Dr Niranjan-Azadi is the wellness and faculty development director for the Division of Hospital Medicine and an associate clerkship director for the Medicine Clerkship.
 

Dr Bernard Landy-Wegener is the Associate Clerkship Director and site director for the Medicine core clerkship and the Co-Director of the Osler Apprentices in Medicine course. He also created and leads the Peer Observation of Teaching program to promote bedside teaching excellence and is currently co-leading the Division’s efforts to create a Scholars Program.

BEHAVIOR M&M: A STRUCTURED DEBRIEFING ON CHALLENGING PATIENT ENCOUNTERS  
Joy in medicine is usually centered around physicians’ abilities to have meaningful and rewarding interactions with their patients. Unfortunately, hospitalists far too commonly face challenging encounters with patients. Encounters are considered challenging when interactions are too time consuming, delays of care occur that are out of physicians’ hands, patient and physician goals are misaligned, or patients are violent or threating. A physician morale survey within the Division of Hospital Medicine at Johns Hopkins Hospital highlighted the burden of challenging patient interactions on physician well-being with 78% of physicians reporting this being burdensome to their well-being. We have created a formal debrief process after challenging patient encounters similar to standard medicine morbidity and mortality conferences titled “Behavior M&M” that provides physicians with emotional support, training, and resources to address future challenging encounters.