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A National Wellness Curriculum for OBGYN Residents: Impact of the CREOG Wellness Curriculum
Purpose: A national study explored the impact of a
wellness curriculum for residents.
Background: The CREOG/APGO Physician Wellness Taskforce developed
a national curriculum for physician wellness for obstetrics and gynecology
residents. A multi-institutional study explored the impact of this curriculum
on professional fulfillment and burnout of residents across the United States.
Methods: Twenty-five residency programs from all CREOG regions
participated in the study. Residents in these programs participated in 6
interactive workshops on physician wellness over 1 year. Before and after
the curriculum, residents completed the Professional Fulfillment Index (PFI) a
16-item survey tool measuring professional fulfillment (PF), and burnout
composite (BC) (measures of work exhaustion and disengagement). T-tests
analyzed changes in scores, comparing groups with higher attendance and lower
attendance at the wellness curriculum sessions.
Results: Among 592 participating residents, 424(72%) completed
the pretest and 385(65%) the posttest. Residents participated in 3.96 sessions
on average. Overall,PF increased slightly with 23.8% meeting the threshold
for robust PF pretest to 25.2% meeting the same thre posttest. BC scores
improved slightly with 46.8% meeting criteria for burnout pretest to 43.9%
posttest. The 246 residents attending 4-6 sessions in the wellness
curriculum (High Attendance) had improved scores compared to the 139
residents attending 0-3 (Low Attendance): PF-high attendance (28.05%) vs.
PF-Low Attendance (20.14%), p< .001, and BC-High Attendance (39.8%) vs.
BC-Low Attendance (51.1%), p=0.03.
Discussions: A longitudinal wellness curriculum is feasible within
an OBGYN residency training program. While burnout has been shown to increase
throughout the academic year, this may be mitigated by participation in the
curriculum, with residents who were more engaged demonstrating greater
improvement in professional fulfillment and less burnout over 1 year.
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