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Groundwork

Promoting Wellbeing among Family Medicine Trainees: A Hermeneutic Review of Intervention Mechanisms of Change and their Delivery Methods

ORCID Icon, , ORCID Icon &
Pages 303-314 | Received 05 Jul 2021, Accepted 22 Feb 2022, Published online: 23 Apr 2022

References

  • Prentice S, Dorstyn D, Benson J, Elliott T . Burnout levels and patterns in postgraduate medical trainees: A systematic review and meta-analysis. Acad Med. 2020;95(9):1444–1454. doi:10.1097/ACM.0000000000003379.
  • Wu F, Ireland M, Hafekost K, Lawrence D. National Mental Health Survey of Doctors and Medical Students. 2013. https://www.beyondblue.org.au/docs/default-source/research-project-files/bl1132-report-nmhdmss-full-report_web
  • Han S, Shanafelt TD, Sinsky CA, et al. Estimating the attributable cost of physician burnout in the United States. Ann Intern Med. 2019;170(11):784–790. doi:10.7326/M18-1422.
  • Tawfik D, Scheid A, Profit J, et al. Evidence relating health care provider burnout and quality of care: A systematic review and meta-analysis. Ann Intern Med. 2019;171(8):555–567. doi:10.7326/M19-1152.
  • Dyrbye LN, Shanafelt T. A narrative review on burnout experienced by medical students and residents. Med Educ. 2016;50(1):132–149. doi:10.1111/medu.12927.
  • West CP, Dyrbye LN, Erwin PJ, Shanafelt TD. Interventions to prevent and reduce physician burnout: a systematic review and meta-analysis. The Lancet. 2016;388(10057):2272–2281. doi:10.1016/S0140-6736(16)31279-X.
  • Panagioti M, Panagopoulou E, Bower P, et al. Controlled interventions to reduce burnout in physicians: a systematic review and meta-analysis. JAMA Intern Med. 2017;177(2):195–205. doi:10.1001/jamainternmed.2016.7674.
  • Williams D, Tricomi G, Gupta J, Janise A. Efficacy of burnout interventions in the medical education pipeline. Acad Psychiatry. 2015;39(1):47–54. doi:10.1007/s40596-014-0197-5.
  • Lavin Venegas C, Nkangu MN, Duffy MC, Fergusson DA, Spilg EG. Interventions to improve resilience in physicians who have completed training: A systematic review. PLoS One. 2019;14(1):e0210512. doi:10.1371/journal.pone.0210512.
  • Mihailescu M, Neiterman E. A scoping review of the literature on the current mental health status of physicians and physicians-in-training in North America. BMC Public Health. 2019;19(1):1363. doi:10.1186/s12889-019-7661-9.
  • Lemaire JB, Wallace JE. Burnout among doctors. BMJ. 2017;358:j3360. doi:10.1136/bmj.j3360.
  • Wight D, Wimbush E, Jepson R, Doi L. Six steps in quality intervention development (6SQuID). J Epidemiol Community Health. 2016;70(5):520–525. doi:10.1136/jech-2015-205952.
  • Bynum WE, Varpio L, Teunissen P. Why impaired wellness may be inevitable in medicine, and why that may not be a bad thing. Med Educ. 2021;55(1):16–22. 2020/06/21doi:10.1111/medu.14284.
  • Raj KS. Well-being in residency: A systematic review. J Grad Med Educ. 2016;8(5):674–684. doi:10.4300/JGME-D-15-00764.1.
  • Sibeoni J, Bellon-Champel L, Mousty A, Manolios E, Verneuil L, Revah-Levy A. Physicians’ perspectives about burnout: a systematic review and metasynthesis. J Gen Intern Med. 2019;34(8):1578–1590. doi:10.1007/s11606-019-05062-y.
  • Prentice S, Benson J, Dorstyn D, Elliott T. Wellbeing conceptualizations in family medicine trainees: A hermeneutic review. Teaching and Learn Med 2021. 2022;34(1):60–68. doi:10.1080/10401334.2021.1919519.
