We aim to reduce neurology resident burnout and improve their wellness through implementation of highly rated appreciation strategies among neurology residents at University of Texas Health Science Center at San Antonio (UTHSCSA).

Burnout affects health care workers at significantly higher rates than general population. Some studies even suggest that it adversely impacts up to 60% of the residents affecting not only their health but also the quality of the care they provide to patients. Interventions addressing burnout are most effective when they are tailored to the constellation of unique factors present at organizational and individual levels.

At baseline, the Stanford Physician Wellness Survey was utilized to comprehensively assess UTHSCSA neurology residents’ professional fulfillment, burnout, self-compassion, sleep-related impairment, and the impact of work on personal relationships. The Moffitt Provider Appreciation Assessment was administered concurrently to measure the perceived impact of 28 different recognition and appreciation strategies among neurology residents. The top 3 feasible appreciation strategies were identified to guide targeted interventions to increase feelings of appreciation among residents. A follow-up Stanford Physician Wellness Survey is planned for 1-year post intervention to evaluate interval changes in resident burnout and wellness scores.

Baseline data were collected among 25 neurology residents (78% response rate). Nearly half (46%) scored positive for the presence of burnout. Approximately one-third (32%) reported feeling professionally fulfilled. The most impactful recognition and appreciation strategies among neurology residents at this single academic center were: 1) positive feedback about my skills from colleagues and/or collaborating partners, 2) time for self-care and wellness related activities, and 3) colleagues getting to know me personally, beyond my role.