Pouramin Panthea, Taylor Ruby, Llaneras Noah S, Sivakumar Aditi, Blum Ethan, Ridley Clare, Mackinnon Susan E, Krauss Emily M
From the Faculty of Medicine, Dalhousie University, Halifax, Nova Scotia, Canada.
Division of Plastic Surgery, Department of Surgery, Washington University in Saint Louis, Saint Louis, MO.
Plast Reconstr Surg Glob Open. 2025 Aug 25;13(8):e6878. doi: 10.1097/GOX.0000000000006878. eCollection 2025 Aug.
Burnout, characterized as depersonalization, emotional exhaustion, and a sense of reduced personal efficacy, is an ongoing problem faced by surgeons and medical trainees at all levels of training. Increasing evidence suggests that mindfulness interventions are effective in reducing burnout and stress among healthcare providers. With a goal to build our own programs, we sought to evaluate the evidence on mindfulness interventions among physicians and trainees. What we found went beyond a systematic review and has advanced our practices to a larger understanding of the interconnectivity between mindfulness, meditation, emotional intelligence, and leadership. In this article, we outline mindfulness and published interventions including their efficacy in reducing physician burnout and stress through a systematic review of randomized controlled trials (32 trials published between 2011 and 2023). In 4 distinct modules including 5 supplemental video modules, concepts that promote mindfulness are reviewed, providing a foundation for a mindfulness practice. These video modules include: (1) what mindfulness and meditation are, (2) a 5-minute meditation, (3) the Institute for Professional Excellence in Coaching energy leadership strategy, (4) building resilience through emotional intelligence, and (5) translating mindfulness into practice. This special topic aimed to open the conversation among plastic surgeons about burnout and the role that mindfulness can have to reduce its negative effects on our practices and our lives.
职业倦怠表现为去个性化、情绪耗竭和个人效能感降低，是各级培训阶段的外科医生和医学实习生面临的一个长期问题。越来越多的证据表明，正念干预对于降低医疗保健人员的职业倦怠和压力是有效的。为了建立我们自己的项目，我们试图评估医生和实习生中有关正念干预的证据。我们的发现超出了系统评价的范畴，并将我们的实践提升到了对正念、冥想、情商和领导力之间相互联系的更深入理解。在本文中，我们通过对随机对照试验（2011年至2023年间发表的32项试验）的系统评价，概述了正念及已发表的干预措施，包括它们在减轻医生职业倦怠和压力方面的功效。在包括5个补充视频模块的4个不同模块中，对促进正念的概念进行了回顾，为正念练习奠定了基础。这些视频模块包括：（1）正念和冥想是什么，（2）5分钟的冥想，（3）卓越专业教练机构的能量领导力策略，（4）通过情商培养恢复力，以及（5）将正念转化为实践。这个专题旨在开启整形外科医生之间关于职业倦怠以及正念在减少其对我们的实践和生活负面影响方面所起作用的讨论。
