Gender influences resident physicians’ perception of an employee-to-employee recognition program: a mixed methods study
Abstract Background Burnout is prevalent in medical training. While some institutions have implemented employee-to-employee recognition programs to promote wellness, it is not known how such programs are perceived by resident physicians, or if the experience differs among residents of different gend...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2024-02-01
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| Series: | BMC Medical Education |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12909-024-05083-0 |
| _version_ | 1797274216185200640 |
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| author | Jessica S. Tischendorf Laura K. Krecko Rachel Filipiak Fauzia Osman Amy B. Zelenski |
| author_facet | Jessica S. Tischendorf Laura K. Krecko Rachel Filipiak Fauzia Osman Amy B. Zelenski |
| author_sort | Jessica S. Tischendorf |
| collection | DOAJ |
| description | Abstract Background Burnout is prevalent in medical training. While some institutions have implemented employee-to-employee recognition programs to promote wellness, it is not known how such programs are perceived by resident physicians, or if the experience differs among residents of different genders. Methods We used convergent mixed methods to characterize how residents in internal medicine (IM), pediatrics, and general surgery programs experience our employee-to-employee recognition ("Hi-5″) program. We collected Hi-5s received by residents in these programs from January 1, 2021–December 31, 2021 and coded them for recipient discipline, sex, and PGY level and sender discipline and professional role. We conducted virtual focus groups with residents in each training program. Main measures and approach We compared Hi-5 receipt between male and female residents; overall and from individual professions. We submitted focus group transcripts to content analysis with codes generated iteratively and emergent themes identified through consensus coding. Results Over a 12-month period, residents received 382 Hi-5s. There was no significant difference in receipt of Hi-5s by male and female residents. Five IM, 3 surgery, and 12 pediatric residents participated in focus groups. Residents felt Hi-5s were useful for interprofessional feedback and to mitigate burnout. Residents who identified as women shared concerns about differing expectations of professional behavior and communication based on gender, a fear of backlash when behavior does not align with gender stereotypes, and professional misidentification. Conclusions The “Hi-5” program is valuable for interprofessional feedback and promotion of well-being but is experienced differently by men and women residents. This limitation of employee-to-employee recognition should be considered when designing equitable programming to promote well-being and recognition. |
| first_indexed | 2024-03-07T14:55:12Z |
| format | Article |
| id | doaj.art-22f0ca39809c46d496019800b70560cd |
| institution | Directory Open Access Journal |
| issn | 1472-6920 |
| language | English |
| last_indexed | 2024-03-07T14:55:12Z |
| publishDate | 2024-02-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Medical Education |
| spelling | doaj.art-22f0ca39809c46d496019800b70560cd2024-03-05T19:26:14ZengBMCBMC Medical Education1472-69202024-02-0124111010.1186/s12909-024-05083-0Gender influences resident physicians’ perception of an employee-to-employee recognition program: a mixed methods studyJessica S. Tischendorf0Laura K. Krecko1Rachel Filipiak2Fauzia Osman3Amy B. Zelenski4Division of Infectious Disease, Department of Medicine, University of Wisconsin School of Medicine and Public HealthDepartment of Surgery, University of Wisconsin School of Medicine and Public HealthDivision of Infectious Disease, Department of Medicine, University of Wisconsin School of Medicine and Public HealthDepartment of Medicine, University of Wisconsin School of Medicine and Public HealthDepartment of Medicine, University of Wisconsin School of Medicine and Public HealthAbstract Background Burnout is prevalent in medical training. While some institutions have implemented employee-to-employee recognition programs to promote wellness, it is not known how such programs are perceived by resident physicians, or if the experience differs among residents of different genders. Methods We used convergent mixed methods to characterize how residents in internal medicine (IM), pediatrics, and general surgery programs experience our employee-to-employee recognition ("Hi-5″) program. We collected Hi-5s received by residents in these programs from January 1, 2021–December 31, 2021 and coded them for recipient discipline, sex, and PGY level and sender discipline and professional role. We conducted virtual focus groups with residents in each training program. Main measures and approach We compared Hi-5 receipt between male and female residents; overall and from individual professions. We submitted focus group transcripts to content analysis with codes generated iteratively and emergent themes identified through consensus coding. Results Over a 12-month period, residents received 382 Hi-5s. There was no significant difference in receipt of Hi-5s by male and female residents. Five IM, 3 surgery, and 12 pediatric residents participated in focus groups. Residents felt Hi-5s were useful for interprofessional feedback and to mitigate burnout. Residents who identified as women shared concerns about differing expectations of professional behavior and communication based on gender, a fear of backlash when behavior does not align with gender stereotypes, and professional misidentification. Conclusions The “Hi-5” program is valuable for interprofessional feedback and promotion of well-being but is experienced differently by men and women residents. This limitation of employee-to-employee recognition should be considered when designing equitable programming to promote well-being and recognition.https://doi.org/10.1186/s12909-024-05083-0Graduate medical educationGender biasInterprofessionalEmployee recognition |
| spellingShingle | Jessica S. Tischendorf Laura K. Krecko Rachel Filipiak Fauzia Osman Amy B. Zelenski Gender influences resident physicians’ perception of an employee-to-employee recognition program: a mixed methods study BMC Medical Education Graduate medical education Gender bias Interprofessional Employee recognition |
| title | Gender influences resident physicians’ perception of an employee-to-employee recognition program: a mixed methods study |
| title_full | Gender influences resident physicians’ perception of an employee-to-employee recognition program: a mixed methods study |
| title_fullStr | Gender influences resident physicians’ perception of an employee-to-employee recognition program: a mixed methods study |
| title_full_unstemmed | Gender influences resident physicians’ perception of an employee-to-employee recognition program: a mixed methods study |
| title_short | Gender influences resident physicians’ perception of an employee-to-employee recognition program: a mixed methods study |
| title_sort | gender influences resident physicians perception of an employee to employee recognition program a mixed methods study |
| topic | Graduate medical education Gender bias Interprofessional Employee recognition |
| url | https://doi.org/10.1186/s12909-024-05083-0 |
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