Development of a conceptual model for understanding the learning environment and surgical resident well-being.
Publication/Presentation Date
2-1-2021
Abstract
BACKGROUND: Surgeon burnout is linked to poor outcomes for physicians and patients. Several conceptual models exist that describe drivers of physician wellness generally. No such model exists for surgical residents specifically.
METHODS: A conceptual model for surgical resident well-being was adapted from published models with input gained iteratively from an interdisciplinary team. A survey was developed to measure residents' perceptions of their program. A confirmatory factor analysis (CFA) tested the fit of our proposed model construct.
RESULTS: The conceptual model outlines eight domains that contribute to surgical resident well-being: Efficiency and Resources, Faculty Relationships and Engagement, Meaning in Work, Resident Camaraderie, Program Culture and Values, Work-Life Integration, Workload and Job Demands, and Mistreatment. CFA demonstrated acceptable fit of the proposed 8-domain model.
CONCLUSION: Eight distinct domains of the learning environment influence surgical resident well-being. This conceptual model forms the basis for the SECOND Trial, a study designed to optimize the surgical training environment and promote well-being.
Volume
221
Issue
2
First Page
323
Last Page
330
ISSN
1879-1883
Published In/Presented At
Zhang, L. M., Cheung, E. O., Eng, J. S., Ma, M., Etkin, C. D., Agarwal, G., Shanafelt, T. D., Riall, T. S., Nasca, T., Bilimoria, K. Y., Hu, Y. Y., & Johnson, J. K. (2021). Development of a conceptual model for understanding the learning environment and surgical resident well-being. American journal of surgery, 221(2), 323–330. https://doi.org/10.1016/j.amjsurg.2020.10.026
Disciplines
Business Administration, Management, and Operations | Health and Medical Administration | Management Sciences and Quantitative Methods
PubMedID
33121657
Department(s)
Administration and Leadership
Document Type
Article