Fainstad Tyra, Rodriguez Carlos, Kreisel Carlee, Caragol Jennifer, Thibodeau Pari Shah, Kostiuk Marisa, Mann Adrienne
From the University of Colorado, School of Medicine, Aurora, CO (TF, CR, CK, JC, PST, MK, AM); Division of General Internal Medicine, Department of Medicine, University of Colorado Anschutz, Medical Campus, Aurora, CO (TF); Department of Family Medicine, University of Colorado Anschutz Medical Campus, Aurora, CO (CR, CK, JC, MK); Department of Psychiatry, University of Colorado Anschutz Medical Campus, Aurora, CO (PST); Division of Hospital Medicine, Department of Medicine, University of Colorado Anschutz Medical, Campus, Aurora, CO (AM); Veterans' Health Administration, Eastern CO Health Care System, Aurora, CO (AM).
J Am Board Fam Med. 2025 Mar 21;37(6):1055-1071. doi: 10.3122/jabfm.2024.240022R1.
Physician burnout contributes to distress, turnover, and poor patient outcomes. Evidence suggests individual professional coaching may mitigate burnout but is costly and time intensive. Group coaching evidence is lacking. Here, we assess a group coaching program in ambulatory-based faculty.
A randomized trial occurred from February 1, 2023, to May 31, 2023, in 5 ambulatory and/or primary care-based departments at an academic institution. Participants were randomly assigned to an intervention (offered a 4-month, online, group coaching) or to a control group (not offered coaching). Surveys measuring validated dimensions of distress (burnout, impostor syndrome, moral injury, loneliness) and well-being (self-compassion, flourishing) were administered before and after the intervention. A linear mixed model analysis was performed on an intent-to-treat basis.
Among 160 participants, the mean (SD) age was 42.0 (8.4), 131 (81.9%) identified as female, and 135 (85.4%) as White. Group coaching improved intervention participants' burnout domain of depersonalization (δ: -1.72 points [CI: -3.26, -0.17]; = .03), impostor syndrome (δ: -0.82 points [95% CI: -1.47, -0.18, = .01), and flourishing (0.35 points (95% CI: 0.03, 0.66), = .03) compared with the control. There were no significant differences in the other domains of burnout, or moral injury, loneliness, or self-compassion.
Four months of group-coaching improved some well-being outcomes in ambulatory-based clinicians. The intervention may be particularly useful given its accessibility, and online delivery supports greater scalability and lower cost than individual coaching.
Group coaching is an institutionally provided, individually harnessed tool to heal physician burnout.
ClinicalTrials.gov Identifier: NCT05635448.
医生职业倦怠会导致心理困扰、人员流失和不良的患者治疗结果。有证据表明，个人专业辅导可能会减轻职业倦怠，但成本高昂且耗时。目前缺乏团体辅导的相关证据。在此，我们评估一项针对门诊医护人员的团体辅导计划。
2023年2月1日至2023年5月31日，在一所学术机构的5个门诊和/或基层医疗部门进行了一项随机试验。参与者被随机分配到干预组（接受为期4个月的在线团体辅导）或对照组（未接受辅导）。在干预前后进行了测量心理困扰（职业倦怠、冒名顶替综合症、道德伤害、孤独感）和幸福感（自我同情、蓬勃发展）有效维度的调查。基于意向性分析进行线性混合模型分析。
160名参与者中，平均（标准差）年龄为42.0（8.4）岁，131人（81.9%）为女性，135人（85.4%）为白人。与对照组相比，团体辅导改善了干预组参与者职业倦怠中的去个性化领域（δ：-1.72分[置信区间：-3.26，-0.17]；P = 0.03）、冒名顶替综合症（δ：-0.82分[95%置信区间：-1.47，-0.18]；P = 0.01）和蓬勃发展（0.35分[95%置信区间：0.03，0.66]；P = 0.03）。在职业倦怠的其他领域、道德伤害、孤独感或自我同情方面没有显著差异。
四个月的团体辅导改善了门诊临床医生的一些幸福感指标。鉴于其可及性，该干预措施可能特别有用，并且在线提供支持比个人辅导更大的可扩展性和更低的成本。
团体辅导是一种由机构提供、个人可利用的治疗医生职业倦怠的工具。
ClinicalTrials.gov标识符：NCT05635448。
