Making Sense of Family Medicine Resident Wellness Curricula: A Delphi Study of Content Experts

UMMS Affiliation

Department of Family Medicine and Community Health; Center for Integrated Primary Care

Publication Date


Document Type



Family Medicine | Health Psychology | Integrative Medicine | Medical Education | Mental and Social Health | Primary Care | Psychiatry and Psychology


BACKGROUND AND OBJECTIVES: The Association of Family Medicine Residency Directors (AFMRD) Physician Wellness Task Force released a comprehensive Well-Being Action Plan as a guide to help programs create a culture of wellness. The plan, however, does not offer a recommendation as to which elements may be most important, least resource intensive, or most feasible. This study sought to identify the most essential components of the AFMRD's Well-Being Action Plan, as rated by expert panelists using a modified Delphi technique.

METHODS: Sixty-eight selected experts were asked to participate; after three rounds of surveys, the final sample included 27 participants (7% residents, 38% MD faculty, 54% behavioral science faculty).

RESULTS: Fourteen elements were rated as essential by at least 80% of the participants. These components included interventions at both the system and individual level. Of those elements ranked in the top five by a majority of the panel, all but one do not mention specific curricular content, but rather discusses the nature of a wellness curriculum.

CONCLUSIONS: The expert consensus was that an essential curriculum should begin early, be longitudinal, identify a champion, and provide support for self-disclosure of struggles.


family medicine, residents, residency, wellness, curriculum

DOI of Published Version



Fam Med. 2019 Jul 2. doi: 10.22454/FamMed.2019.899425. Link to article on publisher's site

Journal/Book/Conference Title

Family medicine

Related Resources

Link to Article in PubMed

PubMed ID