  • Brady KJS, Trockel MT, Khan CT, et al. What do we mean by physician wellness? A systematic review of its definition and measurement. Acad Psychiatry. 2018;42(1):94–108. doi:10.1007/s40596-017-0781-6.
  • Hale AJ, Ricotta DN, Freed J, Smith CC, Huang GC. Adapting Maslow’s hierarchy of needs as a framework for resident wellness. Teach Learn Med. 2019;31(1):109–118. doi:10.1080/10401334.2018.1456928.
  • Ratanawongsa N, Wright SM, Carrese JA. Well-being in residency: a time for temporary imbalance?. Med Educ. 2007;41(3):273–280. doi:10.1111/j.1365-2929.2007.02687.x.
  • Harsh JS, Lawrence TJ, Koran-Scholl JB, Bonnema R. A new perspective on burnout: Snapshots of the medical resident experience. Clin Med Insights: Psychiatr. 2019;10:117955731985899–117955731985896. doi:10.1177/1179557319858991.
  • Zhou AY, Panagioti M, Esmail A, Agius R, Van Tongeren M, Bower P. Factors associated with burnout and stress in trainee physicians: A systematic review and meta-analysis. JAMA Netw Open. 2020;3(8):e2013761. doi:10.1001/jamanetworkopen.2020.13761.
  • Carrieri D, Mattick K, Pearson M, et al . Optimising strategies to address mental ill-health in doctors and medical students: ‘Care Under Pressure’ realist review and implementation guidance. BMC Med. 2020;18(1):76. doi:10.1186/s12916-020-01532-x.
  • Brigham T, Barden C, Dopp AL, Accreditations Council for Graduate Medical Education, et al. A journey to construct an all-encompassing conceptual model of factors affecting clinician well-being and resilience. NAM Perspectives. 2018;8(1). doi:10.31478/201801b.
  • Shanafelt TD, Noseworthy JH. Executive leadership and physician well-being: nine organizational strategies to promote engagement and reduce burnout. Mayo Clin Proc. 2017;92(1):129–146. doi:10.1016/j.mayocp.2016.10.004.
  • National Academies of Sciences Engineerering and Medicine. Taking action against clinician burnout: a systems approach to professional well-being. Washington DC: National Academies Press; 2019.
  • Proctor E, Silmere H, Raghavan R, et al. Outcomes for implementation research: Conceptual distinctions, measurement challenges, and research agenda. Adm Policy Ment Health. 2011;38(2):65–76. doi:10.1007/s10488-010-0319-7.
  • Aaronson AL, Backes K, Agarwal G, Goldstein JL, Anzia J. Mental health during residency training: Assessing the barriers to seeking care. Acad Psychiatry. 2018;42(4):469–472. doi:10.1007/s40596-017-0881-3.
  • Hanson P, Clarke A, Villarreal M, Khan M, Dale J. Burnout, resilience, and perception of mindfulness programmes among GP trainees: a mixed-methods study. BJGP Open. 2020;4(3):bjgpopen20X101058. doi:10.3399/bjgpopen20X101058.
  • Rich A, Aly A, Cecchinato ME, et al. Evaluation of a novel intervention to reduce burnout in doctors-in-training using self-care and digital wellbeing strategies: a mixed-methods pilot. BMC Med Educ. 2020;20(1):294. doi:10.1186/s12909-020-02160-y.
  • Yanes AF. The culture of perfection: a barrier to medical student wellness and development. Acad Med. 2017;92(7):900–901. doi:10.1097/ACM.0000000000001752.
  • Carrieri D, Briscoe S, Jackson M, et al . ‘Care Under Pressure’: a realist review of interventions to tackle doctors’ mental ill-health and its impacts on the clinical workforce and patient care. BMJ Open. 2018;8(2):e021273. doi:10.1136/bmjopen-2017-021273.
  • Wearne SM, Magin PJ, Spike NA. Preparation for general practice vocational training: time for a rethink. Med J Aust. 2018;209(2):52–54. doi:10.5694/mja17.00379.
