Implementation and outcome assessment of an organized wellness program for resident well-being in a large neurology residency program.

Previous studies have shown that the majority of neurology residents describe at least one symptom of burnout. Physician burnout has been associated with negative outcomes, involving patient safety and quality of care. Standardized curricula to promote and evaluate resident well-being have not been established.

With input from residents and program leadership, the Cleveland Clinic Adult Neurology Residency Program developed a wellness curriculum to address factors leading to resident burnout and well-being. Monthly noon conference sessions addressed mental health resources, nutrition, exercise, relationships, work-place stressors, and team-bonding. Residents led activities outside of work to enhance bonding.  Residents completed optional anonymous web-based surveys for immediate feedback, annual ACGME well-being surveys, and quarterly Mayo Clinic Well-being Index online questionnaires. 

Anonymous surveys revealed a positive perception of the wellness noon conferences and activities. In comparison to the national mean, Cleveland Clinic Neurology Residency ACGME surveys showed strong feelings of a supportive work environment (p = 0.046), participation in decisions that affect work (p = 0.09), and having a reasonable work-load (p = 0.067). Though not statistically significant, there was a trend toward increased meaning in work after the first year of the new wellness program. Analysis of the Mayo Clinic Well-being Index results are currently in process.

Incorporating a comprehensive wellness initiative during residency training promotes resident well-being by addressing emotionally challenging work scenarios, encouraging healthy practices, increasing awareness of available health resources, and enhancing team-bonding.