Social, Individual, and Environmental Characteristics of Family Medicine Resident Burnout: A CERA Study

Freedy, John R.; Staley, Claire; Mims, Lisa D; DeCastro, Alec O; Perkins, Suzanne; Berini, Carole; Steyer, Terrence E.

doi:10.22454/fammed.2022.526799

Cited by 2 publications

(1 citation statement)

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“…20 Inadequate levels of self-care, including physical activity, is also attributed to emotional exhaustion, depersonalization, and depressive symptoms among resident physicians. 21 Physical activity can be conducted as a part of a clinical team. Having a 5-minute burst of activity with squats, jumping jacks, or other simple exercises following a daily huddle can be a way to get the entire clinic team involved.…”

Section: Role Modelingmentioning

confidence: 99%

From COVID to Couch Potato: The Importance of Physical Activity Promotion and Education

Carek

2023

Fam Med

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For many, the lockdowns of the COVID-19 pandemic resulted in drastic behavior changes. While the immediate uncertainty and fear surrounding the initial lockdown has subsided, there are still significant changes to our daily lives and work that may have lasting impact on our health and well-being. One such change is the increase in physical inactivity and sedentarism, a result of decreased group activities, organized events, work and school from home mandates, and physical distancing. Physical inactivity represents one of the strongest modifiable risk factors for poor health outcomes and a preventable cause of early morbidity and mortality from many common chronic diseases. Overall, health care providers are inconsistent and often ineffective at screening and counseling patients on the benefits of regular physical activity. Additionally, there is very little structured curricula for medical learners to address physical inactivity and other lifestyle factors that contribute to the health of our patients. As we adjust to new social practices and behaviors as a result of the COVID-19 pandemic, it is critical that we emphasize the need for education, screening, evidence-based interventions, advocacy, and effective role modeling on the importance of physical activity for our patients, communities, and our own well-being.

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Section: Role Modelingmentioning

confidence: 99%

From COVID to Couch Potato: The Importance of Physical Activity Promotion and Education

Carek

2023

Fam Med

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Sleep disturbances and psychological well-being among military medical doctors of the Swiss Armed Forces: study protocol, rationale and development of a cross-sectional and longitudinal interventional study

Sadeghi-Bahmani,

Rigotti,

Stanga

et al. 2024

Front. Public Health

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BackgroundCompared to civilians and non-medical personnel, military medical doctors are at increased risk for sleep disturbances and impaired psychological well-being. Despite their responsibility and workload, no research has examined sleep disturbances and psychological well-being among the medical doctors (MDs) of the Swiss Armed Forces (SAF). Thus, the aims of the proposed study are (1) to conduct a cross-sectional study (labeled ‘Survey-Study 1’) of sleep disturbances and psychological well-being among MDs of the SAF; (2) to identify MDs who report sleep disturbances (insomnia severity index >8), along with low psychological well-being such as symptoms of depression, anxiety and stress, but also emotion regulation, concentration, social life, strengths and difficulties, and mental toughness both in the private/professional and military context and (3) to offer those MDs with sleep disturbances an evidence-based and standardized online interventional group program of cognitive behavioral therapy for insomnia (eCBTi) over a time lapse of 6 weeks (labeled ‘Intervention-Study 2’).MethodAll MDs serving in the SAF (N = 480) will be contacted via the SAF-secured communication system to participate in a cross-sectional survey of sleep disturbances and psychological well-being (‘Survey-Study 1’). Those who consent will be provided a link to a secure online survey that assesses sleep disturbances and psychological well-being (depression, anxiety, stress, coping), including current working conditions, job-related quality of life, mental toughness, social context, family/couple functioning, substance use, and physical activity patterns. Baseline data will be screened to identify those MDs who report sleep disturbances (insomnia severity index >8); they will be re-contacted, consented, and randomly assigned either to the eCBTi or the active control condition (ACC) (‘Intervention-Study 2’). Individuals in the intervention condition will participate in an online standardized and evidence-based group intervention program of cognitive behavioral therapy for insomnia (eCBTi; once the week for six consecutive weeks; 60–70 min duration/session). Participants in the ACC will participate in an online group counseling (once the week for six consecutive weeks; 60–70 min duration/session), though, the ACC is not intended as a bona fide psychotherapeutic intervention. At the beginning of the intervention (baseline), at week 3, and at week 6 (post-intervention) participants complete a series of self-rating questionnaires as for the Survey-Study 1, though with additional questionnaires covering sleep-related cognitions, experiential avoidance, and dimensions of self-awareness.Expected outcomesSurvey-Study 1: We expect to describe the prevalence rates of, and the associations between sleep disturbances (insomnia (sleep quality); sleep onset latency (SOL); awakenings after sleep onset (WASO)) and psychological well-being among MDs of the SAF; we further expect to identify specific dimensions of psychological well-being, which might be rather associated or non-associated with sleep disturbances.Intervention-Study 2: We expect several significant condition-by-time-interactions. Such that participants in the eCBTi will report significantly greater improvement in sleep disturbances, symptoms of depression, anxiety, stress reduction both at work and at home (family related stress), and an improvement in the overall quality of life as compared to the ACC over the period of the study.ConclusionThe study offers the opportunity to understand the prevalence of sleep disturbances, including factors of psychological well-being among MDs of the SAF. Further, based on the results of the Intervention-Study 2, and if supported, eCBTi may be a promising method to address sleep disturbances and psychological well-being among the specific context of MDs in the SAF.

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Social, Individual, and Environmental Characteristics of Family Medicine Resident Burnout: A CERA Study

Cited by 2 publications

References 0 publications

From COVID to Couch Potato: The Importance of Physical Activity Promotion and Education

From COVID to Couch Potato: The Importance of Physical Activity Promotion and Education

Sleep disturbances and psychological well-being among military medical doctors of the Swiss Armed Forces: study protocol, rationale and development of a cross-sectional and longitudinal interventional study

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