We Orient Residents to Surgical Life: Why Not Their Families Too?

DeCaporale-Ryan, Lauren; Salloum, Rabih M.; Linehan, David C.

doi:10.1016/j.jsurg.2020.02.006

Cited by 5 publications

(5 citation statements)

References 5 publications

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“…24 One unique approach to addressing burnout in interns suggested in the literature is involving resident families in orientation and educating them on the signs of burnout. 25 Through education on burnout and the struggles inherent to residency training, family members may be more equipped to recognize early signs of burnout and support their loved ones in a meaningful way. 25 No matter what approach programs choose to take, intern anxiety related to burnout and emotional wellness should be addressed through education about recognizing burnout in themselves and others and the importance of self‐care.…”

Section: Discussionmentioning

confidence: 99%

“… 25 Through education on burnout and the struggles inherent to residency training, family members may be more equipped to recognize early signs of burnout and support their loved ones in a meaningful way. 25 No matter what approach programs choose to take, intern anxiety related to burnout and emotional wellness should be addressed through education about recognizing burnout in themselves and others and the importance of self‐care. Programs should educate interns about the mental health resources available to them and destigmatize the use of these resources.…”

Section: Discussionmentioning

confidence: 99%

“…Growing rates of physician suicide have led to national recommendations to promote mental health amongst trainees, which include education about burnout and emotional distress 24 . One unique approach to addressing burnout in interns suggested in the literature is involving resident families in orientation and educating them on the signs of burnout 25 . Through education on burnout and the struggles inherent to residency training, family members may be more equipped to recognize early signs of burnout and support their loved ones in a meaningful way 25 .…”

Section: Discussionmentioning

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: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

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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“…In 2020, at the University of Rochester Medical Center, a newly organized orientation program for interns and their support persons was well received 38 . Events like this can help support persons navigate the complexities of surgical training and become better equipped to support trainees 38 . Other suggested potential interventions that may be considered by programs are illustrated in Table 2, however, ultimately each program should consider and assess the needs of its own population and environment when developing targeted strategies.…”

Section: Discussionmentioning

confidence: 99%

“…Targeted interventions can also make a difference. In 2020, at the University of Rochester Medical Center, a newly organized orientation program for interns and their support persons was well received 38 . Events like this can help support persons navigate the complexities of surgical training and become better equipped to support trainees 38 .…”

Section: Discussionmentioning

confidence: 99%

Not Just Bystanders: A Qualitative Study on the Vicarious Effects of Surgical Training on the Wellness of Support Persons for Trainees

Evans

Kemp²,

Rivard³

et al. 2021

Annals of Surgery

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Objective: To obtain insights into the effects of surgical training on the wellbeing of support persons. Summary Background Data: Surgical trainee wellness is a critical priority among surgical educators and leaders. The impact of surgical training on the wellness of loved ones who support trainees has not been previously studied. Methods: This qualitative study employs semi-structured interviews of 32 support persons of surgical trainees at a single tertiary care center with multiple surgical specialty training programs. Interviews focused on perceptions about supporting a surgical trainee. Transcripts underwent thematic analysis with semantic and conceptual coding. Key themes regarding the effects that caring for a trainee has on support persons are reported.Results: Three key themes were identified: (1) Sacrifices-support persons report significant tangible and intangible sacrifices, (2) Delaying life-life is placed on hold to prioritize training, and (3) A disconnect-there is a disconnect and a lack of recognition of support person needs that require greater awareness and targeted interventions. Conclusions: The impact of surgical training can extend beyond trainees and can affect the wellness of their support persons who endure the effects of training alongside trainees. Programs should be aware of these effects and develop meaningful strategies to aid trainees and their support persons.

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Addressing Surgeon Burnout Through a Multi-level Approach: A National Call to Action

et al. 2023

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Purpose of Review Physician burnout is an epidemic and there are unique aspects of surgery that dictate rates of burnout among general surgeons and surgical trainees. This review characterizes the scope of burnout and its drivers within the field of surgery and advocates for strategies to address burnout at the individual, institutional, and national levels. Recent Findings Rates of burnout in surgery are increasing with higher numbers of young and female surgeons affected. Contributing factors are generally related to work-life balance, longer hours, and mistreatment in the workplace. Attempts have been made at implementing structured initiatives in an effort to combat work dissatisfaction and emotional exhaustion. Still, rates of burnout continue to increase. Summary General surgeons and trainees are at high risk for burnout with resulting attrition, depression, and suicidal ideation. The solution to burnout must be addressed at individual, institutional, and national levels. Further research into the factors leading to surgeon burnout and enactment of effective strategies to mitigate burnout must be pursued.

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We Orient Residents to Surgical Life: Why Not Their Families Too?

Cited by 5 publications

References 5 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

Not Just Bystanders: A Qualitative Study on the Vicarious Effects of Surgical Training on the Wellness of Support Persons for Trainees

Addressing Surgeon Burnout Through a Multi-level Approach: A National Call to Action

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