Reed Kyra D, Serpe Alexandra E, Weston Alexandria P, Folk Destiny D, Kelker Heather P, Humbert Aloysius J, Pettit Katie E, Welch Julie L
Department of Emergency Medicine, Indiana University School of Medicine, Indianapolis, IN 46202, USA.
Department of Emergency Medicine, Washington University in St. Louis School of Medicine, St. Louis, MO 63110, USA.
Behav Sci (Basel). 2025 Jul 12;15(7):943. doi: 10.3390/bs15070943.
Residency training is a formative and rigorous experience, with burnout rates reported at 76%. Formal peer support groups have shown improvement in burnout among healthcare workers with anxiety and depression.
Implement a peer support program for emergency medicine (EM) residents and characterize utilization of metrics by demographics, burnout rates of participants, and overall session impact.
An IRB-approved, longitudinal, prospective cohort study of 73 EM and EM/Pediatrics residents post-graduate year (PGY) 1-5 from July 2021-June 2022 was performed. Resident peer leaders were trained using a novel curriculum to lead peer support groups. Residents were invited to participate in biweekly sessions, with optional pre- and post-session surveys measuring demographics, burnout, themes discussed, and how they felt after sessions (Patients' Global Impression of Change scale).
There were 134 attendances over 20 sessions, averaging 6 residents per session. Of 73 total residents, 37 (50%) participated at least once. All levels of training were represented, with half being female, 20% underrepresented in medicine, and 14% LGBTQ+. Overall burnout rates were unchanged for first-time attendances (49%, = 18) vs. recurrent (50%, = 11). Females had higher burnout at both baseline (60%, = 15) and recurrent sessions (69%, = 13). Following sessions, 94% of participants reported feeling immediately better and 100% of leaders felt prepared leading peer support sessions.
This study demonstrates that residents utilize peer support, with many returning more than once. Despite stable burnout rates, 94% of participants felt immediately better after the session, suggesting that peer support is a valuable resource for residents actively experiencing burnout.
住院医师培训是一段具有塑造性且严格的经历，据报道职业倦怠率达76%。正式的同伴支持小组已显示出可改善患有焦虑和抑郁的医护人员的职业倦怠状况。
为急诊医学住院医师实施一项同伴支持计划，并按人口统计学特征、参与者的职业倦怠率以及总体会议影响来描述指标的使用情况。
对2021年7月至2022年6月期间73名急诊医学和急诊医学/儿科学研究生第1 - 5年的住院医师进行了一项经机构审查委员会批准的纵向前瞻性队列研究。住院医师同伴领导者使用一种新颖的课程进行培训，以领导同伴支持小组。邀请住院医师参加每两周一次的会议，并通过可选的会前和会后调查问卷来测量人口统计学特征、职业倦怠、讨论的主题以及他们在会议后的感受（患者总体变化印象量表）。
在20次会议中有134人次出席，平均每次会议有6名住院医师。在总共73名住院医师中，37名（50%）至少参加过一次。涵盖了所有培训级别，其中一半为女性，20%在医学领域代表性不足，14%为 LGBTQ + 群体。首次参会者（49%，n = 18）与多次参会者（50%，n = 11）的总体职业倦怠率没有变化。女性在基线（60%，n = 15）和多次参会时（69%，n = 13）的职业倦怠率都更高。会议结束后，94%的参与者表示感觉立即好转，100%的领导者感觉有准备领导同伴支持会议。
本研究表明住院医师利用同伴支持，许多人不止参加一次。尽管职业倦怠率稳定，但94%的参与者在会议后立即感觉好转，这表明同伴支持对于正在经历职业倦怠的住院医师来说是一种宝贵的资源。
