Episode 27 - Dr. Greenawald & Physician Well-Being

In 2023, harsh healthcare working conditions continue exacerbating poor overall physician emotional well-being. Along with the toll extreme stress takes on these individuals and their families, what potential dangers does this mean for patients? According to Dr. Mark Greenawald, a risk management approach strengthens the case for formalized peer support for doctors.

  • 00:10:11 - 05:10:11

    Jerrod Bailey 00:02

    Welcome to Reimagining Healthcare: A New Dialogue with Risk and Patient Safety Leaders presented by Medplace. We're excited to bring you conversations with top risk and patient safety thought leaders from organizations across the country. Please subscribe to get the latest news and content. If you found value in this episode, please share it with your colleagues to create some meaningful dialogues in your own community. If you're interested in participating as guests, please email us at speakers@ Medplace.com. Also check out our related content like articles, videos, and more on blog.Medplace.com/resources. Today, I'm joined by Dr. Mark Greenwald, who is the vice chair of Family Medicine and the Medical Director of the Institute for leadership effectiveness at Karelian. clinic. Did I get that right?


    Mark Greenawald 01:20

    Yeah. All right. You're right to refer


    Jerrod Bailey 01:23

    to today, as well as you were the creator of PeerRXMed. Welcome, Mark. How are you?


    Mark Greenawald 01:31

    Thank you, I'm doing great. It's great to be here.


    Jerrod Bailey 01:33

    Well, it's good to have you, you do something really, really important. And it's a conversation that happens in my world regularly. And I think other people are trying to solve it. And so I'm really excited to jump into to what that is. Now let me give a little bit longer bio for yourself. So people know a little bit more about you. And then I'm going to probably ask you to do a little storytelling here about how you got to where you are. But so Dr. Greenwald is Professor and Vice Chair of family medicine and Community Medicine at the Virginia Tech Carilion School of Medicine to PTC and presently serves as the vice chair for Academic Affairs, wellbeing and professional development. More recently, Mark is serving as the co chair for both the newly formed Virginia Academy of Family Physicians wellbeing committee, the newly formed Virginia Task Force on primary care, clinician retention and wellbeing subcommittee. And as an advisor for the AMA practice transformation process. In 2019, Dr. Greenwald launched the nationally acclaimed PeerRXMed program, if you guys want to find that, that PeerRXMed.org, which is intended to help healthcare professionals provide proactive support for each other on their professional journey. So that's a lot that you're up to, um, but it sounds like you've got a mission. And that you're, you're, you're driving some great things here. So let me start with right now you fill multiple leadership roles at grilling clinic and you spearhead the pure PeerRXMed program. What's this career path look like? That kind of led you here? And how does this sort of culminate in this in this pure RX platform, idea that you've that


    Mark Greenawald 03:20

    you've got. career trajectories are always interesting when it comes to anybody and certainly those in healthcare who don't take perhaps a traditional path. The my career path makes no sense to many, because I've not even within the world of academic medicine, and medical, administrative and administration and leadership. I have taken various left and right turns along the way, because opportunities presented themselves that just sounded very interesting. There, there is a thread through them all, perhaps, but sometimes it's difficult to find. So I have been Naval Medical Officer, I have been faculty and residency training program serving as, as a educational leader, those same programs, Vice Chair and Associate Dean for students at a new medical school, and now serving as Vice Chair and also the medical director for our Institute for leadership effectiveness.


    The threads that I've seen that that makes sense to me through all that is that early on, I discovered that not only am I a generalist, I'm also a passionate educator, and also very passionate about leadership and leadership development. And that led to really pursuing some things around clinician well-being, and then coaching, which is another thing that I didn't put in there but I've trained as a as a leadership and executive coach and do that as part of my leadership development work as well. So the thread for me has always been supporting, whether it be patients or physicians and later in my career, over the has really about the past 10 to 15 years, have really started seeing my calling being to help support those who provide the care for patients. So helping to support physicians helping to support those who are leading within health care, both administratively and clinically. And that is where the art our conversation really starts today, in many ways with the PeerRXMed program.


