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Universal Well-Being Assessment Associated With Increased Resident Utilization of Mental Health Resources and

Sarah Sofka, Nathan Lerfald, Josephine Reece

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    |March 8, 2021
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    A universal Faculty Staff Assistance Program (FSAP) visit increased resident use of mental health services and reduced professionalism issues. This well-being initiative demonstrated positive outcomes for internal medicine residents.

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    Area of Science:

    • Medical Education
    • Psychiatry
    • Public Health

    Background:

    • Previous research suggested universal Faculty Staff Assistance Program (FSAP) visits could boost self-initiated utilization.
    • The impact of such programs on resident self-initiated visits, professionalism, and well-being remained unexamined.

    Purpose of the Study:

    • To evaluate the effect of a universal well-being FSAP intervention on internal medicine (IM) resident utilization of services.
    • To assess the intervention's impact on resident professionalism and well-being metrics.

    Main Methods:

    • Tracked universally scheduled, resident-initiated, FSAP visits for IM residents from 2014-2019.
    • Monitored professionalism reports and collected burnout and compassion satisfaction (CS) scores from 2017-2020.
    • Employed Mann-Kendall trend tests to analyze trends in utilization and professionalism.

    Main Results:

    • Resident-initiated FSAP visits significantly increased post-intervention (2018-2019) compared to pre-intervention (2014-2015).
    • Program-mandated visits decreased significantly, with only 3.3% of residents opting out of universal visits.
    • Internal medicine professionalism reports showed a significant decrease, while burnout and CS scores remained stable and within favorable ranges.

    Conclusions:

    • A universal well-being FSAP program effectively enhanced resident engagement with mental health resources.
    • The intervention was associated with a reduction in professionalism breaches among internal medicine residents.