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Designing Well-Being: Using Design Thinking to Engage Residents in Developing Well-Being Interventions
Larissa R Thomas1, Rita Nguyen, Arianne Teherani
1L.R. Thomas is associate professor, Division of Hospital Medicine, Zuckerberg San Francisco General Hospital and Trauma Center, and Department of Medicine, University of California, San Francisco, San Francisco, California. R. Nguyen is assistant professor, Division of Hospital Medicine, Zuckerberg San Francisco General Hospital and Trauma Center, and Department of Medicine, University of California, San Francisco, and assistant health officer, San Francisco Department of Public Health, San Francisco, California. A. Teherani is professor, Division of General Internal Medicine, and education scientist, Center for Faculty Educators, University of California, San Francisco, School of Medicine, San Francisco, California. C.R. Lucey is professor, Department of Medicine and Office of Medical Education, University of California, San Francisco, San Francisco, California. E. Harleman is professor, Division of Hospital Medicine, Zuckerberg San Francisco General Hospital and Trauma Center, and Department of Medicine, University of California, San Francisco, San Francisco, California.
Design thinking (DT) empowers residents to create well-being solutions by focusing on human needs. This approach fostered creativity and trust, offering a new model for medical education well-being initiatives.
Area of Science:
- Medical Education
- Psychology
- Organizational Behavior
Background:
- Residency well-being requires addressing both organizational factors and individual resident needs.
- Few successful strategies exist to improve resident well-being.
- Design thinking (DT), a human-centered problem-solving approach, is well-suited for complex issues like well-being.
Purpose of the Study:
- To teach residents DT techniques for identifying, analyzing, and addressing organizational well-being challenges.
- To explore the utility of DT in developing well-being interventions for medical residents.
Main Methods:
- An 8-month DT program involving workshops and group projects was implemented for internal medicine residents.
- Residents worked in teams to design solutions for improving community, reflection space, peer support, and individualized wellness.
- Post-program interviews assessed resident perceptions of DT for well-being interventions.
Main Results:
- Eighteen residents developed solutions focused on enhancing community and connection through near-peer initiatives.
- Residents reported DT enhanced creative thinking and trust in the program.
- Challenges included time constraints and maintaining momentum during clinical rotations.
Conclusions:
- DT is a valuable tool for needs assessment, intervention piloting, and establishing design principles for residency well-being.
- DT's human-centered focus is ideal for improving institutional culture and community.
- The promotion of creativity and trust through DT has potential applications across medical education.
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