482 - Resident well-being: What matters most to pediatric residents who identify as caregivers outside of work?

Monday, May 1, 2023

9:30 AM – 11:30 AM ET

Poster Number: 482
Publication Number: 482.421

Jessica C. Babal, University of Wisconsin School of Medicine and Public Health, Madison, WI, United States; Elizabeth Rodriguez Lien, University of Texas Medical Branch, Galveston, TX, United States; Eric Zwemer, University of North Carolina, Chapel Hill, NC, United States; Sarah Webber, University of Wisconsin School of Medicine and Public Health, Madison, WI, United States; Megan A. Moreno, UW Madison, Madison, WI, United States; Heidi M. Kloster, University of Wisconsin School of Medicine and Public Health, McFarland, WI, United States; Ryan J. Coller, University of Wisconsin School of Medicine and Public Health, Madison, WI, United States; Roger J. Schultz, University of Wisconsin School of Medicine and Public Health, Madison, WI, United States; Dan Sklansky, University of Wisconsin School of Medicine and Public Health, Madison, WI, United States

Presenting Author(s)

Jessica C. Babal, MD (she/her/hers)

Assistant Professor of Pediatrics
University of Wisconsin School of Medicine and Public Health
Madison, Wisconsin, United States

Background: Ciswomen pediatric residents are at greater risk of professional well-being challenges than cismen. This may be especially true when ciswomen residents have substantial caregiving roles outside of work, as residency well-being initiatives may not sufficiently support their workplace needs. However, whether resident well-being priorities differ by gender and caregiver identities remains under-explored.

Objective:

To compare well-being priorities by pediatric resident gender and caregiver identities.

Design/Methods: This was a subgroup analysis of a prior concept mapping study. The prior study used mixed methods to conceptualize pediatric resident well-being needs within 8 well-being domains. Pediatric residency stakeholders generated 97 ideas about the well-being experience, sorted ideas conceptually, then rated relative idea importance (1= not at all important, 5= extremely important). For this subgroup analysis, we used mixed methods pattern match analysis to compare well-being priorities of resident subgroups by gender and caregiver identity. Caregivers included parents to child(ren) < 18 years or those who identified as having substantial caregiving responsibilities for persons outside of work. Subgroups included cismen-no caregiving; ciswomen- no caregiving; cismen-caregiving; ciswomen-caregiving. Mean importance ratings for ideas within each well-being domain were plotted on ladder graphs and qualitative rank comparison analysis was performed.

Results: Thirty-five residents (cismen-no caregiving, n=6; ciswomen-no caregiving, n=19; cismen- caregiving, n=0; ciswomen-caregiving, n=9; non-binary-no caregiving, n=1) rated relative importance of the 97 well-being ideas. The aggregate resident sample rated “Professional fulfillment and mindset” with highest importance. Subgroup analysis revealed that non-caregivers rated “Professional fulfillment and mindset” with highest importance, while ciswomen caregivers rated “Adaptive and supportive scheduling” with highest importance. Ciswomen (caregivers and non-caregivers) rated “work systems and benefits” with relative high importance in contrast to cismen non-caregivers who rated this with lowest importance.

Conclusion(s): Adaptive and supportive scheduling needs may supersede other well-being needs for ciswomen residents with caregiving roles outside of work. Cismen without caregiving roles outside of work may view work systems and benefits with lower importance. Future studies should explore cis-men caregiver priorities as our sample did not allow investigation of this population.