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
Summary
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.
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.
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