Burnout Among First Year Residents
Conditions
Keywords
Interns, Bootcamp, Burnout, Wellness, First Year Resident
Brief summary
This study is testing a web-based Intern Boot Camp from Online MedEd to see if it can make the first year of residency less stressful for new internal-medicine doctors at Harlem Hospital. Right after orientation, residents are randomly placed into one of two groups: Intervention group - gets six months of free access to the Bootcamp videos plus twice-a-week, one-hour review sessions led by senior residents the first 6 months of residency Control group - gets the hospital's usual training and will receive the Bootcamp training starting at 6-month of residency. The main thing the researchers want to know is: Does using the Boot Camp lower burnout-especially emotional exhaustion-compared with usual training? They will also look at the PHQ-9 depression survey and how confident residents feel about four everyday skills: mental health self-care, time management, oral presentation, and medical documentation. Surveys are completed at the start of residency and again six months later. Findings will show whether giving residents structured, on-demand preparation improves their well-being and confidence during the toughest part of their training.
Detailed description
New interns often describe their first months of residency as a trial by fire. Studies show that roughly one-third of U.S. residents develop significant depressive symptoms during training, and burnout-particularly feeling emotionally drained-has been linked to more medical errors and even suicidal thinking . OnlineMedEd's Intern Boot Camp (OME-IBC) is an on-demand video course endorsed by the American College of Physicians to help graduating medical students get ready for residency, yet no one has formally tested whether it actually improves interns' well-being in a busy urban hospital setting . This single-center pilot study will recruit the entire 2024-2025 class of first-year residents at Harlem Hospital. After obtaining consent, participants complete a baseline survey and are then randomly assigned (1:1) to one of two groups, stratified by sex, specialty and Emotional Exhaustion score. Intervention group - receives six months of free access to the password-protected OME-IBC website plus twice-weekly, one-hour review sessions led by senior residents. Each two- to three-week mini-unit focuses on one of four practical domains-mental-health self-care, time management, oral presentation, and documentation. Participants watch a short video together and discuss it. The full curriculum spans about 35 sessions and can also be viewed asynchronously. Control group - follows the program's usual orientation and on-the-job teaching without Bootcamp access during the first six months. After the 6-month, they are offered the same OME-IBC access and review sessions. Outcomes Primary outcome: change in emotional-exhaustion scores on the Maslach Burnout Inventory (MBI). A ≥27 on the EE subscale indicates high burnout; every one-point rise has been tied to a 5-7 % jump in suicidal ideation or major errors. Secondary outcomes: Changes in overall burnout (other MBI subscales) Depressive-symptom severity on the PHQ-9 (0-27 scale) Self-rated confidence (1 = minimally confident to 5 = very confident) in the four Bootcamp skill areas
Interventions
BEHAVIORALOnline MedEd Intern Bootcamp
6 months of online access plus biweekly live sessions
Sponsors
New York City Health and Hospitals Corporation
Study design
Allocation
RANDOMIZED
Intervention model
CROSSOVER
Primary purpose
TREATMENT
Masking
NONE
Intervention model description
Crossover timeline: First group July 15 2024 - January 05 2025 Second group January 06 2025 - June 15 2025
Eligibility
Sex/Gender
ALL
Healthy volunteers
Yes
Inclusion criteria
* Incoming first year of residency
Exclusion criteria
* Previous United States Accredited Postgraduate Training * PHQ-9 score above 20 * PHQ-9 positive for suicidality (question 9)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change from baseline Burnout at 3 months and 6 months | Baseline measurement, post-intervention measurements at 3 months and 6 months | The Maslach's burnout inventory is a 22-item measurement of worker burnout which assesses emotional exhaustion (EE), depersonalization (DP), and personal fulfillment (PF) domains. Possible scores range from 0-6 on a Likert scale for each item. Scores of EE ≥ 27 points, DP ≥ 10, and PF \<33 would indicate a high degree of burnout. Scores of EE≤18 points, DP≤5 points, and PF≥40 points would indicate a low degree of burnout. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Proportion of participants whose PHQ-9 total score is ≥ 10 at 3 months and 6 months | Baseline measurement, post-intervention measurements at 3 months and 6 months | The Patient Health Questionnaire 9-item version (PHQ-9) to assess depressive symptoms. On PHQ-9, depression is categorized as minimal by a score of 0 to 4, mild by a score of 5 to 9, moderate by a score of 10 to 14, moderately severe by a score of 15 to 19, and severe by a score of 20 to 27. A total score ≥ 10 indicates clinically significant depressive symptoms. The outcome is the proportion of participants with a score ≥ 10 at 6 months. Lower proportions reflect better mental-health status. |
Countries
United States
Outcome results
None listed