scholarly journals A Longitudinal Study of Burnout and Well-being in Family Medicine Resident Physicians

2020 ◽  
Vol 52 (10) ◽  
pp. 716-723
Author(s):  
Mari Ricker ◽  
Victoria Maizes ◽  
Audrey J. Brooks ◽  
Coya Lindberg ◽  
Paula Cook ◽  
...  
Keyword(s):  
Emotional Intelligence ◽  
Family Medicine ◽  
Satisfaction With Life ◽  
Core Competencies ◽  
Well Being ◽  
Targeted Interventions ◽  
Family Medicine Resident ◽  
Medicine Resident ◽  
Resident Physicians ◽  
Second Year

Background and Objectives: The Accreditation Council for Graduate Medical Education (ACGME) core competencies for residency learning and work environment standards acknowledge high levels of burnout and depression in resident physicians and the critical importance of physician well-being to patient care and effective education. The objective of this study was to follow family medicine resident physicians’ well-being throughout residency. Methods: Family medicine resident physicians from 12 programs completed validated assessments (burnout, depression, perceived stress, satisfaction with life, positive and negative affect, emotional intelligence, mindfulness, gratitude) at residency start, second year start, and graduation. Resident physicians were from the 2011, 2012, and 2013 graduating classes (N=158). Results: Two indicators of burnout (emotional exhaustion, depersonalization) increased between the start of residency and the start of the second year, remaining elevated at graduation. Emotional intelligence was lower at graduation than at the start of residency. In contrast, other measures of well-being (stress, life satisfaction, affect) improved during the second and third years. Depression, mindfulness, and gratitude remained stable. Increased levels of burnout risk at graduation were negatively associated with emotional intelligence, mindfulness, and gratitude. Conclusions: While the stressful impact of residency is transitory for some measures of well-being, that is not the case for burnout or emotional intelligence. Burnout levels peak after the first year of residency and remain high through graduation. Targeted interventions to identify and address burnout in residency need to be evaluated in future studies.

scholarly journals Japanese and United States Family Medicine Resident Physicians' Attitudes about Training

2002 ◽  
Vol 3 (1) ◽  
pp. 9-16 ◽  
Author(s):  
Michael D. Fetters ◽  
Kazuya Kitamura ◽  
Junichi Mise ◽  
Warren P. Newton ◽  
Daniel W. Gorenflo ◽  
...  
Keyword(s):  
United States ◽  
Family Medicine ◽  
Family Medicine Resident ◽  
Medicine Resident ◽  
Resident Physicians

scholarly journals Impact of Family Medicine Resident Physicians on Emergency Department Wait Times and Patients Leaving Without Being Seen

CJEM ◽  
2015 ◽  
Vol 17 (5) ◽  
pp. 475-483
Author(s):  
Wang Xi ◽  
Vikram Dalal
Keyword(s):  
Emergency Department ◽  
Family Medicine ◽  
Retrospective Chart Review ◽  
Initial Assessment ◽  
Wait Times ◽  
Family Medicine Resident ◽  
Medicine Resident ◽  
Resident Physicians ◽  
Number Of Patients ◽  
Resident Group

AbstractObjectiveTo quantify the effect of family medicine resident physicians on emergency department (ED) wait times and patients leaving without being seen or treated.MethodsIn a medium-volume community ED over twelve months, we used retrospective chart review to compare wait times between patients seen during shifts where staff were working alone versus with a resident. We measured the time from initial triage time to physician initial assessment (T1) and disposition time (LOS), and number of patients leaving without being seen or treated.ResultsIn our analysis, 21,141 patients (91% of total visits) were included; 48% were in the staff-with-resident group, and 52% were in the staff-only group. Mean T1 in the resident group was significantly shorter than the staff-only group (1 hour 23 minutes versus 1 hour 38 minutes, difference 15 minutes, 95% CI 13 to 17 minutes, p<0.001). Mean total LOS in the resident group was also reduced (2 hours 38 minutes versus 2 hours 50 minutes, difference 12 minutes, 95% CI 8 to 17 minutes, p<0.001). Fewer patients left without being seen in the resident group than the staff only group (2.8% versus 4.9%, p<0.001). There were no differences in patients leaving without being treated (0.5% versus 0.5%).ConclusionsThis is the first study to demonstrate that residents are associated with a reduction in ED wait times and patients leaving without being seen in a low-acuity, community hospital, compared to previous studies demonstrating no difference or increased wait times.

scholarly journals What are the knowledge, attitudes and beliefs regarding concussion of primary care physicians and family resident physicians in rural communities?

