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Routine Assessment of Surgical Resident Wellness-Related Concerns During Biannual Review
Margaret Siu1, David B Tashjian, Gladys L Fernandez
1From the Department of Surgery, University of Massachusetts Chan Medical School-Baystate, Springfield, MA.
Journal of the American College of Surgeons
|November 30, 2022
Summary
Surgery residents consistently ranked study time and clinical performance as top stressors. During the COVID-19 pandemic, personal well-being needs became the highest concern for residents.
Area of Science:
- Medical Education
- Surgical Training
- Resident Well-being
Background:
- Surgery residency programs face significant stress burdens on trainees.
- A biannual survey was implemented to monitor and address potential resident stressors.
- This study reviews five years of data to identify trends in resident well-being.
Approach:
- Surgery residents across all postgraduate years completed a 6-item survey on common concerns.
- Residents prioritized stressors including family needs, study time, finances, personal well-being, clinical performance, and administrative demands.
- Kruskal-Wallis tests analyzed changes in stressor rankings over 10 review periods.
Key Points:
- A 96.5% survey completion rate was achieved from 333 residents.
- Significant shifts in rankings were observed for study time (p=0.04), personal well-being (p=0.03), and clinical performance (p=0.004).
- Study time and clinical performance were top concerns, except in Spring 2020 when personal well-being needs ranked highest, coinciding with the COVID-19 pandemic.
Conclusions:
- Surgery residents prioritize study time and clinical performance concerns.
- The COVID-19 pandemic highlighted a shift towards prioritizing personal well-being.
- Routine surveys can effectively track changes in resident concerns, though further study is needed to confirm pandemic-related stress levels.
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