{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,30]],"date-time":"2026-06-30T19:05:02Z","timestamp":1782846302710,"version":"3.54.5"},"reference-count":28,"publisher":"JMIR Publications Inc.","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JMIR Perioper Med"],"abstract":"Abstract<\/jats:title>\n \n Background<\/jats:title>\n Anesthesia residents experience nonroutine clinical events during perioperative patient care, including workplace stressors or adverse incidents that may cause physical and emotional stress. These events can lead to burnout and negative mental health outcomes. Burnout and depression rates are lower when residents have adequate support systems within their workplace. Better resident wellness (BREW) Rounds are a weekly 1-hour peer discussion for anesthesia residents, facilitated by a registered psychologist at our institution. Although shown to improve residents\u2019 well-being, a deeper understanding of the benefits of such programs may support their expansion to other residency programs.<\/jats:p>\n <\/jats:sec>\n \n Objective<\/jats:title>\n This study aimed to explore the benefits and most effective features of BREW Rounds to guide the development of similar programs at other institutions.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n Following research ethics board approval, we conducted a qualitative descriptive study based on semistructured interviews with anesthesia residents who had participated in one or more BREW sessions and with the main BREW Rounds facilitator. Topics of discussion included community building, belonging, mentorship, facilitation, discussion of nonclinical aspects, and removal of hierarchy. Interviews were conducted on videoconferencing software by researchers who were not involved in supervising or assessing the trainees. Audio recordings were auto-transcribed, deidentified, verified, and interpreted using thematic content analysis. Further perspectives on BREW Rounds were obtained from staff anesthesiologists through an anonymous online survey.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n We interviewed 10 residents (6 junior, 3 senior, and 1 transition-to-practice) and 1 facilitator. Emerging themes included (1) access to a safe space free of judgment, allowing participants to be vulnerable about clinical or nonclinical aspects of their training, (2) building a sense of community in a fast-paced and often isolating environment, (3) providing opportunities for mentorship between junior and senior residents in a frequently changing colleague network, (4) the characteristics that create a \u201cBREW culture\u201d, such as behavior norms during sessions and staff respect for protected time, (5) the importance of a good facilitator from outside the anesthesia department, especially during smaller sessions, (6) expanding BREW Rounds to other institutions, and (7) areas for improvement for the current program. Sixteen anesthesiology staff survey responses were available for analysis: 12\/16 (75%) anesthesiologists supported residents leaving their clinical duties early for BREW Rounds and 12\/16 (75%) believed BREW Rounds benefitted residents\u2019 well-being.<\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n This qualitative study confirms previous findings that BREW Rounds are beneficial to anesthesia training, improve the psychological wellness of residents, and may positively contribute to patient care. Program directors should recognize their potential positive impact on the learning environment, ensure that all staff and trainees understand the need to create protected time for this activity, consider partnering with wellness initiatives at the institutions in which residents are training, and endeavor to identify experienced and unbiased facilitators to moderate sessions.<\/jats:p>\n <\/jats:sec>","DOI":"10.2196\/78575","type":"journal-article","created":{"date-parts":[[2025,11,4]],"date-time":"2025-11-04T06:30:07Z","timestamp":1762237807000},"page":"e78575-e78575","source":"Crossref","is-referenced-by-count":0,"title":["Facilitated Peer Discussion for Promoting Better Resident Wellness in Anesthesia Trainees: Qualitative Program Evaluation"],"prefix":"10.2196","volume":"8","author":[{"ORCID":"https:\/\/orcid.org\/0009-0003-4777-6295","authenticated-orcid":false,"given":"Miku","family":"Wake","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8382-5136","authenticated-orcid":false,"given":"Nicholas","family":"West","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-2953-5305","authenticated-orcid":false,"given":"Jessica","family":"Luo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5942-5914","authenticated-orcid":false,"given":"Nancy","family":"Wang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1099-3646","authenticated-orcid":false,"given":"James