Health promotion program: a resident well-being study.
BACKGROUND
Surgical training places unique stresses on residents that can lead to decreased levels of presenteeism. We hypothesized that presenteeism levels could be positively influenced by improving workplace hygiene.


METHODS
a cohort of surgical residents was asked to complete the Stanford Presenteeism Scale: Health Status and Employee Productivity (SPS-6) questionnaire before, and one year after the implementation of a workplace health promotion program.


RESULTS
Twenty-six of thirty-three residents responded to the initial survey and reported a mean SPS-6 score of 17.3 +/- 4.5, well below population normative value of 24 +/- 3 (p < 0.0001). At one-year post intervention 25 of 32 residents responded, reporting a mean SPS-6 score of 18.3+/- 4.6. The mean SPS-6 score improved by 1.2+/- 3.8 (p = 0.35). Subgroup analysis showed a trend toward improved SPS-6 in those who participated in the health promotion program (p = 0.15) and a significant difference when junior residents were compared to seniors (p = 0.034). Overall, results were limited by our small sample size.


CONCLUSIONS
Presenteeism scores for surgical residents at our institution are well below population values. Use of validated tools such as the SPS-6 may allow for more objective analysis and decision making when planning for resident education and workload. PRESENTEEISM: the ability while on the job to produce quality work at maximum productivity. DECREASED PRESENTEEISM: a state of decreased productivity and below-normal work quality related to health/workplace distracters.
Watson
David T
DT
Florida Orthopaedic Institute, Temple Terrace, FL 33637-0925, USA.
Long
William J
WJ
Yen
David
D
Pichora
David R
DR
D015331:Cohort Studies; D004526:Efficiency; D006293:Health Promotion; D006304:Health Status; D006306:Health Surveys; D006801:Humans; D007396:Internship and Residency / Q000592:standards*; D008019:Life Style; D009985:Orthopedics / Q000592:standards*; D013337:Students, Medical / Q000523:psychology; D011795:Surveys and Questionnaires; D016526:Workload / Q000523:psychology / Q000592:standards