Pediatric Integrative Medicine in Residency Program: Relationship between Lifestyle Behaviors and Burnout and Wellbeing Measures in First-Year Residents

It is widely recognized that burnout is prevalent in medical culture and begins early in training. Studies show pediatricians and pediatric trainees experience burnout rates comparable to other specialties. Newly developed Accreditation Council for Graduate Medical Education (ACGME) core competencie...

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Main Authors: Hilary McClafferty, Audrey J. Brooks, Mei-Kuang Chen, Michelle Brenner, Melanie Brown, Anna Esparham, Dana Gerstbacher, Brenda Golianu, John Mark, Joy Weydert, Ann Ming Yeh, Victoria Maizes
Format: Article
Language:English
Published: MDPI AG 2018-04-01
Series:Children
Subjects:
Online Access:http://www.mdpi.com/2227-9067/5/4/54
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author Hilary McClafferty
Audrey J. Brooks
Mei-Kuang Chen
Michelle Brenner
Melanie Brown
Anna Esparham
Dana Gerstbacher
Brenda Golianu
John Mark
Joy Weydert
Ann Ming Yeh
Victoria Maizes
author_facet Hilary McClafferty
Audrey J. Brooks
Mei-Kuang Chen
Michelle Brenner
Melanie Brown
Anna Esparham
Dana Gerstbacher
Brenda Golianu
John Mark
Joy Weydert
Ann Ming Yeh
Victoria Maizes
author_sort Hilary McClafferty
collection DOAJ
description It is widely recognized that burnout is prevalent in medical culture and begins early in training. Studies show pediatricians and pediatric trainees experience burnout rates comparable to other specialties. Newly developed Accreditation Council for Graduate Medical Education (ACGME) core competencies in professionalism and personal development recognize the unacceptably high resident burnout rates and present an important opportunity for programs to improve residents experience throughout training. These competencies encourage healthy lifestyle practices and cultivation of self-awareness, self-regulation, empathy, mindfulness, and compassion—a paradigm shift from traditional medical training underpinned by a culture of unrealistic endurance and self-sacrifice. To date, few successful and sustainable programs in resident burnout prevention and wellness promotion have been described. The University of Arizona Center for Integrative Medicine Pediatric Integrative Medicine in Residency (PIMR) curriculum, developed in 2011, was designed in part to help pediatric programs meet new resident wellbeing requirements. The purpose of this paper is to detail levels of lifestyle behaviors, burnout, and wellbeing for the PIMR program’s first-year residents (N = 203), and to examine the impact of lifestyle behaviors on burnout and wellbeing. The potential of the PIMR to provide interventions addressing gaps in lifestyle behaviors with recognized association to burnout is discussed.
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spelling doaj.art-80614dbc66b64e5296ae1b1459cdbfe32022-12-21T22:47:55ZengMDPI AGChildren2227-90672018-04-01545410.3390/children5040054children5040054Pediatric Integrative Medicine in Residency Program: Relationship between Lifestyle Behaviors and Burnout and Wellbeing Measures in First-Year ResidentsHilary McClafferty0Audrey J. Brooks1Mei-Kuang Chen2Michelle Brenner3Melanie Brown4Anna Esparham5Dana Gerstbacher6Brenda Golianu7John Mark8Joy Weydert9Ann Ming Yeh10Victoria Maizes11Department of Medicine, Arizona Center for Integrative Medicine, University of Arizona, Tucson, AZ 85724, USADepartment of Medicine, Arizona Center for Integrative Medicine, University of Arizona, Tucson, AZ 85724, USADepartment of Medicine, Arizona Center for Integrative Medicine, University of Arizona, Tucson, AZ 85724, USADepartment of Pediatrics, Eastern Virginia Medical School/Children’s Hospital of the King’s Daughters, Norfolk, VA 23507, USADepartment of Pediatrics, University of Chicago Comer Children’s Hospital, Chicago, IL 60637, USADepartment of Pediatrics, University of Kansas School of Medicine, Kansas City, KS 66160, USADepartment of Pediatrics, Stanford University School of Medicine, Palo Alto, CA 94304, USADepartment of Anesthesiology and Pain Management, Stanford University School of Medicine, Palo Alto, CA 94304, USADepartment of Pediatrics, Stanford University School of Medicine, Palo Alto, CA 94304, USADepartment of Pediatrics, University of Kansas School of Medicine, Kansas City, KS 66160, USADepartment of Pediatrics, Stanford University School of Medicine, Palo Alto, CA 94304, USADepartment of Medicine, Arizona Center for Integrative Medicine, University of Arizona, Tucson, AZ 85724, USAIt is widely recognized that burnout is prevalent in medical culture and begins early in training. Studies show pediatricians and pediatric trainees experience burnout rates comparable to other specialties. Newly developed Accreditation Council for Graduate Medical Education (ACGME) core competencies in professionalism and personal development recognize the unacceptably high resident burnout rates and present an important opportunity for programs to improve residents experience throughout training. These competencies encourage healthy lifestyle practices and cultivation of self-awareness, self-regulation, empathy, mindfulness, and compassion—a paradigm shift from traditional medical training underpinned by a culture of unrealistic endurance and self-sacrifice. To date, few successful and sustainable programs in resident burnout prevention and wellness promotion have been described. The University of Arizona Center for Integrative Medicine Pediatric Integrative Medicine in Residency (PIMR) curriculum, developed in 2011, was designed in part to help pediatric programs meet new resident wellbeing requirements. The purpose of this paper is to detail levels of lifestyle behaviors, burnout, and wellbeing for the PIMR program’s first-year residents (N = 203), and to examine the impact of lifestyle behaviors on burnout and wellbeing. The potential of the PIMR to provide interventions addressing gaps in lifestyle behaviors with recognized association to burnout is discussed.http://www.mdpi.com/2227-9067/5/4/54burnoutpediatricsresidentspreventive lifestyle behaviorsresilience
spellingShingle Hilary McClafferty
Audrey J. Brooks
Mei-Kuang Chen
Michelle Brenner
Melanie Brown
Anna Esparham
Dana Gerstbacher
Brenda Golianu
John Mark
Joy Weydert
Ann Ming Yeh
Victoria Maizes
Pediatric Integrative Medicine in Residency Program: Relationship between Lifestyle Behaviors and Burnout and Wellbeing Measures in First-Year Residents
Children
burnout
pediatrics
residents
preventive lifestyle behaviors
resilience
title Pediatric Integrative Medicine in Residency Program: Relationship between Lifestyle Behaviors and Burnout and Wellbeing Measures in First-Year Residents
title_full Pediatric Integrative Medicine in Residency Program: Relationship between Lifestyle Behaviors and Burnout and Wellbeing Measures in First-Year Residents
title_fullStr Pediatric Integrative Medicine in Residency Program: Relationship between Lifestyle Behaviors and Burnout and Wellbeing Measures in First-Year Residents
title_full_unstemmed Pediatric Integrative Medicine in Residency Program: Relationship between Lifestyle Behaviors and Burnout and Wellbeing Measures in First-Year Residents
title_short Pediatric Integrative Medicine in Residency Program: Relationship between Lifestyle Behaviors and Burnout and Wellbeing Measures in First-Year Residents
title_sort pediatric integrative medicine in residency program relationship between lifestyle behaviors and burnout and wellbeing measures in first year residents
topic burnout
pediatrics
residents
preventive lifestyle behaviors
resilience
url http://www.mdpi.com/2227-9067/5/4/54
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