  • Bugaj TJ, Valentini J, Miksch A, Schwill S. Work strain and burnout risk in postgraduate trainees in general practice: An overview. Postgrad Med. 2020;132(1):7–16. doi:10.1080/00325481.2019.1675361.
  • Tong A, Flemming K, McInnes E, Oliver S, Craig J. Enhancing transparency in reporting the synthesis of qualitative research: ENTREQ. BMC Med Res Methodol. 2012;12:181. doi:10.1186/1471-2288-12-181.
  • Boell SK, Cecez-Kecmanovic D. A hermeneutic approach for conducting literature reviews and literature searches. CAIS. 2014;34:257–286. doi:10.17705/1CAIS.03412.
  • Schmidt LK. Understanding hermeneutics. Understanding Movements in Modern Thought. New York, NY: Routledge; 2014.
  • Boell SK, Cecez-Kecmanovic D. Are Systematic Reviews Better, Less Biased and of Higher Quality? European Conference of Information Systems; 2011:223.
  • Boell SK, Cecez-Kecmanovic D. On being ‘systematic’ in literature reviews. J Inf Technol. 2015;30(2):161–173. doi:10.1057/jit.2014.26.
  • Brooks J, McCluskey S, Turley E, King N. The utility of template analysis in qualitative psychology research. Qual Res Psychol. 2015;12(2):202–222. doi:10.1080/14780887.2014.955224.
  • Glaser BG, Strauss AL. The Discovery of Grounded Theory: Strategies for Qualitative Research. New Brunswick, NJ: Aldine; 1967.
  • Kmet LM, Lee RC, Cook LS. Standard Quality Assessment Criteria for Evaluating Primary Research Papers from a Variety of Fields. Edmonton, AB: Alberta Heritage Foundation for Medical Research Edmonton; 2004.
  • Rodgers M, Thomas S, Harden M, Parker G, Street A, Eastwood A. Developing a methodological framework for organisational case studies: a rapid review and consensus development process. Health Serv Deliv Res. 2016;4(1):1–142. doi:10.3310/hsdr04010.
  • Bayley SA, Magin PJ, Sweatman JM, Regan CM. Effects of compulsory rural vocational training for Australian general practitioners: a qualitative study. Aust Health Rev. 2011;35(1):81–85. doi:10.1071/AH09853.
  • Blitch JW, Bowman DO, Adams CE, Jett CR, Campbell DC. Promoting the "whole physician’s" well-being: The experience of a support group for family practice residents. Family Practice Res J. 1983;2(4):231–238.
  • Brennan J, McGrady A. Designing and implementing a resiliency program for family medicine residents. Int J Psychiatry Med. 2015;50(1):104–114. doi:10.1177/0091217415592369.
  • Chambers R, Wall D, Campbell I. Stresses, coping mechanisms and job satisfaction in general practitioner registrars. British J General Practice. 1996;46:343–348.
  • Cohen-Katz J, Miller WL, Borkan JM. Building a culture of resident well-being: Creating self-reflection, community, & positive identity in family practice residency education. Families, Syst Health. 2003;21(3):293–304. doi:10.1037/1091-7527.21.3.293.
  • Cohen-Katz J, Sternlieb JL, Hansen SE, Dostal JA. Developing emotional intelligence in the clinical learning environment: A case study in cultural transformation. J Grad Med Educ. 2016;8(5):692–698. doi:10.4300/JGME-D-15-00548.1.
  • Cooke G, Doust JA, Steele MC. A survey of resilience, burnout, and tolerance of uncertainty in Australian general practice registrars. BMC Med Educ. 2013;13:2. doi:10.1186/1472-6920-13-2.
  • Cooke G, Tapley A, Holliday E, et al. Responses to clinical uncertainty in Australian general practice trainees: a cross-sectional analysis. Med Educ. 2017;51(12):1277–1288. doi:10.1111/medu.13408.
  • Damestoy N, Brouillette L, de Courval P. L. Stress and residents’ lifestyle: Survey of family medicine residents at McGill University. Can Family Phys. 1993;39:1576–1580.
