Resilience on the Run: an evaluation of a well‐being programme for medical interns

Abstract

Background Junior doctors experience high rates of psychological distress and burnout. System‐level interventions are one strategy to reduce psychological distress in junior doctors. Unfortunately, few of these interventions have been evaluated. Aim To evaluate the acceptability and effectiveness of a resilience and well‐being programme designed for junior doctors. Methods A prospective cohort study of 24 medical interns at a teaching hospital in regional Queensland with a control group of 29 medical interns at a second teaching hospital in regional Queensland. Survey instruments to assess psychological distress, the ProQOL and K10, were completed at baseline, at the completion of the well‐being programme, and 3 months after the completion of the well‐being programme at both sites. Results The intervention site had an older cohort and fewer participants had a regular general practitioner compared to the control site. Both groups had moderate levels of psychological distress. Insufficient numbers of participants completing the instruments at the two sites meant that it was not possible to demonstrate differences between the groups; however, the trends were promising. Qualitative evaluation data supported these trends, indicating that the Resilience on the Run programme was positively received and provided useful skills to junior doctors. Conclusion Well‐being programmes benefit medical interns; introducing new knowledge and skills for effectively identifying and managing personal and workplace stressors that can contribute to psychological distress.

Evaluating Wellness Interventions for Resident Physicians: A Systematic Review

“…The majority of the included articles (11 of 18, 61%) were non-randomized controlled studies (TABLE 2). 36,39,41,44,48,50,51,54,56,57 Seven articles (of 18, 3 9 %) w e r e r a n d o m i z e d c o n t r o l l e d t r i a l s (RCTs). 37,38,42,46,47,53,58 The study period of the included articles ranged from 1991 to 2019.…”

“…Studies were most commonly focused on residents from family medicine (4 of 18, 22%) and any specialty (4 of 18, 22%); specialties are represented in TABLE 2 with abbreviations derived from the American Board of Medical Specialties. 59 The participants' years of training varied; 6 articles studied interventions conducted only with first-year residents, 37,[46][47][48]53,57,58 and 2 studied interventions were longitudinal, implemented for a cohort through several years of training. 41,56 Participation in most studies was voluntary (14 of 18, 78%).…”

Promoting and improving the well‐being of junior doctors in Australia: Did you know? Practical Practice Pointers

“…Initiatives promoting resilience have been developed to improve the health and well‐being of junior doctors in regional Australia . The Resilience on the Run program was designed to reduce the risk of burnout in intern medical officers and enhance their capacity to change unhealthy workplace practices . However, interventions that primarily target junior doctors, including resilience training, are unlikely to alleviate undesirable workplace culture if used in isolation .…”

“…Initiatives promoting resilience have been developed to improve the health and well‐being of junior doctors in regional Australia . The Resilience on the Run program was designed to reduce the risk of burnout in intern medical officers and enhance their capacity to change unhealthy workplace practices .…”

“…3 The Resilience on the Run program was designed to reduce the risk of burnout in intern medical officers and enhance their capacity to change unhealthy workplace practices. 3 However, interventions that primarily target junior doctors, including resilience training, are unlikely to alleviate undesirable workplace culture if used in isolation. 4 Instead, multifaceted systemic workplace interventions are recommended to embed a culture that nurtures junior doctor well-being.…”