Academic faculty demonstrate higher well-being than residents: Pennsylvania anesthesiology programs' results of the 2017–2018 ACGME well-being survey

Adams, Phillip S.; Gordon, Emily K.; Berkeley, Abiona; Monroe, Brian R.; Eckert, Jill M.; Maldonado, Yasdet; Heitz, James W.; George, Shelley; Metro, David G.

doi:10.1016/j.jclinane.2019.01.037

Cited by 8 publications

(6 citation statements)

References 22 publications

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“…Five were presented only as conference abstracts and two were letters. The topics covered were burnout (n = 8) [43–50]; depression (n = 2) [51, 52]; occupational stress (n = 3) [53–55]; substance abuse (n = 1) [51]; and well‐being (n = 1) [56]. The studies that gave a prevalence for burnout in samples of anaesthetists reported proportions of 44% [44] to 78% [50].…”

Section: Resultsmentioning

confidence: 99%

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Suicide in anaesthetists: a systematic review

et al. 2021

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Summary Evidence suggests that healthcare professionals are at an increased risk of dying by suicide, with anaesthetists at particularly high risk. However, much of the data on which this is based are historical. With a focus on the epidemiology and methods used, we conducted a systematic review of evidence regarding suicide and suicidal behaviour among anaesthetists to provide a more contemporary summary. The systematic review process was adapted from a previous similar study in veterinary surgeons and was consistent with recommended guidance. We identified 54 articles published in or after 1990 that had anaesthetist‐specific data and met the inclusion criteria. Seven of these reported epidemiological data, of which four were published after 2000. Although none of the more recent studies reported standardised mortality rates specific to suicide in anaesthetists, the proportion of anaesthetists dying by suicide was increased with respect to comparator groups, which is consistent with previous findings. Eleven studies that included information on suicidal behaviour reported suicidal ideation in 3.2–25% of individuals (six studies) and suicide attempts in 0.5–2% (four studies). Studies reporting methods of suicide highlighted the use of anaesthetic drugs, particularly propofol, supporting the suggestion that the increased risk of suicide in anaesthetists may be related to the availability of the means. We discuss our findings in relation to other recently published data and guidance concerning mental health problems in anaesthetists.

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Section: Resultsmentioning

confidence: 99%

“…[ [53][54][55]; substance abuse (n = 1) [51]; and well-being (n = 1) [56]. The studies that gave a prevalence for burnout in samples of anaesthetists reported proportions of 44% [44] to 78% [50].…”

Section: Surveys Related To Other Mental Health Conditions (Category C)mentioning

confidence: 99%

Suicide in anaesthetists: a systematic review

et al. 2021

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“…Other applications of multisource, multi-method data 30 for improving wellness include correlation between program evaluation data with internal measures of the clinical learning environment 31 and deconstructing external reports to determine group differences in wellness. 32 Next key research steps include integration of qualitative methodologies (eg, cognitive interviewing, focus groups) to understand the motivations behind response patterns, interpretations of scale items, and psychometric stability of the RWS based on specialty type. 33,34…”

Section: Discussionmentioning

confidence: 99%

Threats to Reliability and Validity With Resident Wellness Surveying Efforts

Appelbaum

Santen

Vota

et al. 2019

Journal of Graduate Medical Education

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Background Residency programs and the Accreditation Council for Graduate Medical Education (ACGME) use survey data for the purpose of program evaluation. A priority for many programs is to improve resident wellness, often relying on self-reported surveys to drive interventions. Objective We tested for result differences on wellness surveys collected through varying survey methodology and identified potential causes for differences. Methods Aggregated results on the resident wellness scale for a single institution were compared when collected electronically through the ACGME Resident Survey immediately following the program evaluation survey for accreditation purposes and anonymously through an internal survey aimed at program improvement. Results Across 18 residency programs, 293 of 404 (73%) residents responded to the internal survey, and 383 of 398 residents (96%) responded to the 2018 ACGME survey. There was a significant difference ( P < .001, Cohen's d = 1.22) between the composite wellness score from our internal survey (3.69 ± 0.34) compared to its measurement through the ACGME (4.08 ± 0.30), indicating reports of more positive wellness on the national accreditation survey. ACGME results were also statistically more favorable for all 10 individual scale items compared to the internal results. Conclusions Potential causes for differences in wellness scores between internal and ACGME collected surveys include poor test-retest reliability, nonresponse bias, coaching responses, social desirability bias, different modes for data collection, and differences in survey response options. Triangulation of data through multiple methodologies and tools may be one approach to accurately gauge resident wellness.

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“…Burnout among anaesthesiologists and intensivists (who work in intensive care units) is one issue studied by Vittori and Marinangeli [25], who emphasised that one-third of the respondents scored at high risk of emotional exhaustion, and that anaesthesiologists who practised in intensive care had the highest rate of burnout. Female gender, high workload, younger physicians with children, academic physicians [6] and anaesthesiology residents [26] are, according to literature, at high risk of burnout. Female gender seems to be more at risk of higher stress levels than males; nonetheless, they tend to prioritise home/work commitments better than males [27].…”

Section: Anaesthesiologistsmentioning

confidence: 99%

What Makes It Tip Over and How Can It Be Prevented?: Challenges in Psychosocial and Organisational Work Environment Faced by Perioperative Nurses, Anaesthesiologists and Nurse Assistants

Arakelian¹

2023

Identifying Occupational Stress and Coping Strategies

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Healthcare is facing new challenges today; accordingly, staffing and work environment are important for healthcare to work smoothly. The limitations in the perioperative physical work environment, for employees to not have an impact, are unique. Thus, the psychosocial work environment becomes even more important, where colleagues and nurse managers, relational justice and organisational justice play an important role in staff’s well-being and decision to leave or stay. Moreover, interest in those who train to work in perioperative settings is decreasing for various reasons. It is, therefore, important to make perioperative departments healthy and attractive workplaces, where the demands and control in one’s work are in balance, where support is offered by colleagues and managers as well as good salary, possibility for development in the profession and satisfactory work schedules with respect to recovery.

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Academic faculty demonstrate higher well-being than residents: Pennsylvania anesthesiology programs' results of the 2017–2018 ACGME well-being survey

Cited by 8 publications

References 22 publications

Suicide in anaesthetists: a systematic review

Suicide in anaesthetists: a systematic review

Threats to Reliability and Validity With Resident Wellness Surveying Efforts

What Makes It Tip Over and How Can It Be Prevented?: Challenges in Psychosocial and Organisational Work Environment Faced by Perioperative Nurses, Anaesthesiologists and Nurse Assistants

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