An Analysis of Burnout among Military General Surgery Residents

Modlin, David M.; Aranda, Marcos; Caddell, Erin; Faler, Byron J.

doi:10.1016/j.jsurg.2020.03.002

Cited by 6 publications

(1 citation statement)

References 45 publications

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“…Before the impact of COVID-19 on healthcare, physician burnout was a public health crisis attributed to issues affecting their work lives, organizational support structures, and leadership cultures 34 . Residents are not immune to this burnout 35 . As such, the uncertainty and changes imposed by the COVID-19 pandemic implore leaders to consider drafting a wellness strategy.…”

Section: Family and Wellness: Competition Breeds Resiliencementioning

confidence: 99%

Resident Education and Wellness: A Strategy for Future Pandemics

Posey

Jolissaint

Brandt

et al. 2021

Preprint

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Background: The Coronavirus Disease 2019 (COVID-19) pandemic presents a novel challenge to modern healthcare systems and medical training. Resource allocation and risk mitigation has dramatically affected resident training with the subsequent cancellation of elective procedures, 14-day isolation recommendations, and social distancing requirements. To combat the unique challenges to resident education and wellness, academic leaders must develop new strategies to maintain a healthy, competent residency program. Methods: Our institution implemented a revolving 3-Team system. While the “Inpatient-Team” delivered direct care to orthopaedic patients, the “Back-up Team” and “Quarantine-Team” managed the telemedicine virtual clinic and education-wellness strategy, respectively. The education strategy included active learning methods on virtual platforms, junior resident-specific sessions, and subspecialty-interest panels. Research teams were built and rapidly deployed virtually for large scale retrospective studies. For the wellness strategy plan, our prior resident “family” organization (peer support group) was supplemented by friendly interdepartmental competitions and virtual faculty social hours. In order to evaluate the effectiveness of our implemented strategies a blinded survey was completed by the residents affected by the pandemic. Results: Our 3-Team system allowed for the delivery of safe, high-quality patient care while optimizing resident education, research, and wellness. One hundred percent of residents felt they had the tools necessary to protect themselves throughout the pandemic and 94% felt that program leadership cared about their wellness and safety. In terms of our education and wellness strategy plan, the efficient use of technology led to both improved virtual education outside of the hospital and intentional wellness opportunities despite social distancing restrictions. Eighty-eight percent of residents felt the program was able to offer valuable educational opportunities despite the pandemic. Overall, 76% of residents did not feel the COVID-19 pandemic negatively impacted their training or preparedness for their career, however 75% of PGY4’s felt they missed important subspecialty exposure and 50% felt that it negatively impacted their training. Conclusions: The COVID-19 pandemic is unlikely to be the last challenge the medical training community faces. Utilization of virtual platforms for patient care, education, research, and wellness grew out of necessity in this pandemic, yet represents an opportunity for lasting improvement with re-entry.

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Section: Family and Wellness: Competition Breeds Resiliencementioning

confidence: 99%