| Autor: |
Winkel AF; is Professor, Department of Obstetrics and Gynecology, New York University Grossman School of Medicine, New York, New York, USA., Morgan HK; is Professor, Departments of Obstetrics and Gynecology and Learning Health Sciences, University of Michigan, Ann Arbor, Michigan, USA., Hammoud MM; is Professor, Departments of Obstetrics and Gynecology and Learning Health Sciences, University of Michigan, Ann Arbor, Michigan, USA., Schatzman-Bone S; is a Resident Physician, Department of Obstetrics and Gynecology, Brigham and Women's Hospital, Boston, Massachusetts, USA., Young OM; is Associate Professor, Department of Obstetrics and Gynecology, University of North Carolina, Chapel Hill, North Carolina, USA., Santen S; is Adjunct Professor, Department of Emergency Medicine, University of Cincinnati, Cincinnati, Ohio, USA., Banks E; is Professor and Chair, Department of Obstetrics and Gynecology, New York University Long Island School of Medicine, Mineola, New York, USA; and., George K; is Professor and Chair, Department of Obstetrics and Gynecology, New York University Long Island School of Medicine, Mineola, New York, USA; and. |
| Jazyk: |
angličtina |
| Zdroj: |
Journal of graduate medical education [J Grad Med Educ] 2024 Oct; Vol. 16 (5), pp. 572-580. Date of Electronic Publication: 2024 Oct 15. |
| DOI: |
10.4300/JGME-D-23-00554.1 |
| Abstrakt: |
Background Despite national attention on resident well-being, challenges persist. Effective solutions require greater understanding of personal and program factors. Objective To explore burnout, resilience, self-reported mental health, and perceptions of the learning environment in a national sample of obstetrics and gynecology (OB/GYN) residents. Methods An observational cross-sectional survey of OB/GYN residents taking the January 2022 national in-training examination included an abbreviated 2-item Maslach Burnout Inventory, a short version of the Connor-Davidson Resilience Scale, and subjective experience of other factors. Kruskal-Wallis and chi-square tests explored differences in outcomes and associations between variables. Results Among 5761 residents taking the examination, 3741 (64.9%) participated, with 2425 of 3741 (64.8%) reporting burnout, 2138 (57.2%) depression, 2651 (70.9%) anxiety, and 147 (3.9%) suicidal ideation. Women fared worse than men in terms of burnout (2105 of 3147, 66.9% vs 281 of 496, 56.7%, P <.001), depression (1843 of 3147, 58.6% vs 256 of 496, 51.6%, P =.004), anxiety (2318 of 3147, 73.7% vs 294 of 496, 59.3%, P <.001), and resilience (5.9±2.1 vs 6.2±2.1, P =.006). More nonbinary residents considered leaving residency (17 of 49, 34.7% vs 676 of 3147, 21.5% [women] and 108 of 496, 21.8% [men], P =.008). Race-based differences were seen in depression, suicidal ideation, and thoughts of leaving residency. Increased binge drinking was reported with increasing postgraduate year. Among 614 residents reporting that well-being was not a priority in their program, 539 of 614 (87.8%) reported burnout, 469 of 614 (76.4%) depression, and 508 of 614 (82.7%) anxiety. Conclusions Residents report high rates of mental health concerns, and these are worse among women, gender nonconforming individuals, Black residents, and those who perceive well-being is not a priority in their training program. |
| Databáze: |
MEDLINE |
| Externí odkaz: |
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