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Meet and Greet Sessions: A Unique Virtual Opt-Out Approach to Support Trainee Well-Being.

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A virtual, opt-out mental health support program for graduate medical education (GME) trainees was feasible and acceptable. The program reduced barriers to care, with over half of attendees seeking counseling, normalizing mental health support for residents and fellows.

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Area of Science:

  • Medical Education
  • Mental Health Services
  • Trainee Well-being

Background:

  • Institutional support for graduate medical education (GME) trainee well-being requires continuous improvement.
  • Access to mental health support for residents and fellows remains a critical area for development.
  • Novel interventions are needed to enhance GME trainee mental health outcomes.

Purpose of the Study:

  • To evaluate the participation, feasibility, and acceptability of a virtual, opt-out mental health support program for GME trainees.
  • To assess the impact of brief, individual, nonevaluative counseling sessions on trainee mental health care access.
  • To determine the effectiveness of a proactive approach in reducing barriers to seeking mental health support.

Main Methods:

  • A virtual, opt-out "meet and greet" counseling session was offered to incoming residents and fellows from participating GME programs.
  • Sessions were brief (20 minutes), individual, virtual, and nonevaluative, facilitated by an Employee Assistance Program counselor.
  • Anonymous surveys were used to gather nonformal feedback on participation, feasibility, and acceptability.

Main Results:

  • Over three academic years, 334 residents and fellows from 12 GME programs were prescheduled for opt-out sessions.
  • 54% of prescheduled trainees attended the sessions, and 35% subsequently initiated counseling.
  • 73% of survey respondents reported that the sessions reduced barriers to seeking mental health care, with minimal counselor time required.

Conclusions:

  • A virtual, opt-out approach to mental health support during orientation is feasible and acceptable for GME trainees.
  • This intervention successfully engaged trainees and led to a significant proportion initiating counseling.
  • The program demonstrated potential in normalizing the culture around accessing mental health services for residents and fellows.