Mitigating the Negative Effects of Mistreatment on Physician and Trainee Well-Being: Trauma-Informed Approaches to Managing Challenging Patient Interactions

Miriam Stewart is the Chief Well-being Officer at the Children’s Hospital of Philadelphia where she is also an attending physician in the Justin Michael Ingerman Center for Palliative Care and a pediatric hospitalist specializing in the care of children with complex medical needs. Dr. Stewart founded the Physician Well-being Initiative at the Children’s Hospital of Philadelphia in 2016 and served as the Director of Physician Well-being from 2016-2022. She completed the inaugural Stanford Chief Wellness Officer course in 2018 and was one of the founding members of the Healthcare Professional Wellness Academic Consortium, where she serves on the Scientific Board. She is an Assistant Professor in the Division of General Pediatrics at the Perelman School of Medicine of the University of Pennsylvania. She received her undergraduate degree in Literature from Yale University and her medical degree from the Johns Hopkins School of Medicine. She completed pediatrics residency and a fellowship in Hospice and Palliative Medicine at the Children’s Hospital of Philadelphia. She is also a mindfulness practitioner and teacher and co-founded the Children’s Hospital of Philadelphia Mindfulness Collaborative.

Tara Bamat is an Assistant Professor of Clinical Pediatrics at the Children’s Hospital of Philadelphia (CHOP) and an Attending Physician in the Division of General Pediatrics and the Justin Michael Ingerman Center for Palliative Care with a clinical focus of caring for children with medical complexity and life-limiting illnesses and their families. She graduated from Columbia University with a BA in Neuroscience and Behavior, attended the Perelman School of Medicine, and completed her residency, chief residency, and fellowship training in Hospice and Palliative Medicine at CHOP. She has served as an Associate Program Director for the Pediatric Residency Program since 2015. In this role, Dr. Bamat re-designed and scaled the program’s Wellbeing initiatives by building a program to identify systems drivers of burnout and creating a longitudinal curriculum for residents focused on trauma-informed and emotionally intelligence-based leadership development. She is also a lead facilitator for CHOP’s VitalTALK communication program, teaching sub-interns, residents, fellows, APPs, and faculty foundational communication skills in delivering serious news and mapping goals of care. With her colleague and dear friend, Dr. Nicole Washington, she co-created a novel training program focused on identifying and addressing microaggressions in the clinical learning environment as a means to create a culture of active allyship and belonging.

Learning Objectives:

  1. Understand the associations between experiences of mistreatment and occupational well-being for attending physicians and trainees
  2. Identify the benefits of intervening to support peers and trainees experiencing mistreatment
  3. Apply trauma-informed approaches to managing challenging interactions with patients and families


This seminar was delivered as a Pediatric Grand Rounds Lecture at Children’s Hospital of Philadelphia, on April 19, 2023.

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Course Includes

  • 1 Lesson
  • Course Certificate
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