Developing a Mindfulness Skills-Based Training Program for Resident Physicians

Minichiello, Vincent J.; Hayer, Supriya; Gillespie, Bob; Goss, Maureen; Barrett, Bruce

doi:10.22454/fammed.2020.461348

Cited by 22 publications

(31 citation statements)

References 8 publications

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“… 42 MBSR administered to surgical interns was found to improve mindfulness, reduce stress, and improve well-being. 43 Several studies demonstrated reduced stress and/or burnout after meditation-based MBIs, 44 – 48 whereas others did not observe an effect. 49 , 50 In a feasibility study of a mindfulness intervention for German residents, the program was rated as highly feasible with no attrition, but included only nine participants and no comparison group.…”

Section: Discussionmentioning

confidence: 99%

“… 51 Several studies included interventions that were structured by residency program with protected didactic time, which improved feasibility. 26 , 47 , 48 One program 26 used moonlighters to cover trainee time, which is costly and requires institutional commitment. In all, there is heterogeneity in the design and implementation of MBIs for residents.…”

Section: Discussionmentioning

confidence: 99%

“… 24 On a practical note, brief interventions may improve feasibility for busy resident physicians. 47 , 53 In the MBSR literature, the standard 26-hour form has the most empirical support, but there is no correlation between reduction in psychological distress and the number of in-class hours. 54 In all, a flexible format with a variety of delivery options may better suit resident physician needs.…”

Section: Discussionmentioning

confidence: 99%

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Evaluation of a Yoga-Based Mind-Body Intervention for Resident Physicians: A Randomized Clinical Trial

Loewenthal

Dyer²,

Lipsyc-Sharf

et al. 2021

Glob Adv Health Med

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Background and Objective Mind-body interventions (MBIs) have been shown to be effective individual-level interventions for mitigating physician burnout, but there are no controlled studies of yoga-based MBIs in resident physicians. We assessed the feasibility of a yoga-based MBI called RISE (resilience, integration, self-awareness, engagement) for residents among multiple specialties and academic medical centers. Methods We conducted a waitlist controlled randomized clinical trial of the RISE program with residents from multiple specialty departments at three academic medical centers. The RISE program consisted of six weekly sessions with suggested home practice. Feasibility was assessed across six domains: demand, implementation, practicality, acceptability, adaptation, and integration. Self-reported measures of psychological health were collected at baseline, post-program, and two-month follow-up. Results Among 2,000 residents contacted, 75 were assessed for eligibility and 56 were enrolled. Forty-four participants completed the study and were included in analysis. On average, participants attended two of six sessions. Feasibility of in-person attendance was rated as 28.9 (SD 25.6) on a 100-point visual analogue scale. Participants rated feasibility as 69.2 (SD 26.0) if the program was offered virtually. Those who received RISE reported improvements in mindfulness, stress, burnout, and physician well-being from baseline to post-program, which were sustained at two-month follow-up. Conclusion This is the first controlled study of a yoga-based MBI in residents. While the program was not feasible as delivered in this pilot study, initial analyses showed improvement in multiple measures of psychological health. Residents reported that virtual delivery would increase feasibility.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Evaluation of a Yoga-Based Mind-Body Intervention for Resident Physicians: A Randomized Clinical Trial

Loewenthal

Dyer²,

Lipsyc-Sharf

et al. 2021

Glob Adv Health Med

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“…They noted improvements in burnout, perceived stress, and level of mindful awareness, while having positive influences on residents’ personal lives and clinical practice. 35 Another study for family practice residents utilized the Respiratory One Method (a meditation practice combining breathing and repetition) for stress reduction, with results showing a positive effect on emotional exhaustion. 36 Similarly, in another study, pediatric residents utilized a smartphone application to complete a 10-d program in mindfulness meditation, and completed surveys at the end of the program.…”

