Flourishing Among Internal Medicine Residents: A Cross-Sectional, Multi-institutional Study
Authors: David Vermette, Collin Hanson, Adam Pennarola, Donna M. Windish
Journal: Annals of Internal Medicine (2023)

Letters19 December 2023Flourishing Among Internal Medicine Residents: A Cross-Sectional, Multi-institutional StudyDavid Vermette, MD, MBA, MHS, Collin Hanson, MD, Adam Pennarola, MD, MPH, Donna M. Windish, MD, MPHDavid Vermette, MD, MBA, MHSDivision of General Medicine and Geriatrics, Department of Medicine, and Division of Pediatric Hospital Medicine, Department of Pediatrics, Washington University School of Medicine in St. Louis, St. Louis, Missouri, Collin Hanson, MDSection of Palliative Medicine, Division of Hospital Medicine, Department of Medicine, Northwestern University Feinberg School of Medicine, Chicago, Illinois, Adam Pennarola, MD, MPHHospice and Palliative Medicine, WellSpan York Hospital, York, Pennsylvania, Donna M. Windish, MD, MPHSection of General Internal Medicine, Department of Internal Medicine, Yale School of Medicine, New Haven, ConnecticutAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/M23-2233 Annals Author Insight Video - David Vermette, MD, MBA, MHS In this video, David Vermette, MD, MBA, MHS, offers additional insight into the article, "Flourishing Among Internal Medicine Residents: A Cross-Sectional, Multi-institutional Study." (Duration 3:31) SectionsSupplemental MaterialAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail Background: Studies of physician well-being commonly use narrow measures like happiness, life satisfaction, mental health, or burnout. However, well-being is a complex and multifaceted construct. Flourishing offers promise as a holistic conceptualization of well-being, as it integrates eudaimonic, hedonic, psychological, social, and physical aspects of well-being. The Flourish Index (FI) and the Secure Flourish Index (SFI) were developed to measure flourishing (1). The FI assesses 5 domains: happiness and life satisfaction, physical and mental health, meaning and purpose, character and virtue, and close social relationships. The SFI adds a domain of financial and material stability. The FI and SFI are ...References1. VanderWeele TJ. On the promotion of human flourishing. Proc Natl Acad Sci U S A. 2017;114:8148-8156. [PMID: 28705870] doi:10.1073/pnas.1702996114 CrossrefMedlineGoogle Scholar2. Weziak-Bialowolska D, McNeely E, VanderWeele TJ. Flourish Index and Secure Flourish Index–validation in workplace settings. Cogent Psychol. 2019;6. doi:10.1080/23311908.2019.1598926 CrossrefGoogle Scholar3. Kelly-Hedrick M, Rodriguez MM, Ruble AE, et al. Measuring flourishing among internal medicine and psychiatry residents. J Grad Med Educ. 2020;12:312-319. [PMID: 32595851] doi:10.4300/JGME-D-19-00793.1 CrossrefMedlineGoogle Scholar4. Bohman B, Dyrbye L, Sinsky CA, et al. Physician well-being: the reciprocity of practice efficiency, culture of wellness, and personal resilience. NEJM Catalyst. 2017;3. doi:10.1056/CAT.17.0429 CrossrefGoogle Scholar5. Vermette D, Reardon JL, Israel HP, et al. Development and validation of a novel instrument to measure the community well-being of residency programs. Acad Med. 2023;98:614-622. [PMID: 36731081] doi:10.1097/ACM.0000000000004987 CrossrefMedlineGoogle Scholar Author, Article, and Disclosure InformationAuthors: David Vermette, MD, MBA, MHS; Collin Hanson, MD; Adam Pennarola, MD, MPH; Donna M. Windish, MD, MPHAffiliations: Division of General Medicine and Geriatrics, Department of Medicine, and Division of Pediatric Hospital Medicine, Department of Pediatrics, Washington University School of Medicine in St. Louis, St. Louis, MissouriSection of Palliative Medicine, Division of Hospital Medicine, Department of Medicine, Northwestern University Feinberg School of Medicine, Chicago, IllinoisHospice and Palliative Medicine, WellSpan York Hospital, York, PennsylvaniaSection of General Internal Medicine, Department of Internal Medicine, Yale School of Medicine, New Haven, ConnecticutAcknowledgment: The authors thank Sarah Westvold for her help in creating the figures.Disclosures: Disclosures can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=M23-2233.Reproducible Research Statement: Study protocol and data set: Available from Dr. Vermette (e-mail, david.v@wustl.edu). Statistical code: Not available.Corresponding Author: David Vermette, MD, MBA, MHS, Washington University School of Medicine in St. Louis, 660 South Euclid Avenue, MSC 8121-0022-07, St. Louis, MO 63110; e-mail, david.v@wustl.edu.This article was published at Annals.org on 19 December 2023. PreviousarticleNextarticle Advertisement Annals Author Insight Video - David Vermette, MD, MBA, MHS In this video, David Vermette, MD, MBA, MHS, offers additional insight into the article, "Flourishing Among Internal Medicine Residents: A Cross-Sectional, Multi-institutional Study." (Duration 3:31) FiguresReferencesRelatedDetails Metrics Latest Keywords COVID-19 Emotions Happiness Hospital medicine Pandemics Psychiatry and mental health Quality of life Residency Treatment guidelines ePublished: 19 December 2023 Copyright & PermissionsCopyright © 2023 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...