What Do Residents Want for Burnout Prevention? … Time

Fortenberry, Katherine T.; Knox, Jordan; Hala, Sonja Van

doi:10.1097/acm.0000000000002086

Cited by 6 publications

(11 citation statements)

References 1 publication

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“…The results highlight the future challenges in combating burnout. Although some interventions, such as yoga, holistic approaches, and stress reduction programs, have been reported as effective in preventing burnout, 47 - 50 we require further insight into this area of study in relation to Japanese physicians. It is necessary to identify effective approaches to prevent burnout while taking Japanese culture into account.…”

Section: Discussionmentioning

confidence: 99%

Factors related to burnout in resident physicians in Japan

et al. 2019

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ObjectivesWe explore the prevalence and characteristics of burnout among Japanese resident physicians and identifies factors associated with burnout. MethodsA cross-sectional study was conducted three times between April 2017 and March 2018 at a Japanese teaching hospital. Resident physicians were invited to answer an online survey that included existing valid instruments related to burnout, depression, and empathy. Demographic, background, occupational, and socioeconomic data were also collected. Participants were prompted to report the average daily work hours and the specialty they wish to pursue. ResultsOverall, 39/76 (51%), 27/76 (36%), and 21/76 (28%) resident physicians responded to surveys in April 2017, October 2017, and March 2018, respectively. The percentages of participants with burnout for surveys in April 2017, October 2017, and March 2018 were 7/39 (18%), 6/27 (22%), and 7/21 (33.3%). Emotional exhaustion (EE) was the only burnout component strongly correlated with the severity of depression (r = .615, p < .001; r = .706, p < .001; r = .601, p < .01). EE and depersonalization (DP) had no significant correlation with average daily working hours (β = .156, p = .343 for EE; β = .061, p = .711 for DP). ConclusionsThe results suggest that capping working hours alone may not be effective in reducing burnout in Japanese resident physicians. Medical educators might need to consider not only working hours but also individual job quality and satisfaction to address burnout. Future studies may need to incorporate qualitative methods to explore the characteristics of burnout.

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Section: Discussionmentioning

confidence: 99%

Factors related to burnout in resident physicians in Japan

et al. 2019

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“…When considering why this intervention was successful in other groups of healthcare workers (ED nurses and hospital leadership) but not EM residents, it is possible that individuals in residency training represent a unique population because 1) residents have longer work hours than other healthcare provider groups, often working 60–80 hours per week; 2) a contributing factor to lack of resident and physician wellness is not having enough time away from work to nurture aspects of one’s personal life and spend time with family and friends, and therefore they want to perceive time spent at work as high yield and well spent; 11,41,42 3) residents are learners, trying to develop competence in a medical specialty and so have an increased focus on developing individual competence with less of a focus in other areas; 4) residents could be living in more of a moment-to-moment mindset and may not see the long-term benefit of such sessions; and 5) burnout has been shown to increase over the first year of residency 31–35, 42. Their perceptions of this wellness intervention worsening burnout could be related to these factors.…”

Section: Discussionmentioning

confidence: 99%

Does Implementation of a Corporate Wellness Initiative Improve Burnout?

Hart

Paetow

Zarzar

2018

WestJEM

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IntroductionBurnout affects over 50% of all physicians. Nearly 70% of emergency physicians are affected, and it has been found to be as high as 76% in resident physicians overall. Previous wellness initiatives have yielded variable results; therefore, we looked for interventions that could potentially be effective at reversing this trend. We explored effective wellness programs originating from other industries. Our objective was to implement a corporate wellness program with previous evidence of success in other healthcare provider populations. We aimed to investigate whether this program would be effective in decreasing burnout in emergency medicine (EM) residents.MethodsThis program was conducted during required EM resident conference hours from 2016–2017. The Maslach Burnout Inventory was completed before and after the series of sessions, and we collected reactions-level data following completion of the six sessions.ResultsPost-intervention scores revealed a small trend toward increased emotional exhaustion and depersonalization scores, and with increased personal accomplishment scores. The overall satisfaction rating for this program was low, at 1.5 on a 5-point scale. Forty-three percent of residents stated that this intervention subjectively worsened their overall burnout, with another 39% stating it did not improve their burnout at all. A similar trend was seen for effects on wellness.ConclusionWe found that a corporate wellness intervention that had previously been shown to be successful with other types of healthcare providers did not objectively improve burnout and was subjectively perceived as paradoxically worsening burnout for many residents. This result may be related to the type of intervention chosen (individual vs. systems-focused), the design of the intervention itself, or the unique stressors faced by the resident population. [West J Emerg Med.2019;20(1)138–144.]

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“…Conversely, non‐IM residents were often seen as ‘outsiders’ of the inner circle of collegiality with less stake in image management, leading to higher perceptions of misuse by this group. This elicited negative feelings amongst residents, which threatens fairness within the workplace and exacerbates burnout 16 . Interestingly, residents alluded to tensions between various workplace dimensions that influenced decisions to activate based on time of year.…”

Section: Discussionmentioning

confidence: 99%

“…Conversely, programmes that foster a sense of workplace community amongst its trainees and faculty, through mutual respect and recognition for each other's contributions, helps mitigate burnout 14,15 . When asked, residents identified time for personal and professional needs as critical to improving wellness, 16 aligning with strategies to reduce burnout 3 . Call activations may limit residents' protected time.…”

Section: Introductionmentioning

confidence: 99%

Internal medicine trainee perspectives on back‐up call systems and relationships to burnout

Sheikh

Flett

et al. 2022

Medical Education

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Introduction: As burnout within medicine escalates, residency programmes should strive to understand how training structures may contribute. Back-up call systems that address gaps in overnight resident call coverage are one possible contributing structure. However, the intersection between back-up call policies and burnout remains unclear. The authors explored residents' decision-making process when deciding whether or not to activate a back-up resident for call coverage, perspectives surrounding the legitimacy of call activations and the impact of back-up call systems on education and experienced burnout.Methods: Internal medicine residents at the University of Toronto were recruited through email. Eighteen semi-structured one-on-one interviews were conducted with residents from September 2019 to February 2020. Interviews explored participants' experiences and perceptions with back-up call and call activations. A constructivist grounded theory approach was used to develop a conceptual understanding of the back-up system as it relates to residents' decisions underlying activations, downstream impacts and relationships to burnout.Results: Residents described a complex thought process when deciding whether to activate back-up. Decisions were coloured by inner conflicts including sense of collegiality, need to maintain an image and time of year balanced against self-reported burnout. Residents described how back-up calls can lead to burnout, usually in the form of exhaustion, lowering their threshold to trigger future back-up activations.Impacts included anxiety of not knowing whether an activation would occur, decreased educational productivity and the 'domino effect' of increased workload for colleagues.Discussion: Residents weigh inner tensions when deciding to activate back-up. Their collective experience suggests that burnout is both a trigger and consequence of back-up calls, creating a cyclical relationship. Escalating rates of call activations may signal that burnout amongst residents is high, warranting educational leads to assess for resident wellness and to critically evaluate the structure of such systems with respect to unintended consequences.

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What Do Residents Want for Burnout Prevention? … Time

Cited by 6 publications

References 1 publication

Factors related to burnout in resident physicians in Japan

Factors related to burnout in resident physicians in Japan

Does Implementation of a Corporate Wellness Initiative Improve Burnout?

Internal medicine trainee perspectives on back‐up call systems and relationships to burnout

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