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Area of Science:

  • Medical Education
  • Surgical Residency
  • Resident Wellbeing

Background:

  • Accreditation Council for Graduate Medical Education emphasizes resident wellbeing and clinical work environment.
  • Concerns about duty hours and service obligations have led to program citations nationwide.
  • This study investigates the impact of duty hours versus service obligations on surgical residents' wellbeing.

Purpose of the Study:

  • To evaluate the impact of service obligations and duty hours on surgical residents' general wellbeing.
  • To determine which factor, service obligations or duty hours, is a stronger predictor of resident wellbeing.
  • To analyze the relationship between resident-reported service versus education balance and wellbeing scores.

Main Methods:

  • Retrospective comparison of prospectively collected survey data.
  • Utilized a "Fuel Gauge" tool for monitoring resident wellbeing.
  • Employed a "Service Versus Education" (SVE) report to assess the balance between educational quality and service demands.
  • Used Pearson's correlation to compare survey scores with duty hour logs.

Main Results:

  • A moderate positive correlation was found between Fuel Gauge scores and SVE scores (r=0.65, p < 0.001).
  • A weakly negative association was observed between wellbeing scores and increasing hours worked (r=-0.15, p=0.015).
  • SVE scores showed a weak negative correlation with logged hours (r=-0.225, p=0.001).

Conclusions:

  • Perceived service obligations and lower educational value were stronger predictors of reduced resident wellbeing than excessive duty hours.
  • Findings suggest that factors beyond duty hours, such as the balance of service versus education, significantly influence resident wellbeing.
  • Program directors should consider institutional factors impacting the service-education balance to improve resident wellness culture.