Resident wellness is an explicit priority for the Accreditation Council for Graduate
Medical Education; however, no formal guidelines exist for how to structure a resident
wellness program.
Keywords
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References
- Prevalence of alcohol use disorders among American surgeons.Arch Surg. 2012; 147: 168-174
- Burnout and medical errors among American surgeons.Ann Surg. 2010; 251: 995-1000
- Special report: suicidal ideation among American surgeons.Arch Surg. 2011; 146: 54-62
- The maslach burnout inentory - test manual.3rd edition. Consulting Psychologists Press, Palo Alto (CA)1996
- Job Burnout.Annu Rev Psychol. 2001; 52: 397-422
- Changes in Burnout and Satisfaction With Work-Life Integration in Physicians and the General US Working Population Between 2011 and 2017.Mayo Clin Proc. 2019; https://doi.org/10.1016/j.mayocp.2018.10.023
- Relationship between burnout, professional behaviors, and cost-conscious attitudes among US Physicians.J Gen Intern Med. 2019; https://doi.org/10.1007/s11606-019-05376-x
- Physician burnout and patient satisfaction with consultation in primary health care settings: evidence of relationships from a one-with-many design.J Clin Psychol Med Settings. 2012; 19: 401-410
- Association between physician burnout and patient safety, professionalism, and patient satisfaction: a systematic review and meta-analysis.JAMA Intern Med. 2018; 178: 1317-1330
- The business case for investing in physician well-being.JAMA Intern Med. 2017; 177: 1826-1832
- The relationship of organizational culture, stress, satisfaction, and burnout with physician-reported error and suboptimal patient care: results from the MEMO study.Health Care Manage Rev. 2007; 32: 203-212
- The relationship between physician burnout and quality of healthcare in terms of safety and acceptability: a systematic review.BMJ Open. 2017; 7: e015141
- Healthcare staff wellbeing, burnout, and patient safety: a systematic review.PLoS One. 2016; 11: e0159015
- Physician burnout, well-being, and work unit safety grades in relationship to reported medical errors.Mayo Clin Proc. 2018; 93: 1571-1580
- Burnout and career satisfaction among American surgeons.Ann Surg. 2009; 250: 463-471
- Why do surgeons consider leaving practice?.J Am Coll Surg. 2011; 212: 421-422
- How much physician burnout is costing your organization.Am Med Assoc. 2018; (Available at:) (Accessed October 30, 2019)
- The learning environment and medical student burnout: a multicentre study.Med Educ. 2009; 43: 274-282
- Burnout among U.S. medical students, residents, and early career physicians relative to the general U.S. population.Acad Med. 2014; 89: 443-451
- Well-being in graduate medical education: a call for action.Acad Med. 2017; 92: 914-917
- Association of clinical specialty with symptoms of burnout and career choice regret among US resident physicians.JAMA. 2018; 320: 1114-1130
- Burnout and stress among US surgery residents: psychological distress and resilience.J Am Coll Surg. 2018; 226: 80-90
- National survey of burnout among US general surgery residents.J Am Coll Surg. 2016; 223: 440-451
- Discrimination, abuse, harassment, and burnout in surgical residency training.N Engl J Med. 2019; 381: 1741-1752
- Causes of death of residents in ACGME-accredited programs 2000 through 2014: implications for the learning environment.Acad Med. 2017; 92: 976-983
- Effects of duty hour restrictions on core competencies, education, quality of life, and burnout among general surgery interns.JAMA Surg. 2013; 148: 448-455
- Surgical residents’ perceptions of 2011 Accreditation Council for Graduate Medical Education duty hour regulations.JAMA Surg. 2013; 148: 427-433
- Patient safety, resident education and resident well-being following implementation of the 2003 ACGME duty hour rules.J Gen Intern Med. 2011; 26: 907-919
- The impact of the 80-hour resident workweek on surgical residents and attending surgeons.Ann Surg. 2006; 243 ([discussion: 871–5]): 864-871
- National cluster-randomized trial of duty-hour flexibility in surgical training.N Engl J Med. 2016; 374: 713-727
