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West J Emerg Med. 2018 Mar;19(2):327-331. doi: 10.5811/cpcem.2017.11.36179. Epub 2018 Feb 12.

Educator Toolkits on Second Victim Syndrome, Mindfulness and Meditation, and Positive Psychology: The 2017 Resident Wellness Consensus Summit.

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Icahn School of Medicine at Mount Sinai, Department of Emergency Medicine, New York, New York.
University of Texas Health Science Center San Antonio, Department of Emergency Medicine, San Antonio, Texas.
Emory University School of Medicine, Department of Emergency Medicine, Atlanta, Georgia.
Kingman Regional Medical Center, Department of Emergency Medicine, Kingman, Arizona.
University of Iowa Hospitals and Clinics, Department of Emergency Medicine, Iowa City, Iowa.
University of Arizona, Department of Emergency Medicine, Tucson, Arizona.
The Mayo Clinic, Department of Emergency Medicine, Rochester, Minnesota.



Burnout, depression, and suicidality among residents of all specialties have become a critical focus of attention for the medical education community.


As part of the 2017 Resident Wellness Consensus Summit in Las Vegas, Nevada, resident participants from 31 programs collaborated in the Educator Toolkit workgroup. Over a seven-month period leading up to the summit, this workgroup convened virtually in the Wellness Think Tank, an online resident community, to perform a literature review and draft curricular plans on three core wellness topics. These topics were second victim syndrome, mindfulness and meditation, and positive psychology. At the live summit event, the workgroup expanded to include residents outside the Wellness Think Tank to obtain a broader consensus of the evidence-based toolkits for these three topics.


Three educator toolkits were developed. The second victim syndrome toolkit has four modules, each with a pre-reading material and a leader (educator) guide. In the mindfulness and meditation toolkit, there are three modules with a leader guide in addition to a longitudinal, guided meditation plan. The positive psychology toolkit has two modules, each with a leader guide and a PowerPoint slide set. These toolkits provide educators the necessary resources, reading materials, and lesson plans to implement didactic sessions in their residency curriculum.


Residents from across the world collaborated and convened to reach a consensus on high-yield-and potentially high-impact-lesson plans that programs can use to promote and improve resident wellness. These lesson plans may stand alone or be incorporated into a larger wellness curriculum.

[Indexed for MEDLINE]
Free PMC Article

Conflict of interest statement

Conflicts of Interest: By the WestJEM article submission agreement, all authors are required to disclose all affiliations, funding sources and financial or management relationships that could be perceived as potential sources of bias. No author has professional or financial relationships with any companies that are relevant to this study. There are no conflicts of interest or sources of funding to declare.

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