ACGME Well-Being Podcast

ACGME

The Accreditation Council for Graduate Medical Education (ACGME)'s Well-Being podcast series addresses a variety of strategies for enhancing well-being among members of the graduate medical education community. Hosted by ACGME Vice President for Well-Being Dr. Stuart Slavin, the series explores mental health and well-being from the perspectives of key stakeholders and well-being experts.

  1. Building a Culture of Well‑Being: Dr. Kristen Demertzis on Systemic Change in Medical Training

    FEB 3

    Building a Culture of Well‑Being: Dr. Kristen Demertzis on Systemic Change in Medical Training

    In this episode, Dr. Stuart Slavin speaks with Dr. Kristen Demertzis, clinical psychologist and director of GME Well‑Being at Northwell Health. They explore how thoughtful, system‑level approaches can strengthen the well‑being of residents, fellows, faculty members, and program leaders across a large academic health system. Dr. Demertzis shares her journey into resident well‑being work, the importance of early culture‑setting during orientation, and how fostering psychological safety and shared vulnerability helps residents and fellows feel supported. She discusses a range of initiatives—reflective discussions, stigma‑reduction efforts, wellness check‑ins, and enhanced access to mental health resources—that promote connection, normalize help‑seeking, and improve awareness of available support. The conversation also highlights how data‑informed decision‑making, cross‑department collaboration, and continuous evaluation are driving meaningful improvements in resident/fellow experience. Listeners will gain insight into how intentional culture‑building and system-wide engagement can create healthier, more resilient learning environments in medical education.   Podcast Chapters 00:00 – Introduction and Welcome 01:00 – Dr. Demertzis' Journey into Resident Mental Health Advocacy 03:06 – Dr. Demertzis' Leadership as Director of GME Well‑Being and Committee Integration 04:57 – Expanding GME Well‑Being: Multi‑Role Leadership in Culture and Orientation 07:51 – Establishing Culture and Psychological Safety 08:39 – Addressing Mental Health Stigma and Implementing Wellness Checks 12:27 – Launching Digital Well‑Being Tools: Website and App Enhancements 13:40 – Using Data to Drive System-Wide Well‑Being Improvements 16:28 – Closing Thoughts and Resources

    17 min
  2. Empowering Medical Teams: Dr. Kerri Palamara on Transforming Residency Through Coaching and Connection

    JAN 20

    Empowering Medical Teams: Dr. Kerri Palamara on Transforming Residency Through Coaching and Connection

    In this episode, Dr. Stuart Slavin welcomes Dr. Kerri Palamara, Gill and Allan Gray Family Endowed Chair and associate professor of medicine at Harvard Medical School, to discuss the evolution and impact of physician coaching in graduate medical education. Dr. Palamara shares how her journey led to developing scalable, faculty-driven coaching programs that foster psychological safety, agency, and authentic connection among residents and faculty. The conversation explores the distinctions between mentoring and coaching, the core skills required for effective coaching, and the positive ripple effects on wellbeing, resilience, and departmental culture. Drawing on principles of positive psychology and self-determination theory, Dr. Palamara illustrates how structured coaching interventions can reduce burnout, enhance fulfillment, and empower clinicians to find their voice—even within challenging healthcare systems. Through practical insights and research-backed outcomes, this episode highlights how investing in coaching transforms not only individuals but the entire medical learning environment, making thriving possible for all. Podcast Chapters (00:00) – Intro and Welcome  (00:13) – Guest Background: Dr. Kerri Palamara (00:54) – Discovering Coaching: Faculty Engagement & Residency Curriculum  (02:33) – Rethinking Support: Creating a Coaching Culture (04:12) – Mentoring vs. Coaching: Key Differences  (05:20) – Building Psychological Safety and Boundaries  (06:13) – Core Coaching Skills: Listening, Reflecting, Asking Questions (07:42) – Positive Psychology and Strength-Based Approaches  (09:40) – Training Faculty as Coaches: Logistics & Curriculum  (11:37) – Scalability and Feasibility of Coaching Programs (12:25) – Impact on Coaches, Residents, and Department Culture (14:27) – How Much Coaching is Enough? (15:16) – Tolerating Uncertainty and Medical Errors (15:50) – Addressing Systemic Challenges & Fatalism  (16:50) – Handling Coach-Resident Mismatches (18:03) – Authentic Connection and Deep Listening (18:28) – Agency, Autonomy, and Self-Determination Theory   (21:00) – Closing Thoughts and Resources

