Paving the Path to Wellness: A Systematic Review of Wellness Programs for Neurosurgery Trainees

Pascual, Juan Silvestre G.; Ignacio, Katrina Hannah D.; Khu, Kathleen Joy

doi:10.1016/j.wneu.2021.06.047

Cited by 9 publications

(6 citation statements)

References 34 publications

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“…There were 51 total articles dedicated to burnout and wellness. 67-117 The concept of burnout and wellness arguably first appears in the neurosurgical literature in a study by Cusimano et al 67 in 1999 that examined attrition rates within Canadian neurosurgery residency programs. The first use of the term “burnout” appears in the neurosurgical literature in a survey study by Klimo et al in 2013.…”

Section: Resultsmentioning

confidence: 99%

“…68 There were a total of 23 burnout-related surveys identified and 4 systematic reviews. 67,68,70,74,75,77,79,82,[86][87][88][89][90]92,93,[96][97][98][99][100]102,103,107,[109][110][111][112][113] Five articles published since 2020 specifically studied burnout related to work during the COVID-19 era. 97,98,100,112,113 Four articles were preintervention and postintervention studies that examined wellness programs, exercise, and mindfulness in residency training.…”

Section: Burnout and Wellnessmentioning

confidence: 99%

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A Scoping Review of Professionalism in Neurosurgery

Mangham,

Parikh,

Motiwala

et al. 2023

Neurosurgery

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BACKGROUND AND OBJECTIVES: The Accreditation Council for Graduate Medical Education's Milestones provides a foundation for professionalism in residency training. Specific professionalism concepts from neurosurgery could augment and expand milestones for the specialty. We reviewed the current literature and identified professionalism concepts within the context of neurosurgical practice and training. METHODS: We used a scoping review methodology to search PubMed/MEDLINE and Scopus and identify English-language articles with the search terms “professionalism” and “neurosurgery.” We excluded articles that were not in English, not relevant to professionalism within neurosurgery, or could not be accessed. Non–peer-reviewed and qualitative publications, such as commentaries, were included in the review. RESULTS: A total of 193 articles were included in the review. We identified 6 professionalism themes among these results: professional identity (n = 53), burnout and wellness (n = 51), professional development (n = 34), ethics and conflicts of interest (n = 27), diversity and gender (n = 19), and misconduct (n = 9). CONCLUSION: These 6 concepts illustrate concerns that neurosurgeons have concerning professionalism. Diversity and gender, professional identity, and misconduct are not specifically addressed in the Accreditation Council for Graduate Medical Education's Milestones. This review could be used to aid the development of organizational policy statements on professionalism.

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Section: Resultsmentioning

confidence: 99%

Section: Burnout and Wellnessmentioning

confidence: 99%

A Scoping Review of Professionalism in Neurosurgery

Mangham,

Parikh,

Motiwala

et al. 2023

Neurosurgery

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“…These findings align with a systematic review of wellness programs for neurological surgery trainees, in which nearly all published reports of wellness programs in neurological surgery residency have focused on physical and social well-being. 23 The literature is mixed on the benefit of organized wellness initiatives on resident well-being. 24,25 There is likely no one-size-fits-all initiative for all programs.…”

Section: Wellnessmentioning

confidence: 99%

Neurological Surgery Residency Programs in the United States: A National Cross-Sectional Survey

Ng,

Yearley,

Eatz

et al. 2023

Neurosurgery

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BACKGROUND AND OBJECTIVES: The Accreditation Council for Graduate Medical Education has approved 117 neurological surgery residency programs which develop and educate neurosurgical trainees. We present the current landscape of neurosurgical training in the United States by examining multiple aspects of neurological surgery residencies in the 2022–2023 academic year and investigate the impact of program structure on resident academic productivity. METHODS: Demographic data were collected from publicly available websites and reports from the National Resident Match Program. A 34-question survey was circulated by e-mail to program directors to assess multiple features of neurological surgery residency programs, including curricular structure, fellowship availability, recent program changes, graduation requirements, and resources supporting career development. Mean resident productivity by program was collected from the literature. RESULTS: Across all 117 programs, there was a median of 2.0 (range 1.0-4.0) resident positions per year and 1.0 (range 0.0-2.0) research/elective years. Programs offered a median of 1.0 (range 0.0-7.0) Committee on Advanced Subspecialty Training–accredited fellowships, with endovascular fellowships being most frequently offered (53.8%). The survey response rate was 75/117 (64.1%). Of survey respondents, the median number of clinical sites was 3.0 (range 1.0-6.0). Almost half of programs surveyed (46.7%) reported funding mechanisms for residents, including R25, T32, and other in-house grants. Residents received a median academic stipend of $1000 (range $0-$10 000) per year. Nearly all programs (93.3%) supported wellness activities for residents, which most frequently occurred quarterly (46.7%). Annual academic stipend size was the only significant predictor of resident academic productivity (R2 = 0.17, P = .002). CONCLUSION: Neurological surgery residency programs successfully train the next generation of neurosurgeons focusing on education, clinical training, case numbers, and milestones. These programs offer trainees the chance to tailor their career trajectories within residency, creating a rewarding and personalized experience that aligns with their career aspirations.

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“…grams" are often focused on the mental and physical wellbeing of the neurosurgery resident in general. 10 However, pregnant neurosurgery residents represent a population with specific physical and emotional stressors. 10 Female physicians already demonstrate a high rate of high-risk pregnancies (26.3% vs 16.3% of the general population).…”

mentioning

confidence: 99%

“…10 However, pregnant neurosurgery residents represent a population with specific physical and emotional stressors. 10 Female physicians already demonstrate a high rate of high-risk pregnancies (26.3% vs 16.3% of the general population). 11 Additionally, evidence shows higher medical complication rates in pregnant surgeons, including higher rates of pregnancy loss (42%, nearly twice the rate of the general population), a higher need for assisted reproductive technology, more frequent nonelective cesarean deliveries, and increased rates of postpartum depression, which was independently associated with having had a major pregnancy complication.…”

mentioning

confidence: 99%

Best practices for the pregnant neurosurgical resident: balancing safety and education

Tomei

Hodges

Ragsdale

et al. 2022

Journal of Neurosurgery

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Establishment of a diverse neurosurgical workforce includes increasing the recruitment of women in neurosurgery. The impact of pregnancy on the training and career trajectory of female neurosurgeons poses a barrier to recruitment and retention of women in neurosurgery. A recent Women in Neurosurgery survey evaluated female neurosurgeons’ perception and experience regarding childbearing of female neurosurgeons and identified several recommendations regarding family leave policies. Additionally, pregnancy may carry higher risk in surgical fields, yet little guidance exists to aid both the pregnant resident and her training program in optimizing the safety of the training environment with specific considerations to risks inherent in neurosurgical training. This review of current literature aims to address best practices that can be adopted by pregnant neurosurgery residents and their training programs to improve the well-being of these residents while considering the impact on their education and the educational environment for their colleagues.

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Paving the Path to Wellness: A Systematic Review of Wellness Programs for Neurosurgery Trainees

Cited by 9 publications

References 34 publications

A Scoping Review of Professionalism in Neurosurgery

A Scoping Review of Professionalism in Neurosurgery

Neurological Surgery Residency Programs in the United States: A National Cross-Sectional Survey

Best practices for the pregnant neurosurgical resident: balancing safety and education

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