Resident Physician Wellness Postpandemic

Vijay, Aishwarya; Yancy, Clyde W.

doi:10.1001/jama.2022.7424

Cited by 6 publications

(12 citation statements)

References 10 publications

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“…Related to having less experience, residents have little control over their work life/scheduling, and their clinical decisions must be looked over by more experienced practitioners, leading to feelings of depersonalization and emotional exhaustion. 1,5 These feelings are present across all specialties. 6 Vijay et al conducted a study of residents near the beginning of the pandemic and found that greater than 50% of residents had symptoms of emotional exhaustion, and only 42.9% felt valued by their institution.…”

Section: Stressorsmentioning

confidence: 99%

“… 6 Vijay et al conducted a study of residents near the beginning of the pandemic and found that greater than 50% of residents had symptoms of emotional exhaustion, and only 42.9% felt valued by their institution. 1 Outside of work, Natsuhara et al described that the need to wear a mask leads to depersonalization because it hides emotions and the identities of practitioners, changing human interaction. 5 …”

Section: Stressorsmentioning

confidence: 99%

“… 4 Trainees were concerned about their careers, developing clinical competency, and fulfilling requirements of their training program. 1,3,7,9 Approximately 75% of residents at a single institution stated that their educational activities had decreased due to the pandemic, and they were concerned about the need to catch up in the coming years. 11 Some institutions had attendings as the ones who primarily cared for patients with COVID-19 infection, limiting clinical care opportunities to residents and leading to an internal battle between personal health and clinical competency.…”

Section: Stressorsmentioning

confidence: 99%

“…Hospitals were past maximum capacity, experiencing shortages of ventilators, Intensive Care Unit (ICU) beds, and personal protective equipment (PPE). 1,2 At the same time, nationwide lockdowns and mask mandates were being implemented. 2 Residents played the major role of providing patient care throughout this unprecedented time.…”

mentioning

confidence: 99%

“… 7 Several studies during the COVID-19 era noted that between 35% and 60% of residents reported feeling overwhelmed and burnt out, regardless of direct involvement of COVID-19 care, and residents also reported an increased prevalence of depressive and anxiety symptoms. 1,8–11 …”

mentioning

confidence: 99%

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Unmasking Resident Physician Burnout During the COVID-19 Era

Zhang

Ramalingam

Chandran

2023

TPJ

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Burnout is not a new concept in the health care field. Most, if not all, resident physicians (residents) experience burnout at least once during their training. However, the COVID-19 pandemic placed a large strain on the health care system and exacerbated stressors that contribute to burnout, including anxiety, depression, and work overload. The authors reviewed the literature on resident burnout in the era of COVID-19 to elucidate common stressors across the specialties and identify successful interventions or initiatives that may be most effective for residency programs.

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Section: Stressorsmentioning

confidence: 99%

Section: Stressorsmentioning

confidence: 99%

Section: Stressorsmentioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

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Unmasking Resident Physician Burnout During the COVID-19 Era

Zhang

Ramalingam

Chandran

2023

TPJ

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Bereavement scheduling policy for emergency medicine residents: A descriptive pilot study

Kelly,

de Venecia,

Pang

et al. 2024

AEM Education and Training

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BackgroundThe Accreditation Council for Graduate Medical Education has tasked residency programs to prioritize resident wellness, reduce trainee stress, and prevent burnout. Grief and bereavement can significantly impact residents' wellness during difficult clinical training schedules. There are no best practices on how to support residents during this time.MethodsIn a split academic county emergency medicine (EM) residency, this pilot study documents a resident‐driven change to scheduling practices for bereavement leave. An advisory group of residents, chief residents, and program directors informally polled peer institutions to develop bereavement leave guidelines. Considerations were made to balance resident wellness, education, and patient care in developing a bereavement scheduling policy.ResultsThe bereavement policy was adopted in January 2023, aiming to “support the resident during a difficult time and reduce concerns around shift coverage” following the death of a family member without impacting sick call. The number of covered days depended on the relationship of the resident to the deceased. Residents covering bereavement days for their peers were financially compensated. During the first 7 months following implementation, five residents utilized the policy. These residents noted this to be the most positive impact on the residency during the past year. Based on resident feedback, the scope was expanded to include grave medical illness of a family member as an implementation criterion.ConclusionsThis article outlines the creation, implementation, and benefits of a bereavement scheduling policy within an EM residency. Describing this approach will provide guidance for other residencies to adopt similar wellness‐focused strategies.

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