Stress and burnout in residents: impact of mindfulness-based resilience training

Goldhagen, Brian E.; Kingsolver, Karen; Stinnett, Sandra S.; Rosdahl, Jullia A

doi:10.2147/amep.s88580

Cited by 105 publications

(103 citation statements)

References 27 publications

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“…This partly concurs with previous research that found no gender differences in burnout 2. Goldhagen et al6 found that PGY1 and PGY2 females had a higher depression‐anxiety‐fatigue score than males, and mindfulness‐based intervention helped improve the scores. They speculated that women have additional demands outside of work and family planning stresses 6.…”

Section: Discussionsupporting

confidence: 91%

“…Goldhagen et al6 found that PGY1 and PGY2 females had a higher depression‐anxiety‐fatigue score than males, and mindfulness‐based intervention helped improve the scores. They speculated that women have additional demands outside of work and family planning stresses 6. Interestingly, women in our study reported significantly higher sleepiness than men, supporting the hypothesis that women may have more non‐work‐related duties.…”

Section: Discussionmentioning

confidence: 99%

“…Wide ranges of depression (7%–56%) and burnout (41%–76%) have been reported in residents 1, 2, 3. Burnout is defined as lowered perception of one's health status, lowered satisfaction with career, emotional exhaustion, adaptive detachment,2 depersonalization, and low perceived personal accomplishment 4, 5, 6. Daily situations, including stressful oncologic encounters and lack of sleep, contribute to the burden 4.…”

Section: Introductionmentioning

confidence: 99%

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A study of otolaryngology resident quality of life and sleepiness

Garcia‐Rodriguez

Sanchez

et al. 2017

Laryngoscope Investig Oto

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ObjectivesThis study aimed to determine otolaryngology residents' quality of life and sleepiness.MethodsAn electronic survey was distributed to otolaryngology residents in the United States in October 2014 and May 2015. The survey included questions from the Physician Well‐Being Index (PWBI) and Epworth Sleepiness Scale (ESS). Data were analyzed using standard descriptive and frequency analyses, Spearman correlations, and Student's t‐test.ResultsThe 196 respondents (13% response rate) had a mean age of 29.9 years and worked an average of 70.88 hours/week. Higher PWBI score (lower quality of life) correlated with higher ESS (more sleepiness) for all respondents regardless of rotation (Spearman coefficient of .45; p = .001). PWBI scores were higher for head/neck oncology. Both PWBI and ESS scores were highest for postgraduate year two. PWBI showed a significant positive correlation with hours worked (correlation coefficient .35; p = .001) as well as a significant negative correlation with exercise time (correlation coefficient ‐.18; p = .010). There was a positive correlation between hours worked and ESS (correlation coefficient .48; p = .001).ConclusionFor the otolaryngology survey respondents, sleepiness and overall well‐being were better during the first year with a dramatic worsening during junior years followed by an improvement in the senior years. More work hours and poor quality of life was associated with less physically active residents. Focused interventions during these rotations may reduce distress, improve quality of life, and enhance learning.Level of EvidenceNA

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Section: Discussionsupporting

confidence: 91%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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A study of otolaryngology resident quality of life and sleepiness

Garcia‐Rodriguez

Sanchez

et al. 2017

Laryngoscope Investig Oto

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“…Accreditation Council for Graduate Medical Education standards also state that in order for a residency program to be accredited, the program must include an awareness program to identify fatigue and sleep deprivation, and provide decent sleeping facilities, proper naps and back up plans for patient care in case a resident cannot carry out assigned duty 24. While reviewing previous related studies, we have found similar results demonstrated the existence of a significant association between female gender and sleepiness, depression scores and depressive symptoms 12,14,22,25,26. Burnout, also, was evident in young females 12.…”

Section: Discussionsupporting

confidence: 85%

Risk of fatigue among anesthesia residents in Saudi Arabia

Arab

Khayyat

2017

SMJ

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Objectives:To quantify fatigue risk and sleepiness among anesthesia residents in Saudi Arabia (SA).Methods:Between April 2014 and April 2015, all anesthesia residents training in western, central, and eastern regions in SA were invited to fill a survey. We conducted a cross-sectional self-reporting survey that included demographic data, the Epworth sleepiness scale (ESS), and 2 other scales to assess fatigue risk: a Checklist for Individual Strength (CIS) and a predefined comprehensive fatigue risk assessment previously developed by the Australian Medical Association (AMA).Results:We received 102 responses, and more than half of the individuals in the sample were at elevated risk of fatigue according to both fatigue scales. Approximately 70% reported being excessively sleepy during the day.Conclusion:All 3 scales used in our survey suggested that local anesthesia residents in SA are sleepy and at risk of becoming fatigued. This could be multifactorial, explained by long shifts, or cultural and lifestyle habits.

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“…Residency training can be quite intense and stressful for many residents. [13] This study did not look into that aspect.…”

Section: Discussionmentioning

confidence: 98%

Residency evaluation and adherence design study: Young ophthalmologists' perception of their residency programs II: Academics and Research dissertation

Gogate

Biswas

Natarajan

et al. 2017

Indian J Ophthalmol

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Purpose:To know the perception of young ophthalmologists about their dissertation and academics during residency training in order to improve the research output during present residency programs in India.Methods:A survey was conducted by Academic and Research Committee of the All India Ophthalmological Society, the world's second largest ophthalmic professional's organization, in 2014–2016 of young ophthalmologists (those who completed residency between 2005 and 2012) to gauge usefulness of dissertation or thesis during postgraduate residency.Results:There were 1005 respondents, of whom 531 fulfilled inclusion criteria. On a scale of 0–10, residents rated level of supervision of their dissertation as adequate (mean 5.9/10, standard deviation [SD] = 3.1, median = 6). The level of infrastructure available was for dissertation rated as 5.9/10 (median = 7, SD = 3.1), and 6.2/10 was the score that residents said about value added by the dissertation (median = 7). The dissertation was presented at local (33.5%), state (28.1%), national (15.4%), and international (4%) levels. Students, not supervisors, did most of the local and state level presentations. It was published in some forms at local 210 (39.5%), state (140, 26.4%), national (94, 17.7%), and international (39, 7.3%) levels. On a scale of 0–4, seminars (3/4) and case presentations were (3/4) rated higher than didactic lectures (2.2/4), journal clubs (2.2/4), and wet laboratory (1.1/4).Conclusion:Peer-reviewed publications from Indian residency training dissertations were few. Residents felt dissertation added value to their training, but there was a huge range among the responses. Journal clubs and wet laboratories were not graded high in academic programs, unlike seminars and case presentations.

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Stress and burnout in residents: impact of mindfulness-based resilience training

Cited by 105 publications

References 27 publications

A study of otolaryngology resident quality of life and sleepiness

A study of otolaryngology resident quality of life and sleepiness

Risk of fatigue among anesthesia residents in Saudi Arabia

Residency evaluation and adherence design study: Young ophthalmologists' perception of their residency programs II: Academics and Research dissertation

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