Effect of a Novel Online Group-Coaching Program to Reduce Burnout in Female Resident Physicians

Fainstad, Tyra; Mann, Adrienne; Suresh, Krithika; Shah, Pari; Dieujuste, Nathalie; Thurmon, Kerri; Jones, Christine

doi:10.1001/jamanetworkopen.2022.10752

Cited by 65 publications

(75 citation statements)

References 38 publications

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“…This qualitative study was designed prospectively to complement the quantitative analysis in the overarching sequential mixed methodology used to study the BT intervention. Our quantitative analysis was completed prior to our qualitative analysis [ 24 ]. We decided a priori to conduct a qualitative analysis to seek feedback on the program structure and implementation, to revise and improve future iterations of the program based on participant feedback, and to describe in more detail the quantitative results [ 24 ].…”

Section: Methodsmentioning

confidence: 99%

“…Our quantitative analysis was completed prior to our qualitative analysis [ 24 ]. We decided a priori to conduct a qualitative analysis to seek feedback on the program structure and implementation, to revise and improve future iterations of the program based on participant feedback, and to describe in more detail the quantitative results [ 24 ].…”

Section: Methodsmentioning

confidence: 99%

“…Building upon previously described evidence-based coaching interventions and metacognitive and adult-learning theory-informed coaching tools, two physician life coaches (AM and TF) created Better Together Physician Coaching (BT), a web-based, group-coaching program housed on a members-only website and piloted it among 101 female trainees during 2021 [ 24 ]. During the six-month program participants were taught and guided in the application of a metacognitive tool referred to as the CTFAR model (CTFAR) [ 25 ].…”

Section: Introductionmentioning

confidence: 99%

“…Participants in Better Together could access coaching through 1) twice weekly live group-coaching calls using the Zoom video-conferencing platform (Zoom Video Communications, Inc., San Jose, CA), 2) unlimited, anonymous written coaching in an online “Ask for Coaching” forum, and 3) weekly self-study modules (videos and accompanying worksheets) on a range of topics pertinent to the trainee experience (e.g., adopting a growth mindset, welcoming feedback, impostor syndrome, and perfectionism) (Additional file 1 : Appendix A). The BT program has been described in detail previously, and a pilot randomized controlled trial of BT showed statistically significant improvements in emotional exhaustion, imposter syndrome, and self-compassion in the intervention group compared with controls [ 24 ].…”

Section: Introductionmentioning

confidence: 99%

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“We’re all going through it”: impact of an online group coaching program for medical trainees: a qualitative analysis

et al. 2022

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Background Trainees in graduate medical education are affected by burnout at disproportionate rates. Trainees experience tremendous growth in clinical skills and reasoning, however little time is dedicated to metacognition to process their experiences or deliberate identity formation to create individualized definitions of success and wellbeing. The purpose of this study was to understand the perspectives and experiences of trainees who participated in a 6-month, web-based, group coaching program for women residents in training. Methods Better Together Physician Coaching is a six-month, self-paced, online, asynchronous, coaching program with multiple components including live coaching calls, unlimited written coaching, and self-study modules. Semi-structured interviews of seventeen participants of Better Together from twelve GME programs within a single institution in Colorado were conducted from May to June of 2021. All identified as women and had participated in a 6-month coaching program. Both inductive and deductive methods were used in collecting and analyzing the data with an aim to understand learners’ perceptions of the coaching program, including “how and why” the coaching program affected training experiences and wellbeing. Results Three main themes emerged as benefits to the coaching program from the data: 1) practicing metacognition as a tool for healthy coping 2) building a sense of community, and 3) the value of a customizable experience. Conclusions Female trainees who participated in a group coaching program expressed that they found value in learning how to cope with stressors through metacognition-focused coaching. They also described that building a community and being able to customize the experience were positive aspects of the program. Trial registration ClinicalTrials.gov Identifier: NCT05280964. Date of registration: March 15th 2022. Retrospectively registered. URL of trial registry record.

