Journal article
Well-Being Intervention in General Surgery: Multicenter Study of Program Director and Resident Perspectives
Journal of the American College of Surgeons, Vol.235(2), pp.217-224
08/01/2022
DOI: 10.1097/XCS.0000000000000250
PMID: 35839396
Abstract
BACKGROUND: Physician well-being is critical for optimal care, but rates of psychological distress among surgical trainees are rising. Although numerous efforts have been made, the perceived efficacy of well-being interventions is not well understood.
STUDY DESIGN: This qualitative thematic study included online questionnaires to Program Directors (PDs) and residents at 16 ACGME-accredited General Surgery residency programs. PDs reported active well-being interventions for surgical residents or those under consideration at their institutions. Residents shared perspectives of available well-being interventions through open-ended responses. Conventional content analysis was used to analyze responses.
RESULTS: Fifteen PDs, or their proxies (94% response rate), responded. Responses revealed that a majority of available well-being interventions are focused on changing the individual experience rather than the underlying workplace. PD decision-making around well-being interventions is often not based on objective data. Three hundred residents (34% response rate) responded. Of available interventions, those that increase control (eg advanced and flexible scheduling), increase support (eg mentorship), and decrease demand (eg work hour limits) were consistently identified as beneficial, but interventions perceived to increase demand (eg held during unprotected time) were consistently identified as not beneficial. Group social activities, cognitive skills training, and well-being committees were variably seen as beneficial (increasing support) or not (increasing demand).
CONCLUSIONS: Our findings underscore the prevalence of individual-based well-being interventions and the paucity of system-level changes. This may explain, in part, the persistence of distress among residents despite abundant effort, highlighting the imperative for system-level transformation. (C) 2022 by the American College of Surgeons. Published by Wolters Kluwer Health, Inc. All rights reserved.
Details
- Title: Subtitle
- Well-Being Intervention in General Surgery: Multicenter Study of Program Director and Resident Perspectives
- Creators
- Anya L. Greenberg - University of California, San FranciscoNorbu Tenzing - Univ Calif San Francisco, Dept Surg, UCSF Ctr Mindfulness Surg, San Francisco, CA 94143 USAT. Roxana Ghadimi - Univ Calif San Francisco, Dept Surg, UCSF Ctr Mindfulness Surg, San Francisco, CA 94143 USAMekaleya N. Tilahun - Univ Calif San Francisco, Dept Surg, UCSF Ctr Mindfulness Surg, San Francisco, CA 94143 USAMichael H. Berler - 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.235(2), pp.217-224
- Publisher
- Lippincott Williams & Wilkins
- DOI
- 10.1097/XCS.0000000000000250
- PMID
- 35839396
- ISSN
- 1072-7515
- eISSN
- 1879-1190
- Number of pages
- 8
- Language
- English
- Date published
- 08/01/2022
- Academic Unit
- Surgery
- Record Identifier
- 9984546643202771
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