Resources for Residents/Fellows

The UArizona College of Medicine – Phoenix Medical Student Mental Health Services (MSMHS) provide free, professional, and confidential counseling specifically tailored to address the mental health and wellness relevant to medical trainee life. Services are designed to foster the academic potential of medical trainees by enhancing their personal development as well as their psychosocial and emotional health. Services are currently being offered through HIPAA compliant virtual platform. In-person and virtual sessions are available.

Residents and fellows may seek therapy for a wide array of concerns. Individual counseling services address:

  • Depression – Providing support and promoting healing through hopelessness, low motivation and energy, sadness, irritability, sleep disturbance, and loss of interest and pleasure in life.
  • Anxiety – Coping with excessive worry, nervousness, or stress; intense discomfort in social settings; sudden and intense feelings of panic.
  • Personal and Professional Identity development – Understanding, accepting, and strengthening one’s sense of self through the exploration of family, work, and personal  and professional values; Exploring topics of racial, cultural, and ethnic background as it relates to one’s family origins and personal identity.
  • Self-esteem – Cultivating self-compassion, assertiveness, and confidence; developing ways to reduce suffering, anxiety, social withdrawal, and self-neglect.
  • Stress management – Strengthening effective ways of coping with the stress of life and change; managing expectations of self and others.
  • Emotion regulation –Learning how to identify, express, and manage feelings in safe, in-control ways.
  • Interpersonal difficulties – Developing ways to maintain healthy relationships whether it be with family members, friends, romantic partners, peers, instructors.
  • Career concerns – Learning to utilize and highlight strengths, effective and practical stress-management, focusing on fulfillment, utilizing communication skills, and enhancing efficiency to reduce burnout.
  • Academic issues – Adjusting to studying and working; managing developmental and emotional challenges when studying for boards; balancing work and personal life.

You can arrange a meeting by contacting Dr. McNelis-Kline directly. Every effort will be made to meet with a resident/fellow as soon as possible. If it is a medical emergency and/or there is a life-threatening situation, call 911.

Contact Information:

Dr. Celine McNelis-Kline, EdD
Office: Health Sciences Education Building, A-348
Email: @email
Cell: 715-432-4570
* Available to all College of Medicine – Phoenix Residents and Fellows (Free)

Additional local resources:

  • Maricopa Crisis Line: 602-222-9444
  • Maricopa Warm Line: 602-347-1100
Establish Primary Care Physician

We encourage our residents and fellows to establish care with a Primary Care Physician (PCP) early on in their Graduate Medical Education career. This will make it easier to attend annual physicals and any necessary check-ups in a timely fashion. Two on-site options are below; the third and fourth options will assist residents and fellows in finding a provider located off of our campus.

  1. Call Aetna EAP at 1-866-568-7554
    • If it is your first time using your EAP benefits, Aetna will build a file with your name, contact information, and preferences. This file is separate and inaccessible by Banner. It is only accessible by Aetna EAP personnel to provide the appropriate service.
  2. You will indicate if you prefer to meet with a counselor/psychologist in-person or via telehealth. If you prefer to meet via telehealth, you will be transferred to Arcadian Tele-Psych. Let them know that you will be using your “Aetna Resources for Living” EAP benefits.
    • Arcadian Tele-Psych will set an appointment with you and handle everything else with the insurance benefits.
    • If you prefer to meet a counselor or psychologist in-person, the Aetna EAP personnel will assist in providing a list of mental health provider contacts in your preferred zip code. Once they provide the list, you will call any mental health provider on the list to set-up an appointment. Once you have set-up an appointment with the counselor/psychologist, you will call “Aetna Resources for Living” EAP Benefits (1-866-568-7554) to get an authorization code. You will bring the authorization code/form to the session. The mental health provider will then work with Aetna for billing. You will not be expected to pay anything after the session(s).  

You can use an online search tool to identify the Employee Assistance Program (EAP) providers. Or you can call Aetna Resources for Living call and they can help you find a nearby provider. Either way, be sure to call your EAP toll-free number before seeing an EAP provider (1-866-568-7554). An Aetna representatives will confirm that the provider you’d like to see is in-network and authorize your sessions. If you don’t call first for authorization, you'll be responsible for the full cost.