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Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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“We’re all going through it”: impact of an online group coaching program for medical trainees: a qualitative analysis

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“…In the Original Investigation titled “Effect of a Novel Online Group-Coaching Program to Reduce Burnout in Female Resident Physicians: A Randomized Clinical Trial,” 1 published on May 6, 2022, the authors’ disclosures of potential conflicts of interest were incomplete. In addition to the disclosures for Drs Fainstad and Mann, there were additional relationships for these authors and 3 coauthors with Better Together Physician Coaching, which was the intervention included in this trial.…”

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confidence: 99%

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2022

JAMA Netw Open

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Emotional Exhaustion Among US Health Care Workers Before and During the COVID-19 Pandemic, 2019-2021

Sexton

Adair

Proulx³

et al. 2022

JAMA Netw Open

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ImportanceExtraordinary strain from COVID-19 has negatively impacted health care worker (HCW) well-being.ObjectiveTo determine whether HCW emotional exhaustion has increased during the pandemic, for which roles, and at what point.Design, Setting, and ParticipantsThis survey study was conducted in 3 waves, with an electronic survey administered in September 2019, September 2020, and September 2021 through January 2022. Participants included hospital-based HCWs in clinical and nonclinical (eg, administrative support) roles at 76 community hospitals within 2 large health care systems in the US.ExposuresSafety, Communication, Organizational Reliability, Physician, and Employee Burnout and Engagement (SCORE) survey domains of emotional exhaustion and emotional exhaustion climate.Main Outcomes and MeasuresThe percentage of respondents reporting emotional exhaustion (%EE) in themselves and a climate of emotional exhaustion (%EEclim) in their colleagues. Survey items were answered on a 5-point scale from 1 (strongly disagree) to 5 (strongly agree); neutral or higher scores were counted as “percent concerning” for exhaustion.ResultsElectronic surveys were returned by 37 187 (of 49 936) HCWs in 2019, 38 460 (of 45 268) in 2020, and 31 475 (of 41 224) in 2021 to 2022 for overall response rates of 74.5%, 85.0%, and 76.4%, respectively. The overall sample comprised 107 122 completed surveys. Nursing was the most frequently reported role (n = 43 918 [40.9%]). A total of 17 786 respondents (16.9%) reported less than 1 year at their facility, 59 226 (56.2%) reported 1 to 10 years, and 28 337 (26.9%) reported 11 years or more. From September 2019 to September 2021 through January 2022, overall %EE increased from 31.8% (95% CI, 30.0%-33.7%) to 40.4% (95% CI, 38.1%-42.8%), with a proportional increase in %EE of 26.9% (95% CI, 22.2%-31.8%). Physicians had a decrease in %EE from 31.8% (95% CI, 29.3%-34.5%) in 2019 to 28.3% (95% CI, 25.9%-31.0%) in 2020 but an increase during the second year of the pandemic to 37.8% (95% CI, 34.7%-41.3%). Nurses had an increase in %EE during the pandemic’s first year, from 40.6% (95% CI, 38.4%-42.9%) in 2019 to 46.5% (95% CI, 44.0%-49.1%) in 2020 and increasing again during the second year of the pandemic to 49.2% (95% CI, 46.5%-51.9%). All other roles showed a similar pattern to nurses but at lower levels. Intraclass correlation coefficients revealed clustering of exhaustion within work settings across the 3 years, with coefficients of 0.15 to 0.17 for emotional exhaustion and 0.22 to 0.24 for emotional exhaustion climate, higher than the .10 coefficient typical of organizational climate (a medium effect for shared variance), suggestive of a social contagion effect of HCW exhaustion.Conclusions and RelevanceThis large-scale survey study of HCWs spanning 3 years offers substantial evidence that emotional exhaustion trajectories varied by role but have increased overall and among most HCW roles since the onset of the pandemic. These results suggest that current HCW well-being resources and programs may be inadequate and even more difficult to use owing to lower workforce capacity and motivation to initiate and complete well-being interventions.

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Effect of a Novel Online Group-Coaching Program to Reduce Burnout in Female Resident Physicians

Cited by 65 publications

References 38 publications

“We’re all going through it”: impact of an online group coaching program for medical trainees: a qualitative analysis

“We’re all going through it”: impact of an online group coaching program for medical trainees: a qualitative analysis

Incomplete Conflict of Interest Disclosures

Emotional Exhaustion Among US Health Care Workers Before and During the COVID-19 Pandemic, 2019-2021

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