June 2022
Volume 63, Issue 7
Open Access
ARVO Annual Meeting Abstract  |   June 2022
Ophthalmology residents' attitudes toward stress and wellness when fulfilling on-call responsibilities
Author Affiliations & Notes
  • Vish Reddy
    Loyola University Health System, Maywood, Illinois, United States
  • Stephen Blatt
    Loyola University Health System, Maywood, Illinois, United States
  • Footnotes
    Commercial Relationships   Vish Reddy None; Stephen Blatt None
  • Footnotes
    Support  Illinois Society for the Prevention of Blindness
Investigative Ophthalmology & Visual Science June 2022, Vol.63, 1085 – A0180. doi:
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      Vish Reddy, Stephen Blatt; Ophthalmology residents' attitudes toward stress and wellness when fulfilling on-call responsibilities. Invest. Ophthalmol. Vis. Sci. 2022;63(7):1085 – A0180.

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      © ARVO (1962-2015); The Authors (2016-present)

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Abstract

Purpose : Trainee wellness and burnout continue to emerge as an ACGME area of focus for resident training. Maslach, et al. define burnout syndrome as a depleted state characterized by emotional exhaustion, depersonalization, and a decreased sense of accomplishment. Ophthalmology residency has its own unique triggers that can lead to burnout, the most stressful of which taking weekend call.

Through knowledge-transfer exercises that impart specific stress-reduction strategies such as breath-control exercises, expressing gratitude, and identifying positive affirmations, we hope to modify Ophthalmology residents’ attitudes toward stress and wellness.

Methods : This prospective study was reviewed by our institutional IRB and awarded an exempt status. The aforementioned knowledge transfer exercises were reviewed with first-year Ophthalmology residents through online lectures and discussion sessions in October 2020. Residents were encouraged to use these strategies to combat the stress of taking weekend call. The effectiveness of these strategies was quantified using pre- and post- call questionnaires which measured self-efficacy, stress regulation, and solution-mindedness.

Results : These questionnaires had a response rate of 87% with a completion rate of 91%. In our cohort of first-year Ophthalmology residents, breath-control exercises were identified as the most effective strategy for mitigating the stress of taking weekend call. Breath control exercises were both the most utilized and most effective strategy for in improving self-efficacy, stress regulation, and solution mindedness. Residents responded “moderately true” or “exactly true” in response to breathwork effectiveness questions in 73.9%, 82.9%, and 71.9% of cases respectively. Final biostatistical analysis is pending and will provide further insights.

Conclusions : Teaching ophthalmology residents strategies to combat stress is an effective tool for promoting wellness and preventing physician burnout.

This abstract was presented at the 2022 ARVO Annual Meeting, held in Denver, CO, May 1-4, 2022, and virtually.

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