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Maintaining Wellness Among Residents: Exploring an Open-Framework Approach
Purpose: To discuss the feasibility of implementing an
open-framework wellness program for OB/GYN resident physicians, as well as to
explore the effects of this program on resident wellbeing.
Background: Due to the prevalence of burnout in resident
physicians, the Accreditation Council for Graduate Medical Education has
established the role of residency programs to address resident wellbeing. As
such, it is important to evaluate the feasibility and efficacy of wellness
interventions that programs can implement. An open-framework wellness program
is discussed here.
Methods: 16 OB/GYN resident physicians (4 representing each
post-graduate year (PGY)) were allotted one afternoon free of clinical duty per
month to partake in their own wellness promoting activities, termed “Wellness
Wednesday”. The residents were administered the Maslach Burnout Inventory to
measure wellbeing on three subscales: Emotional Exhaustion (EE),
Depersonalization (DP), and Personal Accomplishment (PA). Higher scores in the
EE and DP, and lower scores in PA indicate decreased wellbeing. IRB approval
was waived for the study.
Results: The response rate for the survey was 93.8% (n=15).
Average subscale scores out of the maximum score were as follows: EE=18/54,
DP=4.93/30, PA=41.3/48. When compared to normative data for medical
professionals as well as previously published data on OB/GYN residents, these
results indicate that the residents involved in this study had better overall
Discussions: An open-framework wellness program is a feasible
program for addressing resident physician burnout. Continued research is needed
to optimize the implementation of such programs and to explore their efficacy
in comparison to other interventions.
CREOG & APGO Annual Meeting, 2023, Student, Resident, Faculty, Residency Director, Residency Coordinator, Professionalism, Interpersonal & Communication Skills, GME,