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Patient-centered care involves delivering care beyond inpatient hospitalization. Reflective practice can enhance a patient-centered approach. Reflective practice is a process of reasoning that considers all aspects of the present situation, including practicalities, learning from personal practice, and consideration of patient needs. Patients appreciate care decisions made while considering their input. Involving the patient in their care provides the patient with a sense of contribution rather...
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Using Human-Centered Design to Improve a Surgery Resident Well-Being Program.

Bonnie E Chow1, Alicia Pilarski2, Julia Schmitt3

  • 1Department of Surgery, Medical College of Wisconsin, Milwaukee, Wisconsin.

The Journal of Surgical Research
|May 1, 2022
PubMed
Summary
This summary is machine-generated.

Human-centered design (HCD) sprints effectively refined surgery resident well-being programs. Residents found scheduled breaks most useful, while lectures were least helpful, guiding future program improvements.

Keywords:
Human-centered designSurgery residentWell-being

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Area of Science:

  • Medical Education
  • Surgical Training
  • Program Development

Background:

  • Surgery resident mental health and well-being are critical but require continuous program improvement.
  • The demands of surgical training, especially during the pandemic, exacerbate burnout and social isolation.
  • Existing well-being programs need refinement to effectively support residents.

Purpose of the Study:

  • To evaluate the effectiveness of human-centered design (HCD) sprints in enhancing a surgery resident well-being program.
  • To identify specific areas for improvement within the existing well-being program based on resident feedback.

Main Methods:

  • A human-centered design (HCD) sprint was conducted with 34 surgery residents.
  • Seven domains of well-being were assessed: Mental Health/Reflection and Therapy; Mentoring or Faculty Engagement; Physical Well-being; Retreats; Scheduled Breaks or Free Time; Social Connection; and Well-being Lectures, Emails, or Curriculum.
  • Resident feedback was categorized into "How might we", Suggestions, Useful, and Not Useful.

Main Results:

  • Well-being Lectures, Emails, or Curriculum (77%) and Mental Health/Reflection and Therapy (42%) were predominantly rated "Not Useful".
  • Scheduled Breaks or Free Time was the most "Useful" category (42%) and generated the most suggestions for improvement (41%).
  • Mentoring or Faculty Engagement also received significant suggestions and "How might we" ideas (31% and 29%, respectively).

Conclusions:

  • Human-centered design (HCD) sprints are effective for refining surgery resident well-being programs.
  • Resident-driven feedback is crucial for developing targeted and impactful well-being strategies.
  • Prioritizing scheduled breaks and faculty engagement can significantly enhance resident well-being in surgical training programs.