Schlidt Kevin, Hricz Nicholas, El-Mallah Jessica, Waldron Olivia, Karwoski Allison, Rasko Yvonne
From the Department of Surgery, Sinai Hospital of Baltimore, Baltimore, MD.
Division of Plastic Surgery, Department of Surgery, University of Maryland School of Medicine, Baltimore, MD.
Plast Reconstr Surg Glob Open. 2025 Jan 29;13(1):e6434. doi: 10.1097/GOX.0000000000006434. eCollection 2025 Jan.
Plastic surgery residency comprises a significant portion of early adulthood. The difficulties of residency are well documented, particularly with the impact on wellness and risk of burnout. Structured wellness programs, mentorship, social support, and autonomy can decrease residency burnout. This study looked at how plastic surgery program websites and GME websites represent wellness and support programs between both integrated and independent plastic surgery residencies.
A cross-sectional analysis of US plastic surgery residency programs was performed during the month of April 2024. The authors conducted a systematic content analysis on the available websites of these residency websites, GME websites, and associated programs' Instagram and X (formally Twitter) pages. Data points included (1) mention of wellness on the program website, (2) vacation time mentioned on the website, (3) protected time available, (4) spouse support options, (5) day care options, (6) connections with mentors, (7) images of social events on the website, and (8) images of social events on Instagram. Data were compiled and analyzed in JASP (JASP Team [2024]. JASP [version 0.18.3; computer software]) as well as Microsoft Excel. Categorical variables were compared using binomial tests and chi-squared tests. Statistical significance was defined a value less than or equal to 0.05.
The majority of plastic surgery residencies did not discuss or describe their wellness programs on their official website, regardless of program size. Similar results were displayed when searching for spousal support and daycare. GME websites were more comprehensive than the program websites but still showed significant discrepancies with vacation policies and day care. Mentorship was mentioned in under half of all plastic surgery residencies. Integrated programs were more likely to display social events on Instagram when compared with independent programs.
Plastic surgery residencies do not provide evidence of existing wellness programs on their program websites. Although a lack of public information on wellness programs does not mean they do not exist, this could easily be mitigated by providing more comprehensive information on both GME and program websites.
整形外科住院医师培训占据了成年早期的很大一部分时间。住院医师培训的困难有充分记录，尤其是对健康状况的影响以及职业倦怠风险。结构化的健康计划、导师指导、社会支持和自主权可以降低住院医师培训期间的职业倦怠。本研究探讨了整形外科项目网站和毕业后医学教育（GME）网站如何展示综合整形外科住院医师培训项目和独立整形外科住院医师培训项目中的健康与支持计划。
2024年4月对美国整形外科住院医师培训项目进行了横断面分析。作者对这些住院医师培训项目网站、GME网站以及相关项目的照片墙（Instagram）和X（原推特）页面的现有网站进行了系统的内容分析。数据点包括：（1）项目网站上提及的健康内容；（2）网站上提到的休假时间；（3）可用的受保护时间；（4）配偶支持选项；（5）日托选项；（6）与导师的联系；（7）网站上社交活动的图片；（8）照片墙上社交活动的图片。数据在JASP（JASP团队[2024年]。JASP[版本0.18.3；计算机软件]）以及微软Excel中进行汇总和分析。使用二项式检验和卡方检验比较分类变量。统计学显著性定义为p值小于或等于0.05。
大多数整形外科住院医师培训项目在其官方网站上未讨论或描述其健康计划，无论项目规模大小。在搜索配偶支持和日托信息时也显示出类似结果。GME网站比项目网站更全面，但在休假政策和日托方面仍存在显著差异。不到一半的整形外科住院医师培训项目提到了导师指导。与独立项目相比，综合项目更有可能在照片墙上展示社交活动。
整形外科住院医师培训项目在其项目网站上没有提供现有健康计划的相关证据。虽然健康计划缺乏公开信息并不意味着它们不存在，但通过在GME网站和项目网站上提供更全面的信息，可以很容易地缓解这一问题。
