ReviewJournal of general internal medicine2019
Wellness and Work: Mixed Messages in Residency Training.
Review in Journal of general internal medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
23 citing papers in PubMed.
- ClassPass Memberships to Improve Well-Being Among Psychiatry Residents: A Pilot Randomized Controlled Trial.Academic psychiatry : the journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry · 2026Trial
- Effect of a Novel Online Group-Coaching Program to Reduce Burnout in Female Resident Physicians: A Randomized Clinical Trial.JAMA network open · 2022Trial
- Unstructured Time, Structured Support: Weekly Protected Flexible Time to Support Resident Learning and Well-Being.Academic psychiatry : the journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry · 2026Article
- Learning How to Listen: A Collaborative Approach to Improve the Residency Learning Environment.Academic psychiatry : the journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry · 2026Article
- Faculty Development in Community Psychiatry Programs: Leveraging Wellness for Professional Growth and Residency Program Success.Academic psychiatry : the journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry · 2026Article
- Resident Physician Perceptions of Wellness Interventions: A Single-Institution Qualitative Study.Cureus · 2026Article
- Promoting Well-Being in Graduate Medical Education: Embracing Principles Rather Than "Recipe".Academic psychiatry : the journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry · 2024Article
- Personal well-being and professional accountability: Cultural challenges for a new residency program.AEM education and training · 2024Article
- High-Volume, High-Acuity, and High-Impact Learning: Tips and Tricks for Infectious Diseases Training Programs.Open forum infectious diseases · 2024Article
- The Impact of a 4-Domain Wellness-Initiative Curriculum on Internal Medicine Resident Physicians.HCA healthcare journal of medicine · 2024Article
- Beyond resiliency: shifting the narrative of medical student wellness.Canadian medical education journal · 2023Article
- A Qualitative Investigation of Burnout and Well-being Among Faculty and Residents in a Canadian Psychiatry Department.Academic psychiatry : the journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry · 2023Article
- A narrative review of the physiology and health effects of burnout associated with veterinarian-pertinent occupational stressors.Frontiers in veterinary science · 2023Review
- Virtual Open House: Incorporating Support Persons into the Residency Community.The western journal of emergency medicine · 2022Article
- What Educators Can Learn from the Biopsychosocial-Spiritual Model of Patient Care: Time for Holistic Medical Education.Journal of general internal medicine · 2022Review
- "Everybody in this room can understand": A qualitative exploration of peer support during residency training.AEM education and training · 2022Article
- A phenomenological study of new doctors' transition to practice, utilising participant-voiced poetry.Advances in health sciences education : theory and practice · 2021Article
- Defining well-being: A case-study among emergency medicine residents at an academic center: A qualitative study.AEM education and training · 2021Article
- "Necessary Compromises": A Qualitative Exploration of the Influence of Burnout on Resident Education.AEM education and training · 2021Article
- INSPIRED but Tired: How Medical Faculty's Job Demands and Resources Lead to Engagement, Work-Life Conflict, and Burnout.Frontiers in psychology · 2021Article
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Resident physicians are at higher risk for depression, anxiety, and burnout when compared with same-age peers, resulting in substantive personal and professional consequences. Training programs across the country have acknowledged the gravity of this situation and many have implemented programs and curricula that address wellness and resilience, yet the benefits of such initiatives are still largely unknown. While the development of wellness programming is well intentioned, it is often incongruent with the residency training environment. The mixed messaging that occurs when wellness programs are implemented in environments that do not support self-care may unintentionally cause resident distress. Indeed, outside of the time dedicated to wellness curricula, residents are often rewarded for self-sacrifice. In this commentary, we describe how the complexities of the medical system and culture contribute to mixed messaging and we explore the potential impact on residents. We offer recommendations to strengthen wellness programs through efforts to promote structural change in the training environment.
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.