Facilitated Peer Discussion for Promoting Better Resident Wellness in Anesthesia Trainees: Qualitative Program...

Area of Science:

• Medical Education
• Psychology
• Anesthesiology

Background:

• Anesthesia residents face significant stress from nonroutine clinical events.
• Workplace stressors and adverse incidents can lead to burnout and negative mental health outcomes.
• Adequate support systems are crucial for mitigating burnout and depression in residents.

Purpose of the Study:

• To explore the benefits of Better Resident Wellness (BREW) Rounds.
• To identify the most effective features of BREW Rounds for program development.
• To guide the expansion of similar wellness programs to other institutions.

Main Methods:

• Qualitative descriptive study using semistructured interviews with residents and facilitators.
• Thematic content analysis of interview transcripts.
• Anonymous online survey of staff anesthesiologists for additional perspectives.

Main Results:

• Key themes included access to a safe, nonjudgmental space, community building, mentorship opportunities, and the importance of a "BREW culture."
• A facilitator from outside the anesthesia department was deemed important, especially for smaller sessions.
• 75% of surveyed anesthesiologists supported residents attending BREW Rounds and believed in their benefit to resident well-being.

Conclusions:

• BREW Rounds confirm benefits to anesthesia training and resident psychological wellness.
• These programs may positively impact patient care.
• Program directors should prioritize protected time and identify unbiased facilitators for such initiatives.