When Bad Things Happen in Residency Dealing with

When Bad Things Happen in Residency: Dealing with Unexpected, Potentially Traumatic and Extraordinary Events

Welcome! This presentation was done in a discussion format. Our intention was to get an understanding of what other programs may have in place regarding protocols for handling traumatic events. Specific scenarios were included to gain feedback from attendees regarding how the situation might be handled in their program. Participants were given a chance to share their programs approaches or their need to develop a protocol for their program.

Presenters: Rhonda K. Kewney, LCSW Administrative Professional, Director of Behavioral Science Dennis J. Butler, Ph. D Professor, Director of Behavioral Science Shirley Longlett, LCPC Assistant Professor, Director of Center for Rural Health, Education and Research

Medical College of Wisconsin Department of Family & Community Medicine Milwaukee, Wisconsin

Southern Illinois University School of Medicine Family Medicine Residency Program Quincy, Illinois

Objectives: (We will use a workshop format to achieve our objectives) 1. 2. 3. Define crises, traumatic and extraordinary events and event management strategies Determine appropriate interventions for various crisis situations and make recommendations to organizational leaders Understand immediate needs of those in crisis situations and be able to offer them ‘psychological first aid”

Presentation of Cases

Question 1: The Relevance of the Behavioral Scientist u Why would a behavioral scientist be uniquely qualified to respond to this incident? u Are there reasons why the behavioral scientist should not become involved in dealing with this incident?

Question 2: The Nature of the Critical Incident u Does this incident meet the criteria for being a critical incident? u If yes, what elements make it “critical”?

Question 3: The Role of the Behavioral Scientist u What should the focus be of an intervention for this incident? u What would be the function and role of the behavioral scientist in the response to this incident?

Why are traditional residency support mechanisms insufficient for dealing with critical incidents?

Case Examples and Discussion u What is the critical nature of this event? u Would you consider this a crisis? u What would the potential impact be on individuals? u What would the potential impact be on the organization?

The CISD Process Psychological First Aid

Presentation of Cases and Group Discussions

Questions/Answers

Summary of Key Points