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Whose Problem Is It? The Priority of Physician Wellness in Residency Training
Abigail Ford Winkel1, Anh T Nguyen2, Helen K Morgan3
1New York University Langone Medical Center, New York, New York.
Journal of Surgical Education
|November 5, 2016
Summary
Resident wellness is a significant concern in OBGYN programs, with most residents experiencing issues like burnout and depression. Program directors often underestimate the prevalence of these wellness problems, indicating a gap in awareness and effective support.
Area of Science:
- Medical Education
- Physician Wellness
- Graduate Medical Education
Background:
- Physician wellness is crucial for patient and physician outcomes, and is a priority for the Accreditation Council on Graduate Medical Education.
- Many residency programs implement wellness initiatives to support trainees.
Purpose of the Study:
- To assess how stakeholders in graduate medical education perceive resident wellness relative to other educational priorities.
- To determine if existing wellness programs are effectively improving resident experiences and training.
Main Methods:
- A survey was electronically distributed to Obstetrics and Gynecology (OBGYN) residents and program directors (PDs) in 2015.
- The survey collected demographic data and inquired about the priority of wellness, experiences with wellness programming, and prevalence of wellness issues (burnout, depression, etc.).
- Data were analyzed using Kruskal-Wallis and Mann-Whitney U tests.
Main Results:
- A high percentage of residents (89.4%) reported personal or colleague wellness issues, while many PDs were unaware of the scope of these problems.
- A significant minority of residents (10%) felt wellness should not be a priority in residency.
- Wellness problems, including depression and burnout, increased with the year of training and were slightly more prevalent in community programs compared to university programs.
Conclusions:
- A notable discrepancy exists between resident and PD perceptions of resident wellness and its priority.
- Program directors may lack awareness regarding the extent of resident wellness challenges.
- Current wellness programs may be ineffective, as residents report issues persisting and some feel wellness is outside the program's scope.
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