A Supportive Culture Maintains General Surgery Wellness.

Kristen M. Quinn, J. Siegel, Andrea M. Abbott
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Abstract

Social restrictions during the pandemic required creative solutions for incorporating interns into a demanding residency, building relationships, and fostering resiliency. We hypothesized that resident-driven initiatives focused on inclusion would overcome a lack of in-person events. An anonymous survey was administered to all surgery residents to assess burnout pre- and post-wellness interventions. Assessment scores were analyzed with Mann-U Whitney and Kruskal-Wallis tests. The surveys were completed by 71.6% (n = 53) and 48.6% (n = 36) of residents, respectively, and demonstrated high metrics for wellness measures. There were no significant differences on the 6-month post-assessment, suggesting interventions preserved high ratings. The PGY1 subgroup demonstrated improvement in the ability to identify a faculty mentor (P < .01) and had reduced burnout measures (P < .05). Surgical resident wellness is not dependent on department-wide gatherings; rather, resident-driven interventions in the workspace and intimate social support demonstrated an impact on wellness and reduced burnout.
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支持性文化维护着普通外科的健康。
大流行病期间的社交限制需要创造性的解决方案,以便将实习生纳入要求苛刻的住院实习、建立关系并培养适应能力。我们的假设是,由住院医师推动的、以包容为重点的倡议将克服缺乏面对面活动的问题。我们对所有外科住院医师进行了匿名调查,以评估健康干预前后的职业倦怠。评估得分通过 Mann-U Whitney 和 Kruskal-Wallis 检验进行分析。分别有 71.6% (n = 53) 和 48.6% (n = 36) 的住院医师完成了调查,并显示了健康措施的高指标。6 个月后的评估结果没有明显差异,这表明干预措施保持了较高的评分。PGY1 亚组在确定教师导师的能力方面有所提高(P < .01),倦怠程度有所降低(P < .05)。外科住院医师的健康并不依赖于整个科室的聚会;相反,由住院医师主导的工作空间干预和亲密的社会支持对健康和减少倦怠产生了影响。
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