Literature DB >> 29467975

Implementing a Universal Well-Being Assessment to Mitigate Barriers to Resident Utilization of Mental Health Resources.

Sarah Sofka, Carl Grey, Nathan Lerfald, Laura Davisson, Janie Howsare.   

Abstract

BACKGROUND: Physician utilization of well-being resources remains low despite efforts to promote use of these resources.
OBJECTIVE: We implemented a well-being assessment for internal medicine residents to improve access and use of mental health services.
METHODS: We scheduled all postgraduate year 1 (PGY-1) and PGY-2 residents at West Virginia University for the assessment at our faculty and staff assistance program (FSAP). While the assessment was intended to be universal (all residents), we allowed residents to "opt out." The assessment visit consisted of an evaluation by a licensed therapist, who assisted residents with a wellness plan. Anonymous surveys were distributed to all residents, and means were compared by Student's t test.
RESULTS: Thirty-eight of 41 PGY-1 and PGY-2 residents (93%) attended the scheduled appointments. Forty-two of 58 residents (72%, including PGY-3s) completed the survey. Of 42 respondents, 28 (67%) attended the assessment sessions, and 14 (33%) did not. Residents who attended the sessions gave mean ratings of 7.8 for convenience (1, not convenient, to 9, very convenient), and 7.9 for feeling embarrassed if colleagues knew they attended (1, very embarrassed, to 9, not embarrassed). Residents who attended the assessment sessions reported they were more likely to use FSAP services in the future, compared with those who did not attend (P < .001).
CONCLUSIONS: Offering residents a well-being assessment may have mitigated barriers to using counseling resources. The majority of residents who participated had a positive view of the program and indicated they would return to FSAP if they felt they needed counseling.

Entities:  

Mesh:

Year:  2018        PMID: 29467975      PMCID: PMC5821004          DOI: 10.4300/JGME-D-17-00405.1

Source DB:  PubMed          Journal:  J Grad Med Educ        ISSN: 1949-8357


  6 in total

1.  "If you build it, they will come": attitudes of medical residents and fellows about seeking services in a resident wellness program.

Authors:  Sydney Ey; Mary Moffit; J Mark Kinzie; Dongseok Choi; Donald E Girard
Journal:  J Grad Med Educ       Date:  2013-09

2.  Utilization and barriers to mental health services among depressed medical interns: a prospective multisite study.

Authors:  Constance Guille; Heather Speller; Rachel Laff; C Neill Epperson; Srijan Sen
Journal:  J Grad Med Educ       Date:  2010-06

3.  Suicide rates among physicians: a quantitative and gender assessment (meta-analysis).

Authors:  Eva S Schernhammer; Graham A Colditz
Journal:  Am J Psychiatry       Date:  2004-12       Impact factor: 18.112

4.  Details on suicide among US physicians: data from the National Violent Death Reporting System.

Authors:  Katherine J Gold; Ananda Sen; Thomas L Schwenk
Journal:  Gen Hosp Psychiatry       Date:  2012-11-02       Impact factor: 3.238

5.  Feasibility of a Comprehensive Wellness and Suicide Prevention Program: A Decade of Caring for Physicians in Training and Practice.

Authors:  Sydney Ey; Mary Moffit; J Mark Kinzie; Patrick H Brunett
Journal:  J Grad Med Educ       Date:  2016-12

Review 6.  Prevalence of Depression and Depressive Symptoms Among Resident Physicians: A Systematic Review and Meta-analysis.

Authors:  Douglas A Mata; Marco A Ramos; Narinder Bansal; Rida Khan; Constance Guille; Emanuele Di Angelantonio; Srijan Sen
Journal:  JAMA       Date:  2015-12-08       Impact factor: 56.272

  6 in total
  5 in total

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Journal:  J Gen Intern Med       Date:  2019-05       Impact factor: 5.128

2.  Step Siblings: a Novel Peer-Mentorship Program for Medical Student Wellness During USMLE Step 1 Preparation.

Authors:  Tierra V Lynch; Isidora R Beach; Sidika Kajtezovic; Olivia G Larkin; Lee Rosen
Journal:  Med Sci Educ       Date:  2022-06-13

3.  Removing Barriers: A Confidential Opt-Out Mental Health Pilot Program for Internal Medicine Interns.

Authors:  Ajay Major; John G Williams; W Cameron McGuire; Eleanor Floyd; Karen Chacko
Journal:  Acad Med       Date:  2021-05-01       Impact factor: 6.893

4.  Self-Reported Preferences for Help-Seeking and Barriers to Using Mental Health Supports Among Internal Medicine Residents: Exploratory Use of an Econometric Best-Worst Scaling Framework for Gathering Physician Wellness Preferences.

Authors:  Andrew Wu; Varsha Radhakrishnan; Elizabeth Targan; Timothy M Scarella; John Torous; Kevin P Hill
Journal:  JMIR Med Educ       Date:  2021-10-06

5.  Universal Well-Being Assessment Associated With Increased Resident Utilization of Mental Health Resources and Decrease in Professionalism Breaches.

Authors:  Sarah Sofka; Nathan Lerfald; Josephine Reece; Laura Davisson; Janie Howsare; Jesse Thompson
Journal:  J Grad Med Educ       Date:  2020-12-31
  5 in total

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