Coaching Program to Address Burnout, Well-being, and Professional Development in Pediatric Surgery Trainees: A Randomized Controlled Trial.

IF 7.5 1区 医学 Q1 SURGERY
Annals of surgery Pub Date : 2024-12-01 Epub Date: 2024-03-04 DOI:10.1097/SLA.0000000000006257
Eunice Y Huang, Rebecca A Saberi, Kerri Palamara, Danielle Katz, Heidi Chen, Holly L Neville
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引用次数: 0

Abstract

Objective: To assess impact of participation in a positive psychology coaching program on trainee burnout and well-being.

Background: Coaching using principles of positive psychology can improve well-being and reduce physician burnout. We hypothesized that participation in a coaching program would improve pediatric surgery trainee well-being.

Methods: With IRB approval, a coaching program was implemented during the COVID-19 pandemic (September 2020 to July 2021) in the American Pediatric Surgical Association. Volunteer pediatric surgery trainees (n=43) were randomized to receive either one-on-one quarterly virtual coaching (n=22) from a pediatric surgeon trained in coaching skills or wellness reading materials (n=21). Participants completed prestudy and poststudy surveys containing validated measures, including positive emotion, engagement, relationships, meaning, accomplishment, professional fulfillment, burnout, self-valuation, gratitude, coping skills, and workplace experiences. Results were analyzed using the Wilcoxon rank sum test, Kruskal-Wallis test, or χ 2 test.

Results: Forty trainees (93%) completed both the baseline and year-end surveys and were included in the analysis. Twenty-five (64%) were female, mean age 35.7 (SD 2.3), and 65% were first-year fellows. Coached trainees showed an improved change in positive emotion, engagement, relationships, meaning, accomplishment ( P =0.034), burnout ( P =0.024), and gratitude ( P =0.03) scores from precoaching to postcoaching compared with noncoached trainees. Coping skills also improved. More coaching sessions were associated with higher self-valuation scores ( P =0.042), and more opportunities to reflect were associated with improved burnout and self-valuation.

Conclusions: Despite the stress and challenges of medicine during COVID-19, a virtual positive psychology coaching program provided benefits in well-being and burnout to pediatric surgery trainees. Coaching should be integrated into existing wellness programs to support the acquisition of coping skills that help trainees cope with the stressors they will face during their careers.

解决小儿外科受训人员职业倦怠、幸福感和职业发展问题的辅导计划:随机对照试验
目的:评估参加积极心理学辅导项目对受训人员职业倦怠的影响:评估参加积极心理学辅导项目对学员职业倦怠和幸福感的影响:背景:利用积极心理学原理进行辅导可提高幸福感并减少医生的职业倦怠。我们假设参加辅导计划将改善小儿外科受训人员的幸福感:经 IRB 批准,在 COVID-19 大流行期间(2020 年 9 月至 2021 年 7 月),美国小儿外科协会实施了一项辅导计划。志愿参加小儿外科培训的学员(人数=43)被随机分配到接受一对一季度虚拟辅导(人数=22)的小儿外科医生处,该外科医生接受过辅导技能培训,或接受健康阅读材料(人数=21)。参与者填写研究前后的调查问卷,其中包含经过验证的测量指标,包括 PERMA(积极情绪、参与、关系、意义、成就感)、职业成就感、职业倦怠、自我评价、感恩、应对技能和工作场所经验。结果采用 Wilcoxon 秩和检验、Kruskal-Wallis 检验或卡方检验进行分析:40名学员(93%)完成了基线调查和年终调查,并被纳入分析。25人(64%)为女性,平均年龄为35.7岁(标准差为2.3岁),65%为一年级学员。与未接受辅导的学员相比,接受过辅导的学员从辅导前到辅导后的PERMA(P=0.034)、职业倦怠(P=0.024)和感恩(P=0.03)得分均有改善。应对技能也有所提高。更多的辅导课与更高的自我评价得分相关(P=0.042),更多的反思机会与倦怠和自我评价的改善相关:结论:尽管在COVID-19期间面临着医学方面的压力和挑战,但虚拟积极心理学辅导项目为小儿外科学员带来了幸福感和职业倦怠方面的益处。辅导应融入现有的健康计划中,以支持学员掌握应对技能,帮助他们应对职业生涯中将面临的压力。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Annals of surgery
Annals of surgery 医学-外科
CiteScore
14.40
自引率
4.40%
发文量
687
审稿时长
4 months
期刊介绍: The Annals of Surgery is a renowned surgery journal, recognized globally for its extensive scholarly references. It serves as a valuable resource for the international medical community by disseminating knowledge regarding important developments in surgical science and practice. Surgeons regularly turn to the Annals of Surgery to stay updated on innovative practices and techniques. The journal also offers special editorial features such as "Advances in Surgical Technique," offering timely coverage of ongoing clinical issues. Additionally, the journal publishes monthly review articles that address the latest concerns in surgical practice.
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