Pediatric Integrative Medicine in Residency Program: Relationship between Lifestyle Behaviors and Burnout and Wellbeing Measures in First-Year Residents
Hilary McClafferty,
Audrey J. Brooks,
Mei-Kuang Chen,
Michelle Brenner,
Melanie Brown,
Anna Esparham,
Dana Gerstbacher,
Brenda Golianu,
John Mark,
Joy Weydert,
Ann Ming Yeh,
Victoria Maizes
Affiliations
Hilary McClafferty
Department of Medicine, Arizona Center for Integrative Medicine, University of Arizona, Tucson, AZ 85724, USA
Audrey J. Brooks
Department of Medicine, Arizona Center for Integrative Medicine, University of Arizona, Tucson, AZ 85724, USA
Mei-Kuang Chen
Department of Medicine, Arizona Center for Integrative Medicine, University of Arizona, Tucson, AZ 85724, USA
Michelle Brenner
Department of Pediatrics, Eastern Virginia Medical School/Children’s Hospital of the King’s Daughters, Norfolk, VA 23507, USA
Melanie Brown
Department of Pediatrics, University of Chicago Comer Children’s Hospital, Chicago, IL 60637, USA
Anna Esparham
Department of Pediatrics, University of Kansas School of Medicine, Kansas City, KS 66160, USA
Dana Gerstbacher
Department of Pediatrics, Stanford University School of Medicine, Palo Alto, CA 94304, USA
Brenda Golianu
Department of Anesthesiology and Pain Management, Stanford University School of Medicine, Palo Alto, CA 94304, USA
John Mark
Department of Pediatrics, Stanford University School of Medicine, Palo Alto, CA 94304, USA
Joy Weydert
Department of Pediatrics, University of Kansas School of Medicine, Kansas City, KS 66160, USA
Ann Ming Yeh
Department of Pediatrics, Stanford University School of Medicine, Palo Alto, CA 94304, USA
Victoria Maizes
Department of Medicine, Arizona Center for Integrative Medicine, University of Arizona, Tucson, AZ 85724, USA
It is widely recognized that burnout is prevalent in medical culture and begins early in training. Studies show pediatricians and pediatric trainees experience burnout rates comparable to other specialties. Newly developed Accreditation Council for Graduate Medical Education (ACGME) core competencies in professionalism and personal development recognize the unacceptably high resident burnout rates and present an important opportunity for programs to improve residents experience throughout training. These competencies encourage healthy lifestyle practices and cultivation of self-awareness, self-regulation, empathy, mindfulness, and compassion—a paradigm shift from traditional medical training underpinned by a culture of unrealistic endurance and self-sacrifice. To date, few successful and sustainable programs in resident burnout prevention and wellness promotion have been described. The University of Arizona Center for Integrative Medicine Pediatric Integrative Medicine in Residency (PIMR) curriculum, developed in 2011, was designed in part to help pediatric programs meet new resident wellbeing requirements. The purpose of this paper is to detail levels of lifestyle behaviors, burnout, and wellbeing for the PIMR program’s first-year residents (N = 203), and to examine the impact of lifestyle behaviors on burnout and wellbeing. The potential of the PIMR to provide interventions addressing gaps in lifestyle behaviors with recognized association to burnout is discussed.
