Breaking News
October 23, 2018 - Spectrum Pharmaceuticals Announces Release of Updated Poziotinib Data From MD Anderson Phase 2 Study in Non-Small Cell Lung Cancer Patients
October 23, 2018 - Cancer stem cells use ‘normal’ genes in abnormal ways
October 23, 2018 - Bad Blood: A conversation with investigative reporter John Carreyrou | News Center
October 23, 2018 - As U.S. fertility rates collapse, finger-pointing and blame follow
October 23, 2018 - Researchers develop promising targeted strategy to treat chemo-resistant blood cancer
October 23, 2018 - Pilot clinical trial shows effectiveness of bioelectronic medicine device for lupus
October 23, 2018 - Genentech’s combination therapy improves outcome in patients with non-squamous non-small cell lung cancer
October 23, 2018 - 11th World Stroke Congress examines high stroke impact in low- and middle-income countries
October 22, 2018 - Breast cancer survival could be extended with two new drug combinations
October 22, 2018 - Researchers discover how acne-causing bacteria resist treatment
October 22, 2018 - Cancer trial shows treating the prostate with radiotherapy improves survival
October 22, 2018 - New hope for a drug to treat lymphedema symptoms
October 22, 2018 - Immune-Based Treatment Helps Fight Aggressive Breast Cancer, Study Finds
October 22, 2018 - Takeda announces positive Phase 3 ALTA-1L data in first-line therapy for advanced ALK+ NSCLC
October 22, 2018 - Paternal exercise has significant impact on child’s lifelong metabolic health
October 22, 2018 - Targeting specific genomic mutation in breast cancer improves survival
October 22, 2018 - Loss of tumor protein p53 helps cancer cells grow in hostile environment
October 22, 2018 - IDT to demonstrate CRISPR expertise at European-focused events
October 22, 2018 - Breathing through the nose improves memory consolidation
October 22, 2018 - Recreational Marijuana Now Legal in Canada
October 22, 2018 - Scientists reveal drumming helps schoolchildren diagnosed with autism
October 22, 2018 - A stage IV cancer patient discusses what it means to live well with serious illness
October 22, 2018 - In Kids with Autism, Short Questionnaire May Detect GI Disorders
October 22, 2018 - Merck presents MK-1454 Phase 1 data for treatment of advanced solid tumors or lymphomas
October 22, 2018 - Aspirin may be effective in preventing blood clots after knee replacement
October 22, 2018 - Drug cocktail that increases lifespan discovered
October 22, 2018 - Gilead Sciences presents Phase 3 results of filgotinib in biologic-experienced rheumatoid arthritis at 2018 ACR/ARHP Annual Meeting
October 22, 2018 - Study shows potential positive impact of group prenatal care on birth outcomes
October 22, 2018 - Immunotherapy with pembrolizumab extends survival in metastatic or recurrent head and neck cancer
October 22, 2018 - Health Tip: Keep Ticks Away
October 22, 2018 - Obsessive-compulsive disorder – Genetics Home Reference
October 22, 2018 - Researchers find disrupted functional connectivity in cerebellum of adults with HF-ASD
October 22, 2018 - Deciphera presents Phase 1 clinical results of DCC-2618 in patients with gastrointestinal stromal tumors
October 22, 2018 - Combination of Opdivo and Yervoy shows four-year survival benefits in patients with advanced melanoma
October 22, 2018 - Overcoming bottlenecks in early drug discovery with the power of sound
October 22, 2018 - Scientists discover genes that contribute to ADHD development
October 22, 2018 - Incyte announces Phase 2 FIGHT-202 trial data in patients with cholangiocarcinoma
October 22, 2018 - FDA approves update to Rituxan label to include information on treatment of rare forms of vasculitis
October 22, 2018 - At-home biofeedback therapy effective in relieving difficult-to-treat constipation
October 22, 2018 - Merck presents KEYNOTE-057 trial results for patients with high-risk non-muscle invasive bladder cancer
