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Sikora RD, Manfredi RA, Chung A, et al. Wellness for the Future: Cultural and Systems-based Challenges and Solutions. Acad Emerg Med. 2020;27(4):317-332doi: 10.1111/acem.13937.
Sikora, R. D., Manfredi, R. A., Chung, A., Kaplan, J. A., Tyo, C. J., Akhtar, S. (2020). Wellness for the Future: Cultural and Systems-based Challenges and Solutions. Academic emergency medicine : official journal of the Society for Academic Emergency Medicine, 27(4), 317-332. https://doi.org/10.1111/acem.13937
Sikora, Rosanna D, et al. "Wellness for the Future: Cultural and Systems-based Challenges and Solutions." Academic emergency medicine : official journal of the Society for Academic Emergency Medicine vol. 27,4 (2020): 317-332. doi: https://doi.org/10.1111/acem.13937
Sikora RD, Manfredi RA, Chung A, Kaplan JA, Tyo CJ, Akhtar S. Wellness for the Future: Cultural and Systems-based Challenges and Solutions. Acad Emerg Med. 2020 Apr;27(4):317-332. doi: 10.1111/acem.13937. Epub 2020 Mar 15. PMID: 32037678.
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Acad Emerg Med. 2020 Apr;27(4):317-332. doi: 10.1111/acem.13937. Epub 2020 Mar 15.

Wellness for the Future: Cultural and Systems-based Challenges and Solutions.

Academic emergency medicine : official journal of the Society for Academic Emergency Medicine

Rosanna D Sikora, Rita A Manfredi, Arlene Chung, Jay A Kaplan, Carissa J Tyo, Saadia Akhtar,

Affiliations

  1. Department of Emergency Medicine, West Virginia University, Morgantown, WV.
  2. George Washington University, Washington, DC.
  3. Maimonides Medical Center, Brooklyn, NY.
  4. University Medical Center New Orleans, New Orleans, LA.
  5. University of Illinois at Chicago, Chicago, IL.
  6. and, Icahn School of Medicine at Mount Sinai, New York, NY.

PMID: 32037678 DOI: 10.1111/acem.13937

Abstract

The goal of the 2019 Society for Academic Emergency Medicine Consensus Conference was to explore the current cultural and systemic issues in emergency medicine that impact the individual well-being of every emergency physician and to make recommendations for future study. Burnout is epidemic in emergency medicine. Physician wellness is required to enhance patient clinical outcomes as well as to ensure professional satisfaction and longevity. For conference preparation, a consensus steering committee was created, and a decision was made to use the groundbreaking model of the National Academy of Medicine's "Factors Affecting Clinician Well-Being and Resilience" to further identify areas of needed study. On May 14, 2019, the Wellness Consensus Conference was attended by over 50 faculty physicians from across the United States. These attendees discussed key concepts and prior research presented by content experts. Groups of participants engaged in crowdsourcing techniques to consolidate ideas derived from those discussions. These consensus concepts were recorded and are presented within this article. A repetitive theme noted at the conference was the overwhelming effect of the system and organization factors on individual physician well-being. The concept of ongoing assessment of professional fulfillment over the life span of the emergency physician was felt to be crucial in guiding wellness and resilience interventions in a timely manner. Examining ways to enable physicians to flourish rather than experience burnout are strong future directions for study.

© 2020 by the Society for Academic Emergency Medicine.

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