To find in-network EAP providers near you:

  • "Go to provider search"
  • Under "Continue as a guest," enter your home zip code, city, county or state.
  • Adjust the slide bar to the number of miles away from your home you’d like to look for providers.
  • Click "Search."
  • Type in "Employee Assistance Program" in the search field for Select a Plan
  • Select "Employee Assistance Program Must call EAP for Authorization #"
  • Click "Continue."
  • On the next page, select "Behavioral Health."
  • Select "Employee Assistance Program."
  • Choose a topic or click on "All EAP Professionals" for a complete list.
  • You'll see a list of providers.

Remember, you must call your EAP toll-free number before seeing an EAP provider or you’ll be responsible for the cost of services (1-866-568-7554). Consider contacting your behavioral health insurance 855-788-5803 to ensure the provider is in-network there as well. That way, if you wish to continue care beyond the covered EAP sessions, you’ll get in-network rates. Going in-network ensures providers have met your insurer’s criteria and helps you save on overall costs. For specific questions on you behavioral health benefits call: 855-788-5803

For comprehensive details about Aetna Resources for Living and your benefits, please visit: www.resourcesforliving.com

All House Staff at Banner University Medical Center – Phoenix have sick time per year in accordance with Arizona State Law. Arizona Sick Time accumulation and hours are recorded and kept in Work Force Central.  Therefore, using paid sick time requires communication with your program according to your program’s policy.

For further clarification or more details, please reach out to Human Resources and/or review Banner’s Sick Time Policy and FAQs. Other resources can be found on banner connect here.

Key Details
  • Although it is called, “Sick Time” based on Arizona state law, it can be used for all medical care which includes mental health appointments and those for the purposes of prevention and establishing care.
  • You may use paid sick time for the following reasons and circumstances:
    • For employee’s needs to care for a family member, including:
      • Children of any age, including: biological, adopted or foster children, and child of domestic partner.
      • Parents, including: biological, foster, stepparents, adoptive parents, or legal guardians of the employee or the employee’s spouse or domestic partner.
      • Spouse or domestic partners
      • Grandparents
      • Grandchildren
      • Siblings, or
      • Any other blood relative or anyone who is close enough to the employee to be the equivalent of a family relationship who needs care as defined in the policy. 
    • Paid sick time may be used for the employee or those identified above for the following circumstances:
      • Medical care or mental or physical illness, injury, or health condition;
      • A public health emergency; and
      • Absence due to domestic violence, sexual violence, abuse, or stalking (e.g., medical attention, counseling, relocation, or attending legal hearings.).
  • You will not be demoted, disciplined, retaliated against, suspended or terminated for requesting or using available paid sick time, if used for the reasons listed and following the appropriate procedures. 
Procedures to utilize your AZ Sick Time:
  • Communicate immediately with your Program Director, Chief Resident, or appropriate faculty member if for, any reason, you are sick or will be unable to fulfill your responsibilities due to the illness of a family member listed above.
  • Communicate with your program using their protocols to let them know when you will need to use paid AZ Sick Time for a scheduled appointment or other planned reason.  You are expected to provide as much advance notice as possible of the need to take time off under this policy and may be required to provide appropriate medical documentation as permitted by law.
  • Communicate with your program coordinator by email that you used paid AZ sick time and cc your program director.  List 8 hours if you missed a work day or the number of minutes that you missed (per policy/law) to make sure that the correct amount of time is entered within Work Force Central.
  • The Program Coordinator will enter it into Work Force Central.
  • Please note, time away from training for any type of leave may result in a delay in graduation depending on the specialty-specific program requirements and  board requirements. 
Other details
  1. You will accrue paid sick time at a rate of 1 hour for every 30 hours worked up to a maximum of 40 hours per year.
  2. It is accounted for on a minute by minute basis if you take less than a full day.
  3. Up to 40 hours of banked AZ Sick Time will roll over into the next year; any additional hours over 40 will be forfeited.
  4. Paid sick time is intended to be used when actually required for one of the reasons described above.

Medical students, residents, and physicians, are not immune to developing problematic substance use, abuse, and addiction. In fact, substance use disorders in both medical students and practicing physicians occur at roughly the same frequency (if not higher in some cases) as in the general population. Given the significant professional obligation and responsibility that medical professionals and students possess, it is of great importance to facilitate early support and therapeutic intervention.

List of resources

The following resources are being presented to assist medical students in recognizing problematic coping with substance use and to facilitate early intervention strategies. We also hope these resources equip students with the necessary tools to support and promote health throughout their careers.

