Department of Surgery, Massachusetts General Hospital, Boston, Massachusetts.
Department of Surgery, Massachusetts General Hospital, Boston, Massachusetts.
J Surg Educ. 2023 Jul;80(7):987-993. doi: 10.1016/j.jsurg.2023.04.002. Epub 2023 Apr 21.
Recent studies have demonstrated burnout in surgeons, with trainees affected at alarming levels. However, few studies have focused on specific wellbeing initiatives in surgical residency. We implemented facilitated process groups at our residency program and aimed to understand the feasibility and perception of this program.
We recruited a psychologist to conduct weekly process groups. Each postgraduate year (PGY) class was scheduled for a rotating 1-hour session every 6 weeks during protected didactic time. A presurvey was conducted shortly following program commencement for PGY1-5 residents (11/2020-1/2021) and a postsurvey conducted after 9 to 10 months of implementation for PGY2-5 residents. Surveys included demographics, a 2-item Maslach Burnout Inventory, and questions about stress, lifestyle, and perception of the process groups, including qualitative feedback.
The study took place at within the General Surgery Residency at Massachusetts General Hospital, a tertiary-care institution in Boston, Massachusetts.
Participants in process groups were all General Surgery residents during the timeframe of the study. Participation in the presurvey and postsurvey was voluntary for residents.
A total of 32 and 35 residents completed the presurveys and postsurveys, respectively. Groups were similar with regards to gender and race. A total of 97% and 57% of postsurvey respondents attended ≥1 and ≥3 process groups, respectively, with 95% citing clinical/other obligations as the cause of missing sessions. Perception of process groups was highly positive and persisted across both surveys. There were no significant differences in perception or burnout questions, except for a slight decrease in "I think process groups might help me process personal challenges" on postsurvey. Of 15 qualitative postsurvey responses, 73% were positive and the remainder were neutral.
Based on current measures, it is feasible to implement facilitated process groups for surgical residents. Resident perception of these groups was persistently positive.
最近的研究表明外科医生存在倦怠现象，受训者的倦怠程度令人担忧。然而，很少有研究关注外科住院医师培训中的特定福利举措。我们在住院医师培训计划中实施了促进进程小组，并旨在了解该计划的可行性和看法。
我们招募了一名心理学家来进行每周的进程小组。每个住院医师年（PGY）班都安排在保护教学时间内，每 6 周进行一次轮转 1 小时的课程。在 2020 年 11 月至 2021 年 1 月期间，对 PGY1-5 住院医师（11/2020-1/2021）进行了预调查，在实施 9-10 个月后对 PGY2-5 住院医师进行了调查。调查包括人口统计学、2 项马斯拉赫倦怠量表和关于压力、生活方式和对进程小组的看法的问题，包括定性反馈。
这项研究是在马萨诸塞州波士顿的马萨诸塞州综合医院的普通外科住院医师培训中进行的。
进程组的参与者均为研究期间的普通外科住院医师。住院医师自愿参加预调查和调查。
共有 32 名和 35 名住院医师分别完成了预调查和调查。两组在性别和种族方面相似。在参加调查的住院医师中，分别有 97%和 57%的人参加了≥1 次和≥3 次小组活动，95%的人将临床/其他义务作为错过课程的原因。对小组活动的看法非常积极，并在两次调查中都保持不变。除了在调查后，“我认为小组活动可能有助于我处理个人挑战”的问题略有下降外，对小组活动的看法或倦怠问题没有显著差异。在 15 个定性调查后回复中，73%是积极的，其余是中立的。
根据目前的措施，为外科住院医师实施促进进程小组是可行的。住院医师对这些小组的看法一直是积极的。
Zotero 插件