Importance: Among surgical trainees, burnout and distress are prevalent, but mindfulness has been shown to decrease the risk of depression, suicidal ideation, burnout, and overwhelming stress. In other high-stress populations, formal mindfulness training has been shown to improve mental health, yet this approach has not been tried in surgery. Objective: To test the feasibility and acceptability of modified Mindfulness-Based Stress Reduction (MBSR) training during surgical residency. Design, Setting, and Participants: A pilot randomized clinical trial of modified MBSR vs an active control was conducted with 21 surgical interns in a residency training program at a tertiary academic medical center, from April 30, 2016, to December 2017. Interventions: Weekly 2-hour, modified MBSR classes and 20 minutes of suggested daily home practice over an 8-week period. Main Outcomes and Measures: Feasibility was assessed along 6 domains (demand, implementation, practicality, acceptability, adaptation, and integration), using focus groups, interviews, surveys, attendance, daily practice time, and subjective self-report of experience. Results: Of the 21 residents included in the analysis, 13 were men (62%). Mean (SD [range]) age of the intervention group was 29.0 (2.4 [24-31]) years, and the mean (SD [range]) age of the control group was 27.4 (2.1 [27-33]) years. Formal stress-resilience training was feasible through cultivation of stakeholder support. Modified MBSR was acceptable as evidenced by no attrition; high attendance (12 of 96 absences [13%] in the intervention group and 11 of 72 absences [15%] in the control group); no significant difference in days per week practiced between groups; similar mean (SD) daily practice time between groups with significant differences only in week 1 (control, 28.15 [12.55] minutes; intervention, 15.47 [4.06] minutes; P = .02), week 2 (control, 23.89 [12.93] minutes; intervention, 12.61 [6.06] minutes; P = .03), and week 4 (control, 26.26 [13.12] minutes; intervention, 15.36 [6.13] minutes; P = .04); course satisfaction (based on interviews and focus group feedback); and posttraining-perceived credibility (control, 18.00 [4.24]; intervention, 20.00 [6.55]; P = .03). Mindfulness skills were integrated into personal and professional settings and the independent practice of mindfulness skills continued over 12 months of follow-up (mean days [SD] per week formal practice, 3 [1.0]). Conclusions and Relevance: Formal MBSR training is feasible and acceptable to surgical interns at a tertiary academic center. Interns found the concepts and skills useful both personally and professionally and participation had no detrimental effect on their surgical training or patient care. Trial Registration: ClinicalTrials.gov identifier: NCT03141190.
RCT Entities:
Importance: Among surgical trainees, burnout and distress are prevalent, but mindfulness has been shown to decrease the risk of depression, suicidal ideation, burnout, and overwhelming stress. In other high-stress populations, formal mindfulness training has been shown to improve mental health, yet this approach has not been tried in surgery. Objective: To test the feasibility and acceptability of modified Mindfulness-Based Stress Reduction (MBSR) training during surgical residency. Design, Setting, and Participants: A pilot randomized clinical trial of modified MBSR vs an active control was conducted with 21 surgical interns in a residency training program at a tertiary academic medical center, from April 30, 2016, to December 2017. Interventions: Weekly 2-hour, modified MBSR classes and 20 minutes of suggested daily home practice over an 8-week period. Main Outcomes and Measures: Feasibility was assessed along 6 domains (demand, implementation, practicality, acceptability, adaptation, and integration), using focus groups, interviews, surveys, attendance, daily practice time, and subjective self-report of experience. Results: Of the 21 residents included in the analysis, 13 were men (62%). Mean (SD [range]) age of the intervention group was 29.0 (2.4 [24-31]) years, and the mean (SD [range]) age of the control group was 27.4 (2.1 [27-33]) years. Formal stress-resilience training was feasible through cultivation of stakeholder support. Modified MBSR was acceptable as evidenced by no attrition; high attendance (12 of 96 absences [13%] in the intervention group and 11 of 72 absences [15%] in the control group); no significant difference in days per week practiced between groups; similar mean (SD) daily practice time between groups with significant differences only in week 1 (control, 28.15 [12.55] minutes; intervention, 15.47 [4.06] minutes; P = .02), week 2 (control, 23.89 [12.93] minutes; intervention, 12.61 [6.06] minutes; P = .03), and week 4 (control, 26.26 [13.12] minutes; intervention, 15.36 [6.13] minutes; P = .04); course satisfaction (based on interviews and focus group feedback); and posttraining-perceived credibility (control, 18.00 [4.24]; intervention, 20.00 [6.55]; P = .03). Mindfulness skills were integrated into personal and professional settings and the independent practice of mindfulness skills continued over 12 months of follow-up (mean days [SD] per week formal practice, 3 [1.0]). Conclusions and Relevance: Formal MBSR training is feasible and acceptable to surgical interns at a tertiary academic center. Interns found the concepts and skills useful both personally and professionally and participation had no detrimental effect on their surgical training or patient care. Trial Registration: ClinicalTrials.gov identifier: NCT03141190.