October 22, 2018 - People with periodontal disease less likely to reach healthy blood pressure ranges
October 22, 2018 - Phase III LONSURF study shows progression-free survival in patients with refractory metastatic gastric cancer
October 22, 2018 - Primary care doctors ‘not doing enough’ to curb STDs
October 22, 2018 - Pfizer announces PALOMA-3 trial results in patients with HR+, HER2- metastatic breast cancer
October 22, 2018 - ImmunoGen announces study results of platinum-resistant ovarian cancer therapy at ESMO 2018 Congress
October 22, 2018 - Study findings could set new standard of care for advanced anal cancer
October 22, 2018 - Erlotinib improves progression-free survival in EGFR mutated NSCLC
October 22, 2018 - Pain, insomnia, and depression often drive osteoarthritis patients to seek medical care
October 22, 2018 - The International Society of Refractive Surgery honors Vivior Chairman with Casebeer Award
October 22, 2018 - Multi-strain probiotic helps reduce chemotherapy-induced diarrhea in cancer patients
October 22, 2018 - Study shows potential of avelumab plus axitinib as new treatment option for patients with advanced RCC
October 22, 2018 - Vertex gets European CHMP positive opinion for KALYDECO to treat patients with cystic fibrosis
October 22, 2018 - Phase III trial reports positive results with HDAC inhibitor in advanced breast cancer patients
October 22, 2018 - Prostate radiotherapy improves survival in men with low burden of metastatic disease
October 22, 2018 - Duration of respiratory disturbances may better predict mortality risk from OSA
October 22, 2018 - Free phone app helps low-income obese patients to lose weight
October 22, 2018 - Immunotherapy with nivolumab and ipilimumab may improve survival in patients with MSI-high metastatic colorectal cancers
October 22, 2018 - FOTIVDA expected to be included in new ESMO guidelines for advanced renal cell carcinoma
October 22, 2018 - Compression Collar May Protect Brain of Female Soccer Players
October 22, 2018 - Technique visualizes neuron communication
October 22, 2018 - Advancement in medical imaging methods for health care
October 22, 2018 - Takeda presents vedolizumab phase 3 VISIBLE 1 trial results for treatment of moderately to severely active ulcerative colitis
October 22, 2018 - Immunotherapy increases survival in some patients with metastatic triple negative breast cancer
October 22, 2018 - Exelixis presents CABOSUN and METEOR trial results in patients with advanced renal cell carcinoma
October 22, 2018 - LYNPARZA Phase III SOLO-1 results show improved outcome for patients with advanced BRCA-mutated ovarian cancer
October 22, 2018 - Brainlab unveils ExacTrac Dynamic at ASTRO meeting in San Antonio, Texas
October 22, 2018 - Not exercising is worse than smoking, diabetes or heart disease finds study
October 22, 2018 - Shorter course of trastuzumab could be an option for women with HER2+ early breast cancer
October 22, 2018 - Map of Mouse Hippocampus Could Be Weapon Against Alzheimer’s
October 22, 2018 - Psychotropic polypharmacy is common in Alzheimer’s disease
October 22, 2018 - Texas A&M and UTA establish Texas Genomics Core Alliance
October 22, 2018 - Analyzing mouse’s potential as animal model of decision-making
October 22, 2018 - Radiotherapy can prolong survival in prostate cancer
October 22, 2018 - A genetic mutation involved in relapse
October 21, 2018 - Report reveals growing impact of cannabis on young people
October 21, 2018 - NSF awards $5 million grant to help scientists magnify societal impact of research
October 21, 2018 - Fertility Rates Down for Each Urbanization Level 2007 to 2017
October 21, 2018 - Genetically engineered 3-D human muscle transplant in a murine model
October 21, 2018 - Moms’ tight work schedules may affect their children’s sleep
October 21, 2018 - AHA: No Direct Link Between Preeclampsia and Cognitive Impairment, Study Finds
Burnout, depression can affect ophthalmology residents, study finds

