Runyan Christine, Savageau Judith A, Potts Stacy, Weinreb Linda
Department of Family Medicine and Community Health, University of Massachusetts Medical School, Worcester, MA, USA;
Department of Family Medicine and Community Health, University of Massachusetts Medical School, Worcester, MA, USA.
Med Educ Online. 2016 Jun 8;21:30648. doi: 10.3402/meo.v21.30648. eCollection 2016.
Up to 60% of practicing physicians report symptoms of burnout, which often peak during residency. Residency is also a relevant time for habits of self-care and resiliency to be emphasized. A growing literature underscores the importance of this; however, evidence about effective burnout prevention curriculum during residency remains limited.
The purpose of this project is to evaluate the impact of a new, 1-month wellness curriculum for 12 second-year family medicine residents on burnout, empathy, stress, and self-compassion.
The pilot program, introduced during a new rotation emphasizing competencies around leadership, focused on teaching skills to cultivate mindfulness and self-compassion in order to enhance empathy and reduce stress. Pre-assessments and 3-month follow-up assessments on measures of burnout, empathy, self-compassion, and perceived stress were collected to evaluate the impact of the curriculum. It was hypothesized that this curriculum would enhance empathy and self-compassion as well as reduce stress and burnout among family medicine residents.
Descriptive statistics revealed positive trends on the mean scores of all the measures, particularly the Mindfulness Scale of the Self-Compassion Inventory and the Jefferson Empathy Scale. However, the small sample size and lack of sufficient power to detect meaningful differences limited the use of inferential statistics.
This feasibility study demonstrates how a residency wellness curriculum can be developed, implemented, and evaluated with promising results, including high participant satisfaction.
高达60%的执业医师报告有职业倦怠症状，这些症状常在住院医师培训期间达到峰值。住院医师培训阶段也是强调自我保健和恢复力习惯的重要时期。越来越多的文献强调了这一点的重要性；然而，关于住院医师培训期间有效预防职业倦怠课程的证据仍然有限。
本项目旨在评估一项为期1个月的针对12名二年级家庭医学住院医师的健康课程对职业倦怠、同理心、压力和自我同情的影响。
该试点项目在一个新的轮转期间引入，重点围绕领导力能力，专注于教授培养正念和自我同情的技能，以增强同理心并减轻压力。收集了关于职业倦怠、同理心、自我同情和感知压力的预评估和3个月后的随访评估，以评估该课程的影响。假设该课程将增强家庭医学住院医师的同理心和自我同情，同时减轻压力和职业倦怠。
描述性统计显示所有测量指标的平均得分呈积极趋势，尤其是自我同情量表的正念量表和杰斐逊同理心量表。然而，样本量小且缺乏检测有意义差异的足够效力限制了推断性统计的使用。
这项可行性研究展示了如何开发、实施和评估住院医师健康课程，并取得了包括高参与者满意度在内的有希望的结果。
