1428. Social Media Mobile Application and Time Banking Pilot Program Improves Burnout Among Neurosurgery Residents and Faculty

Authors: Jacquelyn Corley; Theresa Williamson, MD; Cyrus Elahi, BA; Michael Haglund; John Sampson (Durham, NC)

Introduction: It is known that physicians have higher rates of burnout compared to the general population and even rates of mental illness and suicide. This phenomenon is costing the health care system billions of dollars per year and also results in poor quality of care for our patients. The initiation of well-designed wellness programs has been shown to be effective and are met with optimism. We have previously described a mobile app solution called WellSpentMD, with the purpose of creating a public social space for positive feedback and compliments that are tied to a rewards program designed to help busy residents and attendings save time. Not only does this provide continual feedback for department leadership about the mental health and wellbeing of faculty and residents, but we hypothesize that this intervention will also increase wellness and build a better sense of comradery and teamwork. Methods: After the initial design and construction of WellSpentMD, we initiated a 4 month pilot period. In addition to usage data, the application prompts members to answer four key questions from the Masloch Burnout Inventory (MBI). These questions were cycled and prompted to users twice weekly. The results of the MBI questions were recorded and de-identified. Results: On average, residents scored worse (mean = 4.97, sd = 1.94) on MBI questions than attendings (mean = 5.76, sd = 1). When pooled together, residents and attendings showed gradual improvement of MBI scores over the course of the pilot period. Residents showed improved scores for 3 out of the 4 questions. Attendings were less likely to use the app and more likely to not respond to MBI questions. Conclusion: Social networking that promotes positivity and team work along with incentives and rewards that help save time may help in decreasing burnout among neurosurgery faculty and residents.