Well-being in trainee and faculty physicians

Frishman, Gary N.; Raker, Christina; Frankfurter, David

doi:10.1080/10872981.2021.1950107

Cited by 6 publications

(1 citation statement)

References 17 publications

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“…In 2014, Burkhart et al42 noted the concerning financial cost of finding and replacing a resident. This was followed by 19 articles1,8,14,18,43–57 that raised financial considerations associated with surgical resident well-being published between 2016 and 2021. These studies were published in the aftermath of the implementation of the second duty hour reform in 2011 in response to persisting concerns over patient safety and resident well-being79 and the reignited debate over the effectiveness of this intervention 80.…”

Section: Discussionmentioning

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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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: Discussionmentioning

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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Determinants of undergraduate medical students’ satisfaction with clinical supervision: A cohort study in a longitudinally structured sixth year clinical placement

Wagner-Menghin,

Hofhansl,

Bach

et al. 2024

Wien Klin Wochenschr

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Summary Background Work satisfaction is associated with fewer employee turnover intentions, increased job engagement and interest, and has a greater impact on employee well-being than environmental factors, such as workload. In workplace learning, clinical supervisors promote student satisfaction by meeting students’ supervision needs in providing safe practice opportunities, training, and guidance in the social field. To quantitatively investigate this relationship, we proposed a supervision deficit index as a measure of learner-centered supervision received and explored its correlation with satisfaction in workplace learning. Method In total, 1017 Austrian medical students (2015–2017) in year 6 selected the 5 most helpful supervisory activities (from 26 options) and rated their experience levels of these activities during surgery and internal medicine placement. A supervision deficit index was then created (range 0–3; 0 = no deficit). Results Students with no, minor or moderate supervision deficits reported higher overall satisfaction with their placements than those experiencing considerable deficits. Students’ gender, clinical experience, hospital size, placement year, and clinical field did not influence the relationship. The deficit index’s psychometric qualities were good. Training activities supporting competence, such as discussing patients, planning disease management, and practicing skills, were selected more often than activities supporting autonomy, such as an appropriate level of clinical duties, and social relatedness. Discussion Students favored competence support. Highlighting the importance of autonomy support to students and encouraging supervisors to engage in learner-centered supervision may improve the supervision experience and work satisfaction for both. The deficit index can be used to evaluate the effects of such interventions.

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