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Physician resiliency

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https://www.readbyqxmd.com/read/29780891/mind-body-skills-training-for-resident-wellness-a-pilot-study-of-a-brief-mindfulness-intervention
#1
Laura E Romcevich, Suzanne Reed, Stacy R Flowers, Kathi J Kemper, John D Mahan
Background: Interventions to address burnout include mind-body skills training (MBST), but few studies have evaluated the feasibility of MBST for busy pediatric residents. Objective: In this pilot study, we tested the feasibility of a brief MBST intervention, using in-person peer-led training supported by online modules, to decrease stress and burnout in pediatric resident physicians. Methods: Of 99 (10%) residents, 10 residents at Nationwide Children's Hospital in Ohio participated in up to four 90-minute MBST sessions more than 1 month, led by a co-resident with 5 years of informal training in mind-body skills...
January 2018: Journal of Medical Education and Curricular Development
https://www.readbyqxmd.com/read/29777659/adopting-the-quadruple-aim-the-university-of-rochester-medical-center-experience-%C3%A2-%C3%A2-%C3%A2-moving-from-physician-burnout-to-physician-resilience
#2
Allen P Anandarajah, Timothy E Quill, Michael R Privitera
BACKGROUND: The high rates of burnout among medical professionals in the US are well documented. The reasons for burnout and the factors that contribute to physician resilience among healthcare providers in academic centers however are less well studied. METHODS: Healthcare providers at a large academic center were surveyed to measure degree of burnout and callousness and identify associated factors. Additional questions evaluated the features linked to resilience...
May 16, 2018: American Journal of Medicine
https://www.readbyqxmd.com/read/29762912/professional-and-personal-competency-development-in-near-peer-tutors-of-gross-anatomy-a-longitudinal-mixed-methods-study
#3
Simone Alvarez, Jobst-Hendrik Schultz
There are many benefits to peer and near-peer tutoring. The current literature suggests that near-peer teaching within the domain of gross anatomy may lead to the development of numerous competencies for burgeoning medical professionals. The aim of this study was a quantitative and qualitative approach to explore which professional and personal competencies anatomy tutors developed as a result of their teaching activities in a gross anatomy course at a medical school in Germany. For a period of 18 months, 24 peer tutors were followed and queried multiple times via questionnaire and semi-structured interviews...
May 15, 2018: Anatomical Sciences Education
https://www.readbyqxmd.com/read/29760034/physician-burnout-resilience-training-is-only-part-of-the-solution
#4
Alan J Card
Physicians and physician trainees are among the highest-risk groups for burnout and suicide, and those in primary care are among the hardest hit. Many health systems have turned to resilience training as a solution, but there is an ongoing debate about whether that is the right approach. This article distinguishes between unavoidable occupational suffering (inherent in the physician's role) and avoidable occupational suffering (systems failures that can be prevented). Resilience training may be helpful in addressing unavoidable suffering, but it is the wrong treatment for the organizational pathologies that lead to avoidable suffering- and may even compound the harm doctors experience...
May 2018: Annals of Family Medicine
https://www.readbyqxmd.com/read/29759262/focus-on-the-quadruple-aim-development-of-a-resiliency-center-to-promote-faculty-and-staff-wellness-initiatives
#5
Ellen Morrow, Megan Call, Robin Marcus, Amy Locke
DEFINING THE PROBLEM: A growing body of evidence highlights the need for wellness programs to support health care professionals. Although much of the existing literature centers on practicing physicians and physician trainees, there is growing awareness that these challenges are not unique to physicians and affect all members of the health care team. Traumatic and stressful events will always be a part of health care; how these events are addressed on a personal and team level is essential to the success of a health care system...
