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Grand Rounds: Physician Wellbeing - Psychological PPE in the Age of COVID and Beyond


By Carol Bernstein, MD , Professor and Vice Chair for Faculty Development and Wellbeing, Departments of Psychiatry and Behavioral Sciences, Obstetrics, Gynecology and Women’s Health; Montefiore Medical Center/Albert Einstein College of Medicine

Objectives (Educational Content) :

1. Identify key factors contributing to stress, burnout, wellbeing and resilience as they affect physicians in the healthcare environment. 2. Increase knowledge of different strategies to employ when working under dynamically changing, traumatic, and stressful clinical conditions. 3. Identify potential systemic solutions as well as practical techniques that can enhance growth and promote resilience.

Target Audience:

General pediatricians, family physicians, nurse practitioners, physician assistants, social workers, psychologists, and nurses.

Identified Gap:

Dealing with stressors on the physician during an infectious disease pandemic.

Estimated Time to Complete the Educational Activity:

1 hour(s)

Expiration Date for CE/CME Credit:


Method of Participation in the Learning Process:

The learner will view the presentation, successfully complete a post-test and complete an activity evaluation.

Evaluation Methods:

All learners must successfully complete a post-test, as well as an activity evaluation, to claim CE/CME credit.


Dr. Carol Bernstein has indicated that there are no relevant financial or other relationships with any commercial interests and that this activity was developed independent of commercial interest.

Accreditation Statement:

Children’s Hospital Medical Center of Akron is accredited by the Ohio State Medical Association to provide continuing medical education for physicians.

CHMCA designates this enduring material activity for a maximum of 1.0 AMA PRA Category 1 Credit TM.  Physicians should only claim the credit commensurate with the extent of their participation in the activity.


Turner,;, “Inconvenient Truths in Suicide Prevention:  Why a Restorative Just Culture Should be Implemented Alongside a Zero Suicide Framework”, Australian and New Zealand Journal of Psychiatry, 2020. Vol. 54/6

Olsen,  “Pandemic Driven Post-Traumatic Growth for Organizations and Individuals”, JAMA, November 10, 2020

Hartzband,, ‘Physician Burnout, Interrupted”, New England Journal of Medicine.  June 25, 2020

Shapiro,, “Supporting Clinicians during Covid-19 and Beyond – Learning from Past Failures and Envisioning New Strategies”, New England Journal of Medicine.  December 31, 2020.

Moutier,  “Preventing Clinician Suicide:  A Call to Action During the Covid 19 Pandemic and Beyond”, Academic Medicine.  Vol, 96. No 5, May 2021

Brady, “ What Do We Mean by Physician Wellness?  A Systematic Review of its Definition and Measurement.”  Academic Psychiatry (2018) 42:94-108.

Shanafelt, ‘Understanding and Addressing Sources of Anxiety Among Health Care Professionals During the Covid 19 Pandemic;  JAMA, June 2, 2020

Sen. “A Prospective Cohort Study Investigating Factors Associated with Depression During Medical Internship”, Archives of General Psychiatry, Vol. 67, No 61, June 2010.

Shanafelt, “The Business Case for Investing in Physician Well-being, JAMA Internal Medicine, December 2017, Volume 177 Number 12

Shanafelt, “ Exewcutive Leadership and Physcian Well-being:  Nine Organizational Strategies to Promote Engagement and Reduce Burnout”, Mayo Clinical Proceedings.  January 2017: 92(1).

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The five differences are:
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