Ogbeide Stacy, Hamlett Jasmin Aldridge, Cruz Inez Isabel
Long School of Medicine, UT Health San Antonio, San Antonio, TX.
Lake Norman Medical Group, Mooresville, NC.
HCA Healthc J Med. 2024 Jun 1;5(3):331-341. doi: 10.36518/2689-0216.1776. eCollection 2024.
We sought to understand well-being from the perspectives of residents in a family medicine residency program and to assess the residents' opinions on implementing "Reflection Rounds" (RR) to promote wellness and combat burnout through self-reflection. These aims were achieved through descriptive qualitative analysis of a focus group of family medicine residents.
Participation was voluntary and open to all 45 residents in the program. The final participant sample consisted of 14 residents who shared similar characteristics, including level of training and being exposed to similar training stressors. Both a priori and open coding were used for this analysis.
An iterative process identified themes based on focus group responses. The residents were in favor of initiating RR and recommended discussion topics unique to family medicine residency. They also identified logistical preferences for this intervention, such as conducting confidential and unrecorded groups, splitting rounds by training year, offering RRs led by a trained facilitator, providing snacks if feasible, and making the RRs available on a regular basis during protected didactic time.
This project elucidates how residents are identifying and managing wellness and burnout as well as informs effective ways that family medicine residency programs can incorporate RR into their wellness curriculum.
我们试图从家庭医学住院医师培训项目住院医师的角度了解幸福感，并评估住院医师对实施“反思轮次”（RR）的看法，以通过自我反思促进健康和对抗职业倦怠。这些目标是通过对一组家庭医学住院医师焦点小组进行描述性定性分析来实现的。
参与是自愿的，该项目的所有45名住院医师均可参加。最终的参与者样本包括14名具有相似特征的住院医师，包括培训水平和面临相似的培训压力源。本分析采用了先验编码和开放编码。
一个迭代过程根据焦点小组的回答确定了主题。住院医师赞成启动RR，并推荐了家庭医学住院医师培训特有的讨论话题。他们还确定了对该干预措施的后勤偏好，例如进行保密且无记录的小组讨论、按培训年份划分轮次、由经过培训的主持人主持RR、如果可行提供零食，以及在受保护的教学时间定期开展RR。
该项目阐明了住院医师如何识别和管理健康与职业倦怠，也为家庭医学住院医师培训项目将RR纳入其健康课程提供了有效方法。
