PDF(Pubmed)
Abstract：
UNASSIGNED: The current research used a qualitative approach to understand which factors facilitate and hinder wellness programming in residency programs.
UNASSIGNED: Program directors identified from a previous quantitative study as having residency programs with notably more or less resident wellness programming than others (ie, high- and low-exemplars, respectively) were contacted. In total, semi-structured interviews were conducted over Zoom with 7 low-exemplars and 9 high-exemplars.
UNASSIGNED: The results of this qualitative examination suggest common themes across the 2 exemplar groups, such as wanting more resources for resident wellness with fewer barriers to implementation, viewing wellness as purpose-driven, and seeing wellness as a shared responsibility. There were also critical distinctions between the exemplar groups. Those high in wellness programming expressed more of an emphasis on connections among residents in the program and between the faculty and residents. In contrast, those low in wellness programming described more barriers, such as staffing problems (ie, turnover and lack of faculty wellness) and a lack of integration between the varying levels involved in graduate medical education (GME) operations (ie, between GME programs and sponsoring hospitals, and between GME facilities and the larger health care organization).
UNASSIGNED: This study provides insight into program directors\' experiences with wellness programming at a large health care organization. The results could point to potential next steps for investigating how the medical education community can improve resident wellness programming.
UNASSIGNED: Program directors identified from a previous quantitative study as having residency programs with notably more or less resident wellness programming than others (ie, high- and low-exemplars, respectively) were contacted. In total, semi-structured interviews were conducted over Zoom with 7 low-exemplars and 9 high-exemplars.
UNASSIGNED: The results of this qualitative examination suggest common themes across the 2 exemplar groups, such as wanting more resources for resident wellness with fewer barriers to implementation, viewing wellness as purpose-driven, and seeing wellness as a shared responsibility. There were also critical distinctions between the exemplar groups. Those high in wellness programming expressed more of an emphasis on connections among residents in the program and between the faculty and residents. In contrast, those low in wellness programming described more barriers, such as staffing problems (ie, turnover and lack of faculty wellness) and a lack of integration between the varying levels involved in graduate medical education (GME) operations (ie, between GME programs and sponsoring hospitals, and between GME facilities and the larger health care organization).
UNASSIGNED: This study provides insight into program directors\' experiences with wellness programming at a large health care organization. The results could point to potential next steps for investigating how the medical education community can improve resident wellness programming.
摘要：
■当前的研究使用定性方法来了解哪些因素促进和阻碍了居住计划中的健康计划。
■从先前的定量研究中确定的计划负责人具有比其他计划更多或更少的居民健康计划（即，高和低样本，分别)进行了联系。总的来说,在Zoom上进行了半结构化访谈，其中有7个低样本和9个高样本。
■这次定性检查的结果表明，在两个样本组中有共同的主题，比如想要更多的资源用于居民健康，更少的实施障碍，将健康视为目标驱动，并将健康视为共同的责任。样本组之间也有关键的区别。那些健康计划高的人更多地强调了计划中居民之间以及教师与居民之间的联系。相比之下,那些健康计划低的人描述了更多的障碍，例如人员配备问题(即，更替和缺乏教师健康)以及研究生医学教育(GME)运营中涉及的不同级别之间缺乏整合(即，在GME计划和赞助医院之间，以及GME设施和更大的医疗保健组织之间)。
■这项研究提供了在大型医疗保健组织中对项目负责人进行健康规划的经验的见解。结果可能指向潜在的下一步，以调查医学教育社区如何改善居民健康计划。
■从先前的定量研究中确定的计划负责人具有比其他计划更多或更少的居民健康计划（即，高和低样本，分别)进行了联系。总的来说,在Zoom上进行了半结构化访谈，其中有7个低样本和9个高样本。
■这次定性检查的结果表明，在两个样本组中有共同的主题，比如想要更多的资源用于居民健康，更少的实施障碍，将健康视为目标驱动，并将健康视为共同的责任。样本组之间也有关键的区别。那些健康计划高的人更多地强调了计划中居民之间以及教师与居民之间的联系。相比之下,那些健康计划低的人描述了更多的障碍，例如人员配备问题(即，更替和缺乏教师健康)以及研究生医学教育(GME)运营中涉及的不同级别之间缺乏整合(即，在GME计划和赞助医院之间，以及GME设施和更大的医疗保健组织之间)。
■这项研究提供了在大型医疗保健组织中对项目负责人进行健康规划的经验的见解。结果可能指向潜在的下一步，以调查医学教育社区如何改善居民健康计划。
