https://doi.org/10.4081/qrmh.2018.7417

Stress and burnout in anesthesia residency: an exploratory case study of peer support groups

Vol. 2 No. 2 (2018)
Submitted: 14 March 2018
Accepted: 3 August 2018
Published: 3 September 2018
Anesthesia residency training, Burnout, Stress, Physician health, Peer support.
Abstract Views: 2450
PDF: 806
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Authors

Jessica Spence
Department of Anesthesia, McMaster University, Hamilton, Ontario, Canada.
David Smith
Department of Psychiatry and Behavioural Neurosciences, McMaster University, Hamilton, Ontario, Canada.
Anne Wong
wongan@mcmaster.ca
Department of Anesthesia, McMaster University, Hamilton, Ontario, Canada.
Stress and burnout are alarmingly prevalent in anesthesiologists, with the highest risk occurring during anesthesia residency training. To better understand this phenomenon, we conducted a mixed methods case study of our anesthesia training program to explore the residents’ accounts of stress and burnout and the potential value of peer support groups. Eight out of thirty eight residents participated in nine monthly peer support group (PSG) meetings followed by a focus group interview about stress and burnout in training and the value of PSG. We compared the participants’ mean pre-and post-PSG Maslach Burnout Inventory® (MBI) and Perceived Stress Scale® (PSS) and analysed the focus group interview for recurring themes. We captured the perspectives of twenty seven out of thirty residents who did not participate in support groups (non-participants) through an online survey on stress and burnout. We found evidence of a high prevalence of stress and burnout from the MBI and PSS scores and survey responses. Analysis of the focus group interview showed that the specific stressors of anesthesia training included: an individually-based model of training that predisposes to isolation from peers, an over-reliance on the quality of the faculty-resident relationship and the critical, high stakes nature of the profession. Residents strongly endorsed the value of PSG in decreasing isolation, enhancing validation, and support through the sharing of experiences. Lack of dedicated time and integration into the training program were major barriers to PSG participation. These barriers need to be overcome in order to fully realize its role in mitigating stress and burnout.

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Supporting Agencies

Funding from a Special Projects Grant, the Canadian Physician Health Institute.

How to Cite

Spence, Jessica, David Smith, and Anne Wong. 2018. “Stress and Burnout in Anesthesia Residency: An Exploratory Case Study of Peer Support Groups”. Qualitative Research in Medicine and Healthcare 2 (2). https://doi.org/10.4081/qrmh.2018.7417.

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