{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,23]],"date-time":"2026-08-23T16:19:32Z","timestamp":1787501972819,"version":"build-2736575974"},"reference-count":34,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","license":[{"start":{"date-parts":[[2018,8,30]],"date-time":"2018-08-30T00:00:00Z","timestamp":1535587200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["NEUROSURGERY","NEUROS"],"published-print":{"date-parts":[[2019,2]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>BACKGROUND<\/jats:title>\n                    <jats:p>Physicians are poorly trained in balancing the demands of a career in medicine and maintaining personal health. Physician burnout occurs due to demanding hours and psychological conditions unique to the field. Programs that address overall well-being early in residency are necessary to prevent physician burnout and promote physician mental health.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>OBJECTIVE<\/jats:title>\n                    <jats:p>To determine the impact of a wellness initiative on anxiety, depression, quality of life, and sleepiness among the resident participants.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>METHODS<\/jats:title>\n                    <jats:p>A wellness program was initiated and available to resident physicians in the Medical University of South Carolina Department of Neurosurgery. Participants attended weekly group workout sessions with biweekly lectures on mental health and sleep hygiene. Eight resident participants underwent baseline and final psychological testing in July 2015 and June 2016 including the Personal Health Questionnaire Depression Scale, the Generalized Anxiety Disorder 7-Item Scale, the Quality of Life Scale, and the Epworth Sleepiness Scale. Participant perceptions of the program were also assessed with an anonymous survey.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESULTS<\/jats:title>\n                    <jats:p>\n                      At the conclusion of the pilot year, improvements were observed in anxiety scores (4 to 2.1;\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u00a0=\u00a0.039), quality-of-life scores (82.4 to 95.4;\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u00a0=\u00a0.007), and sleepiness (8.3 to 5.7;\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u00a0=\u00a0.019). In general, resident perceptions of the program were favorable.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSION<\/jats:title>\n                    <jats:p>Residency-incorporated wellness programs are achievable and can benefit resident mental health. Lack of a control group limits the interpretation of the results. Programs such as these may be implemented to promote well-being and combat physician burnout and its associated mental health abnormalities.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/neuros\/nyy112","type":"journal-article","created":{"date-parts":[[2018,3,16]],"date-time":"2018-03-16T16:10:45Z","timestamp":1521216645000},"page":"341-346","source":"Crossref","is-referenced-by-count":57,"title":["Impact of a Residency-Integrated Wellness Program on Resident Mental Health, Sleepiness, and Quality of Life"],"prefix":"10.1227","volume":"84","author":[{"given":"Alejandro M","family":"Spiotta","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, Medical University of South Carolina, Charleston, South Carolina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kyle M","family":"Fargen","sequence":"additional","affiliation":[{"name":"Department of Neurological Surgery, Wake Forest University, Winston-Salem, North Carolina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sunil","family":"Patel","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Medical University of South Carolina, Charleston, South Carolina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas","family":"Larrew","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Medical University of South Carolina, Charleston, South Carolina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Raymond D","family":"Turner","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Medical University of South Carolina, Charleston, South Carolina"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2019,2]]},"reference":[{"issue":"1","key":"bib1-20231011","doi-asserted-by":"crossref","first-page":"104","DOI":"10.1177\/0091217415592369","article-title":"Designing and implementing a 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