Implementing a Universal Well-Being Assessment to Mitigate Barriers to Resident Utilization of Mental Health Resources

Journal of Graduate Medical Education
Sarah SofkaJanie Howsare

Abstract

Physician utilization of well-being resources remains low despite efforts to promote use of these resources. We implemented a well-being assessment for internal medicine residents to improve access and use of mental health services. We scheduled all postgraduate year 1 (PGY-1) and PGY-2 residents at West Virginia University for the assessment at our faculty and staff assistance program (FSAP). While the assessment was intended to be universal (all residents), we allowed residents to "opt out." The assessment visit consisted of an evaluation by a licensed therapist, who assisted residents with a wellness plan. Anonymous surveys were distributed to all residents, and means were compared by Student's t test. Thirty-eight of 41 PGY-1 and PGY-2 residents (93%) attended the scheduled appointments. Forty-two of 58 residents (72%, including PGY-3s) completed the survey. Of 42 respondents, 28 (67%) attended the assessment sessions, and 14 (33%) did not. Residents who attended the sessions gave mean ratings of 7.8 for convenience (1, not convenient, to 9, very convenient), and 7.9 for feeling embarrassed if colleagues knew they attended (1, very embarrassed, to 9, not embarrassed). Residents who attended the assessment sessions reported ...Continue Reading

References

Dec 1, 2004·The American Journal of Psychiatry·Eva S Schernhammer, Graham A Colditz
Jun 1, 2010·Journal of Graduate Medical Education·Constance GuilleSrijan Sen
Nov 6, 2012·General Hospital Psychiatry·Katherine J GoldThomas L Schwenk
Dec 10, 2015·JAMA : the Journal of the American Medical Association·Douglas A MataSrijan Sen

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Citations

Apr 18, 2019·Journal of General Internal Medicine·Sondra ZabarColleen Gillespie
Mar 20, 2020·The Western Journal of Emergency Medicine·Melissa ParsonsMichael Gottlieb
Dec 29, 2020·JAMA Internal Medicine·Erene StergiopoulosLisa M Meeks
Feb 5, 2021·Academic Medicine : Journal of the Association of American Medical Colleges·Ajay MajorKaren Chacko
May 1, 2021·Journal of Evidence-based Social Work·Melissa D GradyChristine Kregg
Sep 28, 2021·Annals of Internal Medicine·Eileen BarrettDarilyn V Moyer

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