    23 min
  3. Creating Thriving Workplaces: Dr. Greg Guldner on Applying Self-Determination Theory to Graduate Medical Education

    JAN 6

    Creating Thriving Workplaces: Dr. Greg Guldner on Applying Self-Determination Theory to Graduate Medical Education

    In this episode, Dr. Stuart Slavin speaks with Dr. Greg Guldner, director of GME Well-Being and assistant dean for Graduate Medical Education at Loma Linda University Health. They discuss how self-determination theory (SDT)—the most widely researched framework for understanding human motivation—can guide meaningful, system-level change in medical education and training. Dr. Guldner explains how autonomy, belonging, competence, and deep meaning (the "ABCDs" of well-being) form the foundation for a healthier workplace culture. Through practical examples and data-driven outcomes, he illustrates how leaders can redesign environments, policies, and interactions to enhance connection, motivation, and fulfillment for both residents and faculty members, creating conditions where everyone can truly thrive in their work. Podcast Chapters (00:00) – Intro and Welcome (00:14) – Guest Background: Dr. Greg Guldner (00:56) – Workplace Well-Being vs. Wellness (01:57) – Why Focus on the Work Environment (02:25) – The Role of Self-Determination Theory (SDT) in Well-Being Interventions (03:36) – Self-Determination Theory: Origins and Impact (05:05) – The Basic Psychological Needs (06:18) – Finding Meaning in the Workplace (07:18) – Autonomy: What It Really Means (10:23) – The Five Steps to Understanding Autonomy (11:38) – Belonging Interventions (15:02) – Competence: Growth and Mastery (18:00) – Feedback and Intervention (18:31) – Meaningful Work: High-Impact Interventions (21:04) – What about Faculty? (21:41) – Measuring Success: Data and Dashboards (25:42) – Closing Thoughts and Resources

    28 min
  4. Flourishing in Medicine: Dr. Kimara Ellefson on Meaning, Connection, and Culture Change

    12/16/2025

    Flourishing in Medicine: Dr. Kimara Ellefson on Meaning, Connection, and Culture Change

    In this episode, Dr. Stuart Slavin speaks with Dr. Kimara Ellefson, national director of Strategy and Partnerships for the Kern National Network for Flourishing in Health (KNN). Together they explore how the concept of flourishing—defined as "a wholeness of being and doing"—can transform the culture of medicine beyond burnout prevention toward purpose, belonging, and growth. Dr. Ellefson discusses KNN's framework of caring, character, and practical wisdom, and shares how institutions can cultivate environments that nurture both individual and collective well-being. The conversation highlights measurement strategies; resident-led initiatives; and the power of small, everyday actions to create meaningful, lasting change in health care. Podcast Chapters (00:00) – Intro & Welcome (00:14) – Guest Background: Dr. Kimara Ellefson (00:55) – What Is Flourishing and Why It Matters (02:48) – Moving Beyond Burnout: What can we do? (04:16) – Residents: Connection & Belonging (05:02) – About the Kern National Network (KNN) (05:54) – KNN's Framework for Flourishing (07:45) – Kimara's Professional Journey & Personal Insights (09:27) – Engaging with KNN (10:00) – Measuring Flourishing: Tools and Challenges (12:28) – Avoiding Reductionism in Measurement (14:12) – Innovative Projects in GME: Flourishing in Action (17:38) – Aspirations for Flourishing in Healthcare (20:31) – Message for the Listeners: Everyday Change (21:38) – Closing Thoughts & Resources

    23 min
  5. Motivation, Meaning, and Medicine: Dr. Adam Neufeld on Applying Self-Determination Theory to Well-Being

    12/02/2025

    Motivation, Meaning, and Medicine: Dr. Adam Neufeld on Applying Self-Determination Theory to Well-Being

