Marshfield Clinic’s Resident Well-Being Committee was formed in 2004 to help promote a healthy and humane learning and work environment for the housestaff by ‘shining a light’ on those resources currently available to them, including Program Administration, Division of Education, Resident Business Meetings, Employee Resource Center, Behavioral Health, and Grievance Procedures.
What is Well Being?
Well-being is a continuous process involving self-awareness and healthy choices resulting in a balanced life.
During residency this process results in a strengthened sense of engagement and accomplishment. Wellbeing supports a resident’s acquisition of knowledge, clinical performance, and positive attitude. These benefits combine to strengthen resilience to the challenges of training.
Dimensions of well-being include: physical; emotional; intellectual; spiritual; social; cultural; occupational; and, environmental.
Prerequisites to well-being include: feeling engaged and empowered ; maintaining physical health with rest, healthy diet, and regular exercise; achieving a balance of work and time away from work; being present in the moment; understanding one’s own` limitations and those of others.
Division of Education support for your well-being in training is one example of the Marshfield Clinic Health System's support for clinician well-being. MCHS joined the National Academy of Medicine's Action Collaborative on Clinician Well-Being and Resilience in December 2017 with the submission of the MCHS Commitment Statement. We also view the 2018 Charter on Physician Health as a very useful guide for RWBC's work with residents and advocacy with our system to support your well-being.
Activities of RWBC
Consultations with Residents
A primary role for RWBC is to provide a confidential consultation service to residents where they talk with RWBC members about their personal, interpersonal, professional, and program concerns. Consultations are strictly confidential. No information about the contact is shared with the resident’s program or the DOE unless issues of serious impairment, risk to personal or patient safety or criminal activity emerge. Consultations are typically held after 5pm with two members of the RWBC.
We listen, help you explore your concern from different perspectives and support you in developing a plan to address your concerns. We help link you to resources and others if that is part of your plan as well. Each year between 12-19 percent of residents see us for consults on a wide range of concerns. Is consultation with RWBC helpful? Over 120 residents consulted RWBC and 95 percent of those residents reported it to be both suportive and helpful. The odds are strongly on your side that RWBC can be of assistance, so please consider contacting us.
Each year RWBC sponsors a day long off site retreat for all the residents and fellows. DOE and your programs release you from daytime service after am rounding/report/etc to attend a day of activities to foster your management of stress and enhance your sense of community with other residents. Please check here for agendas, photos and videos for retreats since 2013.
These retreats continue to evolve based on resident input and we look forward to you joining us and offering ideas.
The RWBC works with DOE and residency programs on wellbeing topics. Information is shared about new resources and concerns. Recommendations are offered in support to resident wellbeing and concerns are highlighted based on resident input to us. As new rules and regulations are implemented that affect programs and residents RWBC supports communication of context for the changes and caring for the residents as we deal with changes.
Resident Well-being Committee Member Statements
Rana Nasser, M.D.
Department of Infectious Disease
On most days, I love my job. Some days, I have to remind myself why. The challenges of medicine are many, and as residents train in recognizing and treating diseases, so must they train to keep themselves sane while they do it, a more challenging task. This is where I see the role of members of the resident well-being committee: they have been through the experience, still love what they do, and have committed to lending a helping hand. I have lived and practiced in different cultures, and by the nature of my role as an infectious disease physician, interact with many residents. Stop me in the hallway anytime something's on your mind: you might just give me a break from a day where I'm having to remind myself why I love what I do.
Rosemary Reriani, M.D.
Department of Nephrology
I truly believe that medicine is a rewarding career, but I find that many times I need to remind myself why I chose medicine. Other times I have needed my family, friends and colleagues to remind me of the reason for my commitment to a medical career. I was lucky enough to go through all my years of medical training with a very supportive family and two sisters who went through medical school at the same time as I did. For sure, I would not have made it without their support in my most difficult and darkest moments.
You are living life daily in the midst of your training. There will always be challenges and stressors that will present themselves during this time. Your need for balance, self-care and well-being is a constant. Your success at managing your personal life plays a big role in your success as a physician. When life happens, the RWBC is available to you.
I joined the RWBC to provide support and a listening ear. Having recently graduated from nephrology fellowship, I can relate to many of the challenges that residents encounter. So please know that I am always available to provide mentorship, support and encouragement.
Michael Schulein, Ph.D.
Department of Psychiatry and Behavioral Health
My commitment to work with residents through the Resident Well-Being Committee is an extension of my involvement throughout my career with supervising, mentoring and teaching health care providers. The manner in which I mentor, supervise and teach is anchored in my professional philosophy and mission statement. These statements reflect what I aspire to offer to residents through RWBC consultation and educational activities.
My philosophy is that to be an effective health care provider I must have an innate sincere caring for others that is planfully shaped by education, training, continual learning, self-reflection, professional humility and respect for others. Effective caring occurs when I share this. My goal as a psychologist is to provide evaluation, consultation, treatment, and education services to others in a manner consistent with my personal philosophy, that will foster growth which may emerge in a variety of ways including: increased awareness; increased understanding; increased sense of competence in handling life stresses; improved symptoms; and, improved relationships.
Athanasios Soskos, M.D.
Department of Hospitalists
Try to put anyone in a profession with high levels of responsibility and stress, erratic sleep patterns and family responsibilities and then put random amounts of money in their bank account from time to time and most people would quit. Doctors, on the other hand, tend to stick it out; after all, we chose that and love what we do and we will choose to do it again and again. No wonder we have personal lives that, at times, face challenges and seem to fall apart and days we wish to escape from all this stress. I can tell you that I have faced these situations in my life considering that I have lived so far in four countries practicing medicine in between. Being one of the hospitalists, I have interacted with many residents throughout medical wards and consultation services . For those who know me, they know what I like and how I interact; for those who do not know me , I would say "come, let's have a cheerful conversation." So please stop me if you see me. I am here to discuss with you whatever is on your mind.
"Health is a state of complete physical, mental and social well-being, and not merely the absence of disease or infirmity." - World Health Organization
Victoria Viegut, M.D.
Department of Pediatrics
As a primary care pediatrician, I work with residents every day. I appreciate your dedication and professionalism. As a working wife and mother with a busy pediatric practice, I also appreciate how much stress you are under to balance your personal and professional lives. I look forward to being available for questions, concerns, discussions, or problems. I am no expert on well-being, but I am looking forward to learning with you. The longer I am in practice, the more I see we have to take care of ourselves before we can take care of our patients.
RWBC poster for sharing