Funding Agency Texas Academy of Family Physicians Foundation Title Comfort with Uncertainty In Medical Students and Family Medicine Residents: an RRNET Study(20170157HU) Status Active Period 7/2017 - Present Role Principal Investigator Grant Detail Purpose/Objectives: The overall purpose of this study is to assess comfort with uncertainty in both medical students and family medicine residents and determine its association with career choices. Our study aims are: (1) To measure the comfort with uncertainty of a general population of U.S. medical students and determine if there is a correlation between that comfort and career choice for family medicine and primary care, adjusted for the many other known influences of that choice. (2) To measure the comfort with uncertainty in family medicine residents and to measure its change over time.
Research Design/Plan: This study will consist of two parts: 1) This will be a cross-sectional study of medical students? comfort with uncertainty correlated with their final career choice, 2) This will be a prospective cohort study of the comfort with uncertainty among family medicine residents over their 3-year training period.
Methods: 1) This is a study of 3rd-year medical students who are rotating on their regular 4- or 6-week family medicine clerkships. They will be surveyed at the beginning of their clerkship. The instrument will contain both standard scales measuring comfort with uncertainty and other features already known to correlate with the choice of family medicine or primary care as a career. After surveying all students rotating through our programs for one year, we will contact them late in their 4th year to determine in which specialty they matched. 2) This is a study of family medicine residents. They will be surveyed early in the academic year. The instrument will contain standard scales measuring comfort with uncertainty, basic demographics and career aspirations. Residents will be surveyed each year for 3 years. This will allow both a cross-sectional examination of comfort with uncertainty as it varies across residency training years and an examination of how this comfort may change in individual physicians over time.
Clinical Relevance: Knowledge
Funding Agency Texas Academy of Family Physicians Foundation Title Predictors of Family Physician Wellness and Burnout: An RRNet Study Status Active Period 8/2016 - 9/2018 Role Principal Investigator Grant Detail Predictors of Family Physician Wellness and Burnout: An RRNet Study
Study Purpose: The purpose of the study is to understand the demographic, psychological, environmental, and work-place characteristics that impact resilience and burnout among family medicine residents and physicians in Texas. Specifically, the study will attempt to understand factors related to the risk of burnout and investigate protective elements that can enhance physician resilience.
Subjects and Setting: Respondents will include approximately 120 family physician faculty and 300 family medicine residents across 11 residency programs associated with the Residency Research Network of Texas ( RRNeT). In addition, the study will seek approximately 20 family physicians in community practice in each of the 10 communities associated with our 11 RRNeT programs. Study Design. The researchers will develop an online survey using Survey Monkey. The surveys will be anonymous; no identifying information will be collected from the respondents. Surveys will be administered by the RRNeT champion at each Family Medicine Residency site. These RRNeT champions will also identify and survey 20 community-based physicians in their county.
Outcome Measures: The outcome measures of resilience, burnout, psychological flexibility and workplace stress will be measured using the Brief Resilience Scale, The Copenhagen Burnout Inventory, the Primary Care Provider Acceptance and Action Questionnaire (PCP-AAQ) and the Primary Care Provider Stress Checklist (PCP-SC) respectively. Respondents will also report personal characteristics such as age, gender, ethnicity, marital status, and household size.
Implications: The results of this study inform workplace policies and wellness programming for family medicine residents, faculty and community-based physicians. Results will be shared with each residency program and with the Texas Academy of Family Physicians to inform policies, programming, and support systems f