- The prevalence of medical student mistreatment and its association with burnout.Acad Med. 2014; 89: 749-754
- Effects of incivility in clinical practice settings on nursing student burnout.Int J Nurs Educ Scholarsh. 2014; 11: 145-154
- Workplace empowerment, incivility, and burnout: impact on staff nurse recruitment and retention outcomes.J Nurs Manag. 2009; 17: 302-311
- Impact of incivility and self-compassion on burnout in healthcare workers.Obstet Gynecol. 2016; 128: 46S
- The ACGME outcome project: retrospective and prospective.Med Teach. 2007; 29: 648-654
- The milestone guidebook.(Available at:) (Accessed October 30, 2019)
- ACGME Common Program Requirements Section VI.(Available at:) (Accessed October 30, 2019)
- The impact of a comprehensive resident curriculum and required participation in “this week in SCORE” on general surgery ABSITE performance and well-being.J Surg Educ. 2019; https://doi.org/10.1016/j.jsurg.2019.08.015
- A facilitated-group approach to wellness in surgical residency.JAMA Surg. 2018; 153: 1043-1044
- Maintaining the fire but avoiding burnout: implementation and evaluation of a resident well-being program.J Am Coll Surg. 2018; 226: 369-379
- Resident wellness: an intervention to decrease burnout and increase resiliency and happiness.MedEdPORTAL. 2017; 13https://doi.org/10.15766/mep_2374-8265.10651
- Perceived value of a program to promote surgical resident well-being.J Surg Educ. 2017; 74: 921-927
- Impact of a residency-integrated wellness program on resident mental health, sleepiness, and quality of life.Neurosurgery. 2019; 84: 341-346
- Operation La Sierra: a novel wellness initiative for neurological surgery residents.J Grad Med Educ. 2016; 8: 457-458
- ACGME Common Program Requirements (Residency).(Available at:) (Accessed October 30, 2019)
- Back to Bedside. Accreditation Counsel for Graduate Medical Education Back to Bedside Initiative.(Available at:) (Accessed October 30, 2019)
- Promotion of wellness and mental health awareness among physicians in training: perspective of a national, multispecialty panel of residents and fellows.J Grad Med Educ. 2015; 7: 143-147
- Enhancing surgeon wellness: integrating a multidimensional behavioral medicine approach into a general surgery residency program.Resour Surg Edcuation Am Coll Surg. 2018; (Available at:) (Accessed October 30, 2019)
- Mandatory participation in a wellness program: the general surgery resident’s perspective.J Am Coll Surg. 2017; 225: S178-S179
- Incorporation of a physical education and nutrition program into neurosurgery: a proof of concept pilot program.Neurosurgery. 2016; 79: 613-619
- Implementation of a novel structured social and wellness committee in a surgical residency program: a case study.Front Surg. 2017; 4: 14
- Two novel approaches to improve otolaryngology resident wellness: the ACGME back to bedside initiative.Otolaryngol Head Neck Surg. 2018; 158: 979-980
- Efficacy of mindfulness-based cognitive training in surgery: additional analysis of the mindful surgeon pilot randomized clinical trial.JAMA Netw Open. 2019; 2: e194108
- Feasibility of formal mindfulness-based stress-resilience training among surgery interns: a randomized clinical trial.JAMA Surg. 2018; 153: e182734
- Caring for caregivers - resident physician health and wellbeing.J Surg Educ. 2019; https://doi.org/10.1016/j.jsurg.2019.08.007
- Why the toxic treatment of doctors needs to change.Time Mag. 2015; (Available at:) (Accessed October 30, 2019)
- A program to create balance in the lives of our residents.2011 (Available at:) (Accessed October 30, 2019)
- Stanford University. Stanford Balance in Life Program Overview. Division of General Surgery - Resident Life.(Available at:) (Accessed October 30, 2019)
- The fuel gauge: a simple tool for assessing general surgery resident well-being.J Surg Educ. 2019; https://doi.org/10.1016/j.jsurg.2019.07.011
- Whose problem is it? the priority of physician wellness in residency training.J Surg Educ. 2017; 74: 378-383
