Burnout, Professional clinical trials at UCSF
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Mounting evidence shows that burnout, a critical metric for dissatisfaction and distress, is a growing problem within medicine. Burnout is a syndrome associated with worse physician performance, patient outcomes, and hospital economics. Furthermore, investigators are coming to understand that burnout, diminished performance and the development of mental and physical illness are related. It has been proposed that chronic and overwhelming stress, in the absence of adequate coping skills, promotes performance deficits from surgical errors to poor professionalism due to the effects of stress on cognition. Notably, in small studies of physicians and other high-stress/high-performance groups mindfulness-based interventions have shown exceptional promise in improving burnout and distress symptoms, protecting cognition, and enhancing meaningfulness and satisfaction in work. Nevertheless, in spite of promising results in various populations the translation of mindfulness-based interventions to real-world settings has been slow. There is a paucity of quality research examining individually-based interventions, formal mindfulness training in physicians, or either of these things in the high stakes world of surgeons and anesthesiologists. To address these gaps, investigators have developed Enhanced Stress-Resilience Training (ESRT) based on Mindfulness-Based Stress Reduction (MBSR), but streamlined and tailored for surgeons and anesthesiologists. Investigators have administered a needs assessment and found almost 100 faculty interested in such training, and concluded beta-testing of the curriculum which allowed for further refinement of logistics, dose and delivery. Finally, to establish a baseline in both departments, investigators administered a comprehensive well-being survey which captures multiple facets of psychosocial well-being and will be used along with executive function testing and measures of performance to evaluate the efficacy of out training in a stepped-wedge trial of faculty surgeons and anesthesiologists at multiple UCSF hospital sites.
San Francisco, California