Evidence map›Paper›PMID 34485547›Full record

ArticleJournal of education and health promotion2021

Improving burnout and well-being among medicine residents: Impact of a grassroots intervention compared to a formal program curriculum.

Amy J Sheer, Irene M Estores, Rachel Nickels, Nila Radhakrishnan, Dianne L Goede, Lazarus K Mramba, Margaret C Lo

Open access · goldAbstract read
In one paragraph

Article in Journal of education and health promotion, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 2 pooled it
1.5field-weighted citation impact, top 16% of its field
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

4 citing papers in PubMed, 2 syntheses or guidelines pooled it, 10 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 1 country.

Amy J SheerDepartment of Medicine, Division of General Internal Medicine, University of Florida College of Medicine, FL, USA.
Irene M EstoresDepartment of Medicine, Division of General Internal Medicine, University of Florida College of Medicine, FL, USA.
Rachel NickelsDepartment of Medicine, Hospital Staff Physician, Malcolm Randal Veteran Affairs Medical Center, FL, USA.
Nila RadhakrishnanDepartment of Medicine, Division of Hospital Medicine, University of Florida College of Medicine, Gainesville, FL, USA.
Dianne L GoedeDepartment of Medicine, Division of General Internal Medicine, University of Florida College of Medicine, FL, USA.
Lazarus K MrambaDepartment of Biostatistics and Data Science, University of Kansas Medical Center, Kansas City, Kansas, USA.
Margaret C LoDepartment of Medicine, Division of General Internal Medicine, University of Florida College of Medicine, FL, USA.
Florida College · USUniversity of Florida · USUniversity of Kansas Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWith growing resident burnout, Accreditation Council for Graduate Medical Education issued new requirements for program interventions to optimize resident well-being. Little evidence exists on how to best teach resiliency to residents. This study assesses the impact of both a grassroots intervention and formal resiliency curriculum on resident burnout and well-being. MATERIALS AND

methodsFrom November 2016 to August 2017, residents in a large Internal Medicine Residency Program participated in grassroots wellness interventions from the resident-led Gator Council in Gainesville, FL USA. From August 2017 to June 2018, residents participated in a formal program-driven resiliency curriculum. Wellness interventions included monthly morning reports, bimonthly workshops, and biannual noon conferences. Pre- and postintervention Maslach Burnout Inventory (MBI) and Physician Well-Being Index (PWBI) assessed the effect of both interventions on resident burnout and well-being. Statistical analyses used Student's

resultsOne hundred and twenty-two residents participated in grassroots interventions. One hundred and seventeen (87 residents, 35 students) participated in formal curriculum. Mean MBI scores for all three sections did not differ between pre -and postgrassroots intervention (emotional exhaustion [EE]

conclusionsThis study found no improvement in resident burnout or well-being from a bottom-up and top-down approach. Our results imply the need for an early wellness curriculum to improve student well-being given their higher level of burnout. System-wide efforts are vital to combat physician burnout.

Indexed as

Burnoutcurriculummedical residencyresident burnoutresilience

Identifiers

PMID34485547
PMCPMC8396059
OpenAlexW3187094571

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
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.