Sappington Alexandra, Milman Brian
Louisiana State University Health Sciences Center, Department of Emergency Medicine, New Orleans, Louisiana.
University of Texas Southwestern Medical Center, Department of Emergency Medicine, Dallas, Texas.
West J Emerg Med. 2025 May 16;26(3):573-579. doi: 10.5811/westjem.34873.
The COVID-19 pandemic impacted the way medical students seek residency positions. In 2020, the Accreditation Council for Graduate Medical Education advocated for virtual interviews. Most emergency medicine (EM) interviews in 2023 remained virtual, and this format will persist for the foreseeable future. Since students are not evaluating programs in person in most cases, residency websites are crucial for prospective residents. Resident wellness is critical for resident training and important to prospective residents; it follows that programs must be transparent about resident wellness on websites. In this study we aimed to quantify the number of EM programs with wellness pages on their websites and identify themes portrayed on those pages.
We analyzed residency website wellness pages from EM websites based on the 2022 directory of the Electronic Residency Application Service. We independently coded wellness statements through an inductive process. Codes were revised iteratively to consensus and organized into themes.
We identified 278 (100%) EM residency websites. Of these websites, 57 (20.5%) had a wellness page, 45 (16.2%) linked to an institutional page that discussed wellness, 169 (60.8%) discussed wellness themes on their website in areas other than a wellness page, and 69 (24.8%) had no direct mention of wellness anywhere on their website. Using this information, we identified themes including community involvement, growth and development, nutrition and health, psychological well-being, social and relaxation activities, wellness culture and environment, wellness curriculum, wellness structure and resources, and work-life integration.
Most EM program websites do not include a wellness page. Of the programs that do, we identified important themes. The absence of dedicated wellness pages on most EM websites suggests an opportunity for programs to better communicate their wellness initiatives to applicants, helping them identify programs that align with their values.
新冠疫情影响了医学生寻求住院医师职位的方式。2020年，研究生医学教育认证委员会提倡采用虚拟面试。2023年，大多数急诊医学（EM）面试仍为虚拟形式，并且在可预见的未来这种形式将持续存在。由于在大多数情况下学生无法亲自评估项目，住院医师项目网站对于未来的住院医师来说至关重要。住院医师的健康对于住院医师培训至关重要，对未来的住院医师也很重要；因此，项目必须在网站上对住院医师的健康状况保持透明。在本研究中，我们旨在量化网站上设有健康页面的急诊医学项目数量，并确定这些页面所呈现的主题。
我们根据电子住院医师申请服务2022年目录，分析了急诊医学项目网站上的住院医师项目网站健康页面。我们通过归纳过程独立编码健康声明。代码经过反复修订以达成共识，并组织成主题。
我们识别出278个（100%）急诊医学住院医师项目网站。在这些网站中，57个（20.5%）设有健康页面，45个（16.2%）链接到讨论健康的机构页面，169个（60.8%）在其网站上除健康页面之外的其他区域讨论了健康主题，69个（24.8%）在其网站上任何地方都未直接提及健康。利用这些信息，我们确定了包括社区参与、成长与发展、营养与健康、心理健康、社交与放松活动、健康文化与环境、健康课程、健康结构与资源以及工作与生活平衡等主题。
大多数急诊医学项目网站没有健康页面。在设有健康页面的项目中，我们确定了重要主题。大多数急诊医学网站缺乏专门的健康页面，这表明项目有机会更好地向申请者传达其健康倡议，帮助他们找到与自己价值观相符的项目。
