TY - JOUR
T1 - Pediatric integrative medicine in residency program
T2 - Relationship between lifestyle behaviors and burnout and wellbeing measures in first-year residents
AU - McClafferty, Hilary
AU - Brooks, Audrey J.
AU - Chen, Mei Kuang
AU - Brenner, Michelle
AU - Brown, Melanie
AU - Esparham, Anna
AU - Gerstbacher, Dana
AU - Golianu, Brenda
AU - Mark, John
AU - Weydert, Joy
AU - Yeh, Ann Ming
AU - Maizes, Victoria
N1 - Funding Information:
Acknowledgments: Sincere thanks to all the residents and faculty participating in the PIMR pilot program, as well as to all faculty involved in the early adopter phase including: Maria Mascarenhas and Miriam Stewart, Children’s Hospital of Philadelphia; Carmen Herrera, University of New Mexico; Alexandra Russell, Vanderbilt University; Rukmani Vasan, University of Southern California; Marian Eckert, Kinderkrankenhaus St. Marien; Elena Ladas, Columbia University; Hillary Franke, University of Arizona; J. Paige Frazer, Eastern Virginia Medical School, Children’s Hospital of the King’s Daughters. Thanks also go to Paula Cook, Research Specialist, and Rhonda Hallquist, Instructional Web Developer, for their many contributions. And a special thanks to Emily Sherbrooke, IMR/PIMR Program Coordinator Sr.; and to Janice Curtis, Administrative Associate, for their administrative support and expert help in manuscript preparation. Funding was received from the David and Lura Lovell Foundation, the Weil Foundation, the Gerald J. and Rosalie E. Kahn Family Foundation, Inc., the John F. Long Foundation, the Resnick Foundation, and the Sampson Foundation.
Publisher Copyright:
© 2018 by the authors. Licensee MDPI, Basel, Switzerland.
PY - 2018/4
Y1 - 2018/4
N2 - It is widely recognized that burnout is prevalent in medical culture and begins early in training. Studies show pediatricians and pediatric trainees experience burnout rates comparable to other specialties. Newly developed Accreditation Council for Graduate Medical Education (ACGME) core competencies in professionalism and personal development recognize the unacceptably high resident burnout rates and present an important opportunity for programs to improve residents experience throughout training. These competencies encourage healthy lifestyle practices and cultivation of self-awareness, self-regulation, empathy, mindfulness, and compassion—a paradigm shift from traditional medical training underpinned by a culture of unrealistic endurance and self-sacrifice. To date, few successful and sustainable programs in resident burnout prevention and wellness promotion have been described. The University of Arizona Center for Integrative Medicine Pediatric Integrative Medicine in Residency (PIMR) curriculum, developed in 2011, was designed in part to help pediatric programs meet new resident wellbeing requirements. The purpose of this paper is to detail levels of lifestyle behaviors, burnout, and wellbeing for the PIMR program’s first-year residents (N = 203), and to examine the impact of lifestyle behaviors on burnout and wellbeing. The potential of the PIMR to provide interventions addressing gaps in lifestyle behaviors with recognized association to burnout is discussed.
AB - It is widely recognized that burnout is prevalent in medical culture and begins early in training. Studies show pediatricians and pediatric trainees experience burnout rates comparable to other specialties. Newly developed Accreditation Council for Graduate Medical Education (ACGME) core competencies in professionalism and personal development recognize the unacceptably high resident burnout rates and present an important opportunity for programs to improve residents experience throughout training. These competencies encourage healthy lifestyle practices and cultivation of self-awareness, self-regulation, empathy, mindfulness, and compassion—a paradigm shift from traditional medical training underpinned by a culture of unrealistic endurance and self-sacrifice. To date, few successful and sustainable programs in resident burnout prevention and wellness promotion have been described. The University of Arizona Center for Integrative Medicine Pediatric Integrative Medicine in Residency (PIMR) curriculum, developed in 2011, was designed in part to help pediatric programs meet new resident wellbeing requirements. The purpose of this paper is to detail levels of lifestyle behaviors, burnout, and wellbeing for the PIMR program’s first-year residents (N = 203), and to examine the impact of lifestyle behaviors on burnout and wellbeing. The potential of the PIMR to provide interventions addressing gaps in lifestyle behaviors with recognized association to burnout is discussed.
KW - Burnout
KW - Pediatrics
KW - Preventive lifestyle behaviors
KW - Residents
KW - Resilience
UR - http://www.scopus.com/inward/record.url?scp=85078132267&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85078132267&partnerID=8YFLogxK
U2 - 10.3390/children5040054
DO - 10.3390/children5040054
M3 - Article
AN - SCOPUS:85078132267
VL - 5
JO - Children
JF - Children
SN - 2227-9067
IS - 4
M1 - 54
ER -