title: Assessing levels of support for residents following adverse outcomes: a national survey of anesthesia residency programs in the United States.
abstract: OBJECTIVE
  The impact of physician burnout is becoming apparent in the medical community, especially among anesthesiologists and young physicians. Anesthesia residents will experience emotionally charged adverse events during their training. The objective was to determine the prevalence, efficacy and utilization of support structures in place for residents following adverse events in order to develop a best-practices model of resident support.
  
  
  METHODS
  We sent an anonymous internet-based survey to program directors (PDs) at all American College of Graduate Medical Education (ACGME)-approved Anesthesia Residency programs, with an optional secondary survey of residents.
  
  
  RESULTS
  There was a 53% response rate among PDs with most reporting resource availability. The strongest support programs were the anesthesia support programs, morbidity and mortality (M&M) conference, and "individual meetings with department leadership." These results were mirrored in the responses of residents at the 32 programs who opted to participate in the secondary survey. Both also cited M&M conference as being highly utilized, but not efficacious. The strongest support programs had a low prevalence.
  
  
  CONCLUSIONS
  These data suggest that a best-practices model of resident support entails establishing a department-based support program, facilitating comfortable meetings with departmental leadership and optimizing M&M conference.
authors.affiliation: Boston Children's Hospital , USA and.
authors.forename: Amy E
authors.initials: AE
authors.lastname: Vinson
authors.forename: John D
authors.initials: JD
authors.lastname: Mitchell
mesh_terms: D000776:Anesthesiology / Q000193:education*; D002055:Burnout, Professional / Q000517:prevention & control*; D006801:Humans; D007396:Internship and Residency / Q000458:organization & administration*; D008605:Mental Health Services / Q000706:statistics & numerical data; D012944:Social Support; D014481:United States; D016526:Workload