    Jerrod Bailey 05:22

    That's great. So I do want to get your assessment on, on, you know, the we'll call the current state of physician mental health in a second. But the first question is, why does that matter? And who does it matter to right? Is this just a physician problems is like, a personal thing with doctors and like, why should we care? And that sort of thing? I think part of the answer behind that is some of your background like you're on the you're the co chair of the ambulatory clinical advancement Patient Safety Committee, right. So, you're involved in patient safety and quality. And I assume there's a tie in there. What's that?


    Mark Greenawald 06:02

    So one of the things that I've certainly learned when it comes to physician, emotional health, mental health, physician health in general is that it's something we don't really talk about a whole lot, that it's a little bit taboo that we are the caregivers, we are not the cared for. And I think that that is both were selected out for that to a certain degree. And then we're also socialized and trained to both believe that and act that way.


    And so what we know from the data, of course, is that physicians do not in general reach out for emotional support and emotional help, even when they need it. And often they don't recognize that they need it. As we know, over the last decade, more and more data have come out about the burnout epidemic, and all of what I consider the distress that healthcare and the provision of health care causes. What we found, though, is that as that data came out, that the initial the initial research data set of 40, some percent of physicians across all specialties, on average, were in the state of high burnout, which means that they were emotionally exhausted, they had nothing left in their tank, they were starting to experience cynicism, or depersonalization. They basically started looking at those people they cared for as objects, and often objects that were impediments in terms of getting them somewhere outside of got to get out of here.


    And then finally, they were experiencing a sense of meaninglessness that the work that we do the work that's so important that people were called for, and have given up a lot of time and education for didn't, wasn't making a difference. And they started to believe that and so, so that that that syndrome that we call burnout is when any of those gets high enough that it starts to impact physicians in terms of their performance. With all that, what we found was that 42% didn't really bring a whole call to arms, that it wasn't this crisis, people kind of shrug their shoulders and said, Yeah, that sounds about right. Yeah, healthcare is pretty hard.


    And so no other national study was done three years later showed it was worse, that it had really crossed over the 50%, Mark for burnout. And again, the in many ways, the call to action was pretty tepid at best. And there were some good attempts nationally to begin to at least bring attention to this. What I have found in terms of my work is that as we started looking at this not as a physician problem, but rather a quality and safety issue. All of a sudden health care systems started looking at this differently. So if if you go to health care leaders often and say, you know, the physicians are kind of they're hurting right now. The answer doesn't come across this way. But it often sounds like for doctors, you know, we feel very sorry for them. But you know, they get paid a lot. And they're there, they get a lot of privilege and get back to work. And that's what I think a lot of physicians experience such that they stop asking for help, even if they have had the courage to begin to ask for help to start with.


    Jerrod Bailey 09:15

    Yeah, it's fascinating. And you're right, it really isn't talked about enough. There are some bright spots in the industry, there's, you know, like Ascension comes to mind the big hospital system, but really intentional about trying to further peer support program. There's a there's a couple of, of malpractice carriers that are so insightful about this being a quality problem, right? You have a doctor that's burned out and they're starting to make mistakes or they're starting to, to not do the things that they really kind of should do is best practice. All of a sudden that turns into things on the other end of that claims and lawsuits and other stuff. So they're very proactive about coming and creating systems to come alongside. physicians that are in a state of crisis, right? So there's bright spots. That's definitely the exception to the rule. Right.


