SubmissionId 60624

Accepted Type
Oral

Code
OD2-2-4

Acceptance Declaration
Accept

Additional Information
I declare I have no actual or potential conflict of interest in relation to this program.

Was this work accepted for CCME 2020?
yes

Category
General Call (Workshop, Oral Presentation, Poster Presentation)

Type
Oral

Sub Type
Education Research

Will the presenter be a:
Graduate Student

Affiliation

Considered for Poster
no

Title
Resident and health profession student well-being: A novel promotive and hindering perspective on their thriving

Length of Presentation

Background/Purpose
A majority of initiatives for trainee wellness have focussed on promoting positive well-being strategies as opposed to addressing systematic hindrances to thriving. This study uses Expectancy-Value-Cost motivation theory (Flake et al., 2015) to systematically identify the specific promotive factors and to investigate the hindrances to trainee well-being as a means of enabling a thoughtful response to them.

Methods
We surveyed health professions trainees about the promotive and the hindering factors for their thriving through a questionnaire on motives, supports, barriers, and experiences. Respondents included 128 residents, 130 medical, 78 nursing, 215 rehabilitation therapy, 124 public health sciences, and 183 biomedical sciences students from one Ontario Faculty of Health Sciences constituting response rates between 11-51%. We performed thematic and statistical analyses using Atlas.Ti v 8.0 and SPSS v25.0.

Results
Statistical and thematic results suggest, in the aggregate, residents and medical students have comparable levels of thriving-promotive factors that include engagement, positive experiences, and self-worth as their other health profession peers, but significantly lower comprehensive thriving as well as control over their lives while also having significantly higher perceived loneliness and negative feelings than their peers in other health science fields (MANOVA; p-values=<0.001, 99% confidence, medium/large effect sizes).

Conclusion
These results illustrate that are real and unaddressed hindrances to thriving that are not addressed by adding a wellness program to Health Professions Education. Addressing systematic hindrances like isolation, burnout, overworking, lacks of resources, negligent or unproductive supervision, and curricular overload should be the first changes before adding wellness curriculum.

Keyword 1
Trainee Well-being

Keyword 2
Thriving

Level of Training
Post Graduate

Abstract Themes
Physician & Medical Student Health and Well-being

Additional Theme (First choice)
Continuing Medical Education

Additional Theme (Second Choice)
Faculty Development

Additional Theme (Third Choice)
Leadership

Authors
Presenter
    Eleftherios Soleas

Term 1
Yes

Term 2
Yes

Term 3
Yes

Term 4
Yes

Term 5
Yes
x

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