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PD32-09 INNOVATIVE CHANGES IN A UROLOGY RESIDENCY PROGRAM CAN LOWER RATES OF RESIDENT BURNOUT

INTRODUCTION AND OBJECTIVE: Data suggest that over 50% of U.S. physicians suffer from burnout, and up to 65% of U.S. Urology residents report symptoms of burnout. We sought to characterize the level of burnout among resident physicians in our department after implementing a multi-faceted Resident Wellness Curriculum. METHODS: We utilized two well-validated burnout questionnaires: the Maslach Burnout Index (MBI)-Human Services Survey and the Expanded Mayo Physician Well Being Index (WBI). Each resident (PGY-1 to PGY-5) was invited to complete the questionnaires at four timepoints from 6/2017 to 6/2019, using deidentified numbers to preserve anonymity. The Resident Wellness Curriculum was introduced in 2017 and consists of a faculty-funded resident wellness fund, the formation of social groups with 2-3 residents and one faculty member, 1-on-1 structured mentorship, resident social outings, and wellness lectures. After a 2-year interval, residents were asked to rank their most meaningful interventions from 1 to 5. RESULTS: At 4 timepoints over 2 years, 35 unique residents participated, for a total of 54 completed instruments, with longitudinal responses from 11 residents. Initial MBI survey data indicated high levels of Emotional Exhaustion (EE) and Depersonalization (DP) but simultaneously high levels of Personal Accomplishment (PA). Over the study period, there was a significant decrease in the DP domain by 28% (p[0.04), a decrease in the EE domain by 20% (p[0.15), and preserved high PA levels. The average WBI score decreased by 52% (p[0.006), confirming improved levels of distress. Figures 1 and 2 illustrate the survey response changes over the study period. With a 55% response rate, residents most commonly ranked resident-driven social outings as the most meaningful intervention of the Resident Wellness Curriculum (63% of all responses). CONCLUSIONS: Rates of Urology resident burnout were observed to be high, but our data demonstrate measurable improvements in burnout aft purposeful wellness interventions. Source of Funding: None