Journal article
Operationalizing the Culture of Burnout and Well-Being: Multicenter Study of Value Congruence and Flourishing in General Surgery Residency
Journal of the American College of Surgeons, Vol.237(3), pp.397-407
09/01/2023
DOI: 10.1097/XCS.0000000000000775
PMID: 37255219
Abstract
BACKGROUND: Value congruence (VC) is the degree of alignment between worker and workplace values and is strongly associated with reduced job strain and retention. Within general surgery residency, the impact of VC and how to operationalize it to improve workplace well-being remain unclear.STUDY DESIGN: This 2-part mixed-methods study comprised 2 surveys of US general surgery residents and qualitative interviews with program directors. In Part 1, January 2021, mixed-level surgical residents from 16 ACGME-accredited general surgery residency programs participated in survey #1. This survey was used to identify shared or conflicting perspectives on VC concerning well-being initiatives and resources. In April 2021, interviews from 8 institutions were conducted with 9 program directors or their proxies. In Part 2, May to June 2022, a similar cohort of surgical residents participated in survey #2. Unadjusted logistic and linear regression models were used in this survey to assess the association between VC and individual-level global well-being (ie flourishing), respectively.RESULTS: In survey #1 (N = 300, 34% response rate), lack of VC was an emergent theme with sub themes of inaccessibility, inconsiderateness, inauthenticity, and insufficiency regarding well-being resources. Program directors expressed variable awareness of and alignment with these perceptions. In survey #2 (N = 251, 31% response rate), higher VC was significantly associated with flourishing (odds ratio 1.91, 95% CI 1.44 to 2.52, p < 0.001).CONCLUSIONS: Exploring the perceived lack of VC within general surgery residency reveals an important cultural variable for optimizing well-being and suggests open dialogue as a first step toward positive change. Future work to identify where and how institutional actions diminish perceived VC is warranted.
Details
- Title: Subtitle
- Operationalizing the Culture of Burnout and Well-Being: Multicenter Study of Value Congruence and Flourishing in General Surgery Residency
- Creators
- Jenny R. Cevallos - University of California, San FranciscoPaul Adam Gonzales - University of California, San FranciscoMichael H. Berler - University of California, San FranciscoAnya L. Greenberg - University of California, San FranciscoCarter C. Lebares - University of California, San Francisco
- Contributors
- General Surgery Research Collaborative on Resident Well-being (Contributor)Jennifer E Hrabe (Contributor) - University of Iowa, Surgery
- Resource Type
- Journal article
- Publication Details
- Journal of the American College of Surgeons, Vol.237(3), pp.397-407
- Publisher
- Lippincott Williams & Wilkins
- DOI
- 10.1097/XCS.0000000000000775
- PMID
- 37255219
- ISSN
- 1072-7515
- eISSN
- 1879-1190
- Number of pages
- 11
- Grant note
- 2021-ASEF-P / Association of Surgical Education Foundation
- Language
- English
- Date published
- 09/01/2023
- Academic Unit
- Surgery
- Record Identifier
- 9984546643402771
Metrics
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