4. DEVELOPMENT AND IMPLEMENTATION OF THE NATIONAL PEDIATRIC RESIDENT BURNOUT-RESILIENCE STUDY CONSORTIUM (PRBRSC)

Background The ACGME requires residency programs to monitor & address burnout. Previous studies of prevalence and interventions to address burnout are limited by small number of participants and cross-sectional designs. Objective Develop a national consortium of pediatric residency programs to characterize, monitor, and address resident burnout and well-being through research and advocacy. Methods The Pediatric Residency Burnout-Resilience Study Consortium (PRBRSC) was founded in 2015 by 8 members from 6 institutions, who continue to serve as a steering committee (SC). Activities have included assessing residency efforts to monitor/improve well-being, and assessing the prevalence, natural history, and protective/risk factors for burnout longitudinally. Membership was solicited through discussions at APPD meetings and email invitation to programs. In collaboration with APPD LEARN, the SC developed an anonymous annual online resident survey including standard measures of burnout and attributes of well-being based on literature review and consensus. A subcommittee developed a program report template so that aggregate results could be provided annually for each participating program to monitor their well-being. Proposed sub-analyses of the dataset can be submitted by any site investigator, requires involvement of investigators from >1 program and a SC member. Results The PRBRSC has grown from 34 residency programs (2723 residents) in 2016, to 43 (3273 residents) in 2017, and 49 (3657 residents) in 2018. Annual survey response rates were >60% in all 3 years. Program reports were distributed annually to each participating program. The PRBRSC has had 7 presentations at national meetings, 5 published manuscripts and 4 proposals for additional studies. Additional manuscripts are in preparation or have been submitted. Conclusion After 3 years, the PRBSC has established a nationally representative sample of programs to characterize prevalence and associated risk/protective factors and is poised to develop and study interventions to promote well-being and reduce burnout among residents.