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Children 2018, 5(4), 54; https://doi.org/10.3390/children5040054

Pediatric Integrative Medicine in Residency Program: Relationship between Lifestyle Behaviors and Burnout and Wellbeing Measures in First-Year Residents

1
Department of Medicine, Arizona Center for Integrative Medicine, University of Arizona, Tucson, AZ 85724, USA
2
Department of Pediatrics, Eastern Virginia Medical School/Children’s Hospital of the King’s Daughters, Norfolk, VA 23507, USA
3
Department of Pediatrics, University of Chicago Comer Children’s Hospital, Chicago, IL 60637, USA
4
Department of Pediatrics, University of Kansas School of Medicine, Kansas City, KS 66160, USA
5
Department of Pediatrics, Stanford University School of Medicine, Palo Alto, CA 94304, USA
6
Department of Anesthesiology and Pain Management, Stanford University School of Medicine, Palo Alto, CA 94304, USA
*
Authors to whom correspondence should be addressed.
Received: 9 February 2018 / Revised: 12 April 2018 / Accepted: 17 April 2018 / Published: 23 April 2018
(This article belongs to the Special Issue Implementing Pediatric Integrative Medicine in Practice)
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Abstract

It is widely recognized that burnout is prevalent in medical culture and begins early in training. Studies show pediatricians and pediatric trainees experience burnout rates comparable to other specialties. Newly developed Accreditation Council for Graduate Medical Education (ACGME) core competencies in professionalism and personal development recognize the unacceptably high resident burnout rates and present an important opportunity for programs to improve residents experience throughout training. These competencies encourage healthy lifestyle practices and cultivation of self-awareness, self-regulation, empathy, mindfulness, and compassion—a paradigm shift from traditional medical training underpinned by a culture of unrealistic endurance and self-sacrifice. To date, few successful and sustainable programs in resident burnout prevention and wellness promotion have been described. The University of Arizona Center for Integrative Medicine Pediatric Integrative Medicine in Residency (PIMR) curriculum, developed in 2011, was designed in part to help pediatric programs meet new resident wellbeing requirements. The purpose of this paper is to detail levels of lifestyle behaviors, burnout, and wellbeing for the PIMR program’s first-year residents (N = 203), and to examine the impact of lifestyle behaviors on burnout and wellbeing. The potential of the PIMR to provide interventions addressing gaps in lifestyle behaviors with recognized association to burnout is discussed. View Full-Text
Keywords: burnout; pediatrics; residents; preventive lifestyle behaviors; resilience burnout; pediatrics; residents; preventive lifestyle behaviors; resilience
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This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited (CC BY 4.0).
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McClafferty, H.; Brooks, A.J.; Chen, M.-K.; Brenner, M.; Brown, M.; Esparham, A.; Gerstbacher, D.; Golianu, B.; Mark, J.; Weydert, J.; Yeh, A.M.; Maizes, V. Pediatric Integrative Medicine in Residency Program: Relationship between Lifestyle Behaviors and Burnout and Wellbeing Measures in First-Year Residents. Children 2018, 5, 54.

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