Burnout assessment in house officers: Evaluation of an intervention to reduce stress

Milstein, Jay M.; Raingruber, Bonnie; Bennett, Stephen H.; Kon, Alexander A.; Winn, Cynthia A.; Paterniti, Debora A.

doi:10.1080/01421590802208552

Cited by 42 publications

(38 citation statements)

References 9 publications

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“…Studies were also conducted among general hospital-based [26, 37–39], surgical [40–42], paediatric [43, 44], oncology [45, 46], obstetrics and gynaecology [47], internal medicine [48, 49], and radiology [27] fields of practice. Two studies utilised samples of doctors from a range of specialties and work settings who were accessing the intervention service through a nationally available programme [25, 50].…”

Section: Resultsmentioning

confidence: 99%

Psychosocial interventions for managing occupational stress and burnout among medical doctors: a systematic review

et al. 2017

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BackgroundOccupational stress and burnout are highly prevalent among medical doctors and can have adverse effects on patient, doctor, and organisational outcomes. The purpose of the current study was to review and evaluate evidence on psychosocial interventions aimed at reducing occupational stress and burnout among medical doctors.MethodA systematic review was conducted for original research articles reporting on psychosocial interventions targeting occupational stress or burnout among medical doctors, published in the English language, and with data collected at a minimum of two time points. Searches were conducted across five electronic databases, as well as by manual search of Google Scholar. Data was extracted relating to study characteristics and outcomes, quality and rigour, as well as modes of delivery and engagement. Studies were appraised using the Strength of Recommendation Taxonomy (SORT) and Critical Appraisal Skills Programme (CASP).ResultsTwenty-three articles were reviewed, which reported on interventions utilising cognitive-behavioural, relaxation, and supportive discussion strategies. Only 12 studies allowed estimation of pre- to post-intervention effects. Cognitive behavioural interventions demonstrated the strongest evidence, particularly for reducing stress. Some evidence was identified to support the efficacy of relaxation-based approaches, but no such evidence was found for the efficacy of discussion-based interventions, such as Balint groups. There was a lack of quality among reviewed studies, with no studies receiving a quality rating of 1, and the overall body of evidence being rated as level B, according to the SORT. Effect sizes were not pooled due to a lack of quality among the study sample.ConclusionThis review found that despite increased scientific attention, the quality of research examining the benefits of psychosocial/behavioural interventions for occupational stress and burnout in medical doctors remains low. Despite this, interventions focused on cognitive and behavioural principles appear to show promise in reducing doctor stress and burnout. Limitations of the current review include a lack of risk of bias assessment or pooling of analyses. Recommendations for improving the quality of research in this area, as well as implications of the current body of evidence are discussed.Systematic review registrationPROSPERO CRD42016032595Electronic supplementary materialThe online version of this article (doi:10.1186/s13643-017-0526-3) contains supplementary material, which is available to authorized users.

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Section: Resultsmentioning

confidence: 99%

Psychosocial interventions for managing occupational stress and burnout among medical doctors: a systematic review

et al. 2017

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“…Most studies were from the United States (n ¼ 16), and 1 study each was from Canada, 7 Belgium, 8 and Israel. 9 Internal medicine residents were the subject 4 studies 3,12,13,18 ; 1 study of orthopedic residents 10 ; 2 studies of pediatrics residents 19,20 ; 1 study of family medicine residents 21 ; 1 study of obstetrics and gynecology residents 22 ; 3 studies of surgical specialty residents 11,14,15 ; 2 studies of oncology residents 8,9 ; and 5 studies enrolled residents from a combination of residency programs. 7,16,17,23,24 The studies included enrolled 2030 residents, and examined the effect of 12 different strategies on resident burnout (TABLE 1).…”

Section: Resultsmentioning

confidence: 99%

“…15,16 Three studies examined the effect of stress management workshops on resident burnout, with 2 studies reporting that it did not result in reduction in the burnout components. 8,20 The third study did not provide sufficient data to detect whether the results were significantly different than one would see by chance. 23 A stress therapy training did not show a significant decrease in burnout as physicians were too busy to implement the entire tool systematically, and the sample size (n ¼ 7) also was too small to allow significance testing of results.…”

Section: Qualitative Synthesis Of Datamentioning

confidence: 99%

“…23 A stress therapy training did not show a significant decrease in burnout as physicians were too busy to implement the entire tool systematically, and the sample size (n ¼ 7) also was too small to allow significance testing of results. 20 In another study, the lack of a positive effect on burnout rates after communication and stress management training may be because it takes longer to analyze the effects of such training than the time accounted for in the study. 8 Two studies examined the effect of Balint-type case discussion groups (designed to improve physician communication skills with a focus on patientphysician interactions).…”

Section: Qualitative Synthesis Of Datamentioning

confidence: 99%

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Efficacy of Interventions to Reduce Resident Physician Burnout: A Systematic Review

Busireddy

Miller

Ellison

et al. 2017

Journal of Graduate Medical Education

237

214

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“…(Bogg 2001;Paice 2002a;Tyssen 2002;Milstein 2009). There is a general consensus among many authors that the inherently stressful nature of the transition from student to doctor is responsible for this.…”

Section: Stress the F1 Year And Working In Psychiatrymentioning

confidence: 97%

Development of foundation year 1 psychiatry posts: implications for practice

Steele¹,

Beattie²

2013

Adv. psychiatr. treat

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SummaryMost literature discussing the introduction of foundation year 1 (F1) psychiatry posts has focused on recruitment. However, for F1 posts to offer a valuable learning experience and a potential recruitment boost, psychiatrists and employing organisations should be aware of general issues arising in the first postgraduate year. These include the inherently stressful student-to-doctor transition, the need for bespoke induction programmes for new graduates, F1 doctors' specific needs for support, supervision and peer support, and the centrality of the relationship with the consultant supervisor to the new doctor. Understanding these themes will enable psychiatrists and mental health organisations to offer better F1 psychiatry experiences, which may boost recruitment and could maximise the opportunities for F1 doctors to develop skills and qualities that will be of value in their future careers, whatever specialty they end up working in.

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Burnout assessment in house officers: Evaluation of an intervention to reduce stress

Cited by 42 publications

References 9 publications

Psychosocial interventions for managing occupational stress and burnout among medical doctors: a systematic review

Psychosocial interventions for managing occupational stress and burnout among medical doctors: a systematic review

Efficacy of Interventions to Reduce Resident Physician Burnout: A Systematic Review

Development of foundation year 1 psychiatry posts: implications for practice

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