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What gets resident physicians stressed and how would they prefer to be supported? A best-worst scaling study.
Wu, Andrew; Parris, Ritika S; Scarella, Timothy M; Tibbles, Carrie D; Torous, John; Hill, Kevin P.
  • Wu A; Psychiatry, Harvard Medical School, Boston, Massachusetts, USA anwu@partners.org.
  • Parris RS; Psychiatry, Beth Israel Deaconess Medical Center, Boston, Massachusetts, USA.
  • Scarella TM; Office of Graduate Medical Education, Beth Israel Deaconess Medical Center, Boston, Massachusetts, USA.
  • Tibbles CD; Medicine, Harvard Medical School, Boston, Massachusetts, USA.
  • Torous J; Psychiatry, Harvard Medical School, Boston, Massachusetts, USA.
  • Hill KP; Psychiatry, Beth Israel Deaconess Medical Center, Boston, Massachusetts, USA.
Postgrad Med J ; 98(1166): 930-935, 2022 Dec.
Article in English | MEDLINE | ID: covidwho-1528561
ABSTRACT

INTRODUCTION:

Physician burnout has severe consequences on clinician well-being. Residents face numerous work-stressors that can contribute to burnout; however, given specialty variation in work-stress, it is difficult to identify systemic stressors and implement effective burnout interventions on an institutional level. Assessing resident preferences by specialty for common wellness interventions could also contribute to improved efficacy.

METHODS:

This cross-sectional study used best-worst scaling (BWS), a type of discrete choice modelling, to explore how 267 residents across nine specialties (anaesthesiology, emergency medicine, internal medicine, neurology, obstetrics and gynaecology, pathology, psychiatry, radiology and surgery) prioritised 16 work-stressors and 4 wellness interventions at a large academic medical centre during the COVID-19 pandemic (December 2020).

RESULTS:

Top-ranked stressors were work-life integration and electronic health record documentation. Therapy (63%, selected as 'would realistically consider intervention') and coaching (58%) were the most preferred wellness supports in comparison to group-based peer support (20%) and individual peer support (22%). Pathology, psychiatry and OBGYN specialties were most willing to consider all intervention options, with emergency medicine and internal medicine specialties least willing to consider intervention options.

CONCLUSION:

BWS can identify relative differences in surveyed stressors, allowing for the generation of specialty-specific stressor rankings and preferences for specific wellness interventions that can be used to drive institution-wide changes to improve clinician wellness. BWS surveys are a potential methodology for clinician wellness programmes to gather specific information on preferences to determine best practices for resident wellness.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Physicians / Burnout, Professional / Emergency Medicine / COVID-19 / Internship and Residency Type of study: Observational study / Randomized controlled trials Limits: Humans Language: English Journal: Postgrad Med J Year: 2022 Document Type: Article Affiliation country: Postgradmedj-2021-140719

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Physicians / Burnout, Professional / Emergency Medicine / COVID-19 / Internship and Residency Type of study: Observational study / Randomized controlled trials Limits: Humans Language: English Journal: Postgrad Med J Year: 2022 Document Type: Article Affiliation country: Postgradmedj-2021-140719