@article{ref1,
title=""I Cannot Take This Any More!": Preparing Interns to Identify and Help a Struggling Colleague",
journal="Journal of general internal medicine",
year="2019",
author="Zabar, Sondra and Hanley, Kathleen and Horlick, Margaret and Cocks, Patrick and Altshuler, Lisa and Watsula-Morley, Amanda and Berman, Russell and Hochberg, Mark and Phillips, Donna and Kalet, Adina and Gillespie, Colleen",
volume="34",
number="5",
pages="773-777",
abstract="BACKGROUND: Few programs train residents in recognizing and responding to distressed colleagues at risk for suicide. AIM: To assess interns' ability to identify a struggling colleague, describe resources, and recognize that physicians can and should help colleagues in trouble. SETTING: Residency programs at an academic medical center. PARTICIPANTS: One hundred forty-five interns. PROGRAM DESIGN: An OSCE case was designed to give interns practice and feedback on their skills in recognizing a colleague in distress and recommending the appropriate course of action. Embedded in a patient &quot;sign-out&quot; case, standardized health professionals (SHP) portrayed a resident with depressed mood and an underlying drinking problem. The SHP assessed intern skills in assessing symptoms and directing the resident to seek help. PROGRAM EVALUATION: Interns appreciated the opportunity to practice addressing this situation. Debriefing the case led to productive conversations between faculty and residents on available resources. Interns' skills require further development: while 60% of interns asked about their colleague's emotional state, only one-third screened for depression and just under half explored suicidal ideation. Only 32% directed the colleague to specific resources for his depression (higher among those that checked his emotional state, 54%, or screened for depression, 80%). DISCUSSION: This OSCE case identified varying intern skill levels for identifying and assessing a struggling colleague while also providing experiential learning and supporting a culture of addressing peer wellness.<p /><p>Language: en</p>",
language="en",
issn="0884-8734",
doi="10.1007/s11606-019-04886-y",
url="http://dx.doi.org/10.1007/s11606-019-04886-y"
}