From the Department of Surgery, Yale School of Medicine, New Haven, CT (Esposito, Coppersmith, White, Papageorge, Oliveira, Longo, Yoo).
Department of Surgery, Berkshire Medical Center, Pittsfield, MA (DiSiena).
J Am Coll Surg. 2022 Sep 1;235(3):510-518. doi: 10.1097/XCS.0000000000000276. Epub 2022 Aug 10.
Surgical culture has shifted to recognize the importance of resident well-being. This is the first study to longitudinally track regional surgical resident well-being over 5 years.
An anonymous cross-sectional, multi-institutional survey of New England general surgery residents using novel and published instruments to create three domains: health maintenance, burnout, and work environment.
Overall, 75% (15 of 20) of programs participated. The response rate was 44% (250 of 570), and 53% (133 of 250) were women, 94% (234 of 250) were 25 to 34 years old, and 71% (178 of 250) were in a relationship. For health maintenance, 57% (143 of 250) reported having a primary care provider, 26% (64 of 250) had not seen a primary care provider in 2 years, and 59% (147 of 250) endorsed being up to date with age-appropriate health screening, but only 44% (109 of 250) were found to actually be up to date. Only 14% (35 of 250) reported exercising more than 150 minutes/week. The burnout rate was 19% (47 of 250), with 32% (81 of 250) and 25% (63 of 250) reporting high levels of emotional exhaustion and depersonalization, respectively. For program directors and attendings, 90% of residents reported that they cared about resident well-being. Eighty-seven percent of residents believed that it was acceptable to take time off during the workday for a personal appointment, but only 49% reported that they would personally take the time.
The personal health maintenance of general surgery residents has changed little over the past five years, despite an overwhelming majority of residents reporting that attendings and program directors care about their well-being. Further study is needed to understand the barriers to improvement of resident wellbeing.
外科文化已经转变，认识到住院医师幸福感的重要性。这是第一项对新英格兰普通外科住院医师进行的 5 年纵向跟踪区域住院医师幸福感的研究。
采用新的和已发表的工具对新英格兰普通外科住院医师进行匿名横断面、多机构调查，创建了三个领域：健康维护、倦怠和工作环境。
总体而言，20 个项目中有 75%（15 个）参与。应答率为 44%（250 名中的 570 名），其中 53%（250 名中的 133 名）为女性，94%（250 名中的 234 名）年龄在 25 至 34 岁之间，71%（250 名中的 178 名）处于恋爱关系中。在健康维护方面，57%（250 名中的 143 名）报告有初级保健提供者，26%（250 名中的 64 名）在过去 2 年内没有看过初级保健提供者，59%（250 名中的 147 名）表示自己接受了适合年龄的健康筛查，但只有 44%（250 名中的 109 名）实际上接受了筛查。只有 14%（250 名中的 35 名）报告每周锻炼超过 150 分钟。倦怠率为 19%（250 名中的 47 名），分别有 32%（250 名中的 81 名）和 25%（250 名中的 63 名）报告情绪疲惫和去人性化程度较高。对于项目主任和主治医生，90%的住院医师报告说他们关心住院医师的幸福感。87%的住院医师认为在工作日请假处理个人事务是可以接受的，但只有 49%的人报告说他们个人会请假。
尽管绝大多数住院医师报告说主治医生和项目主任关心他们的幸福感，但过去五年普通外科住院医师的个人健康维护几乎没有变化。需要进一步研究以了解改善住院医师幸福感的障碍。
