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A Systems Approach to Improving Well-Being in Graduate Medical Education.

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    National health policy and economic factors significantly impact graduate medical education trainee well-being. Addressing systemic issues, not just individual resilience, is crucial for reducing burnout and improving trainee experiences.

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    Area of Science:

    • Medical Education
    • Public Health Policy
    • Healthcare Systems Analysis

    Background:

    • Graduate medical education (GME) trainee well-being is a critical concern.
    • Current interventions often focus on individual resilience, neglecting broader systemic factors.
    • National health policy, economics, and care delivery systems are under-examined contributors to trainee burnout.

    Purpose of the Study:

    • To explore the impact of national system-level factors on GME trainee well-being.
    • To identify barriers and opportunities for improving trainee well-being from a systems perspective.
    • To foster dialogue among thought leaders, policymakers, and stakeholders.

    Main Methods:

    • Convened the Systems Summit on Clinical Wellbeing in October 2023.
    • Brought together diverse experts, including GME leaders and trainees.
    • Analyzed well-being through a national and organizational systems lens.

    Main Results:

    • Identified national barriers: historical policy decisions and economic pressures impacting trainees.
    • Highlighted organizational barriers: misalignment of wellness offerings, unsustainable workloads, and non-physician tasks.
    • Noted a lack of systems-oriented well-being assessment tools.

    Conclusions:

    • Systemic changes at national and organizational levels are necessary for GME trainee well-being.
    • Integrating operational well-being metrics can yield more actionable outcomes.
    • Policy reform and programmatic redirection are essential to reduce trainee burnout and improve experiences.