Background Burnout for doctors-in-training is increasingly cause for concern. Our objectives were to assess the feasibility, acceptability and impact of a novel intervention to reduce burnout and improve wellbeing. This is the first wellbeing intervention for medical doctors to include strategies for work-life boundary management and digital wellbeing. Methods Twenty-two doctors participated in face-to-face workshops which included group discussion of challenges experienced and strategies to enhance self-care and wellbeing. A pre-post-test mixed-methods evaluation was undertaken. Questionnaire measures were the Oldenburg Burnout Inventory, Warwick-Edinburgh Mental Wellbeing Scale and the boundary control subscale of the Work-Life Indicator (i.e., the degree of perception of control of the boundaries between work and personal life). Paired t-tests examined whether there were statistically significant differences. Eleven doctors also participated in post-intervention semi-structured interviews. Transcripts were analysed using thematic analysis. Results The intervention was well-received, with all trainees finding the workshop useful and saying they would recommend it to others. At baseline most participants had scores indicative of burnout on both the disengagement (82%) and exhaustion (82%) subscales of the Oldenburg Burnout Inventory. One month post-intervention, participants had a statistically significant reduction in burnout (both disengagement and exhaustion) and improvement in boundary control. Wellbeing scores also improved, but differences were not statistically significant. Qualitative analysis indicated participants had welcomed a safe space to discuss stressors and many had implemented digital wellbeing strategies to manage their smartphone technology, and increased self-care such as mindfulness practice and walking in green space. Conclusions The intervention reduced burnout and improved boundary control. We suggest that having protected time for doctors to share personal experiences, adopt digital wellbeing and self-care strategies are effective tools to support doctors’ wellbeing and should be investigated further.
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Crowdworking platforms are a prime example of a product that sells flexibility to its consumers. In this paper, we argue that crowdworking platforms sell temporal flexibility to requesters to the detriment of workers. We begin by identifying a list of 19 features employed by crowdworking platforms that facilitate the trade of temporal flexibility from crowdworkers to requesters. Using the list of features, we conduct a comparative analysis of nine crowdworking platforms available to U.S.-based workers, in which we describe key differences and similarities between the platforms. We find that crowdworking platforms strongly favour features that promote requesters' temporal flexibility over workers' by limiting the predictability of workers' working hours and restricting paid time. Further, we identify which platforms employ the highest number of features that facilitate the trade of temporal flexibility from workers to requesters, consequently increasing workers' temporal precarity. We conclude the paper by discussing the implications of the results. CCS CONCEPTS• Human-centered computing → HCI design and evaluation methods.
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