Table 3.

Representative Quotes by Theme

Theme	Representative quotes
Program variety	“A balance between structured and unstructured and how unstructured time can be really nice and we don’t really have a lot of that in our wellness activities.” “We like the sessions that are more resident led.”
Developing a supportive resident community	“I find the culture to be a supportive one, which helps with wellness, as working with faculty and residents within our department is a comfortable and safe environment.” “Faculty know how to better support us when people are like really sick or you know, we watched a traumatic, we were part of like a traumatic patient experience.” “[Attending name] actually covered [inpatient adult medicine service] for an afternoon to allow me to go to wellness. And it was like the most validated I ever felt and supported as a resident.”
Workplace wellness skills development	“We learn a lot how to be well outside of work, but most of our time is spent at work and most of our stress comes from it as well. So how to manage stress at work?” “Someone asking us that question, now I feel like, something like that would be super helpful; it’s like okay, how do I, how do I get there? How do I get there in a way that like I enjoy, and I stay excited about?” “It’s more like a time issue with like the things we’ve already talked about as limitations, in-basket management, 24-hour shifts, etcetera.”
Addressing basic needs	“We also really liked wellness as like a time for all of us to be in the same place, because we don’t really work with each other at all.” “More in person meetings, with food please; outdoors is a plus.”
Options for processing difficult situations	“We’ve all experienced very traumatic things in residency, and so to have a place where we can like talk about them in an actual environment.” “For me like vulnerability is something I want to share in a safe space; and not that this isn’t a safe space, but this is a professional space and those are kind of different to me.”
Acknowledgment of structural limitations to resident wellness	“We also have [resident sick coverage system] not only as a promotion of wellness but also as a negative.” “For the admin half days, if we specifically want to use it on a half day of clinic, we have to use it like really in advance, because now they’re scheduling clinic out for like, what, 6 months? Is what they, like that’s how early they want us to know electives and like things. That’s difficult.” “We talked about all of the limitations our program has in terms of expected culture of resident work life, uh GME and ABFM requirements on hours, days off, the amount of rotations we have to do.”

Abbreviations: GME, graduate medical education; ABFM, American Board of Family Medicine