  • Dory V, Beaulieu M-D, Pestiaux D, et al. The development of self-efficacy beliefs during general practice vocational training: An exploratory study. Med Teach. 2009;31(1):39–44. doi:10.1080/01421590802144245.
  • Earle L, Kelly L. Coping strategies, depression, and anxiety among Ontario family medicine residents. Can Family Phys. 2005;51:242–243.
  • Eckleberry-Hunt J, Van Dyke A, Lick D, Tucciarone J. Changing the conversation from burnout to wellness: Physician well-being in residency training programs. J Grad Med Educ. 2009;1(2):225–230. doi:10.4300/JGME-D-09-00026.1.
  • Eley DS, Cloninger CR, Walters L, Laurence C, Synnott R, Wilkinson D. The relationship between resilience and personality traits in doctors: implications for enhancing well being. PeerJ. 2013;1:e216. doi:10.7717/peerj.216.
  • Galam E, Komly V, Le Tourneur A, Jund J. Burnout among French GPs in training: A cross-sectional study. Br J Gen Pract. 2013;63(608):e217–e224. doi:10.3399/bjgp13X664270.
  • Graham S, Vettraino AN, Jr., Seifeldin R, Singal B. A trial of virtual hypnosis to reduce stress and test anxiety in family medicine residents. Fam Med. 2010;42(2):85–86.
  • Hoffman R, Bonney A. Junior doctors burnout and wellbeing: Understanding the experience of burnout in general practice registrars and hospital equivalents. Aust J Gen Pract. 2018;47(8):571–575. doi:10.31128/AJGP-01-18-4475.
  • Julliard K, Intilli N, Ryan J, Vollmann S, Seshadri M. Stress in family practice residents: An exploratory study using art. Art Therapy. 2002;19(1):4–11. doi:10.1080/07421656.2002.10129727.
  • Larkins SL, Spillman M, Parison J, Hays RB, Vanlint J, Veitch C. Isolation, flexibility and change in vocational training for general practice: Personal and educational problems experienced by general practice registrars in Australia. Fam Pract. 2004;21(5):559–566. doi:10.1093/fampra/cmh513.
  • Lebensohn P, Dodds S, Benn R, et al. Resident wellness behaviors: relationship to stress, depression, and burnout. Fam Med. 2013;45(8):541–549.
  • Lemkau JP, Purdy RR, Rafferty JP, Rudisill JR. Correlates of burnout among family practice residents. J Med Educ. 1988;63(9):682–691. doi:10.1097/00001888-198809000-00003.
  • Morice-Ramat A, Goronflot L, Guihard G. Are alexithymia and empathy predicting factors of the resilience of medical residents in France? Int J Med Educ. 2018;9:122–128. doi:10.5116/ijme.533f.0c41.
  • Morris L, Cronk NJ, Washington KT. Parenting during residency: Providing support for Dr Mom and Dr Dad. Fam Med. 2016;48(2):140–144.
  • Oriel K, Plane MB, Mundt M. Family medicine residents and the impostor phenomenon. Fam Med. 2004;36(4):248–252.
  • Petek D, Gajsek T, Petek Ster M. Work-family balance by women GP specialist trainees in Slovenia: a qualitative study. BMC Med Educ. 2016;16:31. doi:10.1186/s12909-016-0551-2.
  • Picard J, Catu-Pinault A, Boujut E, Botella M, Jaury P, Zenasni F. Burnout, empathy and their relationships: A qualitative study with residents in General Medicine. Psychol Health Med. 2016;21(3):354–361. doi:10.1080/13548506.2015.1054407.
  • Rudner HL. Work-related stress: a survey of family-practice residents in Ontario. Can Fam Physician. 1988;34(March):579–584.
  • Sales B, Macdonald A, Scallan S, Crane S. How can educators support general practice (GP) trainees to develop resilience to prevent burnout? Educ Prim Care. 2016;27(6):487–493. doi:10.1080/14739879.2016.1217170.
