Abstract
Objective:Resident wellness is a focus of medical training and is prioritized in both Canadian and American accreditation processes. Job satisfaction is an important component of wellness that is not examined in the literature. The purpose of this study was to analyze job satisfaction in a national sample of plastic surgery residents, and identify factors that influence satisfaction.Methods:We designed a cross-sectional survey adapted from existing instruments, with attention to thorough item generation and reduction as well as pilot and clinical sensibility testing. All plastic surgery residents at Canadian institutions were surveyed regarding overall job satisfaction as well as personal- and program-specific factors that may affect satisfaction. Predictors of satisfaction were identified using multivariable regression models.Results:The response rate was 40%. Median overall job satisfaction was 4.0 on a 5-point Likert scale. Operative experience was considered both the most important element of a training program, and the area in most need of improvement. Senior training year (P < .01), shorter commute time (P = .04), fewer duty hours (P = .02), fewer residents (P < .01), and more fellows (P < .01) were associated with significantly greater job satisfaction.Conclusions:This is the first study to gather cross-sectional data on job satisfaction from a national sample of plastic surgery residents. The results from this study can inform programs in making tangible changes tailored to their trainees’ needs. Moreover, our findings may be used to inform a prospectively studied targeted intervention to increase job satisfaction and resident wellness to address North American accreditation standards.
Highlights
Resident wellness has gained significant attention in recent years and has become a focus of medical education.1,2“Commitment to self” was recently added as a professionalism sub-competency in the CanMEDS framework.[3]
Resident wellness is not the absence of burnout[12]; job satisfaction, which describes how trainees feel about their situation at work,[13,14] is important in determining resident wellness.[15,16]
Ten demographic factors and 4 program-factors were summarized as potential predictors of job satisfaction
Summary
Resident wellness has gained significant attention in recent years and has become a focus of medical education.. “Commitment to self” (physician health and well-being) was recently added as a professionalism sub-competency in the CanMEDS framework.[3] The Royal College prioritizes resident wellness in the accreditation process.[4] in. 2017, the American Council for Graduate Medical Education (ACGME) mandated the implementation of wellness initiatives as a requirement across all American residency programs.[5]. Rates of burnout are consistently higher among surgical residents when compared to non-surgical residents[7,8,9,10] and attending physicians.[6,11] Resident wellness is not the absence of burnout[12]; job satisfaction, which describes how trainees feel about their situation at work,[13,14] is important in determining resident wellness.[15,16] High job satisfaction is associated with greater productivity and efficiency, reduced turnover, and improved patient safety.[1,17] Promoting satisfaction benefits both the personal well-being of residents and patient care
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