Abstract
Objectives
Combined pediatrics-anesthesiology programs uniquely prepare residents to care for
critically ill children, but trainees in these combined programs face challenges as
residents within two specialties. Social belonging predicts motivation and achievement
and protects against burnout. The objective of our study was to evaluate sense of
belonging and self-identified professional identity of current combined pediatrics-anesthesiology
residents.
Methods
All current residents in combined pediatrics-anesthesiology programs were invited
to participate in an anonymous survey assessing sense of belonging and professional
identity. Open-ended responses were qualitatively analyzed using an inductive coding
process and thematic analysis. Likert questions were analyzed using paired t-tests.
Results
32/36 residents completed the survey (89% response rate). 92% of respondents had a
lower sense of belonging in pediatrics than anesthesiology (3.32 vs 3.94) and more
self-identified as anesthesiologists than pediatricians. Thematic analysis yielded
five themes: (1) the team-based nature of pediatrics results in strong initial bonds,
but feelings of isolation as training pathways diverge; (2) the individual nature
of anesthesiology results in less social interaction within daily work, but easier
transitions in and out of anesthesiology; (3) divergent training timelines result
in feeling left behind socially and academically; (4) residents identify different
professional and personal characteristics of pediatricians and anesthesiologists that
impact their sense of belonging; and (5) the structure of the combined program results
in experiences unique to combined residents.
Conclusions
Most residents in combined pediatrics-anesthesiology programs had a higher sense of
belonging and self-identification in anesthesiology than pediatrics. Program structure
and autonomy had significant impacts.
Keywords
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Article Info
Publication History
Accepted:
May 18,
2022
Received:
December 29,
2021
Publication stage
In Press Journal Pre-ProofIdentification
Copyright
© 2022 Published by Elsevier Inc. on behalf of Academic Pediatric Association
