Resident wellness: institutional trends over 10 years since 2003.

Area of Science:

• Medical Education
• Graduate Medical Training
• Physician Wellness

Background:

• Oregon Health & Science University (OHSU) implemented wellness initiatives starting in 2004.
• A policy granting 4 half-days off annually for personal/family health was introduced in 2010.
• This study analyzes career satisfaction trends among resident and fellow trainees.

Purpose of the Study:

• To evaluate the impact of institutional wellness initiatives on resident and fellow career satisfaction.
• To identify factors influencing trainee career satisfaction over a decade.
• To assess changes in perceived stress and sleep hours in relation to career satisfaction.

Main Methods:

• Secondary data analysis of five cross-sectional, anonymous, web-based surveys.
• Surveys collected data over a 10-year period from resident and fellow trainees.
• Included questions on career satisfaction, stress, sleep, and burnout.

Main Results:

• Over 2,200 residents contributed data, showing continuous improvement in career satisfaction.
• Significant positive change in overall resident career satisfaction observed.
• Little change noted in traditional predictors like sleep hours or perceived stress; protected time off positively impacted training.

Conclusions:

• Improvements in resident career satisfaction are linked to institutional wellness innovations.
• Wellness programs and protected personal time appear to enhance the overall training experience.
• These findings underscore the importance of systemic support for trainee well-being.