  • Schattner P, Mazalin D, Pier C, Wainer J, Ling MY. GP registrar well-being: a cross-sectional survey. Asia Pac Fam Med. 2010;9(1):2. doi:10.1186/1447-056X-9-2.
  • Van Dyke A, Seger AM. Finding, keeping, and revitalizing the meaning in family medicine. Int J Psychiatry Med. 2013;45(4):323–331. doi:10.2190/PM.45.4.c.
  • Walters L, Laurence CO, Dollard J, Elliott T, Eley DS . Exploring resilience in rural GP registrars-implications for training. BMC Med Educ. 2015;15:110. doi:10.1186/s12909-015-0399-x.
  • Rutherford K, Oda J. Family medicine residency training and burnout: a qualitative study. Can Med Educ J. 2014;5(1):e13–e23. doi:10.36834/cmej.36664.
  • Manusov EG, Carr RJ, Rowane M, Beatty LA, Nadeau MT. Dimensions of happiness: a qualitative study of family practice residents. J Am Board Fam Pract. 1995;8(5):367–375.
  • Ollila E, Baum F, Peña S. Introduction to Health in All Policies and the analytical framework of the book. In: Leppo K, Ollila E, Peña S, Wismar M, Cook S, eds. Health in All Policies: Seizing Opportunities, Implementing Policies. Ministry of Social Affairs and Health, Finland; 2013:3–23. chap 1.
  • Maslach C, Jackson SE, Leiter MP. MBI: The Maslach Burnout Inventory Manual. 3rd ed. Palo Alto, CA: Consulting Psychologists Press; 1996.
  • Price ET, Coverley CR, Arrington AK, Nfonsam VN, Morris-Wiseman L, Riall TS. Are we making an impact? A qualitative program assessment of the resident leadership, well-being, and resiliency program for general surgery residents. J Surg Educ. 2020;77(3):508–519. doi:10.1016/j.jsurg.2019.12.003.
  • Thomas LR, Ripp JA, West CP. Charter on physician well-being. JAMA. 2018;319(15):1541–1542. doi:10.1001/jama.2018.1331.
  • Dwyer S . Improving delivery of a health-promoting-environments program: experiences from Queensland Health. Aust N Z J Public Health. 1997;21(4 Spec No):398–402. doi:10.1111/j.1467-842X.1997.tb01721.x.
  • Doolittle BR, Windish DM, Seelig CB. Burnout, coping, and spirituality among internal medicine resident physicians. J Graduate Med Educ. 2013;5(2):257–261. doi:10.4300/JGME-D-12-00136.1.
  • Hätinen M, Mäkikangas A, Kinnunen U, Pekkonen M. Recovery from burnout during a one-year rehabilitation intervention with six-month follow-up: Associations with coping strategies. Int J Stress Manage. 2013;20(4):364–390. doi:10.1037/a0034286.
  • Howlett M, Doody K, Murray J, LeBlanc-Duchin D, Fraser J, Atkinson P. Burnout in emergency department healthcare professionals is associated with coping style: a cross-sectional survey. Emerg Med J. 2015;32(9):722–727. doi:10.1136/emermed-2014-203750.
  • de Vibe M, Solhaug I, Rosenvinge JH, Tyssen R, Hanley A, Garland E. Six-year positive effects of a mindfulness-based intervention on mindfulness, coping and well-being in medical and psychology students; Results from a randomized controlled trial. PLoS One. 2018;13(4):e0196053. doi:10.1371/journal.pone.0196053.
  • Nedrow A, Steckler NA, Hardman J. Physician resilience and burnout: can you make the switch? Fam Pract Manag. 2013;20(1):25–30.
  • Ironside K, Becker D, Chen I, et al. Resident and faculty perspectives on prevention of resident burnout: a focus group study. The Permanente J. 2019;23(18):185. doi:10.7812/TPP/18-185
  • Cole-King A, Gilbert P. Compassionate care: the theory and the reality. Journal of Holistic Healthcare. 2011;8(3):29–37.

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