TAGME Resident and Fellow Well-being 1 — Questions and Answers
Question 1: Under ACGME Common Program Requirements, programs must address which aspect of trainee well-being beyond duty hours?
- Retirement planning
- Mental health, resilience, and access to confidential support services (Correct answer)
- Housing assistance
- Disability insurance
Correct answer: Mental health, resilience, and access to confidential support services
ACGME requires programs to provide resources and support for mental health, resilience, and well-being, including access to confidential counseling services.
Question 2: What is the Accreditation Council for Graduate Medical Education's stance on stigma around mental health treatment for residents?
- Programs need not address stigma
- Programs must work to reduce stigma and ensure help-seeking is supported (Correct answer)
- Residents should not disclose mental health issues to programs
- Mental health concerns are solely the resident's personal matter
Correct answer: Programs must work to reduce stigma and ensure help-seeking is supported
ACGME requires that programs and institutions create an environment where help-seeking for mental health concerns is encouraged and stigma is actively reduced.
Question 3: What is 'burnout' in the context of resident physician well-being?
- A physical injury from overwork
- Emotional exhaustion, depersonalization, and reduced sense of personal accomplishment (Correct answer)
- A disciplinary process for poor performance
- An exit interview protocol
Correct answer: Emotional exhaustion, depersonalization, and reduced sense of personal accomplishment
Burnout is characterized by emotional exhaustion, depersonalization, and a reduced sense of personal accomplishment, and is highly prevalent among medical residents.
Question 4: Which tool is commonly used to measure burnout in resident physician populations?
- USMLE Step 3 scores
- Maslach Burnout Inventory (MBI) (Correct answer)
- ACGME Milestones assessment
- ACLS certification
Correct answer: Maslach Burnout Inventory (MBI)
The Maslach Burnout Inventory (MBI) is the most widely used validated instrument for measuring burnout across three subscales: exhaustion, depersonalization, and personal accomplishment.
Question 5: What does ACGME require programs to provide so that residents can report patient safety concerns without fear of retaliation?
- Anonymous salary reviews
- A confidential reporting mechanism for patient safety and well-being concerns (Correct answer)
- A public complaint board
- Direct reporting to the RRC only
Correct answer: A confidential reporting mechanism for patient safety and well-being concerns
ACGME requires programs to have a confidential mechanism for residents to report concerns about patient safety, mistreatment, or well-being without fear of retaliation.
Question 6: What is the purpose of a resident well-being committee in a GME program?
- To review resident academic performance
- To proactively identify and address factors affecting resident health and well-being (Correct answer)
- To conduct financial audits
- To set duty hour schedules
Correct answer: To proactively identify and address factors affecting resident health and well-being
A well-being committee identifies stressors affecting residents, coordinates support resources, and develops interventions to promote a healthy learning environment.
TAGME Resident and Fellow Well-being 1
Under ACGME Common Program Requirements, programs must address which aspect of trainee well-being beyond duty hours?