Abstract
Purpose: Burnout symptoms are common among health professionals. Gaps remain in understanding both the stability of burnout and compassion over time and relationships among burnout, self-compassion, stress, and mindfulness in pediatric residents.
Method: The authors conducted a prospective cohort study of residents at 31 U.S. residency programs affiliated with the Pediatric Resident Burnout-Resilience Study Consortium. Residents completed online cross-sectional surveys in spring 2016 and 2017. The authors assessed demographic characteristics and standardized measures of mindfulness, self-compassion, stress, burnout, and confidence in providing compassionate care.
Results: Of 1,108 eligible residents, 872 (79%) completed both surveys. Of these, 72% were women. The prevalence of burnout was 58% and the level of mindfulness was 2.8 in both years; levels of stress (16.4 and 16.2) and self-compassion (37.2 and 37.6) were also nearly identical in both years. After controlling for baseline burnout levels in linear mixed-model regression analyses, mindfulness in 2016 was protective for levels of stress and confidence in providing compassionate care in 2017. Self-compassion in 2016 was protective for burnout, stress, and confidence in providing compassionate care in 2017; a one-standard-deviation increase in self-compassion score was associated with a decrease in the probability of burnout from 58% to 48%.
Conclusions: Burnout and stress were prevalent and stable over at least 12 months among pediatric residents. Mindfulness and self-compassion were longitudinally associated with lower stress and greater confidence in providing compassionate care. Future studies are needed to evaluate the effectiveness of training that promotes mindfulness and self-compassion in pediatric residents.
Original language | American English |
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Pages (from-to) | 876-884 |
Journal | Academic Medicine |
Volume | 94 |
Issue number | 6 |
DOIs | |
State | Published - Jun 2019 |
Keywords
- Adult
- Burnout, Professional/epidemiology*
- Burnout, Professional/psychology
- Cross-Sectional Studies
- Empathy*
- Female
- Humans
- Longitudinal Studies
- Male
- Mindfulness/statistics & numerical data*
- Prospective Studies
- Regression Analysis
- Self Concept
- Stress, Psychological/epidemiology*
Disciplines
- Pediatrics
- Medical Education