Banner Addiction Recovery Center
Phone: 602-839-4567
Address: 1300 North 12th Street Suite 608 - Phoenix, AZ 85006

Arizona Medical Association Physician’s Lounge
This is totally confidential resource that can connect providers in need of help with a peer counselor, and is not just limited to substance abuse issues.
 
Physician Health Committee at Banner University Medical Center-Phoenix
Dr. Kam Hunter is the Chair and is always available to talk if he can be of some help.  
 
Community Bridges Professionals Medical Monitoring Program
The coordinator is Kristy Cole 

  • Independent but contracts with the State Medical Board
  • Confidential
  • Funded by participant fees
  • For health professionals & students

Professionals Assisting Professionals of Arizona (PAPA)
Phone: 480-207-7869

  • Through the AZ State Board of Pharmacy
  • Confidential
  • Non-profit
  • For health professionals & students

Impaired Professional Program
Phone: 602-542-1882

  • Through the AZ State Board of Behavioral Health Examiners
  • Confidential
  • Free enrollment
  • For licensed health professionals 

Buena Vista Impaired Physicians Program
Phone: 866-630-9392

  • Independent
  • Confidential
  • Funded through insurance
  • Specialized physician-centered program
Other Substance Use Treatment Options. Not Physician/Health Care Professional Specific.

Detox (admission immediately/within 24 hours)
A detox only program is going to be an inpatient program that last anywhere from 3-7 days depending on how long your alcohol withdrawal symptoms last. These are in a medical setting where physicians can prescribe you comfort medications and monitor your health while you withdraw. You can present physically to either of the Banner options or call ahead to arrange admission to all three. Each detox facility will take either private insurance or AHCCCS.

  • Banner Scottsdale: 480-448-7500 
    7575 East Earl Dr.   
  • Banner Thunderbird: 602-865-4793 
    5555 W. Thunderbird Rd.
  • Vogue Recovery Center:877-694-9291
    4122 North 17th St., Building A 

Inpatient/Residential Treatment (admission takes 24 hours to 1 week)
An inpatient or residential program will last anywhere from 30-90 days. In these programs, you go and live in a facility or house with a community of others who are also participating in recovery. These programs will include case management, support groups, group counseling, individual counseling, and a physical space for you to live for the duration of the program. Most inpatient programs will also allow you to detox while at their facility prior to participating in their treatment program; just call to confirm. Both Soul Surgery and Meadows take only private insurance/out of pocket payment. Destiny Sober Living takes AHCCCS.

Intensive Outpatient Program (IOP) (admission takes 48 hours to 1 week)
An intensive outpatient program last anywhere from 6-12 weeks and requires no time in a facility. During an IOP you will go to treatment 3x per week for 3 hours at a time. The nine hours of weekly programming include meeting with a case manager, individual therapy, group therapy, and group therapy/classes.  These often follow inpatient treatment. Each of the options below take private insurance and AHCCCS. Take a look at each program’s website and what they offer differs slightly. For instance, Recovia has a co-occurring substance use/chronic pain program. These programs also offer partial telehealth or evening options.

Emergency and Crisis Hotlines
  • Police: 911 (emergent); 602-262-6151 (non-emergent)
  • Banner Security: 602-747-4400
  • 24-Hour Crisis Hotline(s)
    Maricopa County: 602-222-9444
    National:1-800-273-8255
    Text: 741-741
  • Sexual Assault Hotline: 480-736-4949
  • Substance Use/Treatment: 1-800-662-4357

Too tired to drive home after your shift?
No worries, we want you to be safe and rested - the GME office will reimburse any ride share or taxi from the hospital to your home and back to the hospital the following day to retrieve your vehicle. 

To be reimbursed for your expense, please contact Jose DeLaRose (602-839-5865) in the GME office to process the paperwork.

The Banner Choice Plus Plan is the most common health insurance selected by residents and the following information pertains to this plan. It is administered by Banner Plan Administration. $25 copay per PCP visit, $50 copay per specialist visit.
Phone: 480-684-7070 in the Phoenix area, or 800-827-2464 for all other areas. Email: Benefits@BannerHealth.com

Registered dietitians are available to provide individual nutrition consultations to Banner Health employees free of charge. A nutrition and wellness plan will be determined based upon the individual’s health goals and health history.