    In this episode, Dr. Stuart Slavin speaks with Dr. Adam Neufeld, family physician and clinical assistant professor at the University of Calgary. Drawing on his research in Self-Determination Theory (SDT), Dr. Neufeld explains how autonomy, competence, and relatedness—the three universal psychological needs—shape motivation, engagement, and well-being in medical education and practice. Together they explore how supporting these needs can foster authentic motivation, enhance learning environments, and counteract burnout. Dr. Neufeld also clarifies common misconceptions about autonomy, shares practical strategies for educators and leaders, and discusses how small changes in communication and structure can transform both teaching and workplace culture. Podcast Chapters (00:00) – Intro & Guest Background (01:08) – Introducing Self-Determination Theory (SDT) (01:50) – Core Psychological Needs: Autonomy, Competence, and Relatedness (03:25) – SDT and Its Connection to Well-Being and Flourishing (04:46) – Applying SDT to Healthcare and Medical Training (03:25) – SDT, Motivation Quality, and Flourishing (04:46) – Applying SDT in Healthcare and Medical Training (05:36) – Balancing Humanistic Values and Performance Outcomes (06:57) – Redefining Autonomy: Independence, Volition, and Confidence (09:49) – Supporting Autonomy in Learning and Program Culture (13:00) – How Institutional Culture Impacts Motivation and Engagement (16:03) – The Motivation Continuum: From External Pressure to Intrinsic Drive (19:58) – Shifts Toward Extrinsic Motivation in Learners and Faculty (23:50) – Closing Remarks & Resources

    25 min
  6. Shifting the Lens: Dr. Elliott Higgins on Measuring System-Level Influencers of Well-Being in Health Care

    11/18/2025

    Shifting the Lens: Dr. Elliott Higgins on Measuring System-Level Influencers of Well-Being in Health Care

    In this episode, Dr. Stuart Slavin speaks with Dr. Elliott Higgins, director of Health and Well-Being for UCLA's Department of Anesthesiology and Perioperative Medicine. Together they explore the development of the Well-Being Influencers Survey for Health Care (WISH)—a validated, non-proprietary tool that measures the organizational conditions shaping clinician well-being. Dr. Higgins discusses how WISH shifts the focus from individual burnout to systemic factors such as transparency, fairness, and psychological safety, offering leaders actionable insights to drive meaningful change. The conversation highlights how data-driven, collaborative research can reframe accountability, empower departments to tailor interventions, and move the national dialogue from burnout awareness toward system-level solutions that enhance both workforce and patient care. Podcast Chapters (00:00) – Intro & Guest Background (01:06) – Elliott's Path to Medicine & Well-Being (02:28) – Introducing the WISH Survey (05:35) – Local Influencers & One Size Doesn't Fit All (06:31) – Multicenter and Multispecialty WISH Studies (11:07) – Early Findings: Organizational Justice & Transparency (12:28) – Psychological Safety in Anesthesiology (13:38) – Future Directions: Validation & Qualitative Work (16:03) – Using WISH Iteratively to Drive Change (17:55) – Accessing WISH (19:11) – Multicenter Collaboration & Team Effort (19:28) – Framing Thought: Shifting Accountability to Systems (21:22) – Closing Remarks & Resources

    22 min
  7. Empowering Faculty Leadership: Dr. Saadia Akhtar and the Well-Being Champion Model

    11/04/2025

    Empowering Faculty Leadership: Dr. Saadia Akhtar and the Well-Being Champion Model

    In this episode, Dr. Stuart Slavin speaks with Dr. Saadia Akhtar, professor of emergency medicine and senior associate dean for Trainee Well-Being and GME at the Icahn School of Medicine at Mount Sinai. They explore the evolution of Mount Sinai's GME Well-Being Champion Program—an initiative that empowers faculty champions across specialties and sites to identify local challenges and drive meaningful improvements in workplace culture and efficiency. Dr. Akhtar shares how the program fosters collaboration, builds community, and supports learners and champions through structured debriefs, system-level feedback, and professional development. This model offers a scalable, data-informed approach to improving well-being in medical education.   Podcast Chapters (00:00) – Intro & Guest Background (01:01) – Origins of the Well-Being Champion Program (03:54) – Wellbeing Is Local: One Size Doesn't Fit All (04:37) – Champion Roles & Reporting Structure (06:13) – Monthly Debriefs & Report Outs (08:01) – Champion Independence from Program Leadership (09:05) – Trainee Support & Resource Sharing (10:34) – Collaboration with Program Directors & Champions' Role (13:42) – Professional Development & Lecture Series (15:40) – Stipends, Recognition & Career Growth (17:23) – Champion-Led Initiatives & Impact (21:00) – Reaching Institutions with Limited Resources (23:20) – The Iterative Continuous Quality Improvement Approach (25:14) – Final Reflections (26:16) – Closing & Resources

    27 min

Ratings & Reviews

4.3
out of 5
6 Ratings

About

The Accreditation Council for Graduate Medical Education (ACGME)'s Well-Being podcast series addresses a variety of strategies for enhancing well-being among members of the graduate medical education community. Hosted by ACGME Vice President for Well-Being Dr. Stuart Slavin, the series explores mental health and well-being from the perspectives of key stakeholders and well-being experts.

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