May 2018: Joint Commission Journal on Quality and Patient Safety
https://www.readbyqxmd.com/read/29731450/are-alexithymia-and-empathy-predicting-factors-of-the-resilience-of-medical-residents-in-france
#6
Audrey Morice-Ramat, Lionel Goronflot, Gilles Guihard
Objectives: To explore resilience, resilience predicting factors and resilience distribution in French medical residents. Methods: A cross-sectional study was conducted in which general practice residents (n = 380) were asked to answer the Jefferson Scale of Physician Empathy, the Connor-Davidson Resilience Scale, and the Toronto Alexithymia Scale. One hundred thirty-seven (137) responses were collected. The scores of the different scales have been calculated. The score differences were examined using the Student's t-test or analysis of variance...
April 30, 2018: International Journal of Medical Education
https://www.readbyqxmd.com/read/29730708/stressing-the-journey-using-life-stories-to-study-medical-student-wellbeing
#7
Tania M Jenkins, Jenny Kim, Chelsea Hu, John C Hickernell, Sarah Watanaskul, John D Yoon
While previous studies have considered medical student burnout and resilience at discrete points in students' training, few studies examine how stressors and resilience-building factors can emerge before, and during, medical school. Our study focuses on students' life stories to comprehensively identify factors contributing to student wellbeing. We performed a secondary analysis of life-story interviews with graduating fourth year medical students. These interviews were originally conducted in 2012 as part of the Project on the Good Physician, and then re-analyzed, focusing on student wellbeing...
May 5, 2018: Advances in Health Sciences Education: Theory and Practice
https://www.readbyqxmd.com/read/29716566/active-aging-resilience-and-external-support-as-modifiers-of-the-disablement-outcome-agnes-cohort-study-protocol
#8
Taina Rantanen, Milla Saajanaho, Laura Karavirta, Sini Siltanen, Merja Rantakokko, Anne Viljanen, Timo Rantalainen, Katja Pynnönen, Anu Karvonen, Inna Lisko, Lotta Palmberg, Johanna Eronen, Eeva-Maija Palonen, Timo Hinrichs, Markku Kauppinen, Katja Kokko, Erja Portegijs
BACKGROUND: Population aging increases the need for knowledge on positive aspects of aging, and contributions of older people to their own wellbeing and that of others. We defined active aging as an individual's striving for elements of wellbeing with activities as per their goals, abilities and opportunities. This study examines associations of health, health behaviors, health literacy and functional abilities, environmental and social support with active aging and wellbeing. We will develop and validate assessment methods for physical activity and physical resilience suitable for research on older people, and examine their associations with active aging and wellbeing...
May 2, 2018: BMC Public Health
https://www.readbyqxmd.com/read/29618221/-sacred-pause-in-the-icu-evaluation-of-a-ritual-and-intervention-to-lower-distress-and-burnout
#9
Sumit Kapoor, Christopher K Morgan, Muhammad Asim Siddique, Kalpalatha K Guntupalli
BACKGROUND: Increased exposure to deaths in the intensive care unit (ICU) generate grief among ICU staff, which remains unresolved most of the time. Unresolved grief becomes cumulative and presents a risk factor for burnout. "sacred pause" is a ritual performed at patient's death to honor the lost life and recognize the efforts of the health-care team. OBJECTIVE: To study the impact of the ritual of sacred pause on the attitudes and behaviors of the ICU physicians and nurses...
January 1, 2018: American Journal of Hospice & Palliative Care
https://www.readbyqxmd.com/read/29605169/burnout-and-posttraumatic-stress-in-paediatric-critical-care-personnel-prediction-from-resilience-and-coping-styles
#10
Rocío Rodríguez-Rey, Alba Palacios, Jesús Alonso-Tapia, Elena Pérez, Elena Álvarez, Ana Coca, Santiago Mencía, Ana Marcos, Juan Mayordomo-Colunga, Francisco Fernández, Fernando Gómez, Jaime Cruz, Olga Ordóñez, Ana Llorente
INTRODUCTION: Our aims were (1) to explore the prevalence of burnout syndrome (BOS) and posttraumatic stress disorder (PTSD) in a sample of Spanish staff working in the paediatric intensive care unit (PICU) and compare these rates with a sample of general paediatric staff and (2) to explore how resilience, coping strategies, and professional and demographic variables influence BOS and PTSD. MATERIALS AND METHODS: This is a multicentre, cross-sectional study. Data were collected in the PICU and in other paediatric wards of nine hospitals...
