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Updated: Jan 20, 2026
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The Resident-intruder Paradigm: A Standardized Test for Aggression, Violence and Social Stress
Published on: July 4, 2013
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Development of the Resident Wellness Scale for Measuring Resident Wellness
R Brent Stansfield1, Dan Giang2, Tsveti Markova1
1Graduate Medical Education, Wayne State University School of Medicine, Detroit, MI.
Journal of Patient-Centered Research and Reviews
|August 16, 2019
Summary
A new 10-item Resident Wellness Scale was developed to directly measure physician trainee well-being. This psychometrically strong instrument can track resident wellness and identify factors influencing it.
Area of Science:
- Medical Education
- Psychometrics
- Occupational Health
Background:
- Graduate medical education programs must monitor resident wellness due to risks of burnout, depression, and suicide.
- Resident burnout and depression negatively impact patient care quality.
- Existing tools do not specifically measure resident wellness as a distinct construct.
Purpose of the Study:
- To develop and validate a novel instrument for directly measuring resident wellness.
- To create a tool that can be used longitudinally to track changes in resident well-being.
Main Methods:
- A behavior- and experience-based model of resident wellness was created by an expert panel.
- An initial 92-item pool was generated and tested with 62 residents, alongside established scales.
- A 10-item scale was selected through factor analysis and genetic algorithms, then validated across 5 institutions with 376 residents.
Main Results:
- The 10-item Resident Wellness Scale demonstrated a factor structure sensitive to meaningful work, life security, institutional support, and social support.
- The scale correlated meaningfully with established measures of burnout, depression, and overall well-being.
- The developed scale aligns with existing well-being frameworks.
Conclusions:
- The novel Resident Wellness Scale is a psychometrically strong measure for assessing resident well-being.
- This scale can be utilized to monitor resident wellness longitudinally.
- The scale identifies key factors contributing to resident wellness, potentially reducing burnout and depression.
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