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Updated: May 22, 2025

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Sustaining and Training for Resilience, Engagement and Meaning (STREAM): Program Model, Rationale and Early

Julie A Young1, Janet R Serwint2, Rachel E Crampton3

  • 1Nationwide Children's Hospital, Columbus, OH, USA.

BMC Medical Education
|May 17, 2025
PubMed
Summary
This summary is machine-generated.

Physician burnout is a significant threat. The STREAM program, focusing on mental health, resilience, engagement, and meaning, offers individual strategies to support physician well-being and combat stress.

Keywords:
EngagementJoyMeaningMental healthPERMA-HPhysicianResilienceTraineeWell-being

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Area of Science:

  • Medical Education
  • Physician Well-being
  • Occupational Health Psychology

Background:

  • Physician burnout and stress negatively impact both healthcare providers and patient outcomes.
  • Systemic issues contribute to physician distress, necessitating individual coping strategies.

Purpose of the Study:

  • To introduce the Sustaining and Training for Resilience, Engagement and Meaning (STREAM) program.
  • To outline the program's structure based on the PERMA-H framework, addressing key domains of physician well-being.

Main Methods:

  • Development of the STREAM program utilizing the PERMA-H framework.
  • Program organized into four key areas: Mental Health, Resilience, Engagement in Systems Improvement, and Connection with Joy and Meaning.
  • Rationale and necessity for addressing these domains to enhance physician well-being.

Main Results:

  • Description of the initial STREAM program implementation.
  • Details of program enhancements based on feedback from trainees, faculty, leaders, and an advisory board.

Conclusions:

  • Prioritizing physician well-being is essential for a healthy healthcare system.
  • Fostering strong professional relationships and collaborative system improvements are crucial for mitigating physician distress.