Wellness Interventions in Emergency Medicine Residency Programs: Review of the Literature Since 2017
Introduction: Recent research demonstrates burnout prevalence rates as high as 76% in emergency medicine (EM) residents. In 2017 the Accreditation Council for Graduate Medical Education (ACGME) required that all training programs provide dedicated wellness education for their trainees as a requireme...
| Main Authors: | , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
eScholarship Publishing, University of California
2020-12-01
|
| Series: | Western Journal of Emergency Medicine |
| Online Access: | https://escholarship.org/uc/item/5q196862 |
| _version_ | 1818430245268619264 |
|---|---|
| author | Arlene Chung Sarah Mott Katie Rebillot Simiao Li-Sauerwine Sneha Shah Wendy C. Coates Lalena M. Yarris |
| author_facet | Arlene Chung Sarah Mott Katie Rebillot Simiao Li-Sauerwine Sneha Shah Wendy C. Coates Lalena M. Yarris |
| author_sort | Arlene Chung |
| collection | DOAJ |
| description | Introduction: Recent research demonstrates burnout prevalence rates as high as 76% in emergency medicine (EM) residents. In 2017 the Accreditation Council for Graduate Medical Education (ACGME) required that all training programs provide dedicated wellness education for their trainees as a requirement for accreditation. We aimed to conduct a systematic review of published wellness interventions conducted in EM residency programs following the implementation of the 2017 ACGME Common Program Requirements change in order to characterized published intervention and evaluate their effectiveness. Methods: We applied a published approach to conducting systematic reviews of the medical education literature. We performed a search of the literature from January 1, 2017–February 1, 2020. Studies were included for final review if they described a specific intervention and reported outcomes with the primary goal of improving EM resident wellness. Outcomes were characterized using the Kirkpatrick training evaluation model. Results: Eight of 35 identified studies met inclusion criteria. Most described small convenience samples of EM residents from single training programs and used the satisfaction rates of participants as primary outcome data. Only quantitative assessment methods were used. Studies addressed only a limited number of factors affecting resident wellness. The majority of interventions focused on personal factors, although a few also included sociocultural factors and the learning and practice environment. Conclusion: There is a relative dearth of literature in the area of research focused on interventions designed to improve EM resident wellness. Furthermore, the studies we identified are narrow in scope, involve relatively few participants, and describe programmatic changes of limited variety. Future directions include an increase and emphasis on multi-institutional studies, randomized controlled trials, qualitative methodology, and opportunities for funded research. |
| first_indexed | 2024-12-14T15:30:21Z |
| format | Article |
| id | doaj.art-1e75d557640a43079b9b8b9630d80403 |
| institution | Directory Open Access Journal |
| issn | 1936-9018 |
| language | English |
| last_indexed | 2024-12-14T15:30:21Z |
| publishDate | 2020-12-01 |
| publisher | eScholarship Publishing, University of California |
| record_format | Article |
| series | Western Journal of Emergency Medicine |
| spelling | doaj.art-1e75d557640a43079b9b8b9630d804032022-12-21T22:55:54ZengeScholarship Publishing, University of CaliforniaWestern Journal of Emergency Medicine1936-90182020-12-0122110.5811/westjem.2020.11.48884wjem-22-7Wellness Interventions in Emergency Medicine Residency Programs: Review of the Literature Since 2017Arlene Chung0Sarah Mott1Katie Rebillot2Simiao Li-Sauerwine3Sneha Shah4Wendy C. Coates5Lalena M. Yarris6Maimonides Medical Center, Department of Emergency Medicine, Brooklyn, New YorkEmergency Care Consultants, Minneapolis, MinnesotaLAC + USC Medical Center, Department of Emergency Medicine, Los Angeles, CaliforniaThe Ohio State University, Department of Emergency Medicine, Columbus, OhioMaimonides Medical Center, Department of Emergency Medicine, Brooklyn, New YorkUCLA David Geffen School of Medicine, Department of Emergency Medicine, Los Angeles, CaliforniaOregon Health & Science University, Department of Emergency Medicine, Portland, OregonIntroduction: Recent research demonstrates burnout prevalence rates as high as 76% in emergency medicine (EM) residents. In 2017 the Accreditation Council for Graduate Medical Education (ACGME) required that all training programs provide dedicated wellness education for their trainees as a requirement for accreditation. We aimed to conduct a systematic review of published wellness interventions conducted in EM residency programs following the implementation of the 2017 ACGME Common Program Requirements change in order to characterized published intervention and evaluate their effectiveness. Methods: We applied a published approach to conducting systematic reviews of the medical education literature. We performed a search of the literature from January 1, 2017–February 1, 2020. Studies were included for final review if they described a specific intervention and reported outcomes with the primary goal of improving EM resident wellness. Outcomes were characterized using the Kirkpatrick training evaluation model. Results: Eight of 35 identified studies met inclusion criteria. Most described small convenience samples of EM residents from single training programs and used the satisfaction rates of participants as primary outcome data. Only quantitative assessment methods were used. Studies addressed only a limited number of factors affecting resident wellness. The majority of interventions focused on personal factors, although a few also included sociocultural factors and the learning and practice environment. Conclusion: There is a relative dearth of literature in the area of research focused on interventions designed to improve EM resident wellness. Furthermore, the studies we identified are narrow in scope, involve relatively few participants, and describe programmatic changes of limited variety. Future directions include an increase and emphasis on multi-institutional studies, randomized controlled trials, qualitative methodology, and opportunities for funded research.https://escholarship.org/uc/item/5q196862 |
| spellingShingle | Arlene Chung Sarah Mott Katie Rebillot Simiao Li-Sauerwine Sneha Shah Wendy C. Coates Lalena M. Yarris Wellness Interventions in Emergency Medicine Residency Programs: Review of the Literature Since 2017 Western Journal of Emergency Medicine |
| title | Wellness Interventions in Emergency Medicine Residency Programs: Review of the Literature Since 2017 |
| title_full | Wellness Interventions in Emergency Medicine Residency Programs: Review of the Literature Since 2017 |
| title_fullStr | Wellness Interventions in Emergency Medicine Residency Programs: Review of the Literature Since 2017 |
| title_full_unstemmed | Wellness Interventions in Emergency Medicine Residency Programs: Review of the Literature Since 2017 |
| title_short | Wellness Interventions in Emergency Medicine Residency Programs: Review of the Literature Since 2017 |
| title_sort | wellness interventions in emergency medicine residency programs review of the literature since 2017 |
| url | https://escholarship.org/uc/item/5q196862 |
| work_keys_str_mv | AT arlenechung wellnessinterventionsinemergencymedicineresidencyprogramsreviewoftheliteraturesince2017 AT sarahmott wellnessinterventionsinemergencymedicineresidencyprogramsreviewoftheliteraturesince2017 AT katierebillot wellnessinterventionsinemergencymedicineresidencyprogramsreviewoftheliteraturesince2017 AT simiaolisauerwine wellnessinterventionsinemergencymedicineresidencyprogramsreviewoftheliteraturesince2017 AT snehashah wellnessinterventionsinemergencymedicineresidencyprogramsreviewoftheliteraturesince2017 AT wendyccoates wellnessinterventionsinemergencymedicineresidencyprogramsreviewoftheliteraturesince2017 AT lalenamyarris wellnessinterventionsinemergencymedicineresidencyprogramsreviewoftheliteraturesince2017 |