Building Community and Promoting Resilience for Trainees Who Identify as Women of Color Through an Original, Resident-Le
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EDUCATIONAL CASE REPORT
Building Community and Promoting Resilience for Trainees Who Identify as Women of Color Through an Original, Resident-Led Seminar Series Patrice Mann 1 & Amber Frank 1 Received: 13 February 2020 / Accepted: 20 October 2020 # Academic Psychiatry 2020
Physician burnout has become a well-recognized problem that is linked to poorer provider mental and physical health, worse patient outcomes and satisfaction, and increased physician turnover [1–3]. In addition to risks for burnout faced by the general physician population, such as lack of job control, prolonged work stress, and heavy workload, minority physicians and trainees face a unique set of challenges to maintaining wellness and mental health during training [4, 5]. Black, Hispanic, and Native American resident physicians have described unique stressors including frequent microaggressions, bias, being tasked as race/ethnicity ambassadors, and difficulty with identity integration while being seen as “other” [4]. Asian-American physicians report higher levels of stress and lower levels of job satisfaction than white physicians, and women in medicine face their own set of challenges, including gender bias and discrimination, sexual harassment, and having less perceived autonomy over their work load [5, 6]. Minority physicians are an asset to the psychiatric workforce and provide a disproportionate amount of care to underserved populations [7]. Among general psychiatry residents, approximately half are women [8]. Approximately half of psychiatry residents of all genders also identify as belonging to a racial/ ethnic minority group [8]. This diversity offers substantial benefit to clinical, training, and academic environments by bringing together a wide range of perspectives and experiences [7]. For these reasons, burnout prevention and retention of minority and women physicians are not just “minority” issues but have broad importance for patient care, health disparities, and promoting thriving academic communities. Literature on recruitment and retention of women and/or minorities in academic medicine has grown in recent years [9].
* Amber Frank [email protected] 1
Cambridge Health Alliance, Cambridge, MA, USA
However, previously described interventions focus primarily on faculty development programs emphasizing career advising and professional skills development rather than personal wellness, and literature about physicians with intersectional identities, meaning social identities representing overlapping and interdependent systems of marginalization, is particularly sparse [10, 11]. In recognition of this gap in the existing literature, in this paper, we describe a proof-of-concept pilot project to support the wellbeing of residents and fellows who have intersectional identities as women of color (WOC) with an original, 4-session seminar series designed to build community and promote resilience against burnout for this specific group.
Institutional Background and Preparation This seminar series was developed and led by a general ps
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