ArticleProceedings (Baylor University. Medical Center)
Physical and emotional health trajectories in PGY-2 residents: a prospective pilot study.
Article in Proceedings (Baylor University. Medical Center). The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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7 authors.
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Abstract
Background: Physician residency imposes substantial physical and emotional demands, with the second postgraduate year (PGY-2) being particularly challenging due to increased responsibilities and overnight call. This prospective pilot study examined changes in cardiorespiratory fitness (CRF), body composition, and depressive symptoms across PGY-2 in orthopedic surgery and physical medicine and rehabilitation residents. Methods: PGY-2 residents at a single academic medical center were assessed pre-, mid-, and post-PGY-2. CRF was measured using treadmill cardiopulmonary exercise testing, body composition via seven-site skinfold measurements, depressive symptoms using the Patient Health Questionnaire-9 (PHQ-9), and self-reported physical activity via the International Physical Activity Questionnaire. Results: Six residents enrolled (67% male, median age 31 years); four completed all assessments. Physical activity declined from high pre-PGY-2 to moderate mid-PGY-2. Median body fat increased mid-PGY-2 (16.5% to 17.6%) and returned toward baseline post-PGY-2 (16.5%). PHQ-9 scores remained low overall, with a transient mid-year increase driven by fatigue/low energy. Peak CRF showed modest, transient mid-year reductions. Conclusion: PGY-2 was associated with reduced physical activity and transient changes in physical and mental health. These exploratory findings suggest that PGY-2 may represent a window for targeted wellness interventions and support future larger, adequately powered, longitudinal studies.
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