To arrange a meeting, contact the ECHO Prevention and Wellness Department at 480-684-5040 or via email.

To find a contracted  provider visit www.Banneraetna.com.

Physical and Occupational Therapy

 $20 copay per visit for outpatient physical, occupational, and speech therapy services.
Phone: 480-684-7070 in the Phoenix area, or 800-827-2464 for all other areas

Personalized Coaching Options
Organization/Individual Contact Notes
Sandy Scott LLC Sandy Scott, FACHE, MPA
https://sandyscottllc.com/		 Leads the Emotional Intelligence and Coaching PIE/Personal best program which enrolls candidates annually at the U of A
Physician Coach Support Various
www.physiciancoachsupport.com		 Free to all
Dr. Celine McNelis-Kline Dr. Celine McNelis-Kline
Email: @email
Cell: 715-432-4570		 Free to U of A residents and fellows
“AbleTo” Program Various
www.ableto.com		 Covered by insurance
**See additional details below**

 
**The AbleTo program provides personalized therapy and coaching to help you feel better and get better. All sessions are confidential and conducted via phone or video chat from the comfort, privacy, and convenience of your own home. The 8-week long program is scheduled at a time that works for you, day or night. This program is made available to you through Aetna. The services are covered under your health plan. To find out more information or to schedule an appointment, visit Able To.com/Aetna or call 1-844-330-3648.

As a Resident/Fellow, you also have access to the UArizona online library resources and will need your UA NetID and password. 
In order to access the University of Arizona Health Sciences Library on the Phoenix Biomedical Campus, you will need to request an access badge. Badge photographs are taken on the Phoenix Biomedical Campus, 550 E. Van Buren Street. Please check-in with Security at the front desk and have your UA Employee ID number with you.

Access Badge Walk-in Times:

Day Time
Tuesday 9:00am – 12:00pm
Thursday 12:00pm – 3:00pm

You can also make an access badge appointment by calling Melonie Martinez, Office Specialist, at 602-827-2758, if you need to request an appointment outside of the walk-in times. 

 

 

 

 

 

House Staff Gym

Available in the Residency Downtime in Tower 2, Pod 12-D at Banner - University Medical Center Phoenix. Treadmills, exercise bicycles, free weights, yoga room, and weight machines available. Open 24/7 and free for resident use.

Lactation Rooms

There is a dedicated lactation room for House Staff in the Medical Trainee Wellness Space in Tower 2, 12D with a lockable door, fridge, pump, and lockers. Additional lactations rooms: 

  • Ancillary Building (Lactation Rooms)
    3rd floor (A3-1135, A3-1136)
  • Tower 2 (Lactation Rooms)
    3rd floor (T3-028B)
    4th floor (T4-130)
Banner ECHO Employee Wellness Gym

Open gym times are Mon/Wed/Fri from 4:30p.m. - 9p.m. and Tues/Thur from 5:30a.m. - 9p.m.  Included in the membership, access to the Treadmills, Bikes, Cross Trainers, Elliptical Trainer, Stair Stepper, Strength Machine, Free Weights, Stretching Area, and changing room with showers.  Any ECHO Group Fitness Classes offered are included with the membership. The cost for the gym is $50 per year.

For more information, contact the ECHO Prevention and Wellness Department 480-684-5040 or via email

