MINdI: Mindfulness Instruction for New Interns

Cheston, Christine C.; Sox, Colin M.; Michelson, Catherine D.; Fraiman, Yarden S.

doi:10.15766/mep_2374-8265.10933

Cited by 4 publications

(4 citation statements)

References 23 publications

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“…Virtual curricula consisting of online videos, live instruction, and self-study modules were found to be effective in promoting well-being in physician assistants, interns, residents, and attendings at both community and academic health centers. 44-48 Additionally, medical students have shown interest in learning and practicing mindfulness during clinical rotations. 49 Rac & Chakravarti 50 have proposed eight recommendations on how to integrate mindfulness practices for education and student benefit into the medical school curriculum.…”

Section: Discussionmentioning

confidence: 99%

Characterizing Interprofessional Collaboration and Referral to Mindfulness-Based Stress Reduction Programs

Binda¹,

Weinberg

Nguyen³

et al. 2022

Glob Adv Health Med

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Background In 2017, the American College of Physicians (ACP) designated Mindfulness-Based Stress Reduction (MBSR), an eight-week group program, as first-line non-pharmacological treatment for chronic low back pain. However, interprofessional collaboration between mindfulness instructors and Primary Care Providers (PCP) remains largely unknown. Objective We developed a survey to assess communication between mindfulness instructors and PCPs, identify predictors of referral to MBSR, and determine areas where interventions could increase patient access to MBSR. Methods The 25-question survey was sent via email to PCPs at the Division of General Internal Medicine, University of Pittsburgh, PA, the Piedmont Health Services Family Medicine Section, Chapel Hill, NC, the Boston Medical Center General Internal Medicine and Family Medicine Sections, Boston, MA, and the UMass Memorial Medical Center Family Medicine Section, Worcester, MA. We used descriptive statistics and logistic regression to analyze the data. Results Among 118 eligible respondents, 85 (72.0%) were female PCPs, mean age was approximately 41.5±10.1, and the majority (65.2%) had been in medical practice ≤10 years. Of these PCPs, 83 (70.1%) reported familiarity with MBSR (95% CI: 62.1, 78.5), and 49 (59.0%) of them referred patients at least yearly. Of those who referred, 8 (16.3%) reported collaboration with mindfulness instructors. PCPs who were quite a bit or very much familiar with MBSR had 5.10 (1.10, 22.50) times the odds (P=.03), and those who were 50 years or younger had 3.30 times the odds (P=.04) of referring patients to MBSR. Frequency of PCPs’ personal practice of mindfulness was not significantly associated with referrals (P=.30). Conclusion This is the first study to assess interprofessional collaboration between mindfulness instructors and PCPs. Suggestions for a potential integrative health care model are included; further studies on methods to augment communication and education are warranted to improve the referral process and ultimately increase accessibility and utilization of mindfulness-based programs.

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Section: Discussionmentioning

confidence: 99%

Characterizing Interprofessional Collaboration and Referral to Mindfulness-Based Stress Reduction Programs

Binda¹,

Weinberg

Nguyen³

et al. 2022

Glob Adv Health Med

View full text Add to dashboard Cite

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Section: Methodsmentioning

confidence: 99%

“…A 6-step approach to curricular design informed the development of MINdI . The MINdI curriculum easily integrates into existing 1-hour didactic time ubiquitous among training programs and requires no additional facilitator training . Intervention programs received the MINdI facilitator manual and all necessary curriculum implementation supplies.…”

Section: Methodsmentioning

confidence: 99%

“…We know of no published multicenter randomized clinical trials of mindfulness curricula that target trainee burnout. To assess the effectiveness of a novel mindfulness curriculum that does not require prior facilitator training, Mindfulness Intervention for New Interns (MINdI), on burnout among pediatric interns, we conducted a multicenter cluster randomized clinical trial. We hypothesized that interns training in programs randomized to the mindfulness curriculum would have less burnout than interns randomized to the control arm.…”

