Pediatric Resident Well-being: A Group Concept Mapping Study

Area of Science:

• Medical Education
• Physician Well-being
• Pediatrics

Background:

• Pediatric residency programs dedicate significant resources to resident well-being.
• A conceptual model for pediatric resident well-being is currently lacking to guide interventions.
• Understanding stakeholder perceptions is crucial for developing effective well-being strategies.

Purpose of the Study:

• To develop a conceptual model of pediatric resident well-being.
• To identify key domains and resident roles influencing well-being.
• To understand how diverse stakeholders conceptualize well-being.

Main Methods:

• Group concept mapping methodology was employed.
• Surveys were distributed to pediatric residents and program leaders across multiple US residencies.
• Multidimensional scaling and hierarchical cluster analysis were used to identify and map well-being domains.

Main Results:

• 97 unique well-being ideas were generated by 158 participants (136 residents, 22 program leaders).
• Eight distinct domains emerged, aligned with four resident roles: individual, colleague, employee, and emerging pediatrician.
• Residents prioritized schedule protections and downtime more than program leaders (P < .05).

Conclusions:

• Pediatric resident well-being can be conceptualized as interconnected domains related to resident roles.
• Stakeholders reached consensus on many well-being priorities.
• Discrepancies exist between resident and program leader views on work schedule importance.