Resources

Our Four Pillars

• Wellbeing / Burnout Education and Skills Building
• Crisis Management and Prevention
• 4th Aim Continuous Improvement
• Culture and Connection

Wellbeing / Burnout Education and Skills Building

Internal Resources

• Virginia Tech Wellbeing Resources
• Carilion Wellness
• Carilion Clinic Living
• Carilion Schwartz Rounds
• Video: Being Well While Doing Good: Promoting Clinician Well-being and Addressing Burnout by Dr. Mark Greenawald
• Podcast:  Resiliency and Burnout by Dr. Patrice Weiss
• VTCSOM Student Wellness
• GME Resident Wellbeing
• TimelyCare 24/7 Counseling Services

External Resources

• Physician Wellbeing and Burnout - American Psychiatric Association
• JAMA Peer-to-Peer Message
• Well-Being in Academic Medicine: Resources for Faculty - AAMC
• Our Break Room (Online forum for connecting with other healthcare professionals)
• Physicians Support Line
• MHA of Virginia Peer Support Warm Line

Assessment Tools

Taking a mental health screening is one of the quickest and easiest ways to determine whether you are experiencing symptoms of a mental health condition. Mental health conditions are real, common and treatable.

Screening tests don't diagnose mental disorders. Instead, they're powerful tools for beginning to fully understand your mental health and to decide if you should see a mental health professional. Additionally, mental health screening tests allow people of all ages to identify and discuss problems before they spiral down and out of control.

• Depression Test
• Anxiety Test
• Alcohol and Substance Abuse Test
• Perma Wellbeing Assessment - In his 2011 book “Flourish,” Dr. Martin Seligman, Distinguished Professor of Psychology at the University of Pennsylvania and one of the founders of the field of positive psychology, defined 5 pillars of wellbeing: PERMA (positive emotion, engagement, relationships, meaning, accomplishment). The PERMA­‐Profiler measures these five pillars, along with negative emotion and health. The measure can be taken online for free after registering
• The Warwick-Edinburgh Mental Wellbeing scale was developed to enable the monitoring of mental wellbeing. The tool is a 14-item scale with 5 response categories, summed to provide a single score ranging from 14-70.
• The Oldenburg Burnout Inventory - The free version of this tool uses an informal approach to assessing burnout. 
  If you prefer rigorously validated tests, then the Maslach Burnout Inventory developed by Christina Maslach, one of the leading researchers in the field of burnout, may be useful.

Guiding Literature

• From Triple to Quadruple Aim: Care of the Patient Requires Care of the Provider
  Thomas Bodenheimer, MD and Christine Sinsky, MD
  Annals of Family Medicine, Nov. 2014
• Addressing Physician Burnout: The Way Forward — Commentary
  Tait Shanafelt, MD; Lotte Dyrbye, MD; Colin P. West, MD
  JAMA online, Feb. 9, 2017
• A Professional Well-Being Continuum: Broadening the Burnout Conversation
  Lauren Penwell-Waines, PhD, Mark Greenawald, MD, David Musick, PhD
  Southern Medical Journal, October 2018

Crisis Management and Prevention

Internal Resources

• TRUST Team
  540-981-8778
  The_Trust_Team@carilionclinic.org
• Employee Assistance Program
  540-981-8950 or 800-992-1931
• TimelyCare 24/7 Counseling Services

External Resources

• Virginia Tech Community Provider Database
• American Psychological Association Psychologist Locator
• Psychology Today Find a Therapist Locator
• Connect is a confidential, 24-hour emergency evaluation and referral service provided by Carilion Clinic to members of our community. 
  540-981-8181 or toll-free 800-284-8898
  
• AMA STEPS Forward: Preventing Physician Distress and Suicide
• National Suicide Prevention Lifeline
  800-273-8255
• Lifeline Chat
• American Foundation for Suicide Prevention
  
• Mental Health Resources
• MHA of Virginia Peer Support Warm Line

4th Aim Continuous Improvement

A brief, internal survey may be a vehicle for assessing your department or section’s state of wellbeing. Click here for an overview of a possible process to start the conversation in your department or section.

Culture and Connection

Internal Resources

• Group on Women in Medicine and Science
• State of the YOUnion Assessment- Use this brief assessment to evaluate yourself, your team and your interactions as a manager/leader on an interpersonal level. The results can help you identify specific ways to improve your culture and your relationships with colleagues and staff. (Downloadable PDF)

External Resources

• Roanoke Outside