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Journal Article

Citation

Morgan HK, Winkel AF, Nguyen AT, Carson S, Ogburn T, Woodland MB. Obstet. Gynecol. 2019; 133(3): 552-557.

Copyright

(Copyright © 2019, Lippincott Williams & Wilkins)

DOI

10.1097/AOG.0000000000003103

PMID

30741806

Abstract

OBJECTIVE: To examine U.S. obstetrics and gynecology residents' perceptions of wellness, burnout, and perceived effectiveness of wellness programming.
METHODS: In January 2017, a six-item survey was administered at the time of the Council on Resident Education in Obstetrics and Gynecology in-training examination. Respondents voluntarily completed the survey electronically before starting the examination, and responses were anonymous and only linked to postgraduate year.
RESULTS: Of the 5,376 eligible U.S. examinees, 4,999 (93%) completed the survey, provided residency year status, and were included in the analysis. There was a high prevalence of self-identified wellness problems (burnout 51.2%, depression 32.0%, binge drinking 12.6%, eating disorder 4.7%, drug use 1.1%, and suicide attempt 0.4%). First-year residents were most likely to state that wellness was a priority in their program. The number of residents reporting any problem with wellness increases significantly between the first year (49.8%) and second year (63.7%, P<.001), after which it remains elevated throughout training. Residents who responded that wellness was not a priority in their program were more likely to report wellness issues and burnout (P<.001). When asked what single intervention all residency programs should provide, 41.2% (2,059) felt that dedicated time for wellness maintenance was the most important intervention.
CONCLUSION: These findings highlight the high prevalence of wellness problems in obstetrics and gynecology residents, and how essential it will be to engage learners in the development of effective, evidence-based interventions.


Language: en

Keywords

Humans; Attitude of Health Personnel; Incidence; Health Status; Depression; Suicide, Attempted; Self Report; Burnout, Professional; Internship and Residency; Mental Disorders; Binge Drinking; Obstetrics; Feeding and Eating Disorders; Gynecology

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