Evidence map›Paper›PMID 34966881›Full record

ArticleAEM education and training2021

Defining well-being: A case-study among emergency medicine residents at an academic center: A qualitative study.

Amanda J Deutsch, Hareena Sangha, Anthony Spadaro, Jacob Goldenring, Mira Mamtani, Kevin R Scott, Lauren W Conlon, Anish K Agarwal

Open access · greenAbstract read
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Article in AEM education and training, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.2field-weighted citation impact, top 17% 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

3 citing papers in PubMed, 4 citations in OpenAlex.

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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

8 authors at 2 institutions in 1 country.

Amanda J DeutschDepartment of Emergency Medicine University of Pennsylvania Philadelphia Pennsylvania USA.ORCID https://orcid.org/0000-0002-6369-9256
Hareena SanghaDepartment of Emergency Medicine University of Pennsylvania Philadelphia Pennsylvania USA.
Anthony SpadaroDepartment of Emergency Medicine University of Pennsylvania Philadelphia Pennsylvania USA.
Jacob GoldenringDepartment of Emergency Medicine University of Pennsylvania Philadelphia Pennsylvania USA.
Mira MamtaniDepartment of Emergency Medicine University of Pennsylvania Philadelphia Pennsylvania USA.
Kevin R ScottDepartment of Emergency Medicine University of Pennsylvania Philadelphia Pennsylvania USA.ORCID https://orcid.org/0000-0003-1862-2855
Lauren W ConlonDepartment of Emergency Medicine University of Pennsylvania Philadelphia Pennsylvania USA.
Anish K AgarwalDepartment of Emergency Medicine University of Pennsylvania Philadelphia Pennsylvania USA.
University of Pennsylvania · USUniversity of Pennsylvania Health System · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHealthcare-associated burnout is linked to reduced quality of care, decreased patient experience, and higher cost. The National Academy of Medicine has emphasized the importance of supporting clinician well-being across healthcare; however, well-being is poorly defined, especially early in emergency medicine training.

objectivesThe primary objective of this study was to explore and understand the attitudes, beliefs, and perspectives of emergency medicine (EM) resident physicians surrounding well-being. A secondary objective was to identify priority areas of focus to promote a culture of well-being for EM trainees. APPROACH: We conducted semi-structured focus groups of EM resident physicians at an urban, academic institution with a 4-year training curriculum. Focus group interviews were transcribed and constructivist aggregated themes were identified using content analysis with a constant comparative coding approach.

resultsSeventeen EM residents participated in semi-structured qualitative focus groups (PGY1 = 6, PGY2 = 6, PGY3 = 2, PGY4 = 3). Six key themes related to well-being emerged spanning clinical and nonclinical areas: (1) a focus on basic needs being met, (2) on-shift operational structure, (3) individual feedback, (4) feeling valued for clinical contributions, (5) a sense of community within the clinical environment, and (6) a sense of personal ownership over time.

conclusionsShifting the focus for medical trainees away from mitigating burnout and toward proactively promoting well-being is important. Understanding the perspectives and key themes in how EM residents define well-being can help support trainees early in their careers. Using qualitative methods, this study identified six key themes that can guide trainees, educational leaders, and academic hospital systems as they work toward building a culture of well-being early in graduate medical education.

Indexed as

burnoutemergency medicinemedical educationwell‐beingwellness

Identifiers

PMID34966881
PMCPMC8675814
OpenAlexW3215381125

What OpenQuestion holds

Textmetadata
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.