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LewisGale Medical Center


Internal Medicine

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Wellness, Burnout - Professional, Burnout - Psychological, Resilience, Well-Being Index, depression, workplace engagement


Behavior and Behavior Mechanisms | Internal Medicine | Psychiatry


Physician wellness has recently been a topic of significant national interest.1-8 The term “wellness” has many definitions, and was best defined by Around et al. 1 as “one’s personal recipe for thriving and not just surviving.” Wellness refers to interconnected dimensions of physical, mental, and social well-being that extend beyond the absence of illness. Wellness has traditionally been measured in the negative sense by assessing rates of burnout, emotional exhaustion, and depersonalization. It is known that physician burnout is at its highest point during residency1, 4, 5 and burnout is linked to many negative outcomes including: substance abuse and suicidal idealization by the physician; lower quality of patient care; increased patient recovery times; reduced physician productivity; and a doubled risk of medical error.9 Most researchers have focused on organizational-level interventions such as corporate wellness or resilience training to reduce burnout, although individual level interventions such as meditation and mindfulness have shown some promise as a means to help reduce burnout.2 However there is still room for significant improvement and innovation in the development of wellness resources. Working long hours in residency can lead to loneliness and this social isolation, combined with loss of friends and support systems brought on by moving to a new environment, may have a significant impact on wellness with increased burnout.7 People are often hesitant to develop intimate connections and disclose personal details, and thus begin the bonding process with strangers. Interpersonal connections and engagement is necessary to thrive in residency. The game “Well…For Me” means to address an avenue to help residents build healthy connections in a manner that promotes bonding with fellow residents.

Initial Evaluation of a Wellness Game



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