Resident Engagement in a Wellness Program in a Large Academic Residency: A Follow-Up After Two Years of Wellness
Abstract
Introduction The rate of burnout among residents has reached an alarming level and negatively impacts learning, attrition, and patient care. We implemented a comprehensive Surgery Resident Wellness Program in a large academic program and aimed to assess the degree this initiative improved resident burnout based on validated burnout and well-being models utilizing voluntary surveys. Materials and methods A voluntary survey was sent to surgical residents and included the Maslach Burnout Inventory and The Psychological General Well-Being Index. These were graded according to the respective validated scale for each test. The survey was administered prior to establishing a wellness program, and at 6 month- and 24 month-intervals following its establishment. These data were analyzed using univariate analysis based on survey data from each of the time points. Results The survey had a 51% response rate. The baseline, 6-month, and 24-month mean scores for MBI personal accomplishment were 32.80, 32.91, and 35.57, emotional exhaustion was 23.48, 23.0, and 24.42, and depersonalization were 10.94, 9.54, and 11.11. Resident burnout was present in 16 of 31 (51.61%), 14 of 33 (42.42%), and 12 of 27 (44.44%) residents at each time point. The rate of change in resident burnout was -17.8% at 6 months and -13.9% at 24 months. The averaged PGWBI global scores were 66, 73, and 83 among the participants who took the survey at each time interval. Conclusions Conclusion Implementation of a structured wellness program was associated with a decrease in resident burnout and an increase in overall resident wellness.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
In the improved learning environment subgroup, EE and DP were not significantly changed, but PA was significantly improved: EE -0.20 (95% CI -0.61 to 0.21, p = 0.74, I2 = 54.8%), DP -0.07 (95% CI -0.58 to 0.44, p = 0.79, I2 = 69.6%), PA 0.28 (95% CI 0.05 to 0.50, p = 0.02, I2 = 0%).
“Moreover, the subgroup of improved learning environment interventions [48, 49] showed non-statistically significant post-intervention mean score differences in EE (-0.20, 95% CI -0.61 to 0.21, p = 0.74, I2 = 54.8%) and DP (-0.07, 95% CI -0.58 to 0.44, p = 0.79, I2 = 69.6%), but a significant difference in PA (0.28, 95% CI 0.05 to 0.50, p = 0.02, I2 = 0%).”
From Individual and organizational interventions to reduce burnout in resident physicians: a systematic review and meta-analysis (2024) · cites this paper as [48]
Organizational interventions showed no statistically significant association with any burnout domain (EE, DP, PA).
“In organizational intervention studies [44, 45, 47–49, 73, 76], pooling of post-intervention intervention Cohen’s d SMD yielded non-statistically significant resulted in all outcomes, EE (-0.22, 95% CI -0.47 to 0.04, p = 0.10, I2 = 62.6%) (Fig. 3A), DP (-0.15, 95% CI -0.38 to 0.08, p = 0.21, I2 = 53.0%) (Fig. 3B), and PA (0.12, 95% CI -0.01 to 0.25, p = 0.07; I2 = 0%) (Fig. 3C).”
From Individual and organizational interventions to reduce burnout in resident physicians: a systematic review and meta-analysis (2024) · cites this paper as [48]
The majority of studies employed non-randomized, non-concurrent designs, with 9 using historical controls, 13 utilizing self-control studies, and 11 randomized controlled concurrent trials.
“The majority of studies employed non-randomized, non-concurrent designs, with 9 (27.2%) using historical controls [44, 48, 49, 56, 59, 68, 71, 75, 76] and 13 (39.4%) utilizing self-control studies [47, 50, 53, 54, 58, 61, 65–67, 69, 70, 72, 73]. Eleven (33.3%) studies were randomized, controlled, concurrent trials [45, 51, 52, 55, 57, 60–64, 74].”
From Individual and organizational interventions to reduce burnout in resident physicians: a systematic review and meta-analysis (2024) · cites this paper as [48]
Outcome measurements were conducted using various versions of the validated Maslach Burnout Inventory (MBI): 26 studies used the 22-item MBI, 5 used the 9-item MBI, 1 used the 20-item Dutch version, and 1 used the 16-item MBI.
“Outcome measurements were conducted using various versions of the validated MBI. Specifically, 26 studies (78.7%) used the 22-item MBI [44, 45, 47–49, 51, 52, 54, 56, 58, 60–65, 67, 68, 70–76], 5 studies (15.2%) employed the 9-item MBI [50, 53, 55, 59, 69], 1 study (3.0%) used the 20-item Dutch version of the MBI [57], and 1 study (3.0%) utilized the 16-item MBI [66].”
From Individual and organizational interventions to reduce burnout in resident physicians: a systematic review and meta-analysis (2024) · cites this paper as [48]
Cites
Interventions to prevent and reduce physician burnout: a systematic review and meta-analysis
West, C. P., Dyrbye, L. N., Erwin, P. J., & Shanafelt, T. D. (2016) · The Lancet · doi:10.1016/s0140-6736(16)31279-x · Cited by 2,362 · see citing works
Controlled Interventions to Reduce Burnout in Physicians: A Systematic Review and Meta-analysis
Panagioti, M., Panagopoulou, E., Bower, P., Lewith, G., Kontopantelis, E., Chew-Graham, C., Dawson, S., van Marwijk, H., Geraghty, K., & Esmail, A. (2017) · JAMA Internal Medicine · doi:10.1001/jamainternmed.2016.7674 · Cited by 1,395 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
Kiratipaisarl, W., Surawattanasakul, V., & Sirikul, W. (2024) · BMC Medical Education · doi:10.1186/s12909-024-06195-3 · Cited by 37 · see citing works
“%) using historical controls [44, 48, 49, 56, 59, 68, 71, 75, 76] and 13 (39.4”
BackgroundMethodInfluential
- Authors
- Bisgaard, E., Clark, A., Hester, C., Napier, R., Grant, J., Scielzo, S., & Abdelfattah, K.
- Affiliations
- The University of Texas Southwestern Medical Center (US)
- The University of Texas MD Anderson Cancer Center (US)
- Corresponding author
- Abdelfattah, Kareem
- ORCID
- Venue
- Journal of Surgical Education
- Publisher
- Elsevier BV
- Published
- 2021-09
- Volume
- 78
- Issue
- 5
- Pages
- 1430-1437
- ISSN
- 1878-7452 (ISSN-L)
- 1931-7204
- OpenAlex
- W3129616210
- Cited by
- 15
- References
- 2
- Citations by year
- 2026: 1 · 2025: 4 · 2024: 2 · 2023: 2 · 2022: 6
- FWCI
- 2.82
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of surgical education (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Health Professions › General Health Professions › Healthcare professionals’ stress and burnout
- Social Sciences › Psychology › Social Psychology › Stress and Burnout Research
- Health Sciences › Health Professions › Occupational Therapy › Occupational Health and Burnout
- Keywords
- resident burnout, wellness programs, surgical residents, emotional exhaustion, depersonalization, personal accomplishment, psychological well-being, Maslach Burnout Inventory, Psychological General Well-Being Index
- MeSH terms
- Burnout, Professional, Follow-Up Studies, Health Promotion, Humans, Internship and Residency, Surveys and Questionnaires
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
