Table 1.

Components of UUFMRP Wellness Program

1. Operations–Intentionally Support Wellness

Policies and procedures support wellness: Chiefs serve as resident liaisons to residency leadership Sick Coverage: backup system that does not need to be “paid back” Medical/mental health appointments supported Self-study option allowed for missed didactics Rotation schedule planned annually by resident preference Rotation schedule flexibility for maternity/paternity leave Lactation support through blocked clinic time Reimbursed cab fare if unable to safely drive home after work Quarterly faculty advisor meetings address wellness Wellness check-in is formally integrated into faculty advisor meeting expectations Residents provide anonymous quarterly feedback to residency program with closed loop communication Reviewed by chiefs and residency faculty, with discussion of outcomes at monthly resident meeting

2. Didactics–Integrate Wellness into Core Curriculum

Intern Orientation establishes wellness as a residency value Develop Personal Wellness Plan © Behavioral goals set at the beginning of intern year (ie exercise three days per week; call my family every day off) Intern Support Group Occurs weekly the first hour of interns’ protected Friday afternoon didactic time. Required for interns and facilitated by behavioral science faculty. Resident “Resilience and Recovery” Group Faculty-led group focusing on stress management and wellness skills (ie, coping with sleep deprivation, handling difficult attending physicians, ethics of prescribing to friends and family); occurs monthly during the first hour of all residents’ Wednesday afternoon didactic time. Required for residents on rotations that allow them to attend didactics. “Patient Safety Conference” Recurring Grand Rounds addresses difficult patients and situations Residency Retreats/Workshops (R1 Retreat, R1 Leadership Workshop, R2 Retreat): Self-assess wellness and refine Personal Wellness Plan © Develop effective communication skills Cultivate identity as a physician and meaning in medicine

3. Frosting–Nurture Connection to Each Other and Community

“Intern Buddy” Each intern is assigned an upper class “buddy” to help with transition to residency Community outreach integrated into curriculum Medical care provided to underserved at community health fair, projects with local community gardens, early literacy books distributed at refugee health fair Social events coordinated by residency Integrates interns into residency and supports global residency community