D","family":"Taylor","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5256-5837","authenticated-orcid":false,"given":"Kyra","family":"Moura","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9245-3909","authenticated-orcid":false,"given":"Theresa","family":"Newlove","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9408-8362","authenticated-orcid":false,"given":"Zo\u00eb","family":"Brown","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1010","published-online":{"date-parts":[[2025,12,1]]},"reference":[{"issue":"1","key":"R1","doi-asserted-by":"publisher","first-page":"41","DOI":"10.1097\/ALN.0000000000003336","article-title":"Incidence and classification of nonroutine events during anesthesia care","volume":"133","author":"Liberman","journal-title":"Anesthesiology"},{"issue":"3","key":"R2","doi-asserted-by":"publisher","first-page":"596","DOI":"10.1213\/ANE.0b013e318227524e","article-title":"The impact of perioperative catastrophes on anesthesiologists: results of a national survey","volume":"114","author":"Gazoni","journal-title":"Anesth Analg"},{"issue":"1","key":"R3","doi-asserted-by":"publisher","first-page":"8","DOI":"10.1097\/ALN.0000000000003125","article-title":"\u201cNonroutine Events\u201d as a nonroutine outcome for perioperative systems research","volume":"133","author":"Lane-Fall","journal-title":"Anesthesiology"},{"key":"R4","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijoa.2018.10.011","article-title":"Observational study evaluating obstetric anesthesiologist residents\u2019 well-being, anxiety and stress in a North American academic program","volume":"38","author":"Danhakl","journal-title":"Int J Obstet Anesth"},{"issue":"5","key":"R5","doi-asserted-by":"publisher","first-page":"477","DOI":"10.1111\/j.1365-2044.1997.086-az0079.x","article-title":"Anaesthetic disasters: handling the aftermath","volume":"52","author":"Aitkenhead","journal-title":"Anaesthesia"},{"issue":"8","key":"R6","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2020.13761","article-title":"Factors associated with burnout and stress in trainee physicians: a systematic review and meta-analysis","volume":"3","author":"Zhou","journal-title":"JAMA Netw Open"},{"issue":"12","key":"R7","doi-asserted-by":"publisher","first-page":"12","DOI":"10.1097\/01.ASM.0001078888.26140.4b","article-title":"One is the loneliest number: social isolation as an occupational hazard of anesthesiology","volume":"83","author":"Bachiller","journal-title":"ASA Monitor"},{"issue":"5","key":"R8","doi-asserted-by":"publisher","first-page":"683","DOI":"10.1097\/ALN.0000000000003722","article-title":"Burnout rate and risk factors among anesthesiologists in the United States","volume":"134","author":"Afonso","journal-title":"Anesthesiology"},{"issue":"23","key":"R9","doi-asserted-by":"publisher","first-page":"2880","DOI":"10.1001\/jama.292.23.2880","article-title":"Resident burnout","volume":"292","author":"Thomas","journal-title":"JAMA"},{"issue":"4","key":"R10","doi-asserted-by":"publisher","first-page":"878","DOI":"10.1097\/ALN.0000000000000397","article-title":"The psychological and physiological effects of acute occupational stress in new anesthesiology residents: a pilot trial","volume":"121","author":"Eisenach","journal-title":"Anesthesiology"},{"issue":"3","key":"R11","doi-asserted-by":"publisher","first-page":"668","DOI":"10.1097\/ALN.0000000000002777","article-title":"Repeated cross-sectional surveys of burnout, distress, and depression among anesthesiology residents and first-year graduates","volume":"131","author":"Sun","journal-title":"Anesthesiology"},{"issue":"4","key":"R12","doi-asserted-by":"publisher","first-page":"321","DOI":"10.1111\/pan.14616","article-title":"Impact of pediatric near-miss perioperative events: a survey of anesthesiology residents","volume":"33","author":"Taylor","journal-title":"Paediatr Anaesth"},{"issue":"4","key":"R13","doi-asserted-by":"publisher","first-page":"23","DOI":"10.36834\/cmej.79340","article-title":"Improving anesthesia resident wellness: a facilitated peer discussion group evaluated with a pre-\/post-intervention survey","volume":"16","author":"West","journal-title":"Can Med Educ J"},{"issue":"2","key":"R14","doi-asserted-by":"publisher","DOI":"10.1213\/XAA.0000000000001387","article-title":"Design and implementation of an innovative, longitudinal