March 28, 2018: Australian Critical Care: Official Journal of the Confederation of Australian Critical Care Nurses
https://www.readbyqxmd.com/read/29587793/thriving-in-scrubs-a-qualitative-study-of-resident-resilience
#11
Abigail Ford Winkel, Anne West Honart, Annie Robinson, Aubrie-Ann Jones, Allison Squires
BACKGROUND: Physician well-being impacts both doctors and patients. In light of high rates of physician burnout, enhancing resilience is a priority. To inform effective interventions, educators need to understand how resilience develops during residency. METHODS: A qualitative study using grounded theory examined the lived experience of resilience in residents. A cohort of obstetrics and gynecology residents were selected as a purposive, intensity sample.. Eighteen residents in all years of training participated in semi-structured interviews...
March 27, 2018: Reproductive Health
https://www.readbyqxmd.com/read/29575590/resistance-to-discontinuing-breast-cancer-screening-in-older-women-a-qualitative-study
#12
Ashley J Housten, Monique R Pappadis, Shilpa Krishnan, Susan C Weller, Sharon H Giordano, Therese B Bevers, Robert J Volk, Diana S Hoover
OBJECTIVE: Screening mammography is associated with reduced breast cancer-specific mortality; however, among older women, evidence suggests that the potential harms of screening may outweigh the benefits. We used a qualitative approach to examine the willingness of older women from different racial/ethnic groups to discontinue breast cancer screening. METHODS: Women >70 years of age who reported having a screening mammogram in the past three years and/or reported that they intended to continue screening in the future were recruited for in-depth interviews...
March 25, 2018: Psycho-oncology
https://www.readbyqxmd.com/read/29561283/wellness-interventions-for-anesthesiologists
#13
Haleh Saadat, Zeev N Kain
PURPOSE OF REVIEW: The review examines the different preventive measures that have been found to be useful to abolish or decrease the negative effects of burnout and increase resilience in anesthesiologists. RECENT FINDINGS: Studies in anesthesiology cite autonomy, control of the work environment, professional relationships, leadership, and organizational justice as the most important factors in job satisfaction. Factors such as difficulty in balancing personal and professional life, poor attention to wellness, work alcoholism, and genetic factors increase an individual's susceptibility to burnout...
June 2018: Current Opinion in Anaesthesiology
https://www.readbyqxmd.com/read/29524616/stress-from-uncertainty-and-resilience-among-depressed-and-burned-out-residents-a-cross-sectional-study
#14
Arabella L Simpkin, Alisa Khan, Daniel C West, Briana M Garcia, Theodore C Sectish, Nancy D Spector, Christopher P Landrigan
BACKGROUND: Depression and burnout are highly prevalent among residents, but little is known about modifiable personality variables, such as resilience and stress from uncertainty, that may predispose to these conditions. Residents are routinely faced with uncertainty when making medical decisions. OBJECTIVE: To determine how stress from uncertainty is related to resilience among pediatric residents and whether these attributes are associated with depression and burnout...
March 7, 2018: Academic Pediatrics
https://www.readbyqxmd.com/read/29490210/royal-australian-and-new-zealand-college-of-psychiatrists-clinical-practice-guidelines-for-mood-disorders-major-depression-summary
#15
Gin S Malhi, Tim Outhred, Amber Hamilton, Philip M Boyce, Richard Bryant, Paul B Fitzgerald, Bill Lyndon, Roger Mulder, Greg Murray, Richard J Porter, Ajeet B Singh, Kristina Fritz
In December 2015, the Royal Australian and New Zealand College of Psychiatrists published a comprehensive set of mood disorder clinical practice guidelines for psychiatrists, psychologists and mental health professionals. This guideline summary, directed broadly at primary care physicians, is an abridged version that focuses on major depression. It emphasises the importance of shared decision making, tailoring personalised care to the individual, and delivering care in the context of a therapeutic relationship...
