Novel peer-facilitated method to decrease burnout and enhance professional development: the READ-SG prospective cohort study
| Autor: | Mark P. Abrams, Tyler S. Brown, Adam Faye, Sara Cromer, David H. Chong, Evelyn Granieri, Jacob Cogan |
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| Rok vydání: | 2020 |
| Předmět: |
business.industry
education Professional development Graduate medical education Psychological intervention Workload General Medicine 030204 cardiovascular system & hematology Burnout Burnout Psychological Peer Group 03 medical and health sciences Social support 0302 clinical medicine Nursing Facilitator Medicine Humans 030212 general & internal medicine Prospective Studies business Emotional exhaustion Burnout Professional |
| Zdroj: | Postgraduate medical journal. 96(1136) |
| ISSN: | 1469-0756 |
| Popis: | Professional burnout is characterised by increased perception of emotional exhaustion (EE) and depersonalisation (DP) with a concomitantly decreased sense of personal accomplishment (PA).1 Burnout among physicians is common, particularly in trainees and early-career physicians. Among internal medicine (IM) trainees in particular, recent data suggests that burnout is present in approximately 30%–40% of postgraduate first-year trainees (PGY-1), reaching up to 80% by the PGY-2 year.2 Significant research has defined various contributors to development of burnout including workload, lack of social support and a sense of lacking autonomy among others.1 Aside from reported negative effects on patient care, some have even shown associations between burnout and depression, prevalent in approximately 50% of trainees with up to 8% reporting suicidality.3 Given this growing epidemic and what seems to be a particularly vulnerable period during postgraduate medical training, various interventions have been tested to decrease burnout. Initially thought to be promising, professionally led discussion groups, including but not limited to Balint-style groups, were successful in decreasing burnout in faculty physicians, but showed no efficacy in decreasing burnout among physician trainees.4 We hypothesised that the lack of success using professionally led groups among trainees may be due to the lack of shared experiences with the facilitator during this unique stage of forming a professional identity. In planning a novel intervention to address this topic, a survey of IM residents at our programme found that 80% would prefer a peer-led group to one that is professionally or faculty-led. As a result, we designed peer-facilitated small-group sessions to implement in the IM postgraduate training programme at our institution. With encouraging results from our pilot survey study of PGY-1 IM trainees, we employed the Reflect, Empathize, Analyze, and Discuss in Small Groups (READ-SG) Method in monthly, topic-based, peer-facilitated small groups to prospectively assess … |
| Databáze: | OpenAIRE |
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