Department of Surgery, Ascension Saint Agnes Hospital, Baltimore, MD, USA.
Department of Trauma and Burn, Cook County Health, Chicago, IL, USA.
Am Surg. 2023 Jun;89(6):2861-2864. doi: 10.1177/00031348211065092. Epub 2021 Dec 30.
The importance of resident wellbeing is increasingly recognized by the ACGME as essential. While prior studies have quantified wellbeing/burnout, few have defined wellbeing from the resident-physician perspective. A REDCap® survey was distributed to residents in various programs, responses were grouped by theme, and data analyzed via chi-square. From 19 institutions, 53/670 responded, from university (34.0%), community (30.2%), and community/university-affiliated (30.2%) programs, mostly surgical (84.9%), followed by medical (9.4%). Wellbeing was defined by mental and spiritual/religious health (33.8%), overall health (23.0%), free time/time management (23.0%), and job/salary satisfaction (18.9%). Proposed changes to traditional training included fewer hours and more schedule flexibility (38.2%), and increased/improved support/feedback (14.7%). Nearly half of the respondents perceived lacking education on career longevity. Wellbeing is paramount to the personal/professional development of residents. Data on resident-defined wellbeing are lacking. The improved understanding of wellbeing defined here can be used to improve residency training programs.
住院医师的幸福感日益受到 ACGME 的重视,被认为是必不可少的。虽然先前的研究已经对幸福感/倦怠感进行了量化,但很少从住院医师的角度定义幸福感。我们向不同项目的住院医师发放了一份 REDCap®调查,根据主题对回复进行分组,并通过卡方检验对数据进行分析。来自 19 个机构的 670 名住院医师中的 53 名做出了回应,他们分别来自大学(34.0%)、社区(30.2%)和社区/大学附属(30.2%)项目,主要是外科(84.9%),其次是内科(9.4%)。幸福感是通过心理健康和精神/宗教健康(33.8%)、整体健康(23.0%)、空闲时间/时间管理(23.0%)和工作/薪酬满意度(18.9%)来定义的。对传统培训的拟议改变包括减少工作时间和增加工作时间灵活性(38.2%),以及增加/改进支持/反馈(14.7%)。近一半的受访者认为自己缺乏职业寿命方面的教育。幸福感对住院医师的个人/职业发展至关重要。目前缺乏关于住院医师定义的幸福感的数据。这里定义的幸福感的理解的提高可以用于改进住院医师培训计划。