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National Initiative VI

National Initiative VI: Stimulating a Culture of Well-Being in the Clinical Learning Environment

AIAMC National Initiative (NI) VI: Stimulating a Culture of Well-Being in the Clinical Learning Environment launched in 2017 with 34 participating teams from Seattle to Maine (see sidebar). The Initiative is 18 months in length and features four on-site meetings and monthly teleconferences or webinars. Monthly team cohort groups will be structured by themes based on focus areas identified in the applications, with best practices from all teleconference groups shared at the on-site meetings. On-site learning sessions topics include research on well-being; barriers, gaps and stigma encountered in seeking well-being resources; leadership, sustainability and culture required to support well-being; and C-Suite engagement.

Well-being in the clinical learning environment is a function of the individual interacting with his/her environment.[1] It can be addressed through multiple foci for improvement at various levels of the clinical learning environment. The AIAMC strives to allow each NI team to choose an area of focus and level of the clinical learning environment that best supports its hospital’s strategic goals and needs while at the same time providing an organizational framework that ensures collaborative networking. The teams’ preferred areas of foci have determined the following four cohort groupings for NI VI: Institutional Well-Being; GME Across All Programs – Culture and Values; GME Across All Programs – Workload & Job Demands and Control & Flexibility; and GME Across All Programs – Meaning in Work, Work-Life Integration and Social Support & Community at Work.

[1] Shanafelt TD, Noseworthy JH. Executive Leadership and Physician Well-being: Nine Organizational Strategies to Promote Engagement and Reduce Burnout. Mayo Clinic Proceedings 2017.01.31;92(1):129-146). See “Drivers of Burnout and Engagement in Physicians figure.

About the AIAMC National Initiatives

The AIAMC National Initiative is the only national and multi-institutional collaborative of its kind in which residents lead multidisciplinary teams in quality improvement projects aligned to their institution’s strategic goals. Sixty-four hospitals and health systems and more than 1,000 individuals have participated in the AIAMC National Initiatives since 2007 driving change that has resulted in meaningful and sustainable outcomes improving the quality and safety of patient care.

Project outcomes have resulted in multiple scholarly publications, including Academic Medicine, the American Journal of Medical Quality, the Journal of Graduate Medical Education, the Journal of the American College of Surgeons and The Ochsner Journal. The Ochsner Journal has served as the official publication of the AIAMC National Initiatives since 2015.

Key Contacts

Barry Mann, MD

Barry Mann, MD
AIAMC National Initiative VI Chairman
Chief Academic Officer
Main Line Health System

Lynne Chafetz

Lynne Chafetz, JD
AIAMC National Initiative VI Vice Chairman
Sr. Vice President
General Counsel
Virginia Mason Medical Center

Kristy Stith

Kristy Stith
Administrative Coordinator
Alliance of Independent
Academic Medical Centers

About the AIAMC Annual Meeting

In addition to National Initiative VI, the AIAMC Annual Meeting provides the opportunity to educate our members and friends about well-being.  The AIAMC Annual Meeting brings together key leaders from independent academic medical centers around the country and features outstanding, nationally- recognized speakers in an atmosphere of networking and dialogue not found at any other national meeting.  Our 2017 conference theme was Burning Brightly, Not Burning Out:  Engaging Caregivers and the C-Suite in Strategies and Solutions and included keynote speaker Timothy Brigham, M. Div., PhD, Chief of Staff and Senior Vice President, Department of Education, Accreditation Council for Graduate Medical Education (ACGME).  The AIAMC’s 2018 Annual Meeting will be held April 5th thru 7th at the Omni La Costa Resort and Spa in Carlsbad, California and will feature exceptional faculty, including keynote presenter Dike Drummond, MD,  The theme of our 2018 Annual Meeting is Finding Joy and Purpose:  Building a Community of Wellness.  For more information on the AIAMC Annual Meetings, please contact Kimberly Pierce-Boggs, Executive Director, via email


Advocate IL Masonic Medical Center
Chicago, IL

Advocate Lutheran General Hospital
Park Ridge, IL

Arrowhead Regional Medical Center
Colton, CA

Aurora Health Care
Milwaukee, WI

Bassett Medical Center
Cooperstown, NY

Baylor University Medical Center
Dallas, TX

Baystate Health
Springfield, MA

Billings Clinic
Billings, MT

Carolinas Healthcare System
Charlotte, NC

Cedars-Sinai Medical Center
Los Angeles, CA

The Christ Hospital and Health Network
Cincinnati, OH

Christiana Care Health System
Newark, DE

Cleveland Clinic Akron General
Cleveland and Akron, OH

Community Health Network
Indianapolis, IN

Crittenton Hospital Medical Center
Rochester, MI

Florida Hospital
Orlando, FL

Guthrie/Robert Packer Hospital
Sayre, PA

HCA South Atlantic Division
Orange Park, FL; Macon, GA; Myrtle Beach, SC

HealthPartners Institute
Minneapolis, MN

Honor Health
Scottsdale, AZ

Jersey Shore University Medical Center
Neptune, NJ

Main Line Health
Wynnewood, PA

Maine Medical Center
Portland, ME

Monmouth Medical Center
Long Branch, NJ

Ochsner Health System
New Orleans, LA

Orlando Health
Orlando, FL

OSF Healthcare
Peoria, IL

Our Lady of the Lake Regional Medical Center
Baton Rouge, LA

Riverside Methodist Hospital - OhioHealth
Columbus, OH

Saint Francis Hospital & Medical Center
Hartford, CT

Sinai Hospital of Baltimore
Baltimore, MD

Cincinnati, OH

UnityPoint Des Moines
Des Moines, IA

Virginia Mason Medical Center
Seattle, WA


For More Information Regarding the AIAMC National Initiatives,
Contact Kimberly Pierce-Boggs, Executive Director, at or 312-836-3712 and