Burnout assessment in house officers: Evaluation of an intervention to reduce stress

Department of Pediatrics, University of California, Davis Health System, Sacramento, CA 95817, USA.
Medical Teacher (Impact Factor: 1.68). 02/2009; 31(4):338-41. DOI: 10.1080/01421590802208552
Source: PubMed


Medical house officers are at increased risk for stress related symptoms leading to professional burnout.
Measure burnout in house officers and establish whether utilization of a psychotherapeutic tool individually by physicians reduces symptoms characteristic of burnout.
Two groups of pediatric house officers at the University of California Davis Health System completed a Maslach Burnout Survey (MBS) at the beginning and end of a three-month period in 2003. An Intervention group (7 of 15 enrolled) was trained in the use of a self-administered psychotherapeutic tool. Outcome Measures were MBS scores and a qualitative interview of intervention group members.
There were no significant differences between the two groups, prior to the study or over time. Qualitative interviews revealed that subjects experience stressors in relation to their professional activities, but already utilize some elements of the tool and were too busy to implement the entire tool systematically.
Pediatric trainees did not seem to manifest burnout symptoms based upon the MBS; interviews suggested that some do experience significant stress, although manifestations and responses were varied, some may be at risk. Methods identifying individuals at risk for burnout, and interventions to cope with stress may be valuable to their training.

Download full-text


Available from: Alexander A Kon, Aug 22, 2014
26 Reads
  • Source
    [Show abstract] [Hide abstract]
    ABSTRACT: Samenvatting Een opiniërend nummer van het Tijdschrift voor Medisch Onderwijs dit keer. Zoals u weet streeft de redactie ernaar om in elke aflevering een combinatie aan te bieden van artikelen waarin onderzoek beschreven wordt en waarin het medisch onderwijs op een andere wijze aangeboden wordt. We verwijzen wel naar deze laatste categorie als de zogenaamde ‘think-pieces’.
    Tijdschrift voor Medisch Onderwijs 08/2009; 28(4):149-150. DOI:10.1007/BF03081782

  • Clinical Pediatrics 06/2011; 51(4):311-3. DOI:10.1177/0009922811412586 · 1.15 Impact Factor
  • [Show abstract] [Hide abstract]
    ABSTRACT: Objective To test the efficacy of a Stress Management and Resiliency Training (SMART) program for decreasing stress and anxiety and improving resilience and quality of life among Department of Radiology physicians. Materials and Methods The study was approved by the institutional review board. Twenty-six Department of Radiology physicians were randomized in a single-blind trial to either the SMART program or a wait-list control arm for twelve-weeks. The program involved a single 90-minute group session in the SMART training with two follow-up phone calls. Primary outcomes measured at baseline and week-twelve included the Perceived Stress Scale, Linear Analog Self-Assessment Scale, Mindful Attention Awareness Scale, and Connor-Davidson Resilience Scale. Results Twenty-two physicians completed the study. A statistically significant improvement in perceived stress, anxiety, quality of life, and mindfulness at twelve-weeks was observed in the study arm compared to the wait-list-control arm: Resilience also improved in the active arm but the changes were not statistically significant when compared to the control arm. Conclusion A single session to decrease stress among radiologists using the SMART program is feasible. Furthermore, the intervention afforded statistically significant and clinically meaningful improvement in anxiety, stress, quality of life, and mindful attention. Further studies including larger sample size and longer follow-up are warranted.
    EXPLORE The Journal of Science and Healing 08/2014; 10(6). DOI:10.1016/j.explore.2014.08.002 · 1.00 Impact Factor
Show more