The Impact of a Commensality Intervention on Physician Burnout.

Autor:	Seto JC; John A. Burns School of Medicine, University of Hawai'i, Honolulu, HI (JCS, TBS, HO, KL, MR, SS)., Beals J; Center for Physician Professional Development and Wellness, The Queen's Medical Center, Honolulu, HI (JB, TBS, HO, KL, MR, SS)., Seto TB; John A. Burns School of Medicine, University of Hawai'i, Honolulu, HI (JCS, TBS, HO, KL, MR, SS).; Center for Physician Professional Development and Wellness, The Queen's Medical Center, Honolulu, HI (JB, TBS, HO, KL, MR, SS)., Olson H; John A. Burns School of Medicine, University of Hawai'i, Honolulu, HI (JCS, TBS, HO, KL, MR, SS).; Center for Physician Professional Development and Wellness, The Queen's Medical Center, Honolulu, HI (JB, TBS, HO, KL, MR, SS)., Lian KC; John A. Burns School of Medicine, University of Hawai'i, Honolulu, HI (JCS, TBS, HO, KL, MR, SS).; Center for Physician Professional Development and Wellness, The Queen's Medical Center, Honolulu, HI (JB, TBS, HO, KL, MR, SS)., Ramirez M; John A. Burns School of Medicine, University of Hawai'i, Honolulu, HI (JCS, TBS, HO, KL, MR, SS).; Center for Physician Professional Development and Wellness, The Queen's Medical Center, Honolulu, HI (JB, TBS, HO, KL, MR, SS)., Steinemann S; John A. Burns School of Medicine, University of Hawai'i, Honolulu, HI (JCS, TBS, HO, KL, MR, SS).; Center for Physician Professional Development and Wellness, The Queen's Medical Center, Honolulu, HI (JB, TBS, HO, KL, MR, SS).
Jazyk:	angličtina
Zdroj:	Hawai'i journal of health & social welfare [Hawaii J Health Soc Welf] 2024 Dec; Vol. 83 (12), pp. 322-326.
DOI:	10.62547/NCHU6884
Abstrakt:	Commensality, the act of eating together, when organized around facilitated discussion is an evidence-based intervention that can promote engagement and reduce physician burnout. The purpose of this pilot study is to evaluate the feasibility, acceptance, and impact of a commensality intervention for physicians. The Commensality Intervention was based on a Mayo Clinic model that consisted of 6, 2-hour dinner meetings at local restaurants over 6 months with facilitated discussion. Seven physicians participated, with controls matched by specialty and career stage. All completed the Maslach Burnout Inventory and Areas of Worklife Survey (MBI/AWS) at baseline, 6 months, and 12 months. Results were analyzed using Mann-Whitney tests for comparison of intervention group members to controls. At baseline, 4 of 7 in the intervention group and 3 of 7 controls met criteria for burnout. At 6 months, MBI improved in all dimensions: emotional exhaustion (EE) 24.3 to 17.2; depersonalization (DP) 7.1 to 5.1; personal accomplishment (PA) 40.0 to 43.3. Improvement in EE was significantly greater for intervention group members vs. controls ( P =.015). Similarly, every AWS dimension (except reward) improved in the intervention group, with significant improvements in Workload ( P =.012), Control ( P =.027), and Community ( P =.039). At 12 months, improvements in EE (21.6), DP (5.3) and PA (42.7) persisted but were attenuated, with none of the MBI/AWS changes from baseline statistically significant. Findings suggest significant improvements in physician burnout following the intervention, with attenuation at 12-months. Results will be used to support the broader implementation of commensality within the group practice. Competing Interests: None of the authors identify any conflict of interest. (©Copyright 2024 by University Health Partners of Hawai‘i (UHP Hawai‘i).)
Databáze:	MEDLINE
Externí odkaz:	Zobrazit plný text záznamu