SMART-R: A Prospective Cohort Study of a Resilience Curriculum for Residents by Residents
SMART-R: A Prospective Cohort Study of a Resilience Curriculum for Residents by Residents
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DOI：
10.1007/s40596-017-0808-z
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发表时间：
2018-02-01
影响因子：
2.5
通讯作者：
Denninger, John W.
中科院分区：
文献类型：
--
作者：
Chaukos, Deanna;Chad-Friedman, Emma;Denninger, John W.
目的本研究旨在确定居民主导的弹性课程开发的居民，为residents.Methods居民的压力管理和弹性训练计划（SMART-R）的可行性是一个6小时的小组为基础的课程，教冥想，行为技能，和积极的观点采择策略。SMART-R在美国一家大型教学医院的前6个月实习期间为所有医学和精神病学实习生实施。在课程前后评估了职业倦怠的风险和弹性因素。一个可穿戴健康跟踪设备被用来评估可穿戴设备的可行性，为研究居民的健康behaviors.Results所有73个医学和17个精神病学实习生参加了SMART-R课程。85名实习生中有75名（88%）同意参加研究。75人中有31人（41%）完成了对倦怠风险和弹性因素的基线和事后调查。初步的课程反馈是热情的。二十五62（40%）穿的健康追踪器超过一半的时间，在头3个月的study.Conclusions在最具挑战性的头几个月的实习期间，在一个学术医疗中心的内科和精神病学实习生的居民为主导的弹性课程的实施是可行的。未来的对照研究需要确定SMART-R对风险和弹性因素的有效性。在实习的前6个月，我们观察到倦怠，疲劳和抑郁的预期增加，尽管其他关键风险和弹性因素没有变化。
Objective This study aimed to determine the feasibility of a resident-led resiliency curriculum developed by residents, for residents.Methods The Stress Management and Resiliency Training Program for Residents (SMART-R) is a 6-h group-based curriculum that teaches meditation, behavioral skills, and positive perspective-taking strategies. SMART-R was implemented for all medicine and psychiatry interns at a large US teaching hospital during the first 6 months of internship. Risk and resilience factors for burnout were assessed before and after the curriculum. A wearable health-tracking device was used to assess feasibility of wearables for studying resident health behaviors.Results All 73 medicine and 17 psychiatry interns participated in the SMART-R curriculum. Seventy-five of 85 interns (88%) consented to be in the study. Thirty-one of 75 (41%) completed both baseline and post surveys of risk and resilience factors for burnout. Preliminary curriculum feedback was enthusiastic. Twenty-five of 62 (40%) wore the health tracker more than half the time in the first 3 months of the study.Conclusions Implementation of a resident-led resiliency curriculum for internal medicine and psychiatry interns at an academic medical center during the most challenging first months of internship is feasible. Future controlled studies are needed to determine efficacy of SMART-R on risk and resilience factors. Over the first 6 months of internship, we observed an expected increase in burnout, fatigue, and depression, though other key risk and resilience factors were unchanged.