Exploration of What Pediatric Residents Find Most Helpful from Their Programs in Facilitating Well-Being

OBJECTIVE: Burnout is highly prevalent among residents, and although many studied interventions have targeted burnout by trying to promote well-being, it remains a substantial problem. This study utilized data from the Pediatric Resident Burnout-Resilience Study Consortium (PRB-RSC) Annual Burnout Survey to determine which program interventions categorical and non-categorical (medicine-pediatrics and combined programs) pediatric residents found most helpful to promote well-being. METHODS: We conducted a secondary analysis of an open-ended question on the PRB-RSC Annual Burnout Survey in 2019 and 2020: What is the most helpful thing that your program provides you for wellness? We performed thematic and content analysis on open-ended responses and compared distribution of themes and subthemes between years using a Chi-squared test. RESULTS: In 2019, 1401 (44%) of 3159 residents from 44 programs responded to the open-ended question, with 771 (49%) of 1563 residents from 21 programs responding in 2020. Residents found wellness interventions within five themes to be the most helpful. Promotes Positive Work Environment and Optimizes Scheduling were mentioned most frequently, but residents also valued when a program Facilitates Traditional Wellness Interventions, Offers Financial Benefits, and Prioritizes Education. Themes and subthemes were mentioned with the same frequency in both 2019 and 2020. CONCLUSIONS: The results of this study show which institutional interventions residents have found to be most helpful to their well-being. Program leaders can use this data as a framework to discuss interventions with their residents, allowing them to tailor wellness programs and use limited available resources for what residents believe is most impactful

Three years of x+y scheduling: Longitudinal assessment of resident and faculty perceptions

PURPOSE: Five pediatric residency programs implemented true X+Y scheduling in 2018 where residents have continuity clinic in blocks rather than half-day per week experiences. We report the impact X+Y scheduling has on pediatric resident and faculty perceptions of patient care and other educational experiences over a three-year timeframe. METHODS: Electronic surveys were sent to residents and faculty of the participating programs prior to implementing X+Y scheduling and annually thereafter (2018 - 2021). Survey questions measured resident and faculty perception of continuity clinic schedule satisfaction and the impact of continuity clinic schedules on inpatient and subspecialty rotations. Data were analyzed using z-tests for proportion differences. RESULTS: 186 residents were sent the survey pre-implementation and 254-289 post-implementation with response rates ranging from 47%-69%. 378- 395 faculty members were sent the survey with response rates ranging from 26%-51%. Statistically significant (p\u3c0.05) sustained perceived improvements over three years with X+Y were seen in outpatient continuity, inpatient workflow, and time for teaching both inpatient and in continuity clinic. CONCLUSIONS: X+Y scheduling can lead to perceived improvements in various aspects of pediatric residency programs. Our study demonstrates these improvements have been sustained over three years in the participating programs. WHAT\u27S NEW: X+Y scheduling in pediatric residency programs is rather novel and there is a paucity of literature evaluating its use. We report three years of outcome data from the only ACGME-approved pilot of X+Y scheduling in pediatric residency