Purpose: To implement and study a comprehensive resident wellness program and evaluate effectiveness of resident-led initiatives.
Background: Faculty-led initiatives have been shown to improve wellness in OB/GYN residency programs but little is known about resident-led wellness initiatives.
Methods: In October 2020, a wellness curriculum that included both resident- & faculty-led components was initiated in a large academic OB/GYN residency. Residents were asked to complete a survey pre- and eight months post-intervention with the Malasch Burnout Inventory (MBI) & the Physician Wellness Index (PWI), with activity-related questions added to the second survey. Descriptive statistics, chi-square analysis, and theme-analysis were performed.
Results: Response rate was 31/48 (62.5%) pre- and 28/48 (58.3%) post-intervention. Residents scored moderate for emotional exhaustion and depersonalization and high for personal accomplishment on both MBI surveys. All indices of the PWI improved over time; however, no significant differences were found in pre- and post-measures. Resident-led initiatives were rated highest, with 76% (22/28) rating Wellness Wednesdays (three hours off on two days per semester) & 68% (19/28) rating resident-organized wellness events as the two most beneficial interventions. Wellness Wednesdays were most often spent performing personal errands or socializing with other residents. Open-ended comments revealed that continued focus on wellness and attention to personal health were the most important ways to improve resident wellness.
Discussions: Although burnout and wellness measurements did not significantly change, respondents rated resident-led initiatives as most helpful. Providing scheduled time off for residents to use at their discretion and continuation of events that encourage socialization are effective tools to improve wellness.
Topics: CREOG & APGO Annual Meeting, 2022, Resident, Faculty, Residency Director, Systems-Based Practice & Improvement, Interpersonal & Communication Skills, GME, Assessment, General Ob-Gyn,
Gianna Seeland, MD, Baylor College of Medicine; Emily Bowden, MD; Menaka Yadav, DO; Brinley Williams, MD; Joan M. Mastrobattista, MD; Bani M. Ratan, MD
