Warburton-Silva Alyssa, Pudar Julia, Cooper Colleen, Bishop Thomas
Family Medicine Residency, Department of Family Medicine, University of Michigan, Ann Arbor, MI.
PRiMER. 2024 Dec 2;8:56. doi: 10.22454/PRiMER.2024.835671. eCollection 2024.
Resident physicians experience high levels of burnout and depression compared to the general population. While focus on promoting resident wellness, including required wellness programming from the Accreditation Council for General Medical Education (ACGME), has increased, research into resident perspectives on what should be included in these programs has been limited. This study aimed to evaluate resident perspectives on a wellness program at the University of Michigan Family Medicine Residency (UM FMR).
This qualitative study evaluated transcripts from a focus group and an anonymous survey of residents at UM FMR. Two authors reviewed transcripts using descriptive coding and a classical analysis strategy. All authors reached consensus on themes, which were then sent to residents for review and feedback.
Six themes emerged as important to the resident wellness program: (a) program variety, (b) developing a supportive resident community, (c) workplace wellness skills development, (d) addressing basic needs, (e) options for processing difficult situations, and (f) acknowledgment of structural limitations to resident wellness.
This analysis of the survey revealed opportunities for improvements in this residency wellness program and also serves as a model for future studies on resident perspectives on resident wellness.
与普通人群相比，住院医师经历着高水平的职业倦怠和抑郁。尽管对促进住院医师健康的关注有所增加，包括美国毕业后医学教育认证委员会（ACGME）要求的健康促进项目，但关于住院医师对这些项目应包含内容的看法的研究却很有限。本研究旨在评估密歇根大学家庭医学住院医师项目（UM FMR）住院医师对一个健康项目的看法。
这项定性研究评估了UM FMR一个焦点小组的记录以及对住院医师的匿名调查。两位作者使用描述性编码和经典分析策略对记录进行了审查。所有作者就主题达成了共识，然后将这些主题发送给住院医师进行审查和反馈。
六个主题对住院医师健康项目很重要：（a）项目多样性，（b）建立一个支持性的住院医师社区，（c）工作场所健康技能发展，（d）满足基本需求，（e）处理困难情况的选择，以及（f）认识到住院医师健康的结构限制。
这项对调查的分析揭示了该住院医师健康项目改进的机会，也为未来关于住院医师对住院医师健康看法的研究提供了一个模型。