Burnout, depression can affect ophthalmology residents, study finds

image_pdfDownload PDFimage_print
Elaine Tran, a fourth-year undergraduate at Brown, authored a paper that suggests there’s ample opportunity for medical residency programs to expand their wellness initiatives and make them more accessible. Credit: Elaine Tran

A new study led by Brown University researchers finds that ophthalmology residents across the U.S. face a substantial burden of burnout and depression, which may affect not only the residents themselves but also the quality of care they deliver to patients.

The study, which involved a survey of ophthalmology residents completing their graduate medical training in health care settings across the nation, suggests there are ample opportunities for the specialty’s residency programs to improve and promote wellness initiatives, from nutritional seminars to exercise classes to one-on-one counseling, and make them more accessible.

A majority of the survey’s respondents—68 percent—reported problems with depression, burnout or suicide in their residency programs within the past year. Survey results indicate that hospitals can do a lot more to support residents on a systemic level, not just by offering a variety of wellness programs but also by ensuring residents have enough free time to take advantage of them, authors say.

The results were published in JAMA Ophthalmology.

“Physicians in training are the future of our health care system, and there has been a recent push to boost support of them through wellness initiatives,” said lead author Elaine Tran, a fourth-year Brown undergraduate. “Yet the resident wellness program landscape in ophthalmology has not been well documented in research literature.”

Tran and others at Brown, including Professor of Ophthalmology Paul Greenberg, first sought to study the issue in 2016, when they received an Undergraduate Teaching and Research Award (UTRA) from Brown to survey ophthalmology resident program directors about wellness initiatives. A quarter of respondents to that initial survey, for which Greenberg was the lead author, reported issues with resident burnout, depression or suicide, and just half said their departments had resident wellness programs.

“After hearing from program directors, we recognized that a comprehensive analysis of residency-based wellness initiatives would be incomplete without also soliciting the resident perspective,” Tran said.

With funding from a second UTRA from Brown, Tran, Greenberg and others devised another survey that went to more than 1,000 ophthalmology residents across the country. When asked what most hindered their participation in wellness programs, 25 percent of the 241 respondents cited a lack of time, while 16 percent cited the duration or scheduling of their shifts. Other major barriers reported were academic stressors, paperwork and administrative requirements, and understaffing at clinical sites.

Though training to become an ophthalmologist is necessarily challenging, Greenberg said, it is also in the best interest of residency programs to not only provide and promote wellness programs but also to help residents retain time in their schedules for wellness.

“We need to make sure we do everything we can to help residents achieve a healthy work-life balance,” he said. “Residents who are burned out are not going to be as effective. We’re not only looking to improve the quality of resident education, but also the quality of care we provide to our patients.”

Greenberg and Tran both noted that big changes to resident wellness programs may be ahead. Last summer, while Tran and colleagues were creating their resident survey, the Accreditation Council for Graduate Medical Education (ACGME) released a revised set of requirements mandating that ophthalmology residency programs provide activities that promote resident well-being, encourage residents to pay attention to work intensity, and permit residents to attend personal health appointments.

“We believe that if there is greater partnership between local graduate medical education leaders and national organizations such as ACGME in promoting wellness, a lot can be done to better support residents on a systemic level,” Tran said.

Tran, who is halfway through Brown’s eight-year Program in Liberal Medical Education, hopes to survey ophthalmology residents and program directors again in a few years to find out whether the revised ACGME requirements helped lessen burnout and depression.

Greenberg said landing a paper in an American Medical Association journal is challenging for any researcher, let alone an undergraduate, and it’s likely that the quality and significance of Tran’s work were major factors in the paper’s acceptance.

“Resident wellness is at the front and center of the concerns all medical educators have, and ophthalmologists are no different,” he said. “We need more information about wellness programming from all the stakeholders, including program directors and residents, and we hope our study can help contribute to this goal.”


Explore further:
Report discusses impact of ACGME 2011 requirements

More information:
Elaine M. Tran et al. Resident Wellness in US Ophthalmic Graduate Medical Education, JAMA Ophthalmology (2018). DOI: 10.1001/jamaophthalmol.2018.1383

Journal reference:
JAMA Ophthalmology

Provided by:
Brown University

About author

Related Articles