SESSION TITLE: Trainees: Mental Well-Being and PerformanceSESSION TYPE: Original InvestigationsPRESENTED ON: 10/16/22 10:30 am - 11:30 amPURPOSE: The safety and efficiency of academic medical centers has long been a source of consternation amoung medical professionals and the general public alike. The constant rotation of interns, senior resident, and fellows forces a monthly reset on many of the streamlined processes and team dynamics that had become engrained over the prior block. Multiple studies have looked at clinical outcomes throughout the year with a variety of conclusions, including several that have found higher mortality associated with medication errors, acute myocardial infarction, and surgery in July. Understanding effective ways to combat this higher mortality risk and increase efficiency could be monumental in improving health outcomes.METHODS: Our study population is internal medicine residents in two medical ICUs (University of Illinois at Chicago and the University of Maryland). This is a retrospective study analyzing de-identified rotation feedback from the 2018-2021 academic years. Data collected includes PGY year, month of rotation, and freeform comments. Based on similar prior studies we use scales for orientation (negative, constructive criticism, neutral, positive, very positive) and relevance (not actionable, general comments, theme evident, specific feedback) and all comments that at least had a theme evident were sorted into one of 12 domains. These comments were then graphed according to the number of months of training completed in order to visualize trends.RESULTS: A total of 854 comments were examined. Around half of the narrative comments had evident themes, with 122 of these referencing specific strengths or areas for improvement during the rotation.References to poor wellness and attitude peaked in the fall and winter of intern year, then the end of third year. Interns in the second half of the year were the most likely to take feedback/teaching poorly, and they were also most likely to have issues identifying sick patients. PGY2s were more frequently advised to speak up or have more confidence and have less positive comments regarding their leadership ability when compared to third year seniors.Positive comments in general were more evenly dispersed throughout the training cycle, although compliments regarding leadership and teaching skills skewed later in residency. Likewise ability to perform exemplary resuscitations and identify decompensating patients appropriately were weighted more towards the later half of training.CONCLUSIONS: This study helps to evaluate specific areas of educational focus that may benefit residents training in the ICU. Specifically focussing on leadership and resusiotation skills with early second year residents, and wellness activities in the winter to prevent physician burnout were identified as areas for improvement.CLINICAL IMPLICATIONS: Modification of residency curriculums and rotation scheduling according to these findings will hopefully have positive impact on ICU outcomes.DISCLOSURES: No relevant relationships by Cameron AllenNo relevant relationships by Danielle BaekNo relevant relationships by Alexander DaviesNo relevant relationships by Ellen MarciniakNo relevant relationships by Anne Polick SESSION TITLE: Trainees: Mental Well-Being and Performance SESSION TYPE: Original Investigations PRESENTED ON: 10/16/22 10:30 am - 11:30 am PURPOSE: The safety and efficiency of academic medical centers has long been a source of consternation amoung medical professionals and the general public alike. The constant rotation of interns, senior resident, and fellows forces a monthly reset on many of the streamlined processes and team dynamics that had become engrained over the prior block. Multiple studies have looked at clinical outcomes throughout the year with a variety of conclusions, including several that have found higher mortality associated with medication errors, acute myocardial infarction, and surgery in July. Understanding effective ways to combat this higher mortality risk and increase efficiency could be monumental in improving health outcomes. METHODS: Our study population is internal medicine residents in two medical ICUs (University of Illinois at Chicago and the University of Maryland). This is a retrospective study analyzing de-identified rotation feedback from the 2018-2021 academic years. Data collected includes PGY year, month of rotation, and freeform comments. Based on similar prior studies we use scales for orientation (negative, constructive criticism, neutral, positive, very positive) and relevance (not actionable, general comments, theme evident, specific feedback) and all comments that at least had a theme evident were sorted into one of 12 domains. These comments were then graphed according to the number of months of training completed in order to visualize trends. RESULTS: A total of 854 comments were examined. Around half of the narrative comments had evident themes, with 122 of these referencing specific strengths or areas for improvement during the rotation. References to poor wellness and attitude peaked in the fall and winter of intern year, then the end of third year. Interns in the second half of the year were the most likely to take feedback/teaching poorly, and they were also most likely to have issues identifying sick patients. PGY2s were more frequently advised to speak up or have more confidence and have less positive comments regarding their leadership ability when compared to third year seniors. Positive comments in general were more evenly dispersed throughout the training cycle, although compliments regarding leadership and teaching skills skewed later in residency. Likewise ability to perform exemplary resuscitations and identify decompensating patients appropriately were weighted more towards the later half of training. CONCLUSIONS: This study helps to evaluate specific areas of educational focus that may benefit residents training in the ICU. Specifically focussing on leadership and resusiotation skills with early second year residents, and wellness activities in the winter to prevent physician burnout were identified as areas for improvement. CLINICAL IMPLICATIONS: Modification of residency curriculums and rotation scheduling according to these findings will hopefully have positive impact on ICU outcomes. DISCLOSURES: No relevant relationships by Cameron Allen No relevant relationships by Danielle Baek No relevant relationships by Alexander Davies No relevant relationships by Ellen Marciniak No relevant relationships by Anne Polick