Caring for Caregivers to Be

Jonathan Ripp, MD, MPH, is Professor of Medicine, Medical Education, and Geriatrics and Palliative Medicine at the Icahn School of Medicine at Mount Sinai in New York City, where he is also Chief Wellness Officer and Dean for Well-Being and Resilience. Dr. Ripp oversees efforts to assess and provide direction for system- and individual-level interventions designed to improve well-being for all students, residents, fellows, faculty, and other health professionals in the Mount Sinai Health System. He is also Co-Founder and Co-Director of CHARM, the Collaborative for Healing and Renewal in Medicine, a professional network for well-being leaders. Dr. Ripp's primary research interest is in physician burnout and well-being, for which he has received grant support and has published and lectured widely. Larissa R. Thomas is Professor of Medicine and the Director of Well-Being for Graduate Medical Education at the University of California, San Francisco. She is also a faculty hospitalist at Zuckerberg Francisco General Hospital and a member of the UCSF Academy of Medical Educators, for which she is the Endowed Chair for the Scholarship of Teaching and Learning. Dr. Thomas is a member of the steering committee and Director of the GME Well-Being Leaders Network for the Collaborative for Healing and Renewal in Medicine (CHARM), a national working group to establish best practice recommendations and consensus guidelines for physician well-being. Her interests include medical education and development of physician well-being initiatives, and she has received several grants to explore organizational innovations to improve well-being. Dennis S. Charney, MD, is Anne and Joel Ehrenkranz Dean of the Icahn School of Medicine at Mount Sinai and President for Academic Affairs for the Mount Sinai Health System.

Contributors

Foreword
Dennis Charney

Introduction
Jonathan Ripp


Section I: The Scope of Medical Student and Trainee Burnout

Chapter 1: Models of Well-Being: Developing a Conceptual Framework
Larissa R. Thomas

Chapter 2: On Measurement and Semantics: Metrics and Terminology
Colin West and Jordyn Feingold

Chapter 3: Taking the Pulse: Prevalence of Burnout
Jordyn Feingold and Carly Kaplan

Chapter 4: What's Causing the Problem?: Drivers of Well-Being
Susan M. Orrange, Michael S. Adragna, and Ashley Jeanlus

Chapter 5: What's at Stake?: Consequences of Burnout
Ingrid Philibert and Lyuba Konopasek


Section II: Design Consideration for a Comprehensive Well-Being Program

Chapter 6: Components of a Comprehensive Well-Being Program
Jennifer G. Duncan, Michael Maguire, and Stuart J. Slavin

Chapter 7: Individually Focused Well-Being Interventions
Farah Hussain, Mary Elizabeth Yaden, and Oana Tomescu

Chapter 8: System-Level Interventions
Mariah A. Quinn and Kerri Palamara

Chapter 9: Raising Awareness and Ensuring Access to Mental Health Resources
Carol A. Bernstein, Claire Haiman, and Laurel E. S. Mayer

Chapter 10: Addressing and Meeting Regulatory Requirements
Tara K. Cunningham and Michael Leitman


Section III: Bringing It Home and Making the Case

Chapter 11: Diagnosing Your Institution's Readiness to Address Trainee Well-Being
Larissa R. Thomas, Irina Kryzhanovskaya, and Saadia Akhtar

Chapter 12: Making the Case for Institutional Commitment to Well-Being
Elizabeth Harry and Elizabeth Lawrence

Chapter 13: Preparing Your Pitch: Communications and Organizational Approaches
Paul Chelminski and Mukta Panda

Chapter 14: Initial Steps in Program Development
Saadia Akhtar, Sakshi Dua, Paul Rosenfield, and Jonathan Ripp


Section IV: Final Considerations

Chapter 15: Novel Technology and Discoveries: The Future of Physician Well-Being
Keith A. Horvath and Anne J. Berry

Chapter 16: Institutional Responses and the Role of the Chief Wellness Officer
Jonathan Ripp, Sharon Kiely, and Amy Frieman

Chapter 17: Advocating for Physician Well-Being at the Societal Level
Christine A. Sinsky and Alexandra M. Ristow

Chapter 18: Attending to Medical Student and GME Trainee Well-Being in the Midst of Crisis: The Example of the COVID-19 Pandemic
Jonathan DePierro, Lauren Peccoralo, Alicia Hurtado, Saadia Akhtar, and Jonathan Ripp


Index