Can We Actually Improve Resident Wellness? Pilot Data from a Longitudinal Wellness Curriculum for Emergency Medicine Residents

Abstract

Background: The wellness of resident physicians is of paramount importance to residency programs. "Wellness" has many facets including mental health, physical health and financial health, to name a few. Residency programs need to provide a wellness curriculum that addresses all of these facets of resident physician wellness. In this study, we sought to evaluate the effects of the implementation of an evidence-based wellness curriculum on self-reported resident wellness across three Detroit emergency medicine residency programs. Method(s): This is a prospective, interventional study of the impact of a well-defined, longitudinal wellness curriculum administered to all categorical residents in three emergency medicine residency programs in Detroit, Michigan. Anonymous surveys incorporating the Perceived Stress Scale (PSS) and the Connor-Davidson Resilience Scale (CD-RISC) were administered before and after implementation of the wellness curriculum. The curriculum consisted of three modules (Introduction to Wellness, Dealing with Medical Errors, and Shame and Debriefing Traumatic Events in the Emergency Department) presented over 3 months. Participation was anonymous and voluntary, and all data collection and analysis were provided by a third-party not affiliated with residency program leadership. Result(s): 64 out of 114 (56.1%) residents completed the pre-intervention survey and 58 (50.9%) residents completed the post-intervention survey. The mean score of the PSS was 15.5 (SD+/-4.85) pre-intervention and 15.4 (SD+/-5.42) post-intervention while the mean of the CD-RISC was 75.1 (SD+/-8.9) pre-intervention and 74.9 (SD+/-9.88) post-intervention (Table 1). Both the PSS and CD-RISC scores showed an improvement post-intervention although only the CD-RISC was statistically significant (p=0.015). There was no statistically significant difference on either scoring system with respect to gender, post-graduate year of training, or residency training site. Conclusion(s): Implementation of a wellness curriculum in our cohort of residents was shown to improve resilience amongst residents. Gender, post-graduate year of training, and residency training site did not affect these outcomes. This represents the first longitudinal residency wellness curriculum in emergency medicine that has a proven beneficial effect on residents.