wellness curriculum in an anesthesiology residency program","volume":"15","author":"Thornton","journal-title":"A&A Practice"},{"issue":"6","key":"R15","doi-asserted-by":"publisher","first-page":"349","DOI":"10.1093\/intqhc\/mzm042","article-title":"Consolidated criteria for reporting qualitative research (COREQ): a 32-item checklist for interviews and focus groups","volume":"19","author":"Tong","journal-title":"Int J Qual Health Care"},{"issue":"2","key":"R16","doi-asserted-by":"publisher","first-page":"377","DOI":"10.1016\/j.jbi.2008.08.010","article-title":"Research electronic data capture (REDCap)--a metadata-driven methodology and workflow process for providing translational research informatics support","volume":"42","author":"Harris","journal-title":"J Biomed Inform"},{"issue":"4","key":"R17","doi-asserted-by":"publisher","first-page":"16","DOI":"10.1177\/1937586715614171","article-title":"Qualitative descriptive methods in health science research","volume":"9","author":"Colorafi","journal-title":"HERD"},{"issue":"1","key":"R18","doi-asserted-by":"publisher","first-page":"23","DOI":"10.1002\/nur.21768","article-title":"Characteristics of qualitative descriptive studies: a systematic review","volume":"40","author":"Kim","journal-title":"Res Nurs Health"},{"issue":"9","key":"R19","doi-asserted-by":"publisher","first-page":"1277","DOI":"10.1177\/1049732305276687","article-title":"Three approaches to qualitative content analysis","volume":"15","author":"Hsieh","journal-title":"Qual Health Res"},{"issue":"2","key":"R20","doi-asserted-by":"publisher","first-page":"185","DOI":"10.1007\/s12630-016-0772-1","article-title":"Anesthesiology resident wellness program at the University of Saskatchewan: concept and development","volume":"64","author":"Chakravarti","journal-title":"Can J Anaesth"},{"issue":"2","key":"R21","doi-asserted-by":"publisher","DOI":"10.1002\/aet2.10728","article-title":"\u201cEverybody in this room can understand\u201d: a qualitative exploration of peer support during residency training","volume":"6","author":"Jain","journal-title":"AEM Educ Train"},{"issue":"1","key":"R22","doi-asserted-by":"publisher","first-page":"18","DOI":"10.21885\/wvmj.2022.3","article-title":"Exploring resident physician wellness at an allopathic medical school in West Virginia: a qualitative study","volume":"118","author":"Sedney","journal-title":"W V Med J"},{"issue":"56","key":"R23","doi-asserted-by":"publisher","DOI":"10.22454\/PRiMER.2024.835671","article-title":"Resident perspectives on a wellness program: a qualitative analysis","volume":"8","author":"Warburton-Silva","journal-title":"PRiMER"},{"issue":"1","key":"R24","doi-asserted-by":"publisher","first-page":"66","DOI":"10.1097\/00001888-200501000-00017","article-title":"Measuring the effectiveness of faculty mentoring relationships","volume":"80","author":"Berk","journal-title":"Acad Med"},{"issue":"4","key":"R25","doi-asserted-by":"publisher","first-page":"340","DOI":"10.1111\/j.1525-1497.2006.00346.x","article-title":"Mentoring matters","volume":"21","author":"Ramanan","journal-title":"J Gen Intern Med"},{"issue":"4","key":"R26","doi-asserted-by":"publisher","first-page":"417","DOI":"10.1111\/tct.13360","article-title":"The paradox of teaching wellness: lessons from a national obstetrics and gynaecology resident curriculum","volume":"18","author":"Winkel","journal-title":"Clin Teach"},{"issue":"1","key":"R27","doi-asserted-by":"publisher","DOI":"10.1186\/s12909-024-05342-0","article-title":"The importance of creating the right conditions for group intervision sessions among medical residents-a qualitative study","volume":"24","author":"Jorissen","journal-title":"BMC Med Educ"},{"key":"R28","doi-asserted-by":"publisher","DOI":"10.1136\/bmj-2022-070442","article-title":"Associations of physician burnout with career engagement and quality of patient care: systematic review and meta-analysis","volume":"378","author":"Hodkinson","journal-title":"BMJ"}],"container-title":["JMIR Perioperative Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/periop.jmir.org\/2025\/1\/e78575","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,30]],"date-time":"2026-06-30T18:11:16Z","timestamp":1782843076000},"score":1,"resource":{"primary":{"URL":"https:\/\/periop.jmir.org\/2025\/1\/e78575"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,12,1]]},"references-count":28,"URL":"https:\/\/doi.org\/10.2196\/78575","relation":{},"ISSN":["2561-9128"],"issn-type":[{"value":"2561-9128","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,12,1]]},"article-number":"v8i1e78575"}}