Department of Pediatric Surgery, Vanderbilt University Medical Center, Monroe Carell Jr. Children's Hospital, Nashville, TN.
DeWitt Daughtry Family Department of Surgery, University of Miami Miller School of Medicine, Miami, FL.
Ann Surg. 2024 Dec 1;280(6):938-944. doi: 10.1097/SLA.0000000000006257. Epub 2024 Mar 4.
To assess impact of participation in a positive psychology coaching program on trainee burnout and well-being.
Coaching using principles of positive psychology can improve well-being and reduce physician burnout. We hypothesized that participation in a coaching program would improve pediatric surgery trainee well-being.
With IRB approval, a coaching program was implemented during the COVID-19 pandemic (September 2020 to July 2021) in the American Pediatric Surgical Association. Volunteer pediatric surgery trainees (n=43) were randomized to receive either one-on-one quarterly virtual coaching (n=22) from a pediatric surgeon trained in coaching skills or wellness reading materials (n=21). Participants completed prestudy and poststudy surveys containing validated measures, including positive emotion, engagement, relationships, meaning, accomplishment, professional fulfillment, burnout, self-valuation, gratitude, coping skills, and workplace experiences. Results were analyzed using the Wilcoxon rank sum test, Kruskal-Wallis test, or χ 2 test.
Forty trainees (93%) completed both the baseline and year-end surveys and were included in the analysis. Twenty-five (64%) were female, mean age 35.7 (SD 2.3), and 65% were first-year fellows. Coached trainees showed an improved change in positive emotion, engagement, relationships, meaning, accomplishment ( P =0.034), burnout ( P =0.024), and gratitude ( P =0.03) scores from precoaching to postcoaching compared with noncoached trainees. Coping skills also improved. More coaching sessions were associated with higher self-valuation scores ( P =0.042), and more opportunities to reflect were associated with improved burnout and self-valuation.
Despite the stress and challenges of medicine during COVID-19, a virtual positive psychology coaching program provided benefits in well-being and burnout to pediatric surgery trainees. Coaching should be integrated into existing wellness programs to support the acquisition of coping skills that help trainees cope with the stressors they will face during their careers.
评估积极心理学辅导计划对学员倦怠和幸福感的影响。
运用积极心理学原则进行辅导可以提高幸福感，减少医生倦怠。我们假设参与辅导计划将改善儿科手术学员的幸福感。
在美国儿外科协会，在 COVID-19 大流行期间（2020 年 9 月至 2021 年 7 月），在机构审查委员会的批准下实施了一项辅导计划。志愿参加的儿科外科学员（n=43）被随机分为两组，一组接受由接受过辅导技能培训的儿科外科医生提供的每季度一次的虚拟辅导（n=22），另一组接受健康读物（n=21）。参与者完成了研究前和研究后调查，其中包含经过验证的测量指标，包括积极情绪、投入、人际关系、意义、成就感、职业满足感、倦怠、自我评估、感恩、应对技巧和工作场所体验。使用 Wilcoxon 秩和检验、Kruskal-Wallis 检验或 χ 2 检验分析结果。
40 名学员（93%）完成了基线和年终调查，并纳入分析。25 名学员（64%）为女性，平均年龄为 35.7（SD 2.3），65%为第一年的研究员。与未接受辅导的学员相比，接受辅导的学员在积极情绪、投入、人际关系、意义、成就感方面的变化（P=0.034）、倦怠（P=0.024）和感恩（P=0.03）评分从辅导前到辅导后均有所提高。应对技巧也有所改善。更多的辅导课程与更高的自我评估评分相关（P=0.042），更多的反思机会与倦怠和自我评估的改善相关。
尽管在 COVID-19 期间医学面临压力和挑战，但虚拟积极心理学辅导计划为儿科手术学员提供了幸福感和倦怠方面的益处。辅导应该纳入现有的健康计划中，以支持学员获得应对技能，帮助他们应对职业生涯中面临的压力源。
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