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Here at Psychiatry Residency Spokane, we use a systems based approach (Mayo Clinic, Shanafelt) and the IHI “Joy in Work” framework.

Joy in Work

4 pillars of wellbeing

4 areas were identified locally within our GME community from a needs assessment completed in 2018.

  • Meaning in medicine
  • Self care
  • Electronic medical record burden reduction
  • Work Hour Flexibility

Faculty and Resident annual ACGME assessment

What do our residents say?

ACGME Resident Survey AY 21-22

Providence Wellbeing Resources

Benefits at a glance


  • Didactic sessions on fatigue, mindfulness, smartphrase development (to improve satisfaction with EPIC), community volunteer events
  • Biannual resident retreats
  • Systems of medicine curriculum that includes narrative reflections to enhance meaning in medicine
  • Internal Medicine residency focus on humanism on housestaff rotations.

Program policies

  • Three wellbeing ½ days per year
  • We prioritize time for residents and faculty to attend medical, mental health and dental appointments: ACGME resident survey AY 21-22 - 100% of PRS residents report that they are able to attend personal appointments
  • T group - this is a resident weekly process group to encourage peer-peer support and mentorship.
  • Time and financial support to attend regional or national conferences – program time away policy available on request

Call Parameters for Psychiatry Residency Spokane


  • Providence employment wide 10% reductions in gym membership at many local and national gym companies
  • Gym equipment available on site at the STHC
  • Shower facilities on site at the STHC


Our recent graduate, Alex Lehecka, put together the following video in 2020 that provides a window into some of the many opportunities residents have to connect with each other while supporting the community.