Does Implementation of a Corporate Wellness Initiative Improve Burnout?
Open accessAbstract
INTRODUCTION: Burnout affects over 50% of all physicians. Nearly 70% of emergency physicians are affected, and it has been found to be as high as 76% in resident physicians overall. Previous wellness initiatives have yielded variable results; therefore, we looked for interventions that could potentially be effective at reversing this trend. We explored effective wellness programs originating from other industries. Our objective was to implement a corporate wellness program with previous evidence of success in other healthcare provider populations. We aimed to investigate whether this program would be effective in decreasing burnout in emergency medicine (EM) residents. METHODS: This program was conducted during required EM resident conference hours from 2016-2017. The Maslach Burnout Inventory was completed before and after the series of sessions, and we collected reactions-level data following completion of the six sessions. RESULTS: Post-intervention scores revealed a small trend toward increased emotional exhaustion and depersonalization scores, and with increased personal accomplishment scores. The overall satisfaction rating for this program was low, at 1.5 on a 5-point scale. Forty-three percent of residents stated that this intervention subjectively worsened their overall burnout, with another 39% stating it did not improve their burnout at all. A similar trend was seen for effects on wellness. CONCLUSION: We found that a corporate wellness intervention that had previously been shown to be successful with other types of healthcare providers did not objectively improve burnout and was subjectively perceived as paradoxically worsening burnout for many residents. This result may be related to the type of intervention chosen (individual vs. systems-focused), the design of the intervention itself, or the unique stressors faced by the resident population. [West J Emerg Med.2019;20(1)138-144.].
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In the coaching intervention subgroup, emotional exhaustion (EE) was significantly reduced: Cohen's d SMD -0.24 (95% CI -0.40 to -0.07, p = 0.04, I2 = 41.6%).
“Subgroup analyses of coaching intervention [59–72, 74, 75] demonstrated a post-intervention Cohen’s d SMD in EE (-0.24, 95% CI -0.40 to -0.07, p = 0.04, I2 = 41.6%).”
From Individual and organizational interventions to reduce burnout in resident physicians: a systematic review and meta-analysis (2024) · cites this paper as [61]
The Results section (page unavailable) reports a slight trend toward increased emotional exhaustion after this study’s intervention, not a significant reduction. This paper also does not report the cited pooled subgroup effect size, confidence interval, p-value, or heterogeneity statistic. (LLM, conf=0.86)
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- Authors
- Hart, D., Paetow, G., & Zarzar, R.
- Affiliations
- University of Minnesota (US)
- Hennepin County Medical Center (US)
- Corresponding author
- Hart, Danielle
- Venue
- Western Journal of Emergency Medicine
- Publisher
- California Digital Library (CDL)
- Published
- 2018-11-13
- Volume
- 20
- Issue
- 1
- Pages
- 138-144
- ISSN
- 1936-900X (ISSN-L)
- PMC
- PMC6324712
- OpenAlex
- W2905289936
- Cited by
- 42
- References
- 45
- Citations by year
- 2025: 5 · 2024: 8 · 2023: 3 · 2022: 8 · 2021: 6 · 2020: 10 · 2019: 2
- FWCI
- 6.87
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- Western Journal of Emergency Medicine (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- eScholarship (California Digital Library) (submittedVersion, cc-by-nc)
- Funders
- Hennepin County Medical Center
- 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
- burnout, corporate wellness programs, emergency medicine residents, physician well-being, emotional exhaustion, depersonalization, personal accomplishment, Maslach Burnout Inventory, intervention implementation, resident satisfaction
- MeSH terms
- Burnout, Professional, Emergency Medicine, Health Promotion, Humans, Internship and Residency, Job Satisfaction
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 ›
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