Psychologist-Facilitated Group Sessions for Residents: A Worthwhile Investment?

Lin, Dana T.; Qiu, Wendy; Lai, C. M.; Post, Lisa; Merrell, Sylvia Bereknyei; Lau, James N.; Salles, Arghavan; Mueller, Claudia

doi:10.1016/j.jamcollsurg.2018.08.138

Cited by 3 publications

(2 citation statements)

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“…Resident-level interventions driven by program directors (eg, food, formal mentorship programs) have been the main attempts to address these issues. 3,5,[13][14][15][16][17][18][19] Despite the abundance of such interventions, resident distress persists, suggesting the need for system-level change. However, academic departments and large, complex academic health systems are faced with multiple (often competing) priorities, including education, clinical care, and fiscal responsibility.…”

Section: Introductionmentioning

confidence: 99%

“…Discussions of resident burnout and other sequelae of poor well-being to-date have largely focused on the moral, educational, and patient safety angles. Resident-level interventions driven by program directors (eg, food, formal mentorship programs) have been the main attempts to address these issues 3,5,13–19. Despite the abundance of such interventions, resident distress persists, suggesting the need for system-level change.…”

Section: Introductionmentioning

confidence: 99%

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Making the Financial Case for Surgical Resident Well-being: A Scoping Review

Greenberg¹,

Doherty²,

Cevallos³

et al. 2022

Annals of Surgery

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Objective: To conduct a scoping review of literature on financial implications of surgical resident well-being. Background: Surgeon well-being affects clinical outcomes, patient experience, and health care economics. However, our understanding of the relationship between surgical resident well-being and organizational finances is limited. Methods: Authors searched PubMed, Web of Science, and Embase with no date or language restrictions. Searches of the gray literature included hand references of articles selected for data extraction and reviewing conference abstracts from Embase. Two reviewers screened articles for eligibility based on title and abstract then reviewed eligible articles in their entirety. Data were extracted and analyzed using conventional content analysis. Results: Twenty-five articles were included, 5 (20%) published between 2003 and 2010, 12 (48%) between 2011 and 2018, and 8 (32%) between 2019 and 2021. One (4%) had an aim directly related to the research question, but financial implications were not considered from the institutional perspective. All others explored factors impacting well-being or workplace sequelae of well-being, but the economics of these elements were not the primary focus. Analysis of content surrounding financial considerations of resident well-being revealed 5 categories; however, no articles provided a comprehensive business case for investing in resident well-being from the institutional perspective. Conclusions: Although the number of publications identified through the present scoping review is relatively small, the emergence of publications referencing economic issues associated with surgical resident well-being may suggest a growing recognition of this area’s importance. This scoping review highlights a gap in the literature, which should be addressed to drive the system-level change needed to improve surgical resident well-being.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Making the Financial Case for Surgical Resident Well-being: A Scoping Review

Greenberg¹,

Doherty²,

Cevallos³

et al. 2022

Annals of Surgery

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Emotional Regulation in Surgery: Fostering Well-Being, Performance, and Leadership

Greenberg

Sullins

Donahue

et al. 2022

Journal of Surgical Research

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Well-Being Intervention in General Surgery: Multicenter Study of Program Director and Resident Perspectives

Greenberg¹,

Tenzing²,

Ghadimi³

et al. 2022

Journal of the American College of Surgeons

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BACKGROUND: Physician well-being is critical for optimal care, but rates of psychological distress among surgical trainees are rising. Although numerous efforts have been made, the perceived efficacy of well-being interventions is not well understood. STUDY DESIGN: This qualitative thematic study included online questionnaires to Program Directors (PDs) and residents at 16 ACGME-accredited General Surgery residency programs. PDs reported active well-being interventions for surgical residents or those under consideration at their institutions. Residents shared perspectives of available well-being interventions through open-ended responses. Conventional content analysis was used to analyze responses. RESULTS: Fifteen PDs, or their proxies (94% response rate), responded. Responses revealed that a majority of available well-being interventions are focused on changing the individual experience rather than the underlying workplace. PD decision-making around well-being interventions is often not based on objective data. Three hundred residents (34% response rate) responded. Of available interventions, those that increase control (eg advanced and flexible scheduling), increase support (eg mentorship), and decrease demand (eg work hour limits) were consistently identified as beneficial, but interventions perceived to increase demand (eg held during unprotected time) were consistently identified as not beneficial. Group social activities, cognitive skills training, and well-being committees were variably seen as beneficial (increasing support) or not (increasing demand). CONCLUSIONS: Our findings underscore the prevalence of individual-based well-being interventions and the paucity of system-level changes. This may explain, in part, the persistence of distress among residents despite abundant effort, highlighting the imperative for system-level transformation.

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Psychologist-Facilitated Group Sessions for Residents: A Worthwhile Investment?

Cited by 3 publications

References 0 publications

Making the Financial Case for Surgical Resident Well-being: A Scoping Review

Making the Financial Case for Surgical Resident Well-being: A Scoping Review

Emotional Regulation in Surgery: Fostering Well-Being, Performance, and Leadership

Well-Being Intervention in General Surgery: Multicenter Study of Program Director and Resident Perspectives

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