What Hurts the Physician Hurts the Patient: MedRAP: A Comprehensive Approach to Improving Physician Training, Professional Development and Well-Being

by Iris Mushin

Overview

What Hurts the Physician Hurts the Patient describes MedRAP, a comprehensive program designed to advance the professional growth of medical trainees and improve their well-being by addressing factors that lead to stress and burnout. The program focuses on facilitating the transition into the medical training environment and improving the organizational culture. The program also focuses on addressing ACGME competencies such as communication and interpersonal skills, professionalism, and systems-based practice skills. The Quality Improvement (QI) component of the program involves the entire health care team to facilitate collaboration and improve the efficiency of the hospital work environment and patient care. Because of MedRAP’s efficient design, maximum benefits for medical training programs can be achieved with a judicious commitment of time and resources.

For more information, visit www.medrap.org.

What People are saying

“What Hurts the Physician Hurts the Patient is comprehensive and clearly written and will be of enormous value to graduate medical education. I highly recommend this book to all medical residents, resident program directors, department chairs, and administrators who are connected with the training of new physicians. Ms. Mushin has made an enormous contribution not only to resident training at Baylor, but also to the overall training of residents in the United States.”

- ANTONIO GOTTO, JR., MD, DPHIL

Dean Emeritus, Weill Cornell Medicine

Provost for Medical Affairs Emeritus, Cornell University

“During the 25 years of this program, I have witnessed firsthand the benefits for resident morale and team building. The Quality Improvement component was used to improve both education and patient care. With the introduction of the Core Competencies by ACGME, this program became essential to meeting the milestones expected for accreditation. This comprehensive and thoughtful book will benefit program directors as well as other institutional leaders and non-physician training programs. I highly recommend this excellent work.”

- STEPHEN B. GREENBERG, MD, MACP

Distinguished Service Professor, Margaret M. and Albert B. Alkek Department of Medicine, Baylor College of Medicine

“The Resident Assistance Program has been an invaluable part of our internal medicine training program. The program meets not only the residents’ needs, but also supports the management of institutional and academic goals. Through the years, I have also received feedback from different healthcare team members who have felt that the program contributed to improved collaboration and, thus, improved patient care. I have been discussing the program in my presentations to new applicants and feel it is a great asset to our recruitment process.”

- RICHARD J. HAMILL, M.D.

Professor, Departments of Medicine and Molecular Virology Microbiology, Associate Chair for Medical Education,
Baylor College of Medicine

Product Details

ISBN-13:	9781944952174
Publisher:	Stellar Communications Houston
Publication date:	06/13/2018
Pages:	262
Product dimensions:	8.50(w) x 11.00(h) x 0.68(d)

About the Author

Iris Mushin, M.Ed., MBA, conceived the idea of a Medical Resident Assistance Program (MedRAP) while she was studying for her MBA in 1988. At the time, her husband was completing his surgical training at Baylor College of Medicine (BCM), and she witnessed the stress of medical residency. She perceived a troubling correlation between residents' well-being and optimal patient care and felt it was a public health issue that needed to be addressed. Drawing on her previous training as well as interdisciplinary concepts utilized in various industries, she developed MedRAP to help improve the professional development, efficient functioning, and well-being of medical residents in the department of Internal Medicine at BCM. MedRAP ran successfully for 25 years. Over the years, MedRAP has improved the training experience and hospital efficiency at the BCM affiliated hospitals, and resident participants have gone on to become faculty, program directors, and chairs in academic institutions all over the U.S.

Table of Contents

Foreword

A Program Director’s Perspective on MedRAP

Preface

Acknowledgements

SECTION 1: FOUNDATIONAL CONCEPTS AND DESIGN

CHAPTER 1: Healing Health Care through Improved Medical Training

CHAPTER 2: How MedRAP Can Help Medical Institutions

CHAPTER 3: The MedRAP Approach: Addressing Real vs. Assumed Needs

SECTION 2: PROGRAM STRUCTURE AND IMPLEMENTATION

CHAPTER 4: Program Overview

CHAPTER 5: Implementation Road Map

SECTION 3: STRUCTURAL COMPONENTS

CHAPTER 6: Collecting Confidential Feedback

CHAPTER 7: Individual Assistance

CHAPTER 8: Personal and Organizational Professionalism

SECTION 4: SESSION TOPICS

CHAPTER 9: Developing Customized Orientations

CHAPTER 10: Building Time and Patient Care Management Skills

CHAPTER 11: Discussing Code Status

CHAPTER 12: Interacting with Patients’ Families

CHAPTER 13: Improving Patient-Physician Relationship

CHAPTER 14: Breaking Bad News

CHAPTER 15: Cultivating Systems-Based Practice Skills

CHAPTER 16: Developing Emotionally Intelligent Leaders

CHAPTER 17: Strategies for Effective Team Management

SECTION 5: PROGRAM EVALUATION AND LOOKING TO THE FUTURE

CHAPTER 18: Program Evaluation and Evolution

CHAPTER 19: Lessons Learned and Looking to the Future

FACILITATOR MANUAL SAMPLE: Interacting with Patients’ Families

REFERENCES

INDEX