Resident and Faculty Perspectives on Prevention of Resident Burnout: A Focus Group Study
Autor: | Rachel Hollander, Neeta Saheba, Isabel Chen, Ary Kian, Kristen Ironside, Adegbemisola Daniyan, Davida Becker |
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Jazyk: | angličtina |
Rok vydání: | 2019 |
Předmět: |
Adult
Male Faculty Medical Attitude of Health Personnel education MEDLINE Psychological intervention Context (language use) Burnout California Job Satisfaction 03 medical and health sciences 0302 clinical medicine Nursing Risk Factors Intervention (counseling) Health care Medicine Humans 030212 general & internal medicine Burnout Professional business.industry Internship and Residency General Medicine Focus Groups Original Research & Contributions Focus group 030227 psychiatry Job satisfaction Female business |
Popis: | Context The high prevalence and negative implications of resident physicians' burnout is well documented, yet few effective interventions have been identified. Objective To document resident and faculty perspectives on resident burnout, including perceived contributing factors and their recommended strategies for attention and prevention. Design We conducted 14 focus groups with core faculty and residents in 5 specialties at a large integrated health care system in Southern California. Training programs sampled included family medicine, internal medicine, obstetrics and gynecology, pediatrics, and psychiatry. Discussions were recorded, transcribed, and analyzed using a matrix-based approach to identify common themes. Main outcome measures Resident and faculty perspectives regarding causes of burnout, preventive factors, and potential intervention strategies. Results Five themes captured the range of factors participants identified as contributing or protective factors for resident burnout: 1) having or lacking a sense of meaning at work; 2) fatigue and exhaustion; 3) cultural norms in medicine; 4) the steep learning curve from medical school to residency; and 5) social relationships at and outside work. Recommended intervention strategies targeted individuals, residents' social networks, and the learning and work environment. Conclusion We engaged residents and core faculty across specialties in the identification of factors contributing to burnout and possible targets for interventions. Our results highlight potential focus areas for future burnout interventions and point to the importance of interventions targeted at the social environments in which residents' work and learn. |
Databáze: | OpenAIRE |
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