AEM Early Access

AEM Education and Training 15: Science Policy Training for a New Physician Leader

Welcome to the fifteenth episode of AEM Education and Training, a podcast collaboration between the Academic Emergency Medicine E&T Journal and Brown Emergency Medicine. Each quarter, we'll give you digital open access to AEM E&T Articles or Articles in Press, with an author interview podcast and links to curated supportive educational materials for EM learners and medical educators.

Find this podcast series on iTunes here.

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DISCUSSING (CLICK ON TITLE TO ACCESS):

Science Policy Training for a New Physician Leader: Description and Framework of a Novel Climate and Health Science Policy Fellowship. Jay Lemery, MD, Cecilia Sorensen, MD, John Balbus, MD, MPH, Lee Newman, MD, MA, Christopher Davis, MD, Elaine Reno, MD, Renee Salas, MD, MPH, MS, Emilie Calvello Hynes, MD, MPH

LISTEN NOW: INTERVIEW WITH FIRST AUTHOR Jay Lemery, MD, FACEP, FAWM

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Jay Lemery, MD, FACEP, FAWM

Professor of Emergency Medicine

University of Colorado School of Medicine

Abstract

The accelerating health impacts of climate change are undermining global health, and the roles of the health sector in addressing the many challenges of climate change are being articulated by governments, multilateral institutions, and professional societies. Given the paucity of physician engagement on this issue to date, there now exists a clear need for health professionals to meet this new challenge with the development and cultivation of new knowledge and skill sets in public health, environmental science, policy, and communication. We describe a novel GME fellowship in climate and health science policy, designed to train a new generation of clinicians to provide the necessary perspective and skills for effective leadership in this field. This fellowship identifies available university resources and leverages external collaborations (government, medical consortiums, affiliate institutions in public health, and environmental science), which we describe as being replicatable to similar training programs of any number of medical specialties and likewise bring meaningful opportunities to their respective training programs and academic departments. The creation of this novel fellowship in climate and health policy provides a roadmap and potential path for similar programs to join us in addressing the defining health issue of this generation and many to follow.

AEM Early Access 28: A cross-sectional analysis of compassion fatigue, burnout and compassion satisfaction in pediatric emergency medicine physicians in the US

Welcome to the twenty-eighth episode of AEM Early Access, a FOAMed podcast collaboration between the Academic Emergency Medicine Journal and Brown Emergency Medicine. Each month, we'll give you digital open access to an recent AEM Article or Article in Press, with an author interview podcast and suggested supportive educational materials for EM learners.

Find this podcast series on iTunes here.

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DISCUSSING (CLICK ON TITLE FOR FULL TEXT, OPEN ACCESS THROUGH JULY 31):

A cross-sectional analysis of compassion fatigue, burnout and compassion satisfaction in pediatric emergency medicine physicians in the US. Jeanie Gribben, BS, Samuel Kase, BA, Elisha Waldman, MD, and Andrea Weintraub, MD.

LISTEN NOW: AUTHOR INTERVIEW WITH Jeanie Gribben, BS AND Andrea WeintrauB, MD

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Jeanie Gribben, BS

Fourth-year medical student, Icahn School of Medicine at Mount Sinai

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Andrea Weintraub, MD

Associate Professor of Pediatrics, Division of Newborn Medicine, Icahn School of Medicine at Mount Sinai


ABSTRACT:

Objectives: To determine the prevalence of compassion fatigue, burnout, and compassion satisfaction and identify potential personal and professional predictors of these phenomena in pediatric critical care providers.

Design: Cross-sectional, online survey.

Setting: Pediatric critical care practices in the United States.

Subjects: Pediatric critical care fellows and attending physicians.

Interventions: None.

Measurements and Main Results: A modified Compassion Fatigue and Satisfaction Self-Test for Helpers and a questionnaire of personal and professional characteristics were distributed electronically to pediatric critical care physicians nationally. Prevalence of these phenomena was calculated. Hierarchical linear regression models for compassion fatigue, burnout, and compassion satisfaction as a function of potential risk factors were constructed. The survey response rate was 35.7%. The prevalence of compassion fatigue, burnout, and compassion satisfaction was 25.7%, 23.2%, 16.8%, respectively. Burnout score, emotional depletion, and distress about a patient and/or the physical work environment were each significant determinants of higher Compassion Fatigue scores. Preparing for didactics, Compassion Fatigue score, distress about administrative issues and/or coworkers, and "self-care is not a priority" were each significant determinants of higher burnout scores, whereas female sex, Compassion Satisfaction score, and distress about the physical work environment were each significant determinants of lower burnout scores. Prayer/meditation, talking with colleagues, senior faculty level, and student and/or chaplain involvement when delivering bad news were each significant predictors of higher Compassion Satisfaction scores, whereas female sex, burnout score, emotional depletion, and distress about coworkers were each significant predictors of lower Compassion Satisfaction scores.

Conclusions: In our population, chronic exposure to distress in patients and families puts pediatric critical care physicians at risk for compassion fatigue and low compassion satisfaction. Awareness of compassion fatigue, burnout, and compassion satisfaction and their predictors may benefit providers both personally and professionally by allowing them to proactively manage their distress.

AEM Education and Training 15: Science Policy Training for a New Physician Leader

Welcome to the fifteenth episode of AEM Education and Training, a podcast collaboration between the Academic Emergency Medicine E&T Journal and Brown Emergency Medicine. Each quarter, we'll give you digital open access to AEM E&T Articles or Articles in Press, with an author interview podcast and links to curated supportive educational materials for EM learners and medical educators.

Find this podcast series on iTunes here.

AEM E and T Podcasts logo[1].png

DISCUSSING (CLICK ON TITLE TO ACCESS):

Science Policy Training for a New Physician Leader: Description and Framework of a Novel Climate and Health Science Policy Fellowship. Jay Lemery, MD, Cecilia Sorensen, MD, John Balbus, MD, MPH, Lee Newman, MD, MA, Christopher Davis, MD, Elaine Reno, MD, Renee Salas, MD, MPH, MS, Emilie Calvello Hynes, MD, MPH

LISTEN NOW: INTERVIEW WITH FIRST AUTHOR Jay Lemery, MD, FACEP, FAWM

jay.jpg

Jay Lemery, MD, FACEP, FAWM

Professor of Emergency Medicine

University of Colorado School of Medicine

Abstract

The accelerating health impacts of climate change are undermining global health, and the roles of the health sector in addressing the many challenges of climate change are being articulated by governments, multilateral institutions, and professional societies. Given the paucity of physician engagement on this issue to date, there now exists a clear need for health professionals to meet this new challenge with the development and cultivation of new knowledge and skill sets in public health, environmental science, policy, and communication. We describe a novel GME fellowship in climate and health science policy, designed to train a new generation of clinicians to provide the necessary perspective and skills for effective leadership in this field. This fellowship identifies available university resources and leverages external collaborations (government, medical consortiums, affiliate institutions in public health, and environmental science), which we describe as being replicatable to similar training programs of any number of medical specialties and likewise bring meaningful opportunities to their respective training programs and academic departments. The creation of this novel fellowship in climate and health policy provides a roadmap and potential path for similar programs to join us in addressing the defining health issue of this generation and many to follow.