Changes in Health and Well-Being during Residents’ Training

Wee, Christopher; Petrosky, Jacob A.; Mientkiewicz, Lauren; Liu, Xiaobo; Patel, Krishna; Rothberg, Michael B.

doi:10.14423/smj.0000000000001061

Cited by 2 publications

(5 citation statements)

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“…The theme that inspired the most anxiety for our intern cohort was “Work–life balance and burnout.” In general, this has become an increasingly prominent theme in medical training, and with good reason—current data suggest that interns experience significant decline in overall wellness, with the risk of depression and suicide climbing during the early months of residency. 7 , 9 , 23 The fact that interns are arriving to residency with this as their most frequently reported fear suggests that they are keenly aware of the declining wellness of their peers and mentors.…”

Section: Discussionmentioning

confidence: 99%

“…climbing during the early months of residency. 7,9,23 The fact that interns are arriving to residency with this as their most frequently reported fear suggests that they are keenly aware of the declining wellness of their peers and mentors.…”

Section: 00mentioning

confidence: 99%

“… 2 , 5 , 6 Beyond the acquisition of knowledge and skills, there are numerous stressors inherent to this transition, with data to suggest that resident health and well‐being may decline throughout intern year. 7 , 8 , 9 Additionally, medical students transitioning to residency come from various backgrounds and have inherent differences in knowledge, skills, and attitudes. 5 , 10 …”

Section: Introductionmentioning

confidence: 99%

“…Much of the existing literature on the transition from medical school to residency explores “boot camp” courses offered at the end of medical school to reinforce knowledge and build skills needed to begin residency, 3,4 with the bulk of the existing literature on residency orientation curricula also focusing on medical knowledge and skill‐based content 2,5,6 . Beyond the acquisition of knowledge and skills, there are numerous stressors inherent to this transition, with data to suggest that resident health and well‐being may decline throughout intern year 7‐9 . Additionally, medical students transitioning to residency come from various backgrounds and have inherent differences in knowledge, skills, and attitudes 5,10 …”

Section: Introductionmentioning

confidence: 99%

“…2,5,6 Beyond the acquisition of knowledge and skills, there are numerous stressors inherent to this transition, with data to suggest that resident health and well-being may decline throughout intern year. [7][8][9] Additionally, medical students transitioning to residency come from various backgrounds and have inherent differences in knowledge, skills, and attitudes. 5,10 Despite this critical time of transition, published data on orientation programs have had little to no focus on the perspective of interns entering EM residency.…”

Section: Introductionmentioning

confidence: 99%

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Hopes and fears: A qualitative analysis of the intern perspective at the start of EM residency

Zink

Clugston

Regan

2022

AEM Education and Training

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Objectives Most emergency medicine (EM) residency programs have orientation curricula to guide interns through the transition from medical school to residency, although no standard components are required. This transition is recognized as a challenging time for young physician learners; however, there is no current understanding of the perspective of incoming interns as they enter residency. We sought to identify themes, examine the current literature, and reflect on the experiences of our residency leadership to inform the creation of orientation activities that foster positive experiences, as well as directly address intern fears and anxieties. Methods This qualitative study collected free text responses on the first day of EM orientation regarding areas of high excitement and high fear as interns entered residency. Data were collected from 2011 to 2019 in a 4‐year EM residency program and a 6‐year combined EM‐Anesthesia residency program in the Mid‐Atlantic. An inductive approach was used to code intern responses and develop themes within each category, and a frequency analysis was performed. Results A total of 112 interns participated. Thematic analysis of coded responses yielded 11 themes around “most excited” and 13 themes around “most scared.” The most frequent themes for “most excited” were: (1) Forming new relationships, (2) Building and applying knowledge, and (3) Being responsible for the care and education of others. For “most scared,” the most frequent themes were: (1) work–life balance and burnout, (2) making harmful mistakes, and (3) knowledge wealth and retention. Conclusions We identified themes of high excitement and high fear for interns entering residency orientation. Based on the themes developed and current literature, recommendations for residency programs regarding intern orientation are provided, specifically that programs intentionally address opportunities for professional identity formation, building relationships with new people/places, emphasizing wellness, and mitigating burnout.

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Section: Discussionmentioning

confidence: 99%

Section: 00mentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Hopes and fears: A qualitative analysis of the intern perspective at the start of EM residency

Zink

Clugston

Regan

2022

AEM Education and Training

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Diet quality in medical trainees: a cross-sectional assessment comparing medical students and primary care residents using the Rapid Eating Assessment for Participants—shortened version

Khandalavala,

Emig,

Yousef

et al. 2024

BMC Nutr

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Background The diet quality of the US population is significantly unhealthy, with critical long-term implications for the nation’s health. A few studies have explored diet quality in the future primary care workforce. This cross-sectional study quantifies the diet quality of medical students and primary care residents at a Midwestern college of medicine in the United States. Methods 250 medical students and 148 primary care residents were surveyed electronically utilizing the Rapid Eating Assessment for Participants—Shortened Version (REAP-S). The survey consists of 13 questions that can be scored on a scale from 1 to 3, along with 3 questions that are not scored. The average REAP-S score for a US omnivorous diet is 32 (range 13 to 39) with higher scores indicating a higher quality diet. We obtained average REAP-S scores for all respondents and descriptive summary statistics for individual REAP-S items. Students’ REAP-S total scores were compared to those of residents and the interaction between student/resident status and BMI category on REAP-S total scores were analyzed using analyses of variance. Differences between students and residents on BMI categories and other outcomes (individual REAP-S items, pandemic dietary and weight changes) were analyzed using Chi-Square Tests of Independence or Fisher’s Exact Tests. Results Medical students (n = 99; 39.6% response rate) had a significantly higher mean REAP-S score (30.5, SD = 3.9) than primary care residents (n = 72; 49% response rate) (mean = 28.6, SD = 3.9; p = 0.006). Total mean REAP-S scores were significantly higher for those with BMI < 25 (mean = 30.8, SD = 3.7) than for those with BMI > = 25 (mean = 28.3, SD = 4.0; p < 0.001). There was not a statistically significant interaction between role (student vs. resident) and BMI category on total REAP-S scores (p = 0.39). Most respondents (89.3%) indicated that they were willing to improve their diet. Conclusion Our data suggest that the diet quality of surveyed medical students and primary care residents, as quantified by the REAP-S, is suboptimal. Early detection and improvement of diet quality may be necessary for our medical profession trainees to avert potential long-term adverse cardiometabolic health outcomes, and to optimize the health of our future primary care workforce.

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Changes in Health and Well-Being during Residents’ Training

Cited by 2 publications

References 11 publications

Hopes and fears: A qualitative analysis of the intern perspective at the start of EM residency

Hopes and fears: A qualitative analysis of the intern perspective at the start of EM residency

Diet quality in medical trainees: a cross-sectional assessment comparing medical students and primary care residents using the Rapid Eating Assessment for Participants—shortened version

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