Systematic Review

Evaluating Mind Fitness Training and its Potential Effects on
Surgical Residents’ Well-being: A Mixed Methods Pilot Study
Author: S.S. Lases
Date: October 23, 2015
The International Conference on Residency Education
|
La Conférence internationale sur la formation des résidents
I do not have an affiliation (financial or otherwise)
with a pharmaceutical, medical device or
communications organization.
Je n’ai aucune affiliation (financière ou autre)
avec une entreprise pharmaceutique, un fabricant
d’appareils médicaux ou un cabinet de communication.
Author: S.S. Lases
Date: October 23, 2015
The International Conference on Residency Education
|
La Conférence internationale sur la formation des résidents
Key points
Mind Fitness Training..
 could improve residents’ well-being
 is positively received by residents
 could be a good addition to the
residency training program
Background
• Residents’ well-being is important for
– the individual physician
– quality of care they deliver
• Essential to maintain/enhance
residents’ well-being
• Increasing job resources is one strategy
Mind Fitness Training
Program
Aim
• Investigate the influence of Mind Fitness
Training on residents’ well-being
• Explore residents’ perceptions of Mind
Fitness Training and its effects
Methods
• Multicenter study,
• 8 teaching hospitals, 89 residents
• Mixed methods:
Pre + post-intervention questionnaires for
intervention and control group - GEE
Post-intervention interviews with intervention
group (N=22) - Template analysis
Methods (2)
Questionnaires + interview
Engagement
Utrecht Work Engagement Scale
Shaufeli 2003
Empathy
Jefferson Scale of physician Empathy
Hojat 2002
Work
Satisfaction
Job + specialty satisfaction scale from
Physician Worklife Study
Williams 1999
Stress
Perception on scale 1-10
Interview
Based on Training Evaluation
Inventory + open questions
Ritzman 2014
Results
Intervention group vs Control group
• Intervention group:
– Specialty satisfaction increased (P<0.001)
– Stress scores decreased (P=0.026)
• Control group:
– No changes observed
Results (2)
Influence of Mind Fitness Training
•Training positively associated with
– Residents’ empathy (P<0.001)
– Specialty satisfaction (P=0.001)
Results (3)
Interviews, open questions
•Reactions:
‘..good that this topic, which is kind of taboo,
received attention..’
•Learnings:
‘..I became aware that it is important how you
deal with stress and that this really has an effect
on your functioning..’
Results (4)
• Behaviours:
‘.. I use these breathing exercises in a
stressful moment or when I am nervous..’
• Results:
‘..you feel calmer, and you feel as if you have more
control over your feelings..’
Conclusion
Mind Fitness training:
 could improve empathy, specialty
satisfaction and perceived stress
 creates awareness, provides practical
exercises and improves calmness and focus
 is positively experienced by residents
 might be implemented in residency
training programs
Key references
•
•
•
•
•
•
•
Prins, Psychol Health Med 2009
Wallace, Lancet 2009
Williams, Health Care Manage Rev 2007
West, JAMA 2006
Bakker, J Occup Health Psychol 2005
Krasner, JAMA 2005
Kirkpatrick, book 2006
Questions?
Special thanks to my co-authors:
MJMH Lombarts, IA Slootweg, OA Arah, EGJM Pierik, E Heineman.
Help us improve.
Aidons-nous à nous améliorer.
Your input matters.
Votre opinion compte.
•Download the ICRE App,
•Téléchargez l’application de la CIFR
•Visit the evaluation area
in the West Ballroom Foyer,
near Registration, or
•Visitez la zone d’évaluation, foyer
de la salle de bal Ouest, près du
comptoir d’inscription, ou
•Go to: http://www.royalcollege.ca/
icreevaluations to complete the
session evaluation.
•Visitez le http://www.collegeroyal
.ca/evaluationscifr afin de remplir
une évaluation de la séance.
You could be entered
to win 1 of 3
$100 gift cards.
Vous courrez la chance de gagner
l’un des trois chèques-cadeaux
d’une valeur de 100 $.