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. 2021 Dec;26(1):1917488.
doi: 10.1080/10872981.2021.1917488.

Wellness in medical education: definition and five domains for wellness among medical learners during the COVID-19 pandemic and beyond

Stephana J Cherak  1   2   3 , Brianna K Rosgen  1   2 , Alexa Geddes  3 , Kira Makuk  2 , Sanjana Sudershan  4 , Caroline Peplinksi  4 , Aliya Kassam  1   3
Affiliations

Wellness in medical education: definition and five domains for wellness among medical learners during the COVID-19 pandemic and beyond

Stephana J Cherak et al. Med Educ Online. 2021 Dec.

Abstract

Problem: The novel coronavirus SARS-CoV-2 disease (COVID-19) impacted medical learner well-being and serves as a unique opportunity to understand medical learner wellness. The authors designed a formal needs assessment to assess medical learners' perspectives regarding distress related to disrupted training environments. This Rapid Communication describes findings from a qualitative study which defined medical learner wellness and validated five wellness domains.Approach: We conducted follow-up telephone interviews to an online needs assessment survey to identify a learner definition for wellness and to validate five wellness domains, including social, mental, physical, intellectual, and occupational wellness. Using purposive and maximal variation sampling, 27 students were interviewed from July-August 2020. Thematic analysis was performed using a deductive thematic approach to qualitative analysis.Outcomes: Medical learners defined wellness as a general [holistic] sense of personal well-being - the opportunity to be and to do what they most need and value. Learners validated all five wellness domains for medical education. Learners acknowledged the need for an adoptable and adaptable holistic framework for wellness in medical education.Next steps: We recommend academic medical institutions consider learner wellness a key component of medical education to cultivate learners as a competent collective of self-reliant, scholarly experts. We encourage evaluation of wellness domains in diverse medical learner populations to identify feasible interventions potentially associated with improvements in medical learner wellness.

Keywords: COVID-19; Medical learner; medical education; well-being; wellness.

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Conflict of interest statement

No potential conflict of interest was reported by the author(s).

References

    1. Thomas L, Harry E, Quirk R, et al. Evidence-based interventions for medical student, trainee and practicing physician wellbeing: a CHARM annotated bibliography. 2017.
    1. Kemp S, Hu W, Bishop J, et al. Medical student wellbeing - a consensus statement from Australia and New Zealand. BMC Med Educ. 2019;19(1):69. - PMC - PubMed
    1. Wasson LT, Cusmano A, Meli L, et al. Association between learning environment interventions and medical student well-being: a systematic review. JAMA. 2016;316(21):2237–4. - PMC - PubMed
    1. Walsh AL, Lehmann S, Zabinski J, et al. Interventions to prevent and reduce burnout among undergraduate and graduate medical education trainees: a systematic review. Acad Psychiatry. 2019;43(4):386–395. - PubMed
    1. Wilkes C, Lewis T, Brager N, et al. Wellbeing and mental health amongst medical students in Canada. Int Rev Psychiatry. 2019;31(7–8):584–587. - PubMed