All right, welcome back to the podcast. I am joined today with some colleagues from the University of Ottawa.

We recently presented at the Association of Academic Psychiatry, and this will be a

episode where we basically go through what we talked about. It was on the value of good supervision and connection in medical education.

I am joined today with Lauren Hishin. She is a fourth year resident at the University of Ottawa.

Lisa Johnston, she is a child psychiatrist who runs a day treatment program, dual diagnosis,

and Mariana Yovanovich, who is the child adolescent program director and who is heavily involved in medical education. Welcome to podcast.

Hello, thanks. Thanks for having me.

Lauren, I am going to start out with you just jumping in to the kind of the introduction on the problem that we are facing in psychiatry and go ahead.

Perfect. I think I'm a PGY4 resident right now, and I started my first year in the pandemic in 2020.

And so I kind of noticed right off the bat that things were really different.

I would hear that things used to be different kind of pre-pandemic and been noticing like a really large amount of burnout within my colleagues and when talking to people in other programs.

And essentially when we kind of look at who the bulk of residents are working right now in our hospitals, most of them have pretty much spent all or most of their residency working as first time physicians, either during COVID-19 or after the pandemic.

And essentially the impact of this on burnout has been high and is supported in the literature.

So there have been a lot of studies that have been looking at burnout rates and one was published in 2022 that showed burnout in psychiatry resident specifically being as high as 78% and 83.3%.

Now pre-COVID, this number was way lower, it was more like 21%.

And so we can kind of see that that's a substantial change that I think a lot of people have probably noticed themselves in their programs.

Yeah, I've seen it as well in our program that I'm associated with. It's not just the residents, it's also the attendings.

And I do a lot of coaching across the US and the world and it seems like it's been a common thread.

Pretty much across the board, like people are just really tired and patients feel it too, they patients talk about how it's really hard to get a therapist, it's hard to get a psychiatrist.

And yeah, so go on.

And during our meeting too, we asked kind of the people who were in the room and I don't think anyone said that that you know they felt like things were going really smoothly since the pandemic and I think everyone had identified similar similar concerns and issues. So yeah, it's definitely a proper work.

Yes, it seems like having to switch to doing a lot of the work virtually and folks mostly working out of their homes has reduced the amount of connection and sort of that face the face connection lacking compared to pre pandemic has been one of the major themes.

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