853 - The Use of Human-Centered Design to Improve Resident Well-Being
Friday, May 15, 2020
8:40 AM – 8:47 AM
Location: Capitol: Terrace Level
Participants should be aware of the following financial/non-financial relationships:
Alicia Pilarski: Nothing to disclose
Christopher S. Davis: No disclosure data submitted.
David Cipriano: No disclosure data submitted.
Julia Schmitt: No disclosure data submitted.
Alicia Pilarski: Nothing to disclose
Intro/Background: While a focus on improving systems and the clinical learning environment are a priority to improve well-being for residents, education and promotion of well-being and resilience have both been recognized as important and beneficial in the training of our future physicians. Depending on available resources, the size of the residency program, and acceptance by program leadership and supporting faculty, some of these non-mandated initiatives may be difficult to implement within an existing program.
Purpose/Objective: Human-centered design (HCD) is an approach to problem solving that has been used in medical education to explore complex problems. Our project aims to assess residents’ desired well-being initiatives using a human-centered design process and to evaluate the current well-being initiatives across the Graduate Medical Educations (GME) programs at our institution.
Methods: HCD sprints (one-hour, facilitator-led interactive sessions) were scheduled with approximately 25-30% of resident volunteers from 10 residency programs of Medical College of Wisconsin Affiliated Hospitals (MCWAH). During these sessions, residents participated in the HCD process to assess the current value of various well-being initiatives and further explore innovative solutions for well-being during residency. These sessions occurred over a period of six months and focused on the first two stages of HCD: empathize and define.
Outcomes (if available): The data from our HCD sprints were categorized by the seven dimensions of wellness (Spiritual, Physical, Emotional, Career, Intellectual, Environmental, Social) and helped to identify themes that could help guide future well-being programmatic developments for MCWAH residency leadership. We were able to identify themes for individual residency program and those that could be applied broadly to all residency programs at our institution.
Summary: The identified well-being initiatives by residents may help program directors to meet the needs of residents. Generalizable efforts towards well-being can potentially miss the unique needs of these residency programs which have a variety of characteristics, resources, and leadership foci. By using a HCD approach, our understanding of what each program values and needs will better help create future well-being initiatives that are more targeted and effective at improving our resident’s well-being. In one example, the outcome from the design sprints resulted in one residency program having social wellness as a prominent theme with suggestions for team-building activities and time to bond with their colleagues. In another residency program, the desired themes surrounded emotional and intellectual wellness such as case debriefing and more structured feedback. Our HCD data also provided qualitative and program-specific data about the various well-being initiatives that are currently offered. Each program had the opportunity to make suggestions for well-being initiative improvements and we plan to use the HCD approach to ideate, prototype and test these various suggestions going forward. Program-specific data generated through a HCD approach can help residency leadership create more valued and robust well-being initiatives during residency training.