Ignite Creation Date:
2024-05-06 @ 11:26 AM
Last Modification Date:
2024-10-26 @ 12:45 PM
Study NCT ID:
NCT03516877
Status:
COMPLETED
Last Update Posted:
2021-10-26
First Post:
2018-04-06
Brief Title:
Enhanced Stress Resilience Training for Faculty
Sponsor:
University of California San Francisco
Organization:
University of California San Francisco
Study Overview
Official Title:
Enhanced Stress Resilience Training for Faculty Physicians
Status:
COMPLETED
Status Verified Date:
2021-10
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
ESRT-Faculty
Brief Summary:
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 researchers 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-stresshigh-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 researchers have developed Enhanced Stress-Resilience Training ESRT based on MBSR but streamlined and tailored for surgeons and anesthesiologists
Moreover researchers have refined the scales included in our psychosocial survey of well-being in order to sharpen our approach to the complex issue of physician well-being and factors influencing physician resilience within Surgery and Anesthesia at UCSF
Notably in small studies of physicians and other high-stresshigh-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 researchers have developed Enhanced Stress-Resilience Training ESRT based on MBSR but streamlined and tailored for surgeons and anesthesiologists
Moreover researchers have refined the scales included in our psychosocial survey of well-being in order to sharpen our approach to the complex issue of physician well-being and factors influencing physician resilience within Surgery and Anesthesia at UCSF
Detailed Description:
Burnout which comprises emotional exhaustion depersonalization and diminished satisfaction with ones work has been documented in medical students trainees and practicing physicians across specialties including 69 of surgical residents and 40-60 of practicing physicians
Furthermore a strong correlation between burnout impaired performance and the development of mental and physical illness is coming to light It has been proposed that chronic and overwhelming stress in the absence of adequate coping skills promotes burnout and associated distress symptoms such as depression suicidal ideation and anxiety Among physicians performance deficits from surgical errors to poor professionalism have been proposed to result from the effects of stress on cognition Notably in other high-stresshigh-performance groups mindfulness-based interventions MBIs have shown promise in reducing distress symptoms protecting cognition and enhancing performance Among physicians limited studies of MBIs have shown improvements in burnout and the sense of meaningfulness and satisfaction in work Nevertheless in spite of such evidence MBIs have yet to be tested in surgeons and have made little progress being translated to real-world settings within healthcare
Interestingly our cross-sectional national survey of general surgery residents found that high dispositional mindfulness reduces the risk of emotional exhaustion depersonalization moderate to severe depression and suicidal ideation by 75 or more This suggests that while mindfulness may seem out of place among surgeons and operating room culture it is in fact already in use in this setting albeit unconsciously More importantly it appears to be beneficial These findings in combination with promising preliminary data from our longitudinal RCT of mindfulness training in surgical interns suggested that an appropriate MBI could enhance native skills and potentially become a powerful component of stress resilience training among surgeons and anesthesiologists Therefore through iterative work in surgical trainees researchers have created a streamlined modular MBI for surgery and anesthesia faculty physicians and aim to test it both for pragmatic feasibility and for efficacy at enhancing stress resilience and improving wellbeing
The significance of this work lies in evaluating a process-centered skill believed to promote resilience defined as the ability to thrive under adversity and predicated on the perception of stressors as challenges rather than overwhelming threats The transformation of how people experience stress is a learned skill that can be applied across career stages practice trajectories and life The potential to protect individuals while researchers work for mandatory institutional and systemic change is powerful Moreover the resultant tendency for self-awareness and equipoise has been contagious in other settings providing fuel for the greater culture change that is inarguably necessary and holds great promise for us and our patients
The innovation of this work is in bringing a mind-body intervention to bear not only on well-being but also on the fundamental cognitive processes believed to sub-serve performance such as attention working memory capacity emotional regulation and self-awareness which may impact behaviors such as medical decision-making professionalism and team work The potential to improve both the operative environment and surgical or medical errors is unprecedented Moreover the use of a manualized curriculum specifically crafted for physicians could pave the way for translation to larger studies other specialties and outside institutions
Furthermore a strong correlation between burnout impaired performance and the development of mental and physical illness is coming to light It has been proposed that chronic and overwhelming stress in the absence of adequate coping skills promotes burnout and associated distress symptoms such as depression suicidal ideation and anxiety Among physicians performance deficits from surgical errors to poor professionalism have been proposed to result from the effects of stress on cognition Notably in other high-stresshigh-performance groups mindfulness-based interventions MBIs have shown promise in reducing distress symptoms protecting cognition and enhancing performance Among physicians limited studies of MBIs have shown improvements in burnout and the sense of meaningfulness and satisfaction in work Nevertheless in spite of such evidence MBIs have yet to be tested in surgeons and have made little progress being translated to real-world settings within healthcare
Interestingly our cross-sectional national survey of general surgery residents found that high dispositional mindfulness reduces the risk of emotional exhaustion depersonalization moderate to severe depression and suicidal ideation by 75 or more This suggests that while mindfulness may seem out of place among surgeons and operating room culture it is in fact already in use in this setting albeit unconsciously More importantly it appears to be beneficial These findings in combination with promising preliminary data from our longitudinal RCT of mindfulness training in surgical interns suggested that an appropriate MBI could enhance native skills and potentially become a powerful component of stress resilience training among surgeons and anesthesiologists Therefore through iterative work in surgical trainees researchers have created a streamlined modular MBI for surgery and anesthesia faculty physicians and aim to test it both for pragmatic feasibility and for efficacy at enhancing stress resilience and improving wellbeing
The significance of this work lies in evaluating a process-centered skill believed to promote resilience defined as the ability to thrive under adversity and predicated on the perception of stressors as challenges rather than overwhelming threats The transformation of how people experience stress is a learned skill that can be applied across career stages practice trajectories and life The potential to protect individuals while researchers work for mandatory institutional and systemic change is powerful Moreover the resultant tendency for self-awareness and equipoise has been contagious in other settings providing fuel for the greater culture change that is inarguably necessary and holds great promise for us and our patients
The innovation of this work is in bringing a mind-body intervention to bear not only on well-being but also on the fundamental cognitive processes believed to sub-serve performance such as attention working memory capacity emotional regulation and self-awareness which may impact behaviors such as medical decision-making professionalism and team work The potential to improve both the operative environment and surgical or medical errors is unprecedented Moreover the use of a manualized curriculum specifically crafted for physicians could pave the way for translation to larger studies other specialties and outside institutions
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
False
Is a FDA Regulated Device?:
False
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None