title: Strategies for coping with stress in emergency medicine: Early education is vital.
abstract: BACKGROUND
  Physician burnout has received considerable attention in the literature and impacts a large number of emergency medicine physicians, but there is no standardized curriculum for wellness in resident education. A culture change is needed to educate about wellness, adopt a preventative and proactive approach, and focus on resiliency.
  
  
  CONCLUSIONS
  We describe a novel approach to wellness education by focusing on resiliency rather than the unintended endpoint of physician burnout. One barrier to adoption of wellness education has been establishing legitimacy among emergency medicine (EM) residents and educators. We discuss a change in the language of wellness education and provide several specific topics to facilitate the incorporation of these topics in resident education.
  
  
  CONCLUSIONS
  Wellness education and a culture of training that promotes well-being will benefit EM residents. Demonstrating the impact of several factors that positively affect emergency physicians may help to facilitate alert residents to the importance of practicing activities that will result in wellness. A change in culture and focus on resiliency is needed to adequately address and optimize physician self-care.
authors.affiliation: Department of Emergency Medicine, University of California, San Diego.
authors.forename: Gillian R
authors.initials: GR
authors.lastname: Schmitz
authors.forename: Mark
authors.initials: M
authors.lastname: Clark
authors.forename: Sheryl
authors.initials: S
authors.lastname: Heron
authors.forename: Tracy
authors.initials: T
authors.lastname: Sanson
authors.forename: Gloria
authors.initials: G
authors.lastname: Kuhn
authors.forename: Christina
authors.initials: C
authors.lastname: Bourne
authors.forename: Todd
authors.initials: T
authors.lastname: Guth
authors.forename: Mitch
authors.initials: M
authors.lastname: Cordover
authors.forename: Justin
authors.initials: J
authors.lastname: Coomes