Dataset Information

Measuring Flourishing Among Internal Medicine and Psychiatry Residents.

ABSTRACT:

Background

Many residents experience burnout, prompting national attention to well-being; however, well-being is not merely the absence of burnout. A recently developed measure of flourishing may provide insight on this important topic.

Objective

We investigated flourishing in a sample of medical residents.

Methods

Internal medicine residents and psychiatry residents at 2 residency programs responded to a cross-sectional online survey (December 2017-February 2018), which focused on the Flourish Index (FI) and Secure Flourish Index (SFI). Both measures generate scores ranging from a low of 0 to a high of 10. Participants were queried about quality of life, burnout, work-life balance, empathic concern, and sociodemographic characteristics. Simple and multiple linear regressions were performed to examine the relationship between FI/SFI and other variables.

Results

The response rate was 92% (92 of 101). Participants were found to have a mean FI score of 6.8 (SD = 1.6) and mean SFI score of 6.9 (SD = 1.6). Low quality of life, low work-life balance satisfaction, high emotional exhaustion, lower empathic concern, and having a pet were all significantly associated with lower FI scores (R² = 0.59; F[14, 69] = 7.10; P < .0001), indicating lesser flourishing, controlling for other variables. Similarly, low quality of life, high emotional exhaustion, lower empathic concern, and having a pet were all significantly associated with lower SFI scores (R² = 0.55; F[14, 69] = 6.06; P < .0001), controlling for other variables.

Conclusions

In this sample, the flourishing indices were associated with well-being and burnout metrics.

SUBMITTER: Kelly-Hedrick M

PROVIDER: S-EPMC7301920 | biostudies-literature | 2020 Jun

REPOSITORIES: biostudies-literature

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Publications

Measuring Flourishing Among Internal Medicine and Psychiatry Residents.

Kelly-Hedrick Margot M Rodriguez Madeline M MM Ruble Anne E AE Wright Scott M SM Chisolm Margaret S MS

Journal of graduate medical education 20200601 3

<h4>Background</h4>Many residents experience burnout, prompting national attention to well-being; however, well-being is not merely the absence of burnout. A recently developed measure of flourishing may provide insight on this important topic.<h4>Objective</h4>We investigated flourishing in a sample of medical residents.<h4>Methods</h4>Internal medicine residents and psychiatry residents at 2 residency programs responded to a cross-sectional online survey (December 2017-February 2018), which fo ...[more]

PMID: 32595851

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Project description:BackgroundTransgender or gender diverse patients present with health care needs as it relates to gender-affirming care, psychosocial support, and medication access. Considering this, medical education strategies should be implemented to train the next generation of Internal Medicine physicians in this area.MethodsWe adopted Kern's six step approach to curriculum design to create and implement an educational curriculum for teaching Internal Medicine residents about transgender patients at a single academic institution in Canada (Kern et al, Curriculum Development for Medical Education, 2009). Semi-structured individual interviews of Internal Medicine faculty and residents were conducted to understand the needs for delivering content related to transgender health during residency training. The results informed the development and implementation of an academic half day session and objective structured clinical examination (OSCE). Prior to the academic half day, participants were sent three journal articles highlighting key concepts related to the medical care of transgender patients (CMAJ 193:E562-5, 2021; BMC Public Health 15:525, 2015; Bourns A, Guidelines for gender-affirming primary care with trans and non-binary patients, 2019). A pre- and post-intervention numeric assessment form evaluated residents' comfort in providing gender-affirming care across five domains: general care, communication, hormone therapy, side effects, and prevention strategies. Faculty raters, equipped with training in transgender health, evaluated performance in an OSCE on key transgender health issues. Both the clinical case and OSCE scenario were developed via an iterative review process by study investigators.ResultsResidents reported an increase in subjective comfort of providing gender-affirming care (p = 0.042) following delivery of the academic half day content. The OSCE demonstrated that most residents achieved "acceptable" or "exemplary" ratings across multiple domains.ConclusionsWe implemented a Transgender Medicine curriculum for Internal Medicine residents in the Canadian context. The curriculum improved resident comfort in providing gender-affirming care including basic knowledge on gender-affirming hormone therapy, and health promotion activities (e.g., screening for and management of chronic disease, discussion of sexual health, community supports, peer engagement). Further assessment is needed to determine whether these skills are retained in clinical practice.

Dataset Information

Measuring Flourishing Among Internal Medicine and Psychiatry Residents.

Background

Objective

Methods

Results

Conclusions

Publications

Measuring Flourishing Among Internal Medicine and Psychiatry Residents.

Similar Datasets

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