Publications by authors named "Brianna Vaa Stelling"

Article Synopsis
  • The Health Information Technology for Economic and Clinical Health Act led to a rise in electronic health record (EHR) systems, increasing the documentation burden, which affects healthcare professionals' experience and contributes to burnout.
  • A systematic review analyzed 135 articles to identify methods for measuring this burden, categorizing them into 11 different areas like overall EHR time, clinical documentation activities, and administrative tasks.
  • While various measures exist, they tend to be one-dimensional and may not fully address the complexity of documentation burden, with limited evidence supporting their validity and applicability across different healthcare settings.
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Introduction: Musculoskeletal (MSK) pain is common and costly, and conventional care is often inadequate for pain resolution. Although evidence supports movement and manual therapy treatments, the benefits of the synchronous application of these two therapies are sparsely documented and poorly understood.

Case Presentation: A 40-year-old female presented to a chiropractic practice within a large multispecialty clinic with chronic right-sided thoracolumbar and posterior ribcage, abdominal wall, and anterior hip pain, despite extensive medical workup and multifaceted treatment.

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Internal medicine (IM) resident physicians spend a considerable amount of time managing their inbox as part of their longitudinal continuity clinic experience. There are no standardized guidelines for how programs should train, monitor, or supervise residents in this type of patient care. To understand how IM residency programs educate, monitor, and supervise resident electronic health record (EHR) inbox management as part of their longitudinal continuity clinic and determine whether patient safety events have occurred due to EHR inbox-related patient care decisions made by unsupervised resident physicians.

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Purpose: Professional identity formation (PIF) is a dynamic process by which an individual internalizes the core values and beliefs of a specific profession. Within medical education, PIF begins in medical school and continues throughout training and practice. Transitions affect PIF, with a critical transition occurring between medical training and unsupervised practice.

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Purpose: To examine associations of social support and social isolation with burnout, program satisfaction, and organization satisfaction among a large population of U.S. residents and fellows and to identify correlates of social support and social isolation.

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Article Synopsis
  • Professional identity formation (PIF) is about how medical residents develop their identity as doctors by learning the values and norms of the profession.
  • The study involved interviewing 23 internal medicine residents to understand the challenges they face between their ideals of being a good doctor and the harsh realities of medical practice.
  • The research shows that residents' identities are shaped by their experiences, behaviors, and the environment around them, leading them to adjust their beliefs about what it means to be a doctor.
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Problem: Distress, depression, and burnout are common during medical training. Stigma surrounding seeking help for mental illness during medical training may involve fear of negative peer perceptions, academic jeopardy, and adverse future career consequences. Faculty disclosure of personal mental health illness may reduce stigma surrounding mental health disorders and reassure and encourage trainees to seek help when needed.

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Purpose: To evaluate the relationship between help-seeking concerns and attitudes and burnout among residents.

Method: In 2019, all residents across the 4 Mayo Clinic sites were surveyed. The survey included 2 items from the Maslach Burnout Inventory, an item from the National Comorbidity Survey Replication about likelihood of seeking professional help for a serious emotional problem, and items developed to explore residents' help-seeking behaviors and concerns.

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Purpose: To explore the relationship between residents' perceptions of residency program leadership team behaviors and resident burnout and satisfaction.

Method: In February 2019, the authors surveyed all residents across the 77 graduate medical education training programs at Mayo Clinic's multiple sites. Survey items measured residents' perceptions of program director and associate program director behaviors (using a composite residency program leadership team score), resident burnout, and resident satisfaction with the program and organization.

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