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Well-Being in Residency: A Systematic Review.

Abstract Rates of physician burnout have increased in recent years, and high burnout levels are reported by physicians in training.
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Mayor MeshTerms

Internship and Residency

Journal Title journal of graduate medical education
Publication Year Start

PMID- 28018531
DA  - 20161226
DCOM- 20170301
LR  - 20170302
IS  - 1949-8357 (Electronic)
IS  - 1949-8357 (Linking)
VI  - 8
IP  - 5
DP  - 2016 Dec
TI  - Well-Being in Residency: A Systematic Review.
PG  - 674-684
LID - 10.4300/JGME-D-15-00764.1 [doi]
AB  - BACKGROUND : Rates of physician burnout have increased in recent years, and high 
      burnout levels are reported by physicians in training. OBJECTIVE : This review of
      the research on resident well-being seeks to identify factors associated with
      well-being, summarize well-being promotion interventions, and provide a framework
      for future research efforts. METHODS : Keywords were used to search PubMed,
      PsycINFO, and MEDLINE. Studies included were conducted between 1989 and 2014. The
      search yielded 82 articles, 26 which met inclusion criteria, and were assessed
      using the Medical Education Research Study Quality Instrument. RESULTS : Articles
      measured resident well-being and associated factors, predictors, effects,
      barriers, as well as interventions to improve well-being. Factors identified in
      psychological well-being research-autonomy, building of competence, and strong
      social relatedness-are associated with resident well-being. Sleep and time away
      from work are associated with greater resident well-being. Perseverance is
      predictive of well-being, and greater well-being is associated with increased
      empathy. Interventions focused on health and coping skills appear to improve
      well-being, although the 3 studies that examined interventions were limited by
      small samples and single site administration. CONCLUSIONS : An important step in 
      evolving research in this area entails the development of a clear definition of
      resident well-being and a scale for measuring the construct. The majority (n =
      17, 65%) of existing studies are cross-sectional analyses of factors associated
      with well-being. The literature summarized in this review suggests future
      research should focus on factors identified in cross-sectional studies, including
      sleep, coping mechanisms, resident autonomy, building competence, and enhanced
      social relatedness.
FAU - Raj, Kristin S
AU  - Raj KS
LA  - eng
PT  - Journal Article
PT  - Review
PL  - United States
TA  - J Grad Med Educ
JT  - Journal of graduate medical education
JID - 101521733
SB  - IM
MH  - Burnout, Professional/*prevention & control/*psychology
MH  - Female
MH  - Humans
MH  - *Internship and Residency
MH  - Job Satisfaction
MH  - Male
MH  - Physicians/psychology
MH  - Risk Factors
MH  - Young Adult
PMC - PMC5180521
COI - The author declares she has no competing interests.
EDAT- 2016/12/27 06:00
MHDA- 2017/03/03 06:00
CRDT- 2016/12/27 06:00
PMCR- 2017/12/01
AID - 10.4300/JGME-D-15-00764.1 [doi]
AID - JGME-D-15-00764 [pii]
PST - ppublish
SO  - J Grad Med Educ. 2016 Dec;8(5):674-684. doi: 10.4300/JGME-D-15-00764.1.

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