Veterinary house officer perceptions of dimensions of well-being during postgraduate training

Jourdan B. McPhetridge Department of Clinical Sciences, College of Veterinary Medicine, North Carolina State University, Raleigh, NC

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Valery F. Scharf Department of Clinical Sciences, College of Veterinary Medicine, North Carolina State University, Raleigh, NC

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Rachel Dickson Department of Veterinary Clinical Sciences, College of Veterinary Medicine, Washington State University, Pullman, WA

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Kelley M. Thieman Department of Small Animal Clinical Sciences, College of Veterinary Medicine and Biomedical Sciences, Texas A&M University, College Station, TX

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Michelle L. Oblak Department of Clinical Studies, Ontario Veterinary College, University of Guelph, Guelph, Ontario, Canada

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Penny J. Regier Department of Small Animal Clinical Sciences, College of Veterinary Medicine, University of Florida, Gainesville, FL

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Owen T. Skinner Department of Veterinary Medicine and Surgery, University of Missouri College of Veterinary Medicine, Columbia, MO

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Selena Tinga Department of Veterinary Clinical Sciences, College of Veterinary Medicine, The Ohio State University, Columbus, OH

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Katy L. Townsend Department of Clinical Sciences, Carlson College of Veterinary Medicine, Oregon State University, Corvallis, OR

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Mandy L. Wallace Department of Small Animal Medicine and Surgery, College of Veterinary Medicine, University of Georgia, Athens, GA

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Rebecca Walton Department of Veterinary Clinical Sciences, College of Veterinary Medicine, Iowa State University, Ames, IA

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Steven L. Marks Department of Clinical Sciences, College of Veterinary Medicine, North Carolina State University, Raleigh, NC

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Laura Nelson Department of Clinical Sciences, College of Veterinary Medicine, North Carolina State University, Raleigh, NC

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Abstract

OBJECTIVE

To describe veterinary house officers’ perceptions of dimensions of well-being during postgraduate training and to identify potential areas for targeted intervention.

SAMPLE

303 house officers.

PROCEDURES

A 62-item questionnaire was generated by use of an online platform and sent to house officers at participating institutions in October 2020. Responses were analyzed for trends and associations between selected variables.

RESULTS

239 residents, 45 rotating interns, and 19 specialty interns responded to the survey. The majority of house officers felt that their training program negatively interfered with their exercise habits, diet, and social engagement. House officers reported engaging in exercise significantly less during times of clinical responsibility, averaging 1.6 exercise sessions/wk (SD ± 0.8) on clinical duty and 2.4 exercise sessions/wk (SD ± 0.9) when not on clinical duty (P < 0.001). Ninety-four percent of respondents reported experiencing some degree of anxiety regarding their physical health, and 95% of house officers reported feeling some degree of anxiety regarding their current financial situation. Overall, 47% reported that their work-life balance was unsustainable for > 1 year; there was no association between specialty and sustainability of work-life balance. Most house officers were satisfied with their current training program, level of clinical responsibility, and mentorship.

CLINICAL RELEVANCE

Veterinary house officers demonstrated a poor balance between the demands of postgraduate training and maintenance of personal health. Thoughtful interventions are needed to support the well-being of veterinary house officers.

Abstract

OBJECTIVE

To describe veterinary house officers’ perceptions of dimensions of well-being during postgraduate training and to identify potential areas for targeted intervention.

SAMPLE

303 house officers.

PROCEDURES

A 62-item questionnaire was generated by use of an online platform and sent to house officers at participating institutions in October 2020. Responses were analyzed for trends and associations between selected variables.

RESULTS

239 residents, 45 rotating interns, and 19 specialty interns responded to the survey. The majority of house officers felt that their training program negatively interfered with their exercise habits, diet, and social engagement. House officers reported engaging in exercise significantly less during times of clinical responsibility, averaging 1.6 exercise sessions/wk (SD ± 0.8) on clinical duty and 2.4 exercise sessions/wk (SD ± 0.9) when not on clinical duty (P < 0.001). Ninety-four percent of respondents reported experiencing some degree of anxiety regarding their physical health, and 95% of house officers reported feeling some degree of anxiety regarding their current financial situation. Overall, 47% reported that their work-life balance was unsustainable for > 1 year; there was no association between specialty and sustainability of work-life balance. Most house officers were satisfied with their current training program, level of clinical responsibility, and mentorship.

