Burnout, Professional
Conditions
Keywords
well-being, burnout
Brief summary
Collegiality is a one of the great virtues of physician-hood. Mutual support from colleagues to help deal with the challenges of being a physician has long helped physicians manage the stress related to practicing medicine and helped physicians derive meaning from their work. Unfortunately, increased productivity expectations and other changes to the practice of medicine over the last several decades have decreased the time physicians have to interact with colleagues and eroded the fabric of collegiality. Recent studies suggest burnout affects nearly half of U.S. physicians at any given point in time and has substantial personal and professional consequences. The steps organizations can take to promote collegiality are unknown. The goal of the present study is to evaluate the ability of an organizational intervention to encourage collegiality, shared experience, connectedness, and mutual support. This study builds on two prior intervention studies directed by the Mayo Clinic Department of Medicine Program on Physician Well-Being, the first focusing on a small group facilitated well-being curriculum and the second focusing on individual electronic tasks to prompt positive reflection and gratitude.
Interventions
The first 15 minutes of each session will be semi-structured discussion involving i) check in and ii) dialogue about the assigned question. Group leaders will be provided 3-4 discussion questions for each session. The group (or the leader) can choose the one they are most interested in and will then spend 10-15 minutes discussing the question together. Questions will touch on key themes for discussion (see the attached topics list) and are derived from our previous intervention studies. The remainder of the time can be used for socializing and building relationships with colleagues.
Sponsors
Study design
Masking description
Groups labeled 1 or 2 with random order assignment.
Intervention model description
Two-arm randomized controlled trial
Eligibility
Inclusion criteria
* Senior Associate Consultants and Consultants in the Mayo Clinic Department of Medicine will be eligible for this study.
Exclusion criteria
* None beyond inclusion criteria.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Burnout | 12 month outcomes | Maslach Burnout Inventory results |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Depressive symptoms | 12 month outcomes | PRIME-MD |
| Quality of life | 12 month outcomes | LASA QOL |
| Job satisfaction | 12 month outcomes | PJSS |
| Meaning at work | 12 month outcomes | EWS |
| Social support | 12 month outcomes | Social Provisions Scale |
| Social isolation | 12 month outcomes | PROMIS Social Isolation |
| Job turnover | 12 month outcomes | Single item asking about 2-year plans to leave current practice |