Measuring Flourishing Among Internal Medicine and Psychiatry Residents

Margot Kelly-Hedrick, Madeline M. Rodriguez, Anne E. Ruble, Scott M. Wright, Margaret S. Chisolm

Research output: Contribution to journalArticlepeer-review

Abstract

Background: Many residents experience burnout, prompting national attention to well-being; however, well-being is not merely the absence of burnout. A recently developed measure of flourishing may provide insight on this important topic. Objective: We investigated flourishing in a sample of medical residents. Methods: Internal medicine residents and psychiatry residents at 2 residency programs responded to a cross-sectional online survey (December 2017-February 2018), which focused on the Flourish Index (FI) and Secure Flourish Index (SFI). Both measures generate scores ranging from a low of 0 to a high of 10. Participants were queried about quality of life, burnout, work-life balance, empathic concern, and sociodemographic characteristics. Simple and multiple linear regressions were performed to examine the relationship between FI/SFI and other variables. Results: The response rate was 92% (92 of 101). Participants were found to have a mean FI score of 6.8 (SD = 1.6) and mean SFI score of 6.9 (SD = 1.6). Low quality of life, low work-life balance satisfaction, high emotional exhaustion, lower empathic concern, and having a pet were all significantly associated with lower FI scores (R2 = 0.59; F[14, 69] = 7.10; P < .0001), indicating lesser flourishing, controlling for other variables. Similarly, low quality of life, high emotional exhaustion, lower empathic concern, and having a pet were all significantly associated with lower SFI scores (R2 = 0.55; F[14, 69] = 6.06; P < .0001), controlling for other variables. Conclusions: In this sample, the flourishing indices were associated with well-being and burnout metrics.

Original languageEnglish (US)
Pages (from-to)312-319
Number of pages8
JournalJournal of graduate medical education
Volume12
Issue number3
DOIs
StatePublished - Jun 1 2020

ASJC Scopus subject areas

  • Medicine(all)

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