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Resident Wellness on OB Anesthesia
Abstract Number: T-20
Abstract Type: Original Research
The prevalence of depression, drug abuse, and suicidal ideation in physician residents is rising, and this is associated with increased job turnovers, reduced patient satisfaction, and decreased quality of care (1). Amongst physicians, anesthesiologists are at an even higher risk for burnout, depression, and drug abuse secondary to a special subset of acute stressors and high intensity situations (2). We created an anesthesia wellness battery to not only document the demand for a wellness program in anesthesia residency but also to determine if there is a difference across anesthesia subspecialties.
We created a wellness survey and electronically distributed it to all residents (n=81) at Columbia University Medical Center in April 2016. The survey focused on resident satisfaction on OB Anesthesia and on Maslach and Leiter’s six main factors of work stress: workload, fairness, control, balance between effort and reward, community, and values. Qualitative and quantitative analyses of the weighted survey responses will be performed using the Mann-Whitney-U test.
37 of 81 residents completed the survey (46%). The number of CA1, CA2, and CA3 residents that completed the survey was 13 (37.1%), 12 (34.3%), and 10 (28.6%), respectively. OB Anesthesia received a mean score of 4.79 +/- 1.75 based on a resident satisfaction scale (1 being the least happy and 8 being the happiest). Of the workload and stressors on OB Anesthesia, the factor most contributive to stress was general financial stress (Table 1). Despite 29 of the 34 (85.3%) residents stating that workload was manageable on OB Anesthesia (Table 1), 34 out of 36 (94.4%) respondents felt the need for a well-being curriculum. Annual departmental retreat was the most desired intervention to improve well-being (mean score 5.61 +/- 0.68 with 6 being most desired).
Results from our anonymous physician wellness survey administered to anesthesia residents demonstrated both a necessity and desire of improving resident well-being. Of Maslach and Leiter’s six main factors of work and stress, community programming was the most desired intervention by the residents. Discovering the factors that contribute most and least to resident physician well-being is important to make effective improvements on OB anesthesia and to begin a wellness curriculum in residency.
1. JAMA 2015;314(22):2373-2383.
2. J Health Hum Serv Adm.1999;21(4):472-89.