Participants and Trial Groups
All GME physician trainees who self-identified as a woman (ie, self-reported their gender identity as a woman, including those who reported woman if multiple genders were reported) at participating sites were eligible. Trainees were recruited through a series of 3 emails to a GME electronic mailing list. After enrollment, participants were randomly assigned to the intervention (access to online group coaching) or control group (no access). Randomization was stratified on the basis of the site. Intervention participants were not given protected time for the intervention and carried the same clinical schedules as control participants. All participants were asked to complete baseline (prior to randomization) and 4-month (end of intervention) surveys containing self-reported demographic questions and validated instruments measuring dimensions of distress and well-being. Participants had the ability to select multiple options for race and ethnicity and gender identity questions. Response options for gender identity included man, woman, nonbinary, not sure, not listed, and prefer not to say. Race and ethnicity categories included Asian, Black, Latinx, multiracial, Native American, Native Hawaiian and Other Pacific Islander, White, and other (defined as unknown or any other race or ethnicity not otherwise specified); race and ethnicity were included to ensure generalizability of the intervention. The control group was offered the intervention after the study. To account for benefits accruing from expectations rather than the intervention, both groups were emailed alternative online wellness resources.