Promoting Wellness in Orthopaedic Surgery Residency

Federico, Vincent P.; Higgins, John D.; Nolte, Michael T.; Kogan, Monica

doi:10.5435/jaaosglobal-d-21-00227

Cited by 4 publications

(3 citation statements)

References 39 publications

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“…Orthopaedic surgery continues to be one of the most competitive specialties in the National Resident Matching Program, suggesting that its residents are high achieving and, to some extent, must have overcome obstacles in their path to becoming orthopaedic surgeons. Previous surveys have shown, however, that orthopaedic residents still experience burnout with reports between 38% and 56% 41,42 . Although matching into an orthopaedic residency may be a challenging and demanding experience, that process alone does not prepare young residents for the challenges they will face during training.…”

Section: Resilience In Orthopaedic Residencymentioning

confidence: 97%

Resilience in Residency and Beyond

et al. 2023

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Distinct from the burnout and wellness continuum, resilience is a developed and refined characteristic that propels an individual toward personal and professional success.We propose a clinical resilience triangle consisting of 3 components that define resilience: grit, competence, and hope.Resilience is a dynamic trait that should be built during residency and constantly fortified in independent practice so that orthopaedic surgeons may acquire and hone the skills and mental fortitude required to take on the overwhelming challenges that we all inevitably face.

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Section: Resilience In Orthopaedic Residencymentioning

confidence: 97%

Resilience in Residency and Beyond

et al. 2023

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“…Seeking out mentors in both upper-level residents and attending physicians to discuss "how they did it" can help residents navigate such challenges to avoid compromising their relationships and the risk of burnout. Having the support of your own co-residents can be crucial for maintaining mental health and can be a powerful resource in reducing burnout and suicidal ideation 8 .…”

Section: Establishing Network Early In Residencymentioning

confidence: 99%

What’s Important: “Non-Neural” Networks

Richardson,

Obana,

Bernstein

et al. 2024

Journal of Bone and Joint Surgery

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“…In 2017, the Accreditation Council for Graduate Medical Education (ACGME) mandated physician wellness education for all residency programs regardless of specialty. 1 Since wellness is crucial to the delivery of optimal healthcare, residents and faculty members must be committed to maintaining a learning and work environment where respect for physician well-being is paramount. 2 In the recently revised Common Program Requirements, the ACGME emphasized that all physician mentors and trainees not only bear responsibility for their own physical and mental health and for managing their own life stressors, but also share responsibility for the well-being of their physician colleagues.…”

Section: Introductionmentioning

confidence: 99%

Clinical Rotation Handbook Promotes Orthopaedic Resident Wellness: A Quality Improvement Study

Rogers

Kim

Strine

et al. 2022

kjm

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Introduction. Transitioning from one clinical rotation to the next may be particularly stressful for orthopaedic residents attempting to navigate new work environments with new faculty mentors and new patients. The purpose of this quality improvement (QI) project was to determine if resident stress could be improved by using a handbook to disseminate key rotation-specific data during quarterly rotation transition periods. Methods. A comprehensive electronic handbook was created by residents to describe each rotation in our orthopaedic training program in terms of: (1) faculty and staff contact data, (2) daily clinic and surgery schedules, (3) resident responsibilities and faculty expectations, and (4) key resources and documents. At rotation transition, a session in the academic schedule was dedicated for outgoing residents to update the handbook and to sign-out to incoming residents. Pre- and post-handbook questionnaires were administered to assess resident perceptions of stress or anxiety, preparedness, and confidence before commencing the new rotation. Nonparametric data derived from the surveys were analyzed using the sign test choosing p < 0.05 for a two-tailed test as the level of statistical significance. Results. Most residents perceived improvements in stress/anxiety, preparedness, and confidence understanding rotation expectations after the handbook was implemented. Changes in these three outcome parameters were statistically significant. Conclusions. This rotation transition QI initiative consisting of a resident-authored, rotation-specific electronic handbook and dedicated verbal sign-out session enhanced resident wellness by decreasing stress, increasing preparedness, and improving confidence among residents starting a new rotation. Similar online resources may be useful for trainees in other specialties.

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Promoting Wellness in Orthopaedic Surgery Residency

Abstract: The challenges associated with surgical residency have been well documented and described. Despite implementation of work-hour restrictions, residency remains a balancing act between patient care, surgical and clinical education, medical record documentation, and

Cited by 4 publications

References 39 publications

Resilience in Residency and Beyond

Resilience in Residency and Beyond

What’s Important: “Non-Neural” Networks

Clinical Rotation Handbook Promotes Orthopaedic Resident Wellness: A Quality Improvement Study

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