Neda Ratanawongsa1, Scott M Wright, Joseph A Carrese. 1. Division of General Internal Medicine, Johns Hopkins Bayview Medical Center, Johns Hopkins University School of Medicine, Baltimore, MD 21224, USA. neda@jhmi.edu
Abstract
OBJECTIVE: Previous studies about resident well-being have focused on negative aspects of well-being. We conducted this study to explore residents' conceptions of well-being and how it affects their work. METHODS: One investigator conducted semi-structured interviews with residents at two hospitals during February-June 2005. Through random sampling stratified by program and gender, we invited 49 residents from internal medicine, psychiatry, surgery, emergency medicine, anesthesia, obstetrics/gynecology, and pediatrics. Using an editing analysis style, three investigators independently coded transcripts. RESULTS: 26 residents participated in 45-min interviews. Residents acknowledged that well-being affected four elements of their work: relationships with patients, interactions with colleagues, performance, and motivation. Residents described higher quality discussions with patients when their well-being was high and inappropriate exchanges when well-being was low. Residents attributed conflict with colleagues to lower states of well-being. Residents felt they had improved decision-making when their well-being was higher. Residents' motivation in their daily work and career varied with fluctuating well-being. Five residents initially denied that their well-being affects their work, voicing concerns that this would be unprofessional. CONCLUSIONS: Most residents felt that both high and low levels of well-being affected their work, particularly their work relationships. PRACTICE IMPLICATIONS: The educational and patient care goals of residency training may be enhanced through interventions that promote resident well-being.
OBJECTIVE: Previous studies about resident well-being have focused on negative aspects of well-being. We conducted this study to explore residents' conceptions of well-being and how it affects their work. METHODS: One investigator conducted semi-structured interviews with residents at two hospitals during February-June 2005. Through random sampling stratified by program and gender, we invited 49 residents from internal medicine, psychiatry, surgery, emergency medicine, anesthesia, obstetrics/gynecology, and pediatrics. Using an editing analysis style, three investigators independently coded transcripts. RESULTS: 26 residents participated in 45-min interviews. Residents acknowledged that well-being affected four elements of their work: relationships with patients, interactions with colleagues, performance, and motivation. Residents described higher quality discussions with patients when their well-being was high and inappropriate exchanges when well-being was low. Residents attributed conflict with colleagues to lower states of well-being. Residents felt they had improved decision-making when their well-being was higher. Residents' motivation in their daily work and career varied with fluctuating well-being. Five residents initially denied that their well-being affects their work, voicing concerns that this would be unprofessional. CONCLUSIONS: Most residents felt that both high and low levels of well-being affected their work, particularly their work relationships. PRACTICE IMPLICATIONS: The educational and patient care goals of residency training may be enhanced through interventions that promote resident well-being.
Authors: Arlene Chung; Sarah Mott; Katie Rebillot; Simiao Li-Sauerwine; Sneha Shah; Wendy C Coates; Lalena M Yarris Journal: West J Emerg Med Date: 2020-12-19
Authors: James H Tabibian; Amanda K Bertram; Hsin-Chieh Yeh; Joseph Cofrancesco; Nancy Codori; Lauren Block; Edgar R Miller; Padmini D Ranasinghe; Spyridon S Marinopoulos Journal: J Community Med (Reno) Date: 2018-02-20