

[06:07 - 8:52] The Future Direction of Physician Coaching Programs

  • Investigate the ongoing research into why and how coaching uniquely benefits medical professionals
  • The potential restructuring of medical leadership to address autonomy and eradicate systemic burnout
  • Appreciate the continuous refinement and adaptation of the coaching model based on participant feedback
  • Fact-check how empirical evidence supports the coaching method's resilience against challenges posed by modern healthcare

[48:51-32:50]  Dr. Lia’s TakeAways

Connect with Dr. Adrienne Mann

Instagram: @amw1983


Connect with Dr. Tyra Fainstad

Instagram: @Tyraindenver


Resources Mentioned in the Episode

Better Together Coaching  https://bettertogetherphysiciancoaching.com/

-Major updates: You can see our website here for research and peer-reviewed evidence updates. 

 Of high interest is our most recent RCT in CU faculty, showing improved wellbeing in the intervention group, as well as a national RCT with >1000 residents/fellows at 26 programs showing improvements in every single outcome we studied.


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Tweetable Quotes:

"The killer of joy for all of us medicine field participants is the idea that we have to feel bad in order to do well.".. Dr. Tyra Fainstad on The Paradox of Achievement in Medicine

"We now have, I think, over 40 physicians and APP coaches who are all certified in the same coaching school that we are. And they volunteer four hours of their time per month to have accessibility for our participants to get one on one coaching." .. Dr. Adrianne Mann


**TRANSCRIPT AVAILABLE UPON REQUEST**


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Pediatric MeltdownBy Lia Gaggino

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