    Mark Greenawald 10:08

    And the tragedy is that that is the exception. Right? The it's almost as if what I often experienced is healthcare leaders who say, well, we don't have enough proof that it really makes a difference. And you know, my answer is always that you would wait until bad things start to happen to be convinced that physicians who are suffering from this thing called burnout or depression, or overwhelming anxiety, that that's not impacting their ability to provide the kind of care that your system that you are priding yourself into doing. We know that's true. That's not the case. And we know that I know, as a clinician, I know when I'm operating at full capacity, and when I'm not, and I'm not providing the same care when I'm not operating at full capacity. And that's not even being burned out. And so it really is, it's exciting to see those bright spots, certainly insurers have a lot of incentive to try to try to help. And you know, it's ironic, because a lot of health systems, again, also have a lot of incentive to try to help out in terms of preventing some of those events from happening. But we're not there yet. And the encouraging part, the other bright spot, of course, is that we're talking about this. Five years ago, we were talking about this. So talk is a good first step, but it's necessary, but it's not sufficient. action has to follow talk, as you know, yeah.


    Jerrod Bailey 11:30

    Well, tell me about the PRX program, what is it? How did you approach sort of the design of it? What are the basic mechanics of it, so we can understand how you've sort of created a vision and then said, Hey, this is a potential, you know, solution for that? And how does that kind of work?


    Mark Greenawald 11:46

    Yeah, and a nice way to think about it, a lot of a lot of your listeners are probably familiar with your support programs, particularly if they're part of a larger healthcare organization, things like the second victim programs and things like that. So the second victim program was the name of which I find very unfortunate, but it basically says that in any kind of tragedy within healthcare, the first victim, if you will, are the first people who suffer because of that, or the family or the patient in the family of the patient.


    However, the care team also suffers in the midst of that, and they become the, quote, second victim, so those who were involved in that tragic outcome, also carry things with them. And that needs to be processed as well. So a lot of folks will be familiar with that kind of peer support that says, when an event happens, we are then reaching out and we're going to make sure that you know that we're here to support you in the midst of that. Fabulous, I think there's those programs are very important. Those programs are also very reactive. And they're also really for they're very impatient focused, because most of those programs do not get into the ambulatory space where a lot of health care is provided. So as I started to think about the pure RX program, I'm a generalist.


    And I also spend a lot of time thinking about prevention. So what I thought was, what would it look like to create something that is proactive, rather than reactive, and is supportive, independent of an event? So a tragedy doesn't have to happen before somebody reaches out and says, Hey, we care? What would it look like if somebody was reaching out to say, we care all the time, so that when the tragedy happens, because it's inevitable, we're going to have those happen? Along the course of our careers, you already have someone who is a peer, with whom you've developed rapport, and you're very comfortable reaching out to them and being able to say, hey, I need help. Because vulnerability is not a trait that a lot of physicians carry in spades. And so the ability to develop that when times are good, so that you haven't you have some of that emotional bank account, if you will, so that when times are not good, you don't hesitate. I see the pure exe program then as being complementary to what's happening with those other types of programs, that the two, the two can function together. What we have found, both here in my experience in my own organization, but also really at other programs around the country, is a lot of the peer support programs that are that are reactive, if you will, or the helped and the helper. physicians don't necessarily feel comfortable engaging in those programs. They don't they don't like to feel like they helped. And so they may they may make contact with those folks. But often they don't follow through and their answer is usually I'm fine. I've got this right, because that's our default. We got this. And so so what happens instead, is that they often suffer in silence and I would suspect that a lot of folks who tune into this podcast, know what it feels like to suffer in silence. Many Give them are probably doing it. Right now they're carrying on with some kind of open wound from some bad event that happened somewhere in their career likely, fairly frequently when it comes to something like moral injury, that they just say, You know what, I'm just going to suck this up and I'm just going to carry on and and suck it up and carry on is not a great way to practice medicine or to live life.


    Jerrod Bailey 15:21

    Indeed, well. So, you know, I've, I've been involved with hundreds of, of tech products and startups and so you always talked about the go to market strategy of how do you how do you raise awareness of something that's new, and it seems to me like the obvious place to send this message is to the spouse of the physician, because the physician I think, in you can you can corroborate this or not, but the physician has the posture of I'm fine. But it's the people around them that the in the in the ripple effect of of them in, you know, their behaviors and their the things that stress that they're under that really notice these things first, and I could see I know my knowing my wife, also, she often comes to me with, you know, you don't see this, but you could use this.