- Taking care of our own: a multispecialty study of resident and program director perspectives on contributors to burnout and potential interventions.Acad Psychiatry. 2017; 41: 159-166
- Multiple-institution comparison of resident and faculty perceptions of burnout and depression during surgical training.JAMA Surg. 2018; 153: 705-711
- Establishing a culture of intentional wellness: lessons from a family medicine resident focus group.PRiMER. 2017; 1https://doi.org/10.22454/PRiMER.2017.597444
- Perspective: Resident physician wellness: a new hope.Acad Med. 2012; 87: 598-602
- 4 steps to creating an effective physician well-being program.2019 (Available at:) (Accessed October 30, 2019)
- Executive leadership and physician well-being: nine organizational strategies to promote engagement and reduce burnout.Mayo Clin Proc. 2017; 92: 129-146
- Building a program on well-being: key design considerations to meet the unique needs of each organization.Acad Med. 2019; 94: 156-161
- Resident and fellow burnout: create a holistic, supportive culture of wellness.2015 (Available at:) (Accessed October 30, 2019)
- Adapting Maslow’s hierarchy of needs as a framework for resident wellness.Teach Learn Med. 2019; 31: 109-118
- Beyond burnout: a physician wellness hierarchy designed to prioritize interventions at the systems level.Am J Med. 2019; 132: 556-563
- A theory of human motivation.Psychol Rev. 1943; 50: 370-396
- Social belonging as a predictor of surgical resident well-being and attrition.J Surg Educ. 2019; 76: 370-377
- Well-being concepts.(Available at:)https://www.cdc.gov/hrqol/wellbeing.htm(Accessed October 30, 2019)Date: 2018
- Subjective weil-being: three decades of progress.Psychol Bull. 1999; 125: 276-302
- Making the case for the Chief wellness officer in America’s health systems: a call to action | health affairs.2018 (Available at:) (Accessed October 30, 2019)
- Improving Physician Well-Being, Restoring Meaning in Medicine.(Available at:) (Accessed October 30, 2019)
- Surgeon well-being resources.American College of Surgeons, 2019 (Available at:) (Accessed October 30, 2019)
- Real-world solutions to enhance clinical practice effectiveness. AMA STEPS Forward.(Available at:) (Accessed October 30, 2019)
- Well-being in academic medicine: resources for faculty.AAMC, 2019 (Available at:) (Accessed October 30, 2019)
- Clinician resilience and well-being - national Academy of medicine.2019 (Available at:) (Accessed October 30, 2019)
- Trainee wellness: why it matters, and how to promote It.Ann Am Thorac Soc. 2017; 14: 505-512
- Appreciative inquiry principles: ask “what went well” to foster positive organizational culture.2016 (Available at:) (Accessed October 30, 2019)
- Appreciative inquiry in medical education.Med Teach. 2017; 39: 123-127
- Mentorship.Clin Colon Rectal Surg. 2013; 26: 218-223
- Controlled interventions to reduce burnout in physicians: a systematic review and meta-analysis | occupational health.JAMA Intern Med. 2017; 177: 195-201
- Interventions to prevent and reduce physician burnout: a systematic review and meta-analysis.Lancet. 2016; 388: 2272-2281
- Physician Well-Being: Efficiency, Resilience, Wellness. NEJM Catalyst.(Available at:) (Accessed October 30, 2019)
- The relationship between grit and resident well-being.Am J Surg. 2014; 207: 251-254
- Gender bias experiences of female surgical trainees.J Surg Educ. 2019; https://doi.org/10.1016/j.jsurg.2019.07.024
- Gender-based discrimination is prevalent in the integrated vascular trainee experience and serves as a predictor of burnout.J Vasc Surg. 2019; https://doi.org/10.1016/j.jvs.2019.02.064
- Incivility in the workplace: Incidence and impact.J Occup Health Psychol. 2001; 6: 64-80
- Bad manners in the Emergency Department: Incivility among doctors.PLoS One. 2018; 13: e0194933
- Outcomes of exposure to workplace bullying: A meta-analytic review.Work Stress. 2012; 26: 309-332
- Mistreatment in organizations.Emerald Group Publishing, Melbourne, Australia2015
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Published online: June 24, 2020
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