Equal time for inpatient and outpatient training can improve well-being for doctors in training, according to a recent study by the University of Colorado School of Medicine.
It's the difference between running a marathon and taking a leisurely stroll. That's how recent pediatrics resident Joey Whelihan compared an 11-hour inpatient hospital day with an 8-hour outpatient shift where residents see patients in a clinic.
"I think everyone has burnout as a resident, regardless of the type of program they are in," Whelihan said. He described the experience as when you lack fulfillment and empathy, feel exhausted, callous, and removed from interactions with colleagues and patients. As part of the survey, residents rated symptoms on a 7-point scale on the basis of how frequently they experienced emotional exhaustion, depersonalization, and personal accomplishment.
"One of the things we worried about was that the pandemic would make look worse," said lead author Dan Heppe, a hospitalist and associate director of the CU Internal Medicine Residency Program."Anecdotally, residents may have had more support in our program than perhaps some other programs. Though they had long hours with very sick patients, we tried to keep going in a positive direction.
The Yale Internal Medicine Traditional Residency Program also recently ended its 28-hour call, during which residents worked 24-hours with an additional 4 hours to transfer the patient to the incoming team. The move was made in response to residents' requests, saying that the grueling call rotation's time had come. The reaction has been overwhelmingly positive.
Still, the study includes design flaws because it doesn't explain how call times and hours differ between inpatient and outpatient rotations."My own program also does outpatient clinics when we have inpatient service. We have half days in the clinic, which ensures better continuity care with the patient."
He said future studies should attempt to change the structure of medical training delivery by evaluating models that best reduce burnout, are consistent with residents' career goals, and produce competent physicians.
Medical Life Physician Lifestyle Medical Lifestyle Resident Lifestyle Medical Student Lifestyle Nurse Lifestyle Residency Residents Clinician Health And Well-Being Work-Life Balance Balancing Career And Personal Life Balancing Personal And Professional Life Burnout Physician Health Physician Well-Being Physician Mental Health Physician Wellness
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