    Mark Greenawald 16:08

    Yeah, I love it, I actually just made a note to myself, it's like, okay, that's brilliant. And that's not the way that I've that PUREX has spread PUREX has spread very organically. The It started when we when I when I went live with it. So I had piloted it for six months in my own health system, and around the country with a few other folks, for six months prior to rolling it out, it ended up that the website went live in February of 2020. So literally, six weeks before the pandemic, amazing program, the program went live both amazing and unfortunate, in some ways, but had some really good early uptake from folks who had some influence, and so was able to get some visibility, through my own national American Academy of Family Physicians, it was some work that I do with them, was able to get some good exposure because of a clinical Eazy E newsletter that I send out each week, all around the country called Take three, and was also able to get some good exposure through the American Medical Association, and actually have continued to do some work with them around peer support on many fronts. And so those kinds of things allowed it to grow much more quickly than it would have just by word of mouth. Now a decision that I made early on that, that I wonder about at times is I decided to not use social media as a way to spread that. And that was just a personal choice that I made that I'm really, really looking at now to say, as I think about what your PeerRXMed 2.0, 3.0 is going to look like, what do we do to start reaching out to more people that as you point out, just may never have heard of it? It would be something they would say I'd love to do that. But they just don't even know that it exists out there.


    Jerrod Bailey 17:58

    Yeah, indeed. Well, so as you were, as you were designing this system, and as you were kind of going through the iterations of how it works, what kind of things did you learn what kind of challenges came up? How did you how did you sort of, you know, potentially make decisions on how you would deliver this


    Mark Greenawald 18:14

    based on simplicity was my was my marching orders. So the first thing was that it was going to be free. So that was something that I decided right on the front end that this was this is my labor of love. It's something that I feel very passionate about. And I wanted to make sure that there were no barriers for anybody to say, No, I'm not going to invest whatever that would be. So that was the first the first premise. second premise was it had to be simple. And so the essence of the platform is you sign up, you hopefully sign up with a buddy, though that's up to you, you just both sign up, you identify your buddy. So we don't do matchmaking program as part of that something that we've thought about on different occasions, but it has said that that gets into some complexities that we didn't want to get into. So once you sign up, you will begin to get a weekly email nudge that basically says buddy check.


    Each week, I include both a very brief cover email that kind of both poses the topic for the week, some encouragement and some questions. So to be able to say, when you check in with your buddy this week, besides just saying how's it going? Here's some questions that you might consider. And then I have a link to a blog that goes into more details about that for people who want to explore it and go into a little bit more depth around that topic. That's the essence of the platform. And so every week, folks, folks get that via email. Now, one of the things that that I'm realizing a social media is probably an area that I need to explore more around that just for spread. The second is thinking about what other technology could make it even easier knowing that many physicians don't do email anymore, particularly the younger Generation, that's just not something they do very often. So how could it be pushed out through text or pushed out through an app, where folks can then make it even easier to not have any reason to not check in with their buddy that way


    Jerrod Bailey 20:12

    we learn that early on. So I started my place just what four months after the pandemic started, right, it was weird starting a company in the silence of COVID. Lots of interesting things going on, doctors were both burnt out and sidelines, you had kind of both happening. And it was, it was just it was, it was a lot, as you know. And yeah, we launched and we used to send. So we use our function is like, you know, there's a case review that has to be done or something from a insurance carrier, for example, and we'll connect them with radiologist or a neurosurgeon or something like that. And they'll get an email on their phone. And then they say, you know, you've been asked to review this case, and they can accept it. That's the mechanics of email. That worked fine.


