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Changes in Health and Well-Being during Residents’ Training

The Accreditation Council for Graduate Medical Education recommended a renewed focus on wellness and mental health awareness based on the high rates of burnout and depression within the population of physicians beginning their graduate medical education. The literature focuses predominantly on psychological symptoms of stress during residency training. This study aimed to demonstrate and quantify changes to trainee health habits during the first 2 years of graduate medical education. Objectives Previous studies have characterized the negative effects of graduate medical education on physicians; however, there is limited longitudinal data on how physicians’ well-being changes during their training. This study aimed to demonstrate and quantify changes to trainees’ wellness and health habits during the course of their first 2 years of graduate medical education. Methods A longitudinal survey study of postgraduate year 1 trainees at the Cleveland Clinic was administered at 3 time points: the initial survey during orientation week, a second survey at 1 year, and a final survey at 2 years. Results Of the 170 trainees contacted, 59 (35%) completed the initial survey and 34 (58%) completed the first follow-up survey. Between the initial survey and the first follow-up survey, respondents reported that their health was worse than the prior year (P < 0.001). They also reported sleeping on average 1 hour less per night and exercising on average one fewer day per week. The number of individuals who reported not eating breakfast increased by 22%, whereas the number of individuals eating out at lunch more than doubled. Twenty-seven people completed the second follow-up survey. Between the first follow-up survey and the final survey, respondents gained on average 2.12 lb (P = 0.039). Breakfast, lunch, and sleeping habits persisted through the second follow-up survey. Conclusions Residents’ health and wellness habits deteriorated during internship and did not improve in the second year of residency. Efforts to promote healthy habits in this population should be a priority.