Evaluation of radiology resident well-being at a single institution with a dedicated wellness curriculum

IF 1.8 4区 医学 Q3 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING
Jenifer Pitman , Juliana Atallah , Connie Lu , Zoe Verzani , Andrew Schweitzer , Robert J. Min , Lily Belfi
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Abstract

Introduction

Increasing rates of physician burnout over recent years have resulted in the need for formal tools and programming dedicated to physician well-being. The Accreditation Council for Graduate Medical Education (ACGME) has taken measures to prioritize trainee well-being by revising its common program requirements. Widespread departmental initiatives have been developed in line with these changes. At the authors' institution, a committee was developed to design and implement a holistic wellness curriculum for radiology trainees.

Objective

The objective of this study was to assess overall well-being in a cohort of radiology residents at a training program with a dedicated wellness curriculum.

Methods

A wellness curriculum for radiology residents was developed and implemented. Over a 3-year period, data was collected using the Maslach Burnout Inventory (MBI), Brief Resilience Scale (BRS).

Results

Rates amongst respondents were low, compared to average, for emotional exhaustion (below 17, average 25.2), depersonalization (6, average 10), and of personal accomplishment were moderate to high (37.5, average 32.9). PGY-4 level residents had the highest rates of burnout (p = 0.042 for depersonalization, p = 0.006 for emotional exhaustion). PGY-4 residents also had the lowest rates of resilience based on the BRS, and PGY-3 the highest (p = 0.037). There were no statistically significant differences between gender or differing relationship status for MBI or BRS. The most commonly cited barriers to wellness practices included fatigue, competing responsibilities, and not knowing where to start.

Conclusion

Radiology residents at a single institution with a dedicated wellness curriculum demonstrated overall lower rates of burnout compared to their peers.

在一家设有专门健康课程的机构对放射科住院医师的健康状况进行评估
导言近年来,医生职业倦怠率不断上升,因此需要有专门针对医生身心健康的正式工具和计划。美国毕业后医学教育认证委员会(ACGME)已采取措施,通过修订其共同项目要求,优先考虑受训者的身心健康。根据这些变化,各部门已广泛开展了相关活动。在作者所在的机构,成立了一个委员会,负责为放射科学员设计和实施整体健康课程。本研究的目的是评估一个培训项目中放射科住院医师群体的整体健康状况,该培训项目设有专门的健康课程。方法制定并实施了放射科住院医师健康课程。结果与平均水平相比,受访者在情绪衰竭(低于17分,平均25.2分)、人格解体(6分,平均10分)和个人成就感(37.5分,平均32.9分)方面的得分较低,而在中高水平(37.5分,平均32.9分)方面的得分较高。PGY-4 级住院医师的职业倦怠率最高(人格解体 p = 0.042,情感衰竭 p = 0.006)。根据 BRS,PGY-4 级住院医师的抗压能力最低,PGY-3 级最高(p = 0.037)。就 MBI 或 BRS 而言,不同性别或不同关系状况之间的差异在统计学上并不明显。最常提到的健康实践障碍包括疲劳、相互竞争的责任以及不知从何入手。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Clinical Imaging
Clinical Imaging 医学-核医学
CiteScore
4.60
自引率
0.00%
发文量
265
审稿时长
35 days
期刊介绍: The mission of Clinical Imaging is to publish, in a timely manner, the very best radiology research from the United States and around the world with special attention to the impact of medical imaging on patient care. The journal''s publications cover all imaging modalities, radiology issues related to patients, policy and practice improvements, and clinically-oriented imaging physics and informatics. The journal is a valuable resource for practicing radiologists, radiologists-in-training and other clinicians with an interest in imaging. Papers are carefully peer-reviewed and selected by our experienced subject editors who are leading experts spanning the range of imaging sub-specialties, which include: -Body Imaging- Breast Imaging- Cardiothoracic Imaging- Imaging Physics and Informatics- Molecular Imaging and Nuclear Medicine- Musculoskeletal and Emergency Imaging- Neuroradiology- Practice, Policy & Education- Pediatric Imaging- Vascular and Interventional Radiology
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