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Building physician wellness into the culture: evaluating a family physician well-being programme using the physician wellness inventory. | LitMetric

AI Article Synopsis

  • - Family physicians experience higher rates of burnout and dissatisfaction than other specialties, highlighting the need for wellness initiatives to support their mental health and patient care outcomes.
  • - The Physician Wellness Inventory (PWI) was used to evaluate a wellness program over multiple time points, revealing that cognitive flexibility improved among scholars of color and distress levels decreased across all groups over time.
  • - The findings suggest that the wellness program effectively enhances well-being, particularly as later career scholars showed greater improvement in reducing feelings of disinterest, indicating a need for further system-level evaluation of the program's impact.

Article Abstract

Purpose: Family physicians have a higher incidence of burnout, dissatisfaction, and disengagement compared to other medical specialties. Addressing burnout on the individual and systemic level is important to promoting wellness and preventing deleterious effects on physicians and patients. We used the Physician Wellness Inventory (PWI) to assess the effects of a wellness programme designed to equip family physicians with skills to address burnout.

Methods: The PWI is a fourteen-item 5-point Likert scale broken down into 3 scores; (i) career purpose, (ii) cognitive flexibility, and (iii) distress. The PWI was distributed to a cohort of n = 111 family physician scholars at 3 time points: January 2021, May-June 2021, and October 2021. The response rate was 96.4% at baseline, and 72.1% overall. Demographic information was collected to assess differences. The survey was distributed online through Qualtrics (Provo, UT).

Results: Cognitive Flexibility scores at the endpoint were higher for POC scholars than white scholars (P = 0.024). Distress scores for all groups decreased over time. Female scholars were more nervous, and anxious at the start than male scholars (P = 0.012), which decreased over time (P = 0.022). New career scholars were more likely than later career scholars to be distressed (P = 0.007), but both groups' distress decreased over time (P = 0.003). Later career scholars' feelings of being bothered by little interest or pleasure in doing things decreased more than new career scholars (endpoint: P = 0.022; overall: P = 0.023).

Conclusions: The wellness programme shows improvement in PWI scores, indicating the programme content should be evaluated further for system level improvements.

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Source
http://dx.doi.org/10.1093/fampra/cmae024DOI Listing

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