CLINICAL RELEVANCE

Veterinary house officers demonstrated a poor balance between the demands of postgraduate training and maintenance of personal health. Thoughtful interventions are needed to support the well-being of veterinary house officers.

Supplementary Materials

    • Supplementary Appendix S1 (PDF 219 KB)

Contributor Notes

Corresponding author: Dr. Scharf (vfscharf@ncsu.edu)
  • 1.

    Stoewen DL. Moving from compassion fatigue to compassion resilience. Part 3: causes of compassion fatigue. Can Vet J. 2020;61(4):427429.

  • 2.

    Nett RJ, Witte TK, Holzbauer SM, et al. Risk factors for suicide, attitudes toward mental illness, and practice-related stressors among US veterinarians. J Am Vet Med Assoc. 2015;247(8):945955. doi:10.2460/javma.247.8.945

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 3.

    Perret JL, Best CO, Coe JB, Greer AL, Khosa DK, Jones-Bitton A. Prevalence of mental health outcomes among Canadian veterinarians. J Am Vet Med Assoc. 2020;256(3):365375. doi:10.2460/javma.256.3.365

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 4.

    Bartram DJ, Yadegarfar G, Baldwin DS. A cross-sectional study of mental health and well-being and their associations in the UK veterinary profession. Soc Psychiatry Psychiatr Epidemiol. 2009;44(12):10751085. doi:10.1007/s00127-009-0030-8

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 5.

    Volk JO, Schimmack U, Strand EB, Vasconcelos J, Siren CW. Executive summary of the Merck Animal Health Veterinarian Wellbeing Study II. J Am Vet Med Assoc. 2020;256(11):12371244. doi:10.2460/javma.256.11.1237

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 6.

    Perry MY, Osborne WE. Health and wellness in residents who matriculate into physician training programs. Am J Obstet Gynecol. 2003;189(3):679683. doi:10.1067/s0002-9378(03)00889-5

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 7.

    Weight CJ, Sellon JL, Lessard-Anderson CR, Shanafelt TD, Olsen KD, Laskowski ER. Physical activity, quality of life, and burnout among physician trainees: the effect of a team-based, incentivized exercise program. Mayo Clin Proc. 2013;88(12):14351442. doi:10.1016/j.mayocp.2013.09.010

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 8.

    Shapiro J, Zhang B, Warm EJ. Residency as a social network: burnout, loneliness, and social network centrality. J Grad Med Educ. 2015;7(4):617623. doi:10.4300/JGME-D-15-00038.1

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 9.

    Wong KP, Kaliya-Perumal AK, Oh J. Orthopaedic resident burnout: a literature review on vulnerability, risk factors, consequences and management strategies. Malays Orthop J. 2019;13(2):1519. doi:10.5704/MOJ.1907.003

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 10.

    Rosen IM, Gimotty PA, Shea JA, Bellini LM. Evolution of sleep quantity, sleep deprivation, mood disturbances, empathy, and burnout among interns. Acad Med. 2006;81(1):8285. doi:10.1097/00001888-200601000-00020

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 11.

    Pereira-Lima K, Gupta RR, Guille C, Sen S. Residency program factors associated with depressive symptoms in internal medicine interns: a prospective cohort study. Acad Med. 2019;94(6):869875. doi:10.1097/ACM.0000000000002567

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 12.

    Fargen KM, Spiotta AM, Turner RD, Patel S. The importance of exercise in the well-rounded physician: dialogue for the inclusion of a physical fitness program in neurosurgery resident training. World Neurosurg. 2016;90:380384. doi:10.1016/j.wneu.2016.03.024

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 13.