    We went, we opened up text messaging, because our doctors kept saying, Can you guys text these to me, and it was like a 99% uptake on it. So it's really, it's got to be on the, you know, it's got to be easy. It's got to be on the phone. So you know, if it's true, like these little technic technology, things that that create, they get rid of the friction in the process, right. And if you're doing something that already has an emotional friction to it, this idea of, you know, peer support, there's an emotional friction that that's going to come with it, like how do you reduce all of the other friction around that process in order to just have that be the final thing? And you can even use technology to resolve some of those things, too. So yeah, it's an important part in the development. But yeah, you have yet social media platforms and other things that that might just be out of the box, yet really good for something like this. Yeah. Okay. So they come in with their buddy, ideally, and then this creates that proactive conversation and a reminder in sort of an accountable sort of layer on top of it, so they don't forget, and they stay, they stay up with each other.


    Mark Greenawald 21:57

    They love it, and provides on the platform provides them some equipping as well. So you know, it's, it often feels uncomfortable, I think, for many adults to kind of say, Okay, how do I approach somebody and say, you know, would you be my PeerRXMed buddy? You know, it sounds a little bit awkward.


    And I tried to D demystify that to a certain degree and disarm that, by talking about one of the premises upon which I built the platform was the YMCA buddy system, the swimming buddy system, so nobody swims alone. And the idea that of course, you would if you're, if you're going to be in a place where you might be in danger, you would not be going out there by yourself. So encouraging them around this idea that it's safe to do this.


    Yeah, come from I come from a military background. So in the military, every branch of the service has something like this, you know, whether it be shipmates, for the Navy, we hear a lot about wingman in the Air Force. It's those kinds of thing, battle buddies in the army, that there's there are places that say you just don't do this by yourself. And certainly health care should be included in that because it's danger everywhere that you turn or potential danger everywhere you turn. So the other premise for me was that, that the interaction, the interaction didn't have to be long. So this idea of oh my gosh, you know, I'm going to have to talk to my buddy every week. And I don't have time for that. Because of course, that's a default line that a lot of physicians will use as an excuse. And so literally saying a text to them to say, I'm thinking about you this week. And if you know, something that's going on in their life, that is going to be hard for them. Like today, I just got a text from my, from my buddy, literally one of my buddies, I have three of them. But one of them who knew I was going to be doing this interview and said that it was basically hashtag, you got this. And that was that was that was it?


    Jerrod Bailey 23:48

    And that's what it takes. Yeah,


    Mark Greenawald 23:50

    it doesn't take more than that. Yeah. So you know, you know, Monday is your or day, and you know, that you got a lot of cases going on, it's going to be a long day, somebody texts you and says, cheering you on, every patient is fortunate to have you as a doctor today, boom, started your day, completely different. And so literally saying, you know, 90 seconds, once a week, that's the minimum investment.


    Jerrod Bailey 24:13

    So you've seen some, you've used it yourself. You've seen some other folks use the platform to give me some stories about this. What how do they use it? Like, what have you sort of seen pattern wise? How are they using it? Any interesting stories that have come out of it so far, that? Yeah, we're sharing.


    Mark Greenawald 24:32

    So some of my favorite stories really have to do with with what it has catalyzed for people. So So one example would be people. I've had colleagues who have reached out to say, you know, the platform is so simple. When I first when he first approached me about it, I kind of rolled my eyes like really like, why would I do that? And what I realized is it's allowing me to do that which I intended to do anyway, but never did. So it's giving me that reason to do what I know I want to do, I'd love to connect with my colleagues I need to do, because I know I shouldn't be carrying alone. But I wasn't doing and weeks would go by. Without that happening. I've had lots of folks who have who have shared with me times that they have reached out a malpractice lawsuit that came through a bad outcome that a patient had just a tragedy that happened in the family. And they have reached out to their buddies, to be able to say, I just, I just needed somebody to know that I'm going through this right now. And I didn't want to dump it all on my partner, spouse, significant other, I needed somebody who lives in this world of health care, who gets it and gets me.


    And that's I mean, those stories are numerous in terms of, of how, because people had that comfort, they were willing to reach out and I call those my 2am buddies, you know, who, when life is crumbling at 2am? Do you have somebody you know, you can call who you wouldn't have to apologize? And they would be there in a heartbeat. You know, and everybody needs one of those people, especially in health care, because we have bad stuff happened at 2am. All the time. That's just part of the job. And he's so yeah, it's, it's powerful when used properly. It's powerful.


