High Performance Physicians
During residency, escalating demands, intense performance pressures, and overwhelming expectations, have been cited by many physicians as key sources of stress that can impede performance and lead to a diminished sense of personal well being.  The HPP Program is designed to equip medical professionals with strategies that have been validated through ongoing collaboration with physicians on how to regain and sustain more consistency in performance, and how to enhance efficiencies in integrating the demands from one’s personal and professional lives.

 The High Performance Physician (HPP) Program is founded upon best practices and principles in the areas of health and performance psychology, as well as professional learning. The HPP curriculum was integrated into Emergency Medicine education and delivered for the first time to EM residents at the U of M in 2009, by a team of performance psychologists led by Drs. Jason Brooks, Cal Botterill, and Aman Hussain. The program is tailored to help learners meet the demands of their educational residency while addressing the need for applicable strategies to help residents perform and cope more effectively in both their professional and personal lives.

 We are fortunate to have the support of our Department Head and Residency Program Director to offer the HPP program on an annual basis. Together the FRCP and CCFP residents receive the full curriculum cycled over a two-year basis. It has been a highly rewarding experience to see the growth in leadership offered by our FRCP residents during these sessions from when they receive the program as a junior cohort and later as senior residents. On alternating years, only the CCFP residents receive the HPP program within their own resident cohort as part of their one-year residency training.

 Prior to the initiation of the HPP program each year, a TAIS analysis is conducted with each resident. The Test of Attentional and Interpersonal Style (TAIS) is a 144-item inventory that measures key indicators for optimal performance, particularly in high-pressure environments. It is a strengths-based measurement tool that provides insight on how to enhance focus across different situations, improve performance, communicate better under pressure, and improve decision-making. The HPP curriculum consists of 4-5 sessions (totaling 8-10 hours) embedded within the EM academic curriculum during the fall academic days.  The HPP program continues to be a highly beneficial resource for residents within the DEM.

Chau Pham, MD, FRCPC, MBA
Director, Section of Ultrasound and Department of Emergency Medicine Coordinator, High Peformance Program
Emergency Room Physician, St. Boniface Hospital & Health Sciences Centre
Department of Emergency Medicine
Faculty of Health Science
University of Manitoba