Peer-Debriefing After Distressing Patient Care Events: A Workshop for Pediatric Residents

Allyson McDermott, Ilanit Brook, Eyal Ben-Isaac, Allyson McDermott, Ilanit Brook, Eyal Ben-Isaac

Abstract

Introduction: When confronted with a distressing patient care event, physicians experience feelings of failure, inadequacy, and self-doubt that negatively impact emotional well-being and have been linked to burnout and premature exit from the medical profession. A need exists within the medical community for improved emotional processing of distressing patient care events, particularly for resident physicians at the beginning of their careers.

Methods: To encourage physicians to communicate as a means of initiating emotional processing after a distressing patient care event, a workshop was developed for pediatric residents providing training on a peer-debriefing model taken from the bereavement counseling literature. The workshop is designed to take 60 minutes, including dedicated opportunities to observe and conduct debriefing sessions based on the residents' own distressing patient care experiences. Included are the workshop facilitation guide, the adapted peer-debriefing model, hypothetical patient care scenarios, and pre- and postsession survey evaluation forms.

Results: Pre- and posttraining survey metrics revealed statistically significant and meaningful increases in pediatric residents' self-reported comfort with and likelihood of leading a peer-debriefing session in an appropriate clinical setting.

Discussion: This workshop is a well-received, effective intervention that provides pediatric residents with a tool to aid in the timely emotional processing of distressing patient care events. It has been adopted into the standard educational curriculum of our home institution's pediatric residency program. This workshop may be extended throughout the field, helping physicians at all levels of practice process the inevitable distress inherent in caring for the sick.

Keywords: Debriefing; Emotional Distress; Pediatric; Peer; Role-Play; Support.

Conflict of interest statement

None to report.

Figures

Figure 1.. Percentage of residents ( n…
Figure 1.. Percentage of residents (n = 62) identifying particular barriers as limiting to their ability to lead debriefs after distressing patient care events.
Figure 2.. Residents' ( n = 25)…
Figure 2.. Residents' (n = 25) self-reported comfort level leading a peer-debriefing session pre- and postworkshop training. All comparisons with statistical significance at p < .001 are denoted by an asterisk.
Figure 3.. Pediatric resident self-report of likelihood…
Figure 3.. Pediatric resident self-report of likelihood of leading a peer-debriefing session after a distressing patient care event. Comparisons of all likely and all unlikely responses significant to p < .01 are denoted by an asterisk.

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