    Goetz K, Musselmann B, Szecsenyi J, Joos S. The influence of workload and health behavior on job satisfaction of general practitioners. Fam Med. 2013;45(2):95101.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 14.

    Williams ES, Manwell LB, Konrad TR, Linzer M. The relationship of organizational culture, stress, satisfaction, and burnout with physician-reported error and suboptimal patient care: results from the MEMO study. Health Care Manage Rev. 2007;32(3):203212. doi:10.1097/01.HMR.0000281626.28363.59

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 15.

    Hull SK, DiLalla LF, Dorsey JK. Prevalence of health-related behaviors among physicians and medical trainees. Acad Psychiatry. 2008;32(1):3138. doi:10.1176/appi.ap.32.1.31

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 16.

    Shanafelt TD, West C, Zhao X, et al. Relationship between increased personal well-being and enhanced empathy among internal medicine residents. J Gen Intern Med. 2005;20(7):559564. doi:10.1111/j.1525-1497.2005.0108.x

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 17.

    Winkel AF, Woodland MB, Nguyen AT, Morgan HK. Associations between residents’ personal behaviors and wellness: a national survey of obstetrics and gynecology residents. J Surg Educ. 2020;77(1):4044. doi:10.1016/j.jsurg.2019.08.014

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 18.

    Kawachi I, Berkman LF. Social ties and mental health. J Urban Health. 2001;78(3):458467. doi:10.1093/jurban/78.3.458

  • 19.

    Rucklidge JJ, Kaplan BJ. Nutrition and mental health. Clin Psychol Sci. 2016;4(6):10821084. doi:10.1177/2167702616641050

  • 20.

    Aziz SR, Ziccardi VB, Chuang SK. Training satisfaction versus dissatisfaction among chief residents in oral and maxillofacial surgery—a pilot survey. J Oral Maxillofac Surg. 2013;71(5):974980. doi:10.1016/j.joms.2011.12.004

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 21.

    Volk JO, Schimmack U, Strand EB, Lord LK, Siren CW. Executive summary of the Merck Animal Health Veterinary Wellbeing Study. J Am Vet Med Assoc. 2018;252(10):12311238. doi:10.2460/javma.252.10.1231

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 22.

    Mixed news on student debt. AVMA. Last modified January 20, 2020. Accessed March 25, 2021. https://www.avma.org/blog/mixed-news-student-debt

    • Search Google Scholar
    • Export Citation
  • 23.

    Bain B. Employment, starting salaries, and educational indebtedness of year-2019 graduates of US veterinary medical colleges. J Am Vet Med Assoc. 2020;257(3):292297. doi:10.2460/javma.257.3.292

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 24.

    Scharf VF, McPhetridge JM, Dickson R. Sleep patterns, fatigue, and working hours among house officers: a cross-sectional survey study. J Am Vet Med Assoc. 2022. doi:10.2460/javma.21.05.0233

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 25.

    Moss M, Good VS, Gozal D, Kleinpell R, Sessler CN. An official Critical Care Societies Collaborative statement–burnout syndrome in critical care health-care professionals: a call for action. Chest. 2016;150(1):1726. doi:10.1016/j.chest.2016.02.649

    • Search Google Scholar
    • Export Citation
  • 26.

    Bridgeman PJ, Bridgeman MB, Barone J. Burnout syndrome among healthcare professionals. Am J Health Syst Pharm. 2018;75(3):147152. doi:10.2146/ajhp170460

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 27.

    Bin Dahmash A, Alorfi FK, Alharbi A, Aldayel A, Kamel AM, Almoaiqel M. Burnout phenomenon and its predictors in radiology residents. Acad Radiol. 2020;27(7):10331039. doi:10.1016/j.acra.2019.09.024

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 28.

    Fox KR. The influence of physical activity on mental well-being. Public Health Nutr. 1999;2(3A):411418. doi:10.1017/s1368980099000567

  • 29.

    Carek PJ, Laibstain SE, Carek SM. Exercise for the treatment of depression and anxiety. Int J Psychiatry Med. 2011;41(1):1528. doi:10.2190/PM.41.1.c

  • 30.