Section: Discussionmentioning

confidence: 99%

Sleep Patterns of Resident Physicians and the Effect of Heartfulness Meditation

Thimmapuram

Pargament

Tredici

et al. 2021

Annals of Neurosciences

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Background: Medical residents are vulnerable to poor sleep quality due to intense work shifts and academic load. Studies objectively quantified with sleep quantity and quality among resident physicians are limited. Meditation techniques have been shown to improve sleep but are rarely studied in this population. The aim of the present study is to evaluate sleep patterns of internal medicine residents and the effect of a structured Heartfulness meditation program to improve sleep quality. Methods: A total of 36 residents participated in a pre–post cohort study from January 2019 through April 2019. Sleep was monitored during a one-week outpatient rotation with two validated assessment tools, namely consensus sleep diary and actigraphy. After four intervening weeks, when the residents returned to the same rotation, Heartfulness meditation was practiced and the same parameters were measured. At the end of the study period, an anonymous qualitative feedback survey was collected to assess the feasibility of the intervention. Results: All 36 residents participated in the study (mean age 31.09 years, SD 4.87); 34 residents (94.4%) had complete pre–post data. Consensus sleep diary data showed decreased sleep onset time from 21.03 to 14.84 min ( P = .01); sleep quality and restfulness scores increased from 3.32 to 3.89 and 3.08 to 3.54, respectively ( P < .001 for both). Actigraphy showed a change in sleep onset time from 20.9 min to 14.5 min ( P = .003). Sleep efficiency improved from 83.5% to 85.6% ( P = .019). Wakefulness after initial sleep onset changed from 38.8 to 39.9 min ( P = .682). Sleep fragmentation index and the number of awakenings decreased from 6.16 to 5.46 ( P = .004) and 41.71 to 36.37 ( P = .013), respectively. Conclusions: Residents obtained nearly 7 h of sleep during outpatient rotation. Findings suggest a structured Heartfulness meditation practice to be a feasible program to improve subjective sleep onset time and several objective measures among resident physicians.

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“…Recent publications indicate that healthcare institutions have begun to adopt courses and programs that promote resilience in healthcare professionals [6][7][8][9][10][11]. As the body of research on interventions to combat burnout grows, it is important to assess multiple aspects of implementing such courses in addition to measuring effects on burnout.…”

mentioning

confidence: 99%

Implementing a Mind-Body Skills Group in Psychiatric Residency Training

et al. 2021

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Objective The burnout crisis in healthcare has led to interventions promoting resiliency and wellness among residents. One such intervention is a 10-week Mind-Body Skills Group including didactics and experiential exercises, self-expression, and small-group support. A Mind-Body Skills Group for residents and fellows in the University of Arizona-Tucson Department of Psychiatry aimed to teach skills for self-care and patient care. Methods In 2018–2020, 50 University of Arizona-Tucson psychiatric residents and fellows participated in Mind-Body Skills Groups. After finishing the course, 44 participants completed a survey about satisfaction with the course and its content, comfort sharing experiences with the group, use of mind-body skills for participants’ own self-care and wellness, use of these skills with patients, and likelihood of recommending the Mind-Body Skills Group to colleagues. Results Eighty-four percent of survey respondents were satisfied or very satisfied with the Mind-Body Skills Group. Eighty percent used skills learned in the course for their own self-care and 61% used the skills with patients on at least a weekly basis. Eighty-nine percent indicated they were likely or very likely to use mind-body skills with patients in the future. Ninety-five percent of respondents felt safe sharing personal feelings and experiences in the group, and 95% would strongly recommend or likely recommend the course to colleagues. Results for in-person and online groups were not significantly different. Conclusions A 10-week Mind-Body Skills Group during psychiatric residency was well received by participants. The course influenced personal health behaviors, which may bolster resiliency and reduce risk for burnout.

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Developing a Mindfulness Skills-Based Training Program for Resident Physicians

Cited by 22 publications

References 8 publications

Evaluation of a Yoga-Based Mind-Body Intervention for Resident Physicians: A Randomized Clinical Trial

Evaluation of a Yoga-Based Mind-Body Intervention for Resident Physicians: A Randomized Clinical Trial

Sleep Patterns of Resident Physicians and the Effect of Heartfulness Meditation

Implementing a Mind-Body Skills Group in Psychiatric Residency Training

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