Obstetrics and Gynecology Residents' Perspectives on Wellness

Morgan, Helen; Winkel, Abigail Ford; Nguyen, Anh Trung; Carson, Sandra Ann; Woodland, Mark

doi:10.1097/aog.0000000000003103

Cited by 14 publications

(10 citation statements)

References 18 publications

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“…This data is consistent with previous studies that have measured high levels of depression among obstetrics and gynaecology trainees, including a US study which categorised 34.2% of trainees as depressed, a figure well above the quoted lifetime prevalence of depression of approximately 10% . This is also consistent with a recent survey of nearly 5000 American obstetrics and gynaecology trainees, 32% of whom self‐reported depression . This data highlights a concerning trend and the urgent need to address and improve the well‐being of obstetrics and gynaecology trainees.…”

Section: Discussionsupporting

confidence: 90%

Resilience and workplace stress in Australian and New Zealand obstetrics and gynaecology trainees: A cross‐sectional survey

Ryder

Kearney²,

Weaver

2019

Aust NZ J Obst Gynaeco

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Results: Two-hundred and thirty-one (36%) valid responses were received. The mean resilience score was moderate (mean = 77; SD = 11). Resilience was significantly associated with general health (F = 7.5, P = 0.007), depression in the last two weeks (F = 4.4, P = 0.013) and seriously considering leaving the program at some point (F = 15.4, P < 0.001). Most participants (204; 88%) stated improvements could be made to the level of trainee support; with over half identifying the support they received from RANZCOG to be low or very low (132; 57%). One-third of participants (76; 33%) rated the support from their direct supervisor as low to very low. Over half of all participants identified high to very high responses to: burnout (127; 55%); personal stress (134; 58%); workplace stress (143; 62%) and depression (103; 45%).Conclusion: RANZCOG trainees exhibit moderate resilience levels, yet they report high levels of perceived stress, depression and burnout and low-level support from direct supervisors. This may highlight the need for enhanced support and working conditions to allow trainees to remain resilient and thrive in their careers.

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Section: Discussionsupporting

confidence: 90%

Resilience and workplace stress in Australian and New Zealand obstetrics and gynaecology trainees: A cross‐sectional survey

Ryder

Kearney²,

Weaver

2019

Aust NZ J Obst Gynaeco

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“…Physicians are exposed to tremendous stressors, which can contribute to increased burnout and suicide rates compared with the rest of the population [12]. A national survey of 4999 OBGYN residents found an overall burnout of more than 50%, and nearly one-third admitted to feeling depressed [3]. When it comes to active members of AAGL, in 2017 there was 51% burnout among the respondents [13].…”

Section: Discussionmentioning

confidence: 99%

“…The obstetrics and gynecology (OBGYN) field is no exception. Recent publications have estimated a prevalence of burnout of 45% to 51% among OBGYN physicians and residents [2,3]. Furthermore, residents pursuing fellowships were less likely to be satisfied with their overall career when compared with residents not pursuing fellowships [4].…”

mentioning

confidence: 99%

Factors Associated with Burnout and Frustration among Minimally Invasive Gynecologic Surgery Fellows

Jijon

Carrubba

DeStephano

et al. 2021

Journal of Minimally Invasive Gynecology

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Study Objective: Determine the prevalence of burnout and frustration among participants currently completing a fellowship in minimally invasive gynecologic surgery (FMIGS). Design: Cross-sectional survey.Setting: An anonymous survey was distributed to fellows in November 2018. Participants: Current FMIGS fellows. Interventions: Not applicable. Measurements and Main Results: A total of 57 of 83 (67.7%) FMIGS participants in American Association of Gynecologic Laparoscopists−accredited programs completed a survey regarding fellowship characteristics and experiences. Overall, 40 participants (70.2%) indicated that they were satisfied with their fellowship program experience. There were 33 participants (57.9%) who reported burnout, and 38 participants (66.7%) had experienced anxiety, depression, or extreme fatigue during the last month. Of those who reported burnout, 26 (76.5%) reported that they did not receive support from their fellowship program. Participants who experienced burnout were more likely to be in their second year (p = .003), spent less time per week doing scholarly activities (p = .048), and were less satisfied with their fellowship experience (p <.001). Participants who experienced anxiety, depression, or extreme fatigue had more cofellows in their program (p = .031), worked on average more hours per week (p = .020), and were more often required to practice obstetrics in their fellowship (p = .022). Conclusion: Burnout symptoms are common among physicians across multiple specialties. Our findings suggest that this issue is prevalent among FMIGS participants. In addition, there is a lack of access to emotional and psychologic support programs for fellows experiencing burnout. We hope that this study will prompt attention to this important topic by both individual programs and American Association of Gynecologic Laparoscopists as a society to increase awareness and access to resources and promote wellness for fellows.

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“…Another recent study of wellness in obstetrics and gynaecology trainees reported a high prevalence of self-identified wellness problems (burnout 51.2%, depression 32.0%, binge drinking 12.6%, drug use 1.1%, and suicide attempt 0.4%). 21 The prevalence of wellness problems increased between the first and second The processes of appointment of prevocational doctors to specialty training programs in Australia and New Zealand now may well select for those who are most vulnerable to burnout and emotional problems. Newer national selection processes -most recently 101 trainee appointments were made from 236 applicants 22 might well mean that rigorous selection criteria favour those with personality characteristics such as perfectionism that make them vulnerable.…”

Section: Distress In Traineesmentioning

confidence: 99%

Burnout, mental health and ‘wellness’ in obstetricians and gynaecologists: Why these issues should matter to our patients – and our profession

Robson

Cukierman

2019

Aust NZ J Obst Gynaeco

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Healthy doctors understand us better, make good decisions, and offer us the best chance of good health. 1 In October of 2017, the World Medical Association updated and amended its 'physician's pledge' -the Declaration of Geneva 2 -to include a new affirmation: 'I will attend to my own health, well-being, and abilities in order to provide care of the highest standard.' This was a major addition to a time-honoured set of principles, significant enough to prompt worldwide attention in both the medical and lay press. 3 An argument could be made, though, that such a public call for doctors to attend to their own health was long overdue. For many years now the evidence has been clear that factors such as burnout, untreated mental health problems, and other illnesses in doctors impart considerable risk to patients. 4 Burnout, in particular, is an issue for our specialty. Burnout is a well-recognised constellation of emotional responses: a loss of enthusiasm for work, feelings of cynicism and depersonalisation, and a reduced sense of personal accomplishment. 5 The 2018 Medscape Physician burnout and depression survey found that obstetrics and gynaecology specialists reported among the highest rates of burnout with a prevalence of 46% in respondents. 6 Among

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Obstetrics and Gynecology Residents' Perspectives on Wellness

Cited by 14 publications

References 18 publications

Resilience and workplace stress in Australian and New Zealand obstetrics and gynaecology trainees: A cross‐sectional survey

Resilience and workplace stress in Australian and New Zealand obstetrics and gynaecology trainees: A cross‐sectional survey

Factors Associated with Burnout and Frustration among Minimally Invasive Gynecologic Surgery Fellows

Burnout, mental health and ‘wellness’ in obstetricians and gynaecologists: Why these issues should matter to our patients – and our profession

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