    Jerrod Bailey 26:22

    Well, you know, we work with hospitals of all sizes, systems, clinics, critical access all across the country. And I can think of probably six groups right now that would be really interested in this type of platform for their physicians. Is this something that that hospitals can adopt? Is it absolutely it's available? Like what is yeah,


    Mark Greenawald 26:44

    in hospitals have used it in many different ways. I, you know, one of the things that I love about the way that I've designed this is that I can give it away, and they can take it and I say look, you know you attribution is great, but modify it to fit what works for you. And so a lot of that I've had some hospitals who have used the receive the email, the buddy check email, they modify it. So they customize it and personalize it coming from somebody within the organization, and then send it out based on things that are going on in their organization. So people get it and sound like okay, Mark Greenwald in Virginia is sending me this. It's like, you know, our own Chief Quality Officer sending this out right now. So it is absolutely adaptable. The other the other piece that's been interesting, and I've had different groups experimenting with this, there's some groups who assign buddies. They basically said, everybody's going to have one. Yeah. And we're going to assign those. I say, I stayed away that from that historically, because we're drawn to certain people and not others. And I didn't want people to kind of feel like it was you know, it was some kind of matchmaking service or something like that.


    Jerrod Bailey 27:53

    There's, there's chemistry there. There's whether I perceive that there's, they're too close to me professionally, or you know, what my preferences are there? So yeah, I mean, there's a lot of factors you can't just can't imagine you just sort of match somebody up and say, Okay, go make friends.


    Mark Greenawald 28:09

    Well, and if and if they've tried that, some, some and some of those have just statistically been successful. But many, many have kind of dwindled, once you start providing the energy for that. And you know, at some point, you want these to be sustaining on their own. You don't want people reaching out because it's like, Well, I wouldn't do otherwise, why there's no way I would go through this week, without getting that text to say, you know, you got this, we're sending that text that says that. So So it is interesting how they've done that. Some have used it as is as a complement to other programs that they're doing within the system. Some have done it with groups. So trying to get groups together rather than just buddying to individuals to say let's, you know, have a kind of a herd of buddies who kind of travel the journey together. So that you know, the once you once you accept the premise, no one should care alone, that once you own that, then then you really can customize it to fit whatever works for you.


    Lots of organizations have have taken it and said, Well, you know, do you have to be a physician to do this answer? Of course, not. Anybody, anybody can do this. And so, so knowing that, and it's not limited, the language I use is clinician language, because that's my target audience. But I know, I know that nurses have used this. I know that I have healthcare administrators who have buddies who are using this. And so it's very adaptable to whatever your particular circumstances are. And it would be it would get the systems that you reference, it would be perfect for those systems because particularly in rural areas, there is a tendency for more isolation, even as there's cohesion in many ways around the mission of the medical organization. individuals often feel very isolated in that process. Yeah. And so the beauty of it coming from your organization as well is Is that the organization is then sending the message. We care about this, like we you relationships matter, we know that relationships matter. And we're going to do what we can to help encourage those relationships, versus just kind of being agnostic about it and saying, Yeah, you know, if you want to, you want to have a buddy, go ahead and have a buddy, like, if you made it part of your culture, then it becomes the thing that people desire to do, doesn't become something that you just kind of feel like, you're a little bit weird, because you have a buddy, you know, I imagined I could imagine, I'm not seeing this happen yet. But seeing like a chief medical officer talking about their pure X, buddy, like all of a sudden, you know, it legitimizes the idea of it, even even when you get to that level of the C suite, you shouldn't be carrying alone, you shouldn't be leading Oh,


    Jerrod Bailey 30:44

    my gosh, what a great vision, the leadership talking about the, the peer support that they are active in and promoting. I mean, that's nothing better to promote a, you know, a culture of empathy, like we want, like we want to engender empathy and everybody, right. And that's just that's a, that's a great vision. Well, anything that you want to leave us with, I mean, you are doing the work. This is something I personally feel very strongly about, I work with so many physicians around the country, and this is a constant topic, all these carriers, all these others that are trying to wrap around these, these physicians to help them carry the weight of I don't know what human, US mortal humans were, weren't probably designed to do. But I mean, just so first of all, great, thank you for the work here. Anything? Well, anything would leave us with? And I also want to know, how do people find you?