2020 ◽  
Vol 4 ◽  
pp. 205970022097454
Author(s):  
Heather Galbraith ◽  
Jairus Quesnele ◽  
Shannon Kenrick-Rochon ◽  
Sylvain Grenier ◽  
Tara Baldisera
Keyword(s):  
Primary Care ◽  
Family Medicine ◽  
Primary Care Physicians ◽  
Assessment Tool ◽  
Local Health ◽  
Cross Sectional ◽  
Support Tool ◽  
Family Medicine Resident ◽  
Medicine Resident ◽  
Resident Physicians

Background Primary care physicians and family medicine resident physicians report continued gaps in knowledge when diagnosing and managing pediatric patients with concussion. Methods A cross-sectional electronic survey of 130 primary care physicians and family medicine resident physicians in the Northeastern Ontario Local Health Integration Network (LHIN). Descriptive statistics, chi-squared Fisher exact tests, were used to compare physicians versus resident physicians with two-tailed p < 0.05 (with 95% confidence intervals). Results With a 48% response rate, when treating concussions 44% of providers either did not use any specific clinical practice guideline, standardized assessment tool, could not recall the source of a specific tool/guideline or omitted answering the question. However, 61% of all respondents would refer some or all concussion patients to a specialist for treatment. At least 41% of providers indicated they lacked access to a ‘Provider Decision Support Tool’ specific to concussion, and 88% of the 25 providers were without access to discharge instructions. Conclusion Similar to other jurisdictions, Northeastern Ontario primary care physicians and family medicine resident physicians report gaps in knowledge for both diagnosis and management of pediatric concussion. Consequently, they did not use current guidelines or best practices to guide management.

scholarly journals Increasing Resident Physician Well-Being through a Motivational Fitness Curriculum: A Pilot Study

2020 ◽  
Vol 13 ◽  
pp. 228-234
Author(s):  
Ruth Nutting ◽  
Justin Grant ◽  
Samuel Ofei-Dodoo ◽  
Matthew Runde ◽  
Kethlyn Staab ◽  
...  
Keyword(s):  
Pilot Study ◽  
Family Medicine ◽  
Maslach Burnout Inventory ◽  
Well Being ◽  
Resident Physician ◽  
Personal Accomplishment ◽  
Depression Anxiety Stress Scale ◽  
Post Intervention ◽  
Resident Physicians ◽  
Fitness Curriculum

Introduction. Healthcare professionals who participate in regular exercise better manage job related stressors, utilize fewer sick days, and discuss fitness with patients at increased rates. Although resident physicians are aware of the health benefits of exercise their rates of exercise are much lower than among medical trainees and practicing physicians. Resident physicians have reported lack of time for traditional structured workouts as one of the greatest barriers to fitness. This study sought to increase resident physician well-being by providing brief workouts through a motivational fitness curriculum. Methods. This pilot study utilized a nonexperimental design; a pre-/post-intervention consisted of a 10-month motivational fitness curriculum. Thirteen family medicine residents at a training program in the midwestern United States participated in this study. The Depression Anxiety Stress Scale-21 (DASS-21) and the Abbreviated Maslach Burnout Inventory (MBI-9) were used to measure the participants’ well-being, pre- and post-curriculum. Standard descriptive statistics and paired samples t-test were used to analyze the data. Results. Twenty-eight percent (13/36) of eligible first-year and second-year family medicine resident physicians participated in the study. On the DASS-21, study participants displayed an improvement in depression, anxiety, and stress scores post-curriculum. On the MBI-9, the participants reported decreased score in emotional exhaustion, but there were no changes in depersonalization and personal accomplishment scores over time.Conclusion. A motivational fitness curriculum may be a convenient way to support well-being among resident physicians. These findings were salient, as graduate medical education programs can implement similar initiatives to support resident physicians’ psychological and physical well-being.

scholarly journals FAMILY MEDICINE RESIDENT AWARD FOR SCHOLARSHIP

2009 ◽  
Vol 7 (1) ◽  
pp. 91-92
Author(s):  
P. J. Carek ◽  
S. Abercrombie ◽  
S. Carr ◽  
G. Dickson ◽  
J. Gravel ◽  
...  
Keyword(s):  
Family Medicine ◽  
Family Medicine Resident ◽  
Medicine Resident
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