Question Answer
Why do residents/fellows need to log duty hours? Program Directors and the institution have a responsibility to ensure compliance with duty hour limitations. Without a consistent process across programs, it is challenging to do so. (IR III.B.5.a).(1); CPR II.A.1.)
How often should residents/fellows log hours? The recording of hours is more accurate if done daily and no more than weekly.
Who should I contact if I have more questions about this? In addition to your program coordinator & program director, @email and @email
Which duty types should residents/fellows use for specific assignments? The following are the general descriptions of the available duty types and general description of work within New Innovations (NI), listed below:
  • Call: Only used if trainees in your program are scheduled for in-house calls. The ACGME identifies an In House Call as: Duty hours beyond the normal workday when residents are required to be immediately available in the assigned institution
  • Called in from Home: Applies if your trainees are scheduled for Pager Call (a.k.a. Home Call). Used for hours that a resident/fellow are actually called into the hospital. (Physically come in from home)
  • Day Off: Used for time away
  • Moonlighting: Applies for your residents/fellows to log their Moonlighting hours
  • Shift: Used to log scheduled work time/hours
  • Patient Care from Home: Trainees are allowed to do work-related tasks at home, such as paperwork or taking work-related calls
How does the GME office calculate the clinical and educational work hour compliance? The more days logged per week, the more accurate the totals are. A minimum of five (5) days a week (with Monday being the start of the week) must be logged to be considered “compliant” with logging that week.
Will residents/fellows be penalized for accurately logging clinical and educational work hours, which causes a violation in NI? No, logging accurate clinical and educational work hours need to be entered into NI, which bring to the program’s and GME’s attention that the conditions towards resident/fellows learning need to be evaluated. Inaccurate reporting by residents is a violation of the ACGME professionalism milestones and the requirement that “residents and faculty members demonstrate an understanding of their personal role in the accurate reporting of educational work hours.”
Will programs be penalized for accurately logging clinical and educational work hours, which causes a violation in NI? No, logging accurate clinical and educational work hours helps programs know what areas need attention. The GME office helps to oversee the process and support programs. It is essential to ensure compliance for resident/fellow health. If there were on-going, uncorrected issues with duty hours, it could eventually lead to an ACGME citation.
Can the red flag be removed, indicating a violation occurred in NI? The red flag is a standard feature within NI and cannot be removed. The purpose of the notification is to inform the program and the GME office of potential concerns.
I arrive at 5 am even though my shift doesn’t start until 6 am because I must spend time reviewing charts to get the work done in the day. How should the resident/fellow log this? You should log the time you arrived to begin work within NI, 5 am.
Does patient charting count towards the clinical and educational work hours? Yes, all time spent on patient charting needs to be logged in NI because it is part of clinical work hours to ensure proper continuing of care, treatment, or services of patients.
  • The total time spent on patient charting at home on any given day should be added to the time that the resident/fellow left the clinical site so that the “end time” of your shift is adjusted.
  • Have a separate entry for “Patient care at home” to document the total time spent that night.
Do I need to log the hours I spend moonlighting? Yes, clinical and educational hours include those spent moonlighting. The hours should be logged as “moonlighting.”
What types of work done from home count toward clinical and educational work hours? Patient charting in the electronic health records and taking calls from home (when applicable).
Do residents/fellows need to record minute by minute when taking calls from home within NI? No, it is suggested that residents and fellows document the total time spent within NI to allow the programs and the GME office to ensure residents/fellows are not working in excess of 80 hours per week, averaged over four weeks.
  • The total time spent on patient charting at home on any given day should be added to the time that the resident/fellow left the clinical site so that the “end time” of your shift is adjusted.
  • Have a separate entry for “Patient care at home” to document the total time spent that night.
IF you get called in and need to return to the hospital, that must be logged separately as “called in from home.”
How should the residents/fellows days off be scheduled? Residents should log the day that they were off with the duty type of “day off.” If it is left blank, it is unclear if it was a day off or a day that you skipped logging. During that day off, there should be no at-home call assigned. If there was, it should be logged as “at-home” call.
Do residents/fellows need to log hours within NI if they have a day off or vacation? Yes, days off, including vacation, should be logged as time as “day off” within NI.
Does reading done in preparation for the following day’s cases, studying, and research done from home count towards the 80 hours? No
Purpose

Are you having a challenging day?  Are you struggling with symptoms of burnout, including emotional exhaustion, loss of motivation and decreased satisfaction?

Talk it over with someone who gets it - A physician or APP like you.

Having a conversation with a peer and sharing your experience in a confidential way can be helpful.

  • 10-12% of physicians have a substance use disorder
  • 58% physicians at Banner experience symptoms of burnout
How to get in touch

Peer to peer coaching is free and confidential. To be clear, peer to peer coaching is not counseling – it’s for you and only you. Notes or records are not kept. Here’s how it works:

  • You’re matched to a peer supporter based on your preferences. This peer will be another Banner health physician or APP. We have supporters from many different specialties and locations.
  • To be matched, please complete a short questionnaire. We will match you with a physician peer within 48 hours via e-mail.
  • Cultivating Happiness in Medicine website. CHIM is Banner’s commitment and multi-year strategy to improve Physician & APP well-being by preventing and reducing burnout.
  • Your contact information will be shared with you and your matched coach. They will reach out to you to connect virtually.