Wellness in Graduate Medical Education: Is It Time to Pull the Andon Cord?

Obstetrics and Gynecology Residents' Perspectives on Wellness

“…Many residents reported personal experience with problems of wellness (Table 2): more than half (51.2%, 2,592) of all respondents claimed burnout, and nearly one third (32.0%, 1,602) reported depression. In addition, 12.6% (628) reported binge drinking, 4.7% (233) reported an eating disorder, 1.1% (56) reported drug use and 0.4% (19) reported a suicide attempt. It is also noteworthy that 3.9% (197) indicated "other" problems, with free text responses that included a range of issues including anxiety (33), fatigue (18), suicidal ideation (16), sleep deprivation and disorders (13), marital and relationship strife (11), weight gain and disordered eating (8), exhaustion (4), and posttraumatic stress disorder (4).…”

“…This buy-in will be an essential aspect of the paradigm and systems shifts necessary for transforming institutional cultures to create a more supportive environment for learners. [16][17][18][19] The misalignments between current system-level solutions and what residents find helpful highlight opportunities for the development of effective interventions for this epidemic. For example, fatigue education is a core Accreditation Council for Graduate Medical Education program requirement 20 ; however, only 11.4% (382) of our respondents reported that this was a very effective program, whereas 42.2% (1,408) believed that it was not effective.…”

The Cambridge Handbook of Community Psychology

“…The field of education for health professions is also essential for a successful development of wellness (McClafferty et al, 2014;Walsh, 2016). It is, indeed, the classical setting in which the contemporary learning health systems require the bridging of two "cultures": health data sciences or bioinformatics and effective healthcare system design and implementation (clinical informatics or digital health) (Scott et al, 2018).…”

The Burnout Conundrum: Nature Versus Nurture?

“…[2][3][4][5][6] The systematic review by Raj 2 notes that a clear operational definition of well-being during residency training does not exist. As a result it will be difficult for program directors to identify residents with compromised well-being or study interventions that promote wellness.…”

“…5,6 Can 3 to 7 years of graduate medical education effectively prepare physicians for current and future sources of stress? This is especially relevant when we take into account current practice challenges, such as increasing documentation pressures, electronic health records, meaningful use, and patient open access to records; risk management issues; decreased time with patients; and less control over work in large institutional practices versus physician-run practices.…”