March 5, 2018: Medical Journal of Australia
https://www.readbyqxmd.com/read/29482210/hidden-curricula-ethics-and-professionalism-optimizing-clinical-learning-environments-in-becoming-and-being-a-physician-a-position-paper-of-the-american-college-of-physicians
#16
Lisa Soleymani Lehmann, Lois Snyder Sulmasy, Sanjay Desai
Much of what is formally taught in medicine is about the knowledge, skills, and behaviors required of a physician, including how to express compassion and respect for patients at the bedside. What is learned, however, includes not only admirable qualities but also behaviors and qualities that are inconsistent with ethics and professionalism. Positive role models may reinforce the character and values the profession seeks to cultivate; negative ones directly contradict classroom lessons and expectations of patients, society, and medical educators...
April 3, 2018: Annals of Internal Medicine
https://www.readbyqxmd.com/read/29458920/interest-in-online-interprofessional-elective-mind-body-skills-mbs-training
#17
Suman J Gupta, Kathi J Kemper, Joanne Lynn
INTRODUCTION: There is growing interest in mind-body skills (MBS) education and online interprofessional elective MBS training for health professionals. We conducted this study to understand a) the demand among different health professionals for an online MBS course; b) engagement with different MBS topics; and c) planned behavior changes. METHODS: We examined registrations from May 1 through August 31, 2014 for a new online MBS elective, analyzing the percentage of registrants who engaged with one or more of 12 modules by September 30, 2014...
February 2018: Complementary Therapies in Medicine
https://www.readbyqxmd.com/read/29446168/hospital-nurses-lived-experiences-of-intelligent-resilience-a-phenomenological-study
#18
Behzad Imani, Sima Mohamad Khan Kermanshahi, Zohreh Vanaki, Anoshiravan Kazemnejad Lili
AIM AND OBJECTIVES: The aim of this study was to explore Iranian hospital nurses' lived experiences of intelligent resilience. BACKGROUND: Nurses do high levels of emotional work when fulfilling patients' and their family members' complex needs. Intelligent resilience can alleviate nurses' stress and enhance their endurance. DESIGN: This study was based on the Husserlian descriptive phenomenology. METHODS: A purposive sample of ten hospital nurses was drawn from hospitals affiliated with Hamadan University of Medical Sciences, Hamadan, Iran...
February 15, 2018: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/29432625/burnout-and-resiliency-among-family-medicine-program-directors
#19
Maribeth Porter, Helen Hagan, Rosemary Klassen, Yang Yang, Dean A Seehusen, Peter J Carek
BACKGROUND AND OBJECTIVES: Nearly one-half (46%) of physicians report at least one symptom of burnout. Family medicine residency program directors may have similar and potentially unique levels of burnout as well as resiliency. The primary aims of this study were to examine burnout and resiliency among family medicine residency directors and characterize associated factors. METHODS: The questions used were part of a larger omnibus survey conducted by the Council of Academic Family Medicine (CAFM) Educational Research Alliance (CERA) in 2016...
February 2018: Family Medicine
https://www.readbyqxmd.com/read/29366616/suffering-in-silence-medical-error-and-its-impact-on-health-care-providers
#20
Jennifer J Robertson, Brit Long
BACKGROUND: All humans are fallible. Because physicians are human, unintentional errors unfortunately occur. While unintentional medical errors have an impact on patients and their families, they may also contribute to adverse mental and emotional effects on the involved provider(s). These may include burnout, lack of concentration, poor work performance, posttraumatic stress disorder, depression, and even suicidality. OBJECTIVES: The objectives of this article are to 1) discuss the impact medical error has on involved provider(s), 2) provide potential reasons why medical error can have a negative impact on provider mental health, and 3) suggest solutions for providers and health care organizations to recognize and mitigate the adverse effects medical error has on providers...
January 20, 2018: Journal of Emergency Medicine
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