Section: Introductionmentioning

confidence: 99%

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Effect of a Novel Mindfulness Curriculum on Burnout During Pediatric Internship

et al. 2022

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IMPORTANCEMindfulness curricula can improve physician burnout, but implementation during residency presents challenges.OBJECTIVE To examine whether a novel mindfulness curriculum implemented in the first 6 months of internship reduces burnout. DESIGN, SETTING, AND PARTICIPANTS This pragmatic, multicenter, stratified cluster randomized clinical trial of a mindfulness curriculum randomized 340 pediatric interns to the intervention or control arm within program pairs generated based on program size and region. Fifteen US pediatric training programs participated from June 14, 2017, to February 28, 2019. INTERVENTIONS The intervention included 7 hour-long sessions of a monthly mindfulness curriculum (Mindfulness Intervention for New Interns) and a monthly mindfulness refresher implemented during internship. The active control arm included monthly 1-hour social lunches. MAIN OUTCOMES AND MEASURESThe primary outcome was emotional exhaustion (EE) as measured by the Maslach Burnout Inventory 9-question EE subscale (range, 7-63; higher scores correspond to greater perceived burnout). Secondary outcomes were depersonalization, personal accomplishment, and burnout. The study assessed mindfulness with the Five Facet Mindfulness Questionnaire and empathy with the Interpersonal Reactivity Index subscales of perspective taking and empathetic concern. Surveys were implemented at baseline, month 6, and month 15. RESULTSOf the 365 interns invited to participate, 340 (93.2%; 255 [75.0%] female; 51 [15.0%] 30 years or older) completed surveys at baseline; 273 (74.8%) also participated at month 6 and 195 (53.4%) at month 15. Participants included 194 (57.1%) in the Mindfulness Intervention for New Interns and 146 (42.9%) in the control arm. Analyses were adjusted for baseline outcome measures. Both arms' EE scores were higher at 6 and 15 months than at baseline, but EE did not significantly differ by arm in multivariable analyses (6 months: 35.4 vs 32.4; adjusted difference, 3.03; 95% CI, −0.14 to 6.21; 15 months: 33.8 vs 32.9; adjusted difference, 1.42; 95% CI, −2.42 to 5.27). None of the 6 secondary outcomes significantly differed by arm at month 6 or month 15.CONCLUSIONS AND RELEVANCE A novel mindfulness curriculum did not significantly affect EE, burnout, empathy, or mindfulness immediately or 9 months after curriculum implementation. These findings diverge from prior nonrandomized studies of mindfulness interventions, emphasizing the importance of rigorous study design and suggesting that additional study is needed to develop evidence-based methods to reduce trainee burnout.

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Burnout Assessment Among Physicians and Medical Students: Comparing Time-Periods of Coronavirus Disease Outbreak in Shiraz

et al. 2021

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Background: Physician burnout is a serious issue associated with physician attrition, mental and physical problems, and medical errors. Objectives: This study aimed to investigate the prevalence of overall burnout among interns-residents and general physicians (GPs)-specialists during the coronavirus disease 2019 (COVID-19) pandemic in Iran. Methods: This cross-sectional study was conducted among 220 interns-residents and 212 GPs-specialists in university-affiliated hospitals and clinics in Shiraz, Iran. A convenience sampling method was used to recruit the samples, and the data were gathered using Maslach Burnout Inventory that was previously validated for the Persian language. We used covariance analysis and multiple logistic regression to analyze the data. Results: The mean age of participants was 31.44 (ranged 21-62) years. Multiple logistic regression for GPs-specialists showed that working in COVID-19 wards during June-July (OR = 13.93, P = 0.01, CI: 3.61 - 53.51) was associated with increased odds of overall burnout. Moreover, older age among GPs-specialists was associated with decreased odds of overall burnout (OR = 0.94, P = 0.01, CI: 0.90 - 0.98). On the other hand, the odds of overall burnout among interns-residents was not significantly different between various periods (P = 0.94). Furthermore, age (OR = 0.24, P = 0.01, CI: 0.04 - 0.47) and being married (OR = 0.31, P = 0.02, CI: 0.12 - 0.81) were positively associated with decreased odds of overall burnout among interns-residents. Conclusions: This study revealed that the risk of professional burnout among specialists and GPs increased over time during the COVID-19 pandemic. Moreover, older physicians had a lower risk of burnout. Despite the disagreements regarding the association between burnout and the duration of exposure to patients during epidemics, the findings of this study have the potential to remind policymakers of the importance of the issue among physicians during pandemics to taking appropriate action to prevent this phenomenon.

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MINdI: Mindfulness Instruction for New Interns

Cited by 4 publications

References 23 publications

Characterizing Interprofessional Collaboration and Referral to Mindfulness-Based Stress Reduction Programs

Characterizing Interprofessional Collaboration and Referral to Mindfulness-Based Stress Reduction Programs

Effect of a Novel Mindfulness Curriculum on Burnout During Pediatric Internship

Burnout Assessment Among Physicians and Medical Students: Comparing Time-Periods of Coronavirus Disease Outbreak in Shiraz

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