    Bitonte RA, DeSanto DJ II. Mandatory physical exercise for the prevention of mental illness in medical students. Ment Illn. 2014;6(2):5549. doi:10.4081/mi.2014.5549

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 31.

    Physical activity guidelines for Americans, 2nd edition. Office of Disease Prevention and Health Promotion. Last modified August 24, 2021. Accessed March 25, 2021. https://health.gov/sites/default/files/2019–09/Physical_Activity_Guidelines_2nd_edition.pdf

    • Search Google Scholar
    • Export Citation
  • 32.

    Bischoff J, Barshi I. Flying on empty: ASRS reports on the effects of hunger on pilot performance. In: One Hundred Years of Flight: Proceedings of the 12th International Symposium on Aviation Psychology. Wright State University; 2003:125129.

    • Search Google Scholar
    • Export Citation
  • 33.

    Florence MD, Asbridge M, Veugelers PJ. Diet quality and academic performance. J Sch Health. 2008;78(4):209215. doi:10.1111/j.1746-1561.2008.00288.x

  • 34.

    Brands MT, Hockey P, Sced A, Brennan PA. Fasting and surgical performance: potential source of harm? Br J Oral Maxillofac Surg. 2017;55(8):755756. doi:10.1016/j.bjoms.2017.07.020

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 35.

    Raj KS. Well-being in residency: a systematic review. J Grad Med Educ. 2016;8(5):674684. doi:10.4300/JGME-D-15-00764.1

  • 36.

    Wood EA, Egan SC, Ange B, Garduno H, Williams DR, Wyatt TR. Association of self-reported burnout and protective factors in single institution resident physicians. J Grad Med Educ. 2020;12(3):284290. doi:10.4300/JGME-D-19-00645.1

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 37.

    Zahrai A, Bhandari M, Varma A, et al. Residents’ quality of life during an orthopedic trauma rotation: a multicentre prospective observational study. Can J Surg. 2008;51(3):190196.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 38.

    Ospina-Kammerer V, Figley CR. An evaluation of the Respiratory One Method (ROM) in reducing emotional exhaustion among family physician residents. Int J Emerg Ment Health. 2003;5(1):2932.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 39.

    Martins AE, Davenport MC, Del Valle MP, et al. Impact of a brief intervention on the burnout levels of pediatric residents. J Pediatr (Rio J). 2011;87(6):493498. doi:10.2223/JPED.2127

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 40.

    Salles A, Liebert CA, Esquivel M, Greco RS, Henry R, Mueller C. Perceived value of a program to promote surgical resident well-being. J Surg Educ. 2017;74(6):921927. doi:10.1016/j.jsurg.2017.04.006

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 41.

    Busireddy KR, Miller JA, Ellison K, Ren V, Qayyum R, Panda M. Efficacy of interventions to reduce resident physician burnout: a systematic review. J Grad Med Educ. 2017;9(3):294301. doi:10.4300/JGME-D-16-00372.1

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 42.

    Aggarwal R, Deutsch JK, Medina J, Kothari N. Resident wellness: an intervention to decrease burnout and increase resiliency and happiness. MedEdPORTAL. 2017;13:10651. doi:10.15766/mep_2374-8265.10651

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 43.

    Ey S, Soller M, Moffit M. Protecting the well-being of medical residents and faculty physicians during the COVID-19 pandemic: making the case for accessible, comprehensive wellness resources. Glob Adv Health Med. 2020;9:2164956120973981. doi:10.1177/2164956120973981

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 44.

    Diener E, Emmons RA, Larsen RJ, Griffin S. The Satisfaction With Life Scale. J Pers Assess. 1985;49(1):7175. doi:10.1207/s15327752jpa4901_13

  • 45.

    Personal Wellbeing Index – Adult (PWI-A): 5th edition. The International Wellbeing Group. Accessed March 25, 2021. https://www.acqol.com.au/uploads/pwi-a/pwi-a-english.pdf

    • Search Google Scholar
    • Export Citation

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