Brenda Bursch1, Caitlin Mulligan2, Adrienne M Keener2, Hilary Aralis2, Jessica Lloyd2, Catherine Mogil2, Wendy Barrera2, Maegan Sinclair2, Patricia Lester2. 1. From the Departments of Psychiatry & Biobehavioral Sciences (B.B., H.A., C.M., W.B., M.S., P.L.), Pediatrics (B.B., J.L.), and Neurology (C.M., A.M.K.), David Geffen School of Medicine at UCLA, Los Angeles, CA. bbursch@mednet.ucla.edu. 2. From the Departments of Psychiatry & Biobehavioral Sciences (B.B., H.A., C.M., W.B., M.S., P.L.), Pediatrics (B.B., J.L.), and Neurology (C.M., A.M.K.), David Geffen School of Medicine at UCLA, Los Angeles, CA.
Abstract
OBJECTIVE: To evaluate feasibility and acceptability of a health professional resilience skills training program with neurology residents. METHODS: The curriculum consists of five 1-hour-long modules that included the following skills: reflective narrative practices, emotion regulation, communication with highly distressed individuals, boundary management, and the identification of depression and trauma. Using a web-based survey tool, we administered the Brief Resilience Scale (BRS) and Abbreviated Maslach Burnout Inventory (aMBI) at baseline, in addition to a pre- and post-survey assessing change in beliefs and self-efficacy, as well as satisfaction with the intervention. Means were compared using the Wilcoxon rank-sum and signed rank tests. RESULTS: Twenty-two residents representing each year of training completed the pre-survey; 41% were women. Subscale scores on the aMBI revealed that 50% had moderate or high emotional exhaustion, 41% had moderate depersonalization, and 37% had moderate or low personal accomplishment, though 77.3% reported high career satisfaction. Female residents had lower scores on the BRS (mean 3.26 vs 3.88, p < 0.05), though scores on aMBI subscales did not differ by sex. Scores did not differ by year of training. Sixteen residents completed both the pre- and post-survey. Significant increases were detected in 4 of 9 self-efficacy statements. Seventy-one percent of residents were satisfied or extremely satisfied with the training. CONCLUSIONS: Residents were satisfied with the curriculum and reported improved ability to identify and cope with work-related stress. Further study is needed to evaluate the influence of skills adoption and practice on resilience and burnout.
OBJECTIVE: To evaluate feasibility and acceptability of a health professional resilience skills training program with neurology residents. METHODS: The curriculum consists of five 1-hour-long modules that included the following skills: reflective narrative practices, emotion regulation, communication with highly distressed individuals, boundary management, and the identification of depression and trauma. Using a web-based survey tool, we administered the Brief Resilience Scale (BRS) and Abbreviated Maslach Burnout Inventory (aMBI) at baseline, in addition to a pre- and post-survey assessing change in beliefs and self-efficacy, as well as satisfaction with the intervention. Means were compared using the Wilcoxon rank-sum and signed rank tests. RESULTS: Twenty-two residents representing each year of training completed the pre-survey; 41% were women. Subscale scores on the aMBI revealed that 50% had moderate or high emotional exhaustion, 41% had moderate depersonalization, and 37% had moderate or low personal accomplishment, though 77.3% reported high career satisfaction. Female residents had lower scores on the BRS (mean 3.26 vs 3.88, p < 0.05), though scores on aMBI subscales did not differ by sex. Scores did not differ by year of training. Sixteen residents completed both the pre- and post-survey. Significant increases were detected in 4 of 9 self-efficacy statements. Seventy-one percent of residents were satisfied or extremely satisfied with the training. CONCLUSIONS: Residents were satisfied with the curriculum and reported improved ability to identify and cope with work-related stress. Further study is needed to evaluate the influence of skills adoption and practice on resilience and burnout.
Authors: Neil A Busis; Tait D Shanafelt; Christopher M Keran; Kerry H Levin; Heidi B Schwarz; Jennifer R Molano; Thomas R Vidic; Joseph S Kass; Janis M Miyasaki; Jeff A Sloan; Terrence L Cascino Journal: Neurology Date: 2017-01-25 Impact factor: 9.910
Authors: Kerry H Levin; Tait D Shanafelt; Christopher M Keran; Neil A Busis; Laura A Foster; Jennifer Rose V Molano; Cormac A O'Donovan; Jeffrey B Ratliff; Heidi B Schwarz; Jeff A Sloan; Terrence L Cascino Journal: Neurology Date: 2017-06-30 Impact factor: 9.910
Authors: Amy M Fahrenkopf; Theodore C Sectish; Laura K Barger; Paul J Sharek; Daniel Lewin; Vincent W Chiang; Sarah Edwards; Bernhard L Wiedermann; Christopher P Landrigan Journal: BMJ Date: 2008-02-07
Authors: Zafer Keser; Yvo A Rodriguez; Jennifer Tremont; Peggy H Hsieh; Louise D McCullough; Stefano Sandrone; Erin F Stimming Journal: BMC Med Educ Date: 2020-04-16 Impact factor: 2.463