Authors: Alberto Amutio; Cristina Martínez-Taboada; Luis Carlos Delgado; Daniel Hermosilla; María Jesus Mozaz Journal: J Contin Educ Health Prof Date: 2015 Impact factor: 1.355
Authors: Christine A Sinsky; Lotte N Dyrbye; Colin P West; Daniel Satele; Michael Tutty; Tait D Shanafelt Journal: Mayo Clin Proc Date: 2017-11-01 Impact factor: 7.616
Authors: Michael S Krasner; Ronald M Epstein; Howard Beckman; Anthony L Suchman; Benjamin Chapman; Christopher J Mooney; Timothy E Quill Journal: JAMA Date: 2009-09-23 Impact factor: 56.272
Authors: Micah Allen; Martin Dietz; Karina S Blair; Martijn van Beek; Geraint Rees; Peter Vestergaard-Poulsen; Antoine Lutz; Andreas Roepstorff Journal: J Neurosci Date: 2012-10-31 Impact factor: 6.167
Authors: Emma M Seppälä; Jack B Nitschke; Dana L Tudorascu; Andrea Hayes; Michael R Goldstein; Dong T H Nguyen; David Perlman; Richard J Davidson Journal: J Trauma Stress Date: 2014-08
Authors: Katherine Elizabeth Hekman; Max V Wohlauer; Gregory A Magee; Christine L Shokrzadeh; Kellie R Brown; Christopher G Carsten; Rabih Chaer; Omid Jazaeri; Andy M Lee; Niten Singh; Dawn M Coleman Journal: J Vasc Surg Date: 2019-05-27 Impact factor: 4.268
Authors: Denise R Purdie; Myke Federman; Alan Chin; Diana Winston; Brenda Bursch; Richard Olmstead; Yonca Bulut; Michael R Irwin Journal: J Clin Psychol Med Settings Date: 2022-07-01
Authors: Adam W Hanley; Jeremy Gililland; Jill Erickson; Christopher Pelt; Christopher Peters; Jamie Rojas; Eric L Garland Journal: Pain Date: 2021-06-01 Impact factor: 7.926
Authors: Amy S Weitlauf; Neill Broderick; J Alacia Stainbrook; James C Slaughter; Julie Lounds Taylor; Catherine G Herrington; Amy G Nicholson; Madeline Santulli; Kristin Dorris; LaTamara Jackson Garrett; Michelle Hopton; Amy Kinsman; Mary Morton; Ashley Vogel; Elisabeth M Dykens; A Pablo Juárez; Zachary E Warren Journal: J Autism Dev Disord Date: 2022-01-18
Authors: Carter C Lebares; Troy N Coaston; Kevin L Delucchi; Ekaterina V Guvva; Wen T Shen; Adam M Staffaroni; Joel H Kramer; Elissa S Epel; Frederick M Hecht; Nancy L Ascher; Hobart W Harris; Steven W Cole Journal: Ann Surg Date: 2021-03-01 Impact factor: 13.787