Intervention to Promote Physician Well-being, Job Satisfaction, and Professionalism

We report the results of a randomized clinical trial testing an intervention with protected time provided by the institution to promote well-being and reduce distress in physicians

Colin P. West; Liselotte N. Dyrbye; Jeff T. Rabatin; Tim G. Call; John H. Davidson; Adamarie Multari; Susan A. Romanski; Joan M. Henriksen Hellyer; Jeff A. Sloan; Tait D. Shanafelt

2014

Scholarcy highlights

  • DESIGN, SETTING, AND PARTICIPANTS Randomized clinical trial of 74 practicing physicians in the Department of Medicine at the Mayo Clinic in Rochester, Minnesota, conducted between September 2010 and June 2012
  • Rates of high depersonalization at 3 months had decreased by 15.5% in the intervention arm vs a 0.8% increase in the control arm
  • In additional comparisons including the nontrial physician cohort, the proportion of participants strongly agreeing that their work was meaningful increased 6.3% in the study intervention arm but decreased 6.3% in the study control arm and 13.4% in the nonstudy cohort
  • An intervention for physicians based on a facilitated small-group curriculum improved meaning and engagement in work and reduced depersonalization, with sustained results at 12 months after the study
  • These findings suggest that receiving unstructured protected time offered some benefits by itself, the advantages of the small-group curriculum were greater and persisted after the intervention concluded, for meaning and the closely associated interpersonal aspects of burnout
  • Additional research using rigorous comparative designs is needed to better understand which interventions are most useful in improving well-being across its many dimensions, as well as which physicians would benefit the most from specific approaches. This randomized clinical trial demonstrates that a facilitated small-group curriculum for physicians with protected time provided by the institution can improve elements of physician wellbeing, including meaning, empowerment, and engagement in work, and reduce distress, including depersonalization

Need more features? Save interactive summary cards to your Scholarcy Library.