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Introduction The requirements for successful completion of Pediatric Residency is clear, but until recently there was very little guidance regarding physician work-life integration. Given the growing awareness of physician burnout and the increased physician suicide rate compared to the general public (American Journal of Psychiatry.2004. 161(12), 2295-2302), our program deemed it necessary to implement a curriculum focused on wellness early in medical training. Methods Our program implemented a Professional Development and Wellness Week (7 days) during intern year. During this week, interns are required to meet with their adviser, shadow an inpatient nurse, and create a “chalk talk”. Otherwise, they are provided a menu of personal and professional activity suggestions. Interns complete a survey at the end of their week documenting the completed activities. Outcomes Thus far, 13 of 24 (54%) Pediatric residents have completed their PDW week and post-completion survey. The most commonly selected activities included: completing outstanding MedHub evaluations (100%), engaging in a favorite hobby (100%), attending a health-related appointment (92%), and organizing email/EMR (76%). Results The most common optional activities that residents completed during protected personal development time include administrative tasks (email and evaluations) and healthcare-related activities. Conclusions When provided unstructured time for personal development, interns may prioritize completing outstanding administrative tasks and health-related appointments. This suggests that a longitudinal administrative “half-day” experience may be beneficial. Future directions also include collecting data related to administrative tasks and burnout.

Background: Ukraine has one of the largest burdens of HIV in the European region. Over the past decade, significant strides have been made to successfully decrease the rate of HIV transmission. This analysis of HIV testing and entry into care in Western Ukraine provides data in an understudied region of Ukraine. Methods and findings: We analyzed records of HIV testing by category performed within the Lviv Oblast between 2005 and 2013. We also analyzed aggregate registration data from the Lviv Regional AIDS Center. The three highest HIV risk testing categories and their relative percent positive were 1) sexual contact with known HIV partner (20.5%) 2) current or past intravenous drug use (IDU) (13.5%) and 3) history of incarceration (11.5%). The rates of positive tests for IDU and incarcerated patients decreased over this time period. Evaluation of registration into care demonstrated that between 2005-2008, 36.6 % of positive tests resulted in registration into care compared to 54.5% between 2009- 2013. Conclusions: New HIV diagnoses have shifted from within predominantly IDU and incarcerated populations to more broad based screening categories consistent with the known shift to a generalized HIV epidemic. The overall rate of registration into care remains low. More efforts are needed to target HIV positive patients to engage them to register for care.