Abstract Details

Title Applicability of Fisher’s Rules in Alleviating Resident Burn-out

Topic Research Methodology, �鶹��ýӳ��, and History

Presentation(s) P7 - Poster Session 7 (5:30 PM-6:30 PM)

Poster/Presentation
Number 6-012

Objective To describe if any of the Fisher’s rules are useful in alleviating burn-out during neurology residency training.

Background Charles Miller Fisher, MD (1913-2012), best known for his contributions including description of carotid occlusion, descending variant of Guillain Barre Syndrome, Fisher score to determine severity of Subarachnoid hemorrhage, etc., was one of the leading neurologists and educators of the century. Fisher led neuro-medical service at Massachusetts General Hospital for three decades. His method and style were published as seventeen “Fisher’s rules” in Archives of Neurology in 1982 following his retirement. Current neurology residents face increasing burn-out due to lack of work-life balance, meaning in work and job satisfaction. It is of interest to see if modeling work and teaching style in the light of Fisher’s rules may be helpful in alleviating resident burn-out.

Design/Methods Descriptive study.

Results Fisher’s rules that propose direct solution to burn-out include Rule #4 - “to work on one or more projects to make the daily routine more meaningful” and #17- “to maintain a lively interest in patients as people”. #1 and #2 shift the focus in work to patient’s bedside that Fisher describes as a neurologist’s “laboratory”. This is in agreement with American Council of Graduate Medical �鶹��ýӳ��’s “back to bedside” initiative for finding meaning in work by substantive interaction with patients. The other rules focus on building core clinical competencies, e.g., #10 learn from past experience of others (practice-based learning), #14 to be a good listener and #12 to write carefully (interpersonal communication), #11 didactic talks benefit the lecturer (active learning in medical education).

Conclusions

Fisher’s rules include methods to alleviate resident burn-out (a) by the idea of transforming bedside into laboratory, (b) taking lively interest in patients as people and (c) working on one or more projects simultaneously besides clinical duties.

Authors/Disclosures
Saurav Das, MD (Washington University in St. Louis) PRESENTER	Dr. Das has nothing to disclose.
Vinay Puri, MD (NCMG)	Dr. Puri has received personal compensation for serving as an employee of neurelis. Dr. Puri has received personal compensation in the range of $5,000-$9,999 for serving as a Consultant for Neurelis. Dr. Puri has received personal compensation in the range of $10,000-$49,999 for serving on a Speakers Bureau for Neurelis. Dr. Puri has received personal compensation in the range of $500-$4,999 for serving on a Speakers Bureau for Eisai.