Evidence map›Paper›PMID 31299672›Full record

ReviewAcademic medicine : journal of the Association of American Medical Colleges2019

Fostering Meaning in Residency to Curb the Epidemic of Resident Burnout: Recommendations From Four Chief Medical Residents.

David D Berg, Sanjay Divakaran, Robert M Stern, Lindsay N Warner

Abstract readReview
In one paragraph

Review in Academic medicine : journal of the Association of American Medical Colleges, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed.

  1. Trial
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Building Inclusion and Belonging in Training Environments.Journal of graduate medical education · 2022
    Article
  8. Article
  9. Article
  10. Article
  11. The Impact of COVID-19 on Plastic Surgery Training in the United Kingdom, Canada and Australia-A Cross-Sectional Study.Indian journal of plastic surgery : official publication of the Association of Plastic Surgeons of India · 2021
    Article
  12. Physician Burnout: Solutions for Individuals and Organizations.Plastic and reconstructive surgery. Global open · 2021
    Article
  13. Residents' burnout in COVID 19 pandemic environment.Canadian medical education journal · 2021
    Article
  14. Article
  15. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors.

David D BergD.D. Berg is a cardiovascular medicine fellow, Department of Medicine, Brigham and Women's Hospital and Harvard Medical School, Boston, Massachusetts. S. Divakaran is a cardiovascular medicine fellow, Department of Medicine, Brigham and Women's Hospital and Harvard Medical School, Boston, Massachusetts. R.M. Stern is a hematology-oncology fellow, Department of Medical Oncology, Dana-Farber Cancer Institute and Harvard Medical School, Boston, Massachusetts. L.N. Warner is instructor in medicine, Department of Medicine, Massachusetts General Hospital and Harvard Medical School, Boston, Massachusetts.
Sanjay Divakaran
Robert M Stern
Lindsay N Warner

Funding

TRAINING PROGRAM IN CARDIOVASCULAR RESEARCHT32HL007604 · NHLBI · BRIGHAM AND WOMEN'S HOSPITAL · PI MARK W FEINBERG · 1985 to 2026
$19.0M
Noninvasive Cardiovascular Imaging Research Training ProgramT32HL094301 · NHLBI · BRIGHAM AND WOMEN'S HOSPITAL · PI Marcelo F DI CARLI · 2010 to 2026
$7.8M
NHLBI NIH HHS T32 HL007604NHLBI NIH HHS T32 HL094301
6 · The paper itself

Abstract

Burnout has become commonplace in residency training, affecting more than half of residents and having negative implications for both their well-being and their ability to care for patients. During the authors' year as chief medical residents at Brigham and Women's Hospital in 2017-2018, they became intimately familiar with the burnout epidemic in residency training. The authors argue that addressing resident burnout requires residency programs and teaching hospitals to focus not on the individual contributors to burnout but instead on fostering meaning within residency to help residents find purpose and professional satisfaction in their work. In this Perspective, they highlight 4 important elements of residency that provide meaning: patient care, intellectual engagement, respect, and community. Patient care, intellectual engagement, and community provide residents with a focus that is larger than themselves, while respect is necessary for a resident's sense of belonging. The authors provide examples from their own experiences and from the literature to suggest ways in which residency programs and teaching hospitals can strengthen each of these elements within residency and curb the epidemic of burnout.

Indexed as

Guidelines as TopicBurnout, ProfessionalEducation, Medical, GraduateHumansIncidenceInternship and ResidencyPatient CareSurveys and QuestionnairesUnited StatesWorkload

Identifiers

PMID31299672
PMCPMC6821559

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.