Flourishing as a guide to intervention: a national multicenter study of general surgery residents

Abstract Purpose Physician wellbeing is critical to maximize patient experience, quality of care, and healthcare value. Objective measures guide assess efficacy interventions in terms enhanced thriving (as opposed just decreased pathology) have been limited. Here we provide early data on modifiable targets, potential interventions, comparative impact. Methods In this cross-sectional survey-based study mixed-level residents at 16 academic General Surgery training programs, gender-identity, race, post-graduate year, gap years were self-reported. Correlation between our primary outcome variable, flourishing, resilience (mindfulness, personal accomplishment [PA], workplace support, control) risk (depression, emotional exhaustion, depersonalization, perceived stress, anxiety, demand) assessed. Results Of 891 recipients, 300 responded (60% non-male, 41% non-white). Flourishing was significantly positively correlated with all measured factors negatively factors. multivariable modelling, mindfulness, PA, support associated PA having the strongest effect. Depression anxiety depression Conclusions Our results suggest that increase as well those decrease may particularly impact flourishing (i.e., global wellbeing) surgical trainees. These findings preliminary guidance allocation resources toward interventions. particular, cognitive mindfulness) a feasible intervention modest but significant association indirect effects through influence depression.