    Mark Greenawald 31:42

    Yeah. So what I would say is that if you're listening right now, and you're traveling the health care journey alone, don't do it for one more minute. Like, it's just, it's not reaching out and asking for help is not a sign of weakness, it's a sign of wisdom. And so, you know, if you're, if you're in a place of burnout, reach out and get professional help. And if you're just at a place where you're feeling isolated and alone, please know, you're not the only one out there, and people are hungry to connect. And so get out there and find someone and just ask them, Hey, let's travel this journey together for well, you know, it's not forever. It's just let's just travel the journey for a while and test this out and see what a difference it could make. For folks who want to get a hold of me, my email is M. H. Greenwald, at Karelian clinic.org. And you can also the PeerRXMed website is peer AR x med.org. As you said earlier, go ahead and sign up and grab a buddy and start playing


    Jerrod Bailey 32:51

    fantastic Well, it sounds like you're pretty accessible to for those that are thinking about implementing a system like this, it sounds like you're collaborative with anyone who's who shares that mission or that heart. You've given me about six statements that you made in this conversation that isolated on their own or worth meditating on, right, like just really, really great things that I think are underpinned by, you know, by that word wisdom, right. Yeah. So really, really great to Great to meet you. Thanks for not doing well, and Thanks for Thanks for the path that you're on. And for raising all of these conversations, I think it's just really critically important for everybody. And I hope this isn't our last conversation, I got lots of ideas that we should, that things back and forth on.


    But in the meantime, for everyone else, thank you for listening to the reimagining healthcare podcast to new dialogue and risk and patient safety. Subscribe and Share if you found it valuable. And if you'd like to participate as the guest again, just email us at speakers at Medplace.com. And make sure that you do follow Dr. Greenwald in connect with him on LinkedIn and all the other things we'll put those in the show notes as far as how you folks can can get a hold of him. But this was really, really fantastic. Super encouraging. Dr. Greene. Well, thanks again.


    Mark Greenawald 34:06

    Thank you appreciate this opportunity and appreciate you helping to spread the good word.


    Jerrod Bailey 34:10

    Anytime. All right,


    Mark Greenawald 34:11

    we'll talk soon. Very good. Bye bye.

How can healthcare leaders adequately support their staff?

62.8% of physicians report feelings of burnout, and 1-in-5 say they are making plans to leave their current practice within 2 years, according to Healthcare IT. How can healthcare leaders provide emotional support resources to their staff and ensure that suffering physicians use these tools before their symptoms worsen?

Dr. Mark Greenawald of Carilion Clinic shares how he built PeerRxMed so doctors can build professional relationships that become critical after an adverse patient incident. He explains physician burnout, compassion fatigue, previous examples of peer support, the PeerRxMed process, and how healthcare decision-makers can optimally provide support for their physicians.


Guest - Dr. Mark Greenawald

Medical Director of Carilion Clinic and Creator of PeerRxMed

Mark Greenawald, MD is Professor and Vice Chair of Family Medicine and Community Medicine at the Virginia Tech Carilion School of Medicine (VTC) and presently serves as the Vice Chair for Academic Affairs, Well-being and Professional Development. More recently, Mark is serving as the Co-chair for both the newly formed Virginia Academy of Family Physicians Well-being Committee, the newly formed Virginia Task Force on Primary Care Clinician Retention and Well-being Sub-Committee and as an advisor for the AMA Practice Transformation process. In 2019, Mark launched the nationally acclaimed PeerRxMed program (www.PeerRxMed.org) which is intended to help healthcare professionals provide proactive support for each other on their professional journey.

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