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Well-being in trainee and faculty physicians.

Gary N Frishman1, Christina A Raker2, David Frankfurter3

  • 1Professor of Obstetrics and Gynecology, Division of Reproductive Endocrinlogy and Infertility, Department of Obstetrics and Gynecology, Warren Alpert Medical School of Brown University, Providence, RI, USA.

Medical Education Online
|July 12, 2021
PubMed
Summary
This summary is machine-generated.

Physician well-being is lower for trainees than faculty, especially regarding work satisfaction. Well-being improves with training progression, suggesting interventions should target satisfaction, not just duty hours.

Keywords:
Physician wellnessburnoutduty hoursworkplace environment

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Area of Science:

  • Medical Education
  • Physician Well-being
  • Graduate Medical Education

Background:

  • Physician well-being is a critical issue, yet the impact of training progression and duty hours remains understudied.
  • Existing knowledge and interventions have not adequately addressed physician well-being concerns.
  • This study investigates well-being differences among US postgraduate trainees and faculty, specifically within Obstetrics and Gynecology (OB/GYN).

Purpose of the Study:

  • To compare well-being between postgraduate trainees and academic core faculty across all US specialties.
  • To examine well-being differences between OB/GYN trainees and their faculty.
  • To analyze well-being changes during the progression of training within OB/GYN.

Main Methods:

  • A cross-sectional study utilizing data from the 2017-2018 Accreditation Council for Graduate Medical Education (ACGME) surveys.
  • Analysis included well-being responses from all US trainees and core faculty.
  • Response rates exceeded 85% for both trainees and faculty across specialties.

Main Results:

  • Trainees reported significantly lower well-being than faculty across most measures, both overall and within OB/GYN.
  • Work satisfaction (e.g., pride in work) scores decreased progressively from faculty to fellow to resident.
  • Trainees reported reasonable workloads, contrasting with lower work satisfaction scores.

Conclusions:

  • Physician well-being is a greater concern for trainees than faculty and improves with training progression.
  • Interventions should prioritize enhancing workplace satisfaction over modifying the work environment.
  • Further duty hour limitations are unlikely to significantly improve overall physician well-being.