SMART-R: A Prospective Cohort Study of a Resilience Curriculum for Residents by Residents.
Deanna Chaukos, Emma Chad-Friedman, Darshan H Mehta, Laura Byerly, Alper Celik, Thomas H McCoy, John W. Denninger
Academic Psychiatry February 2018 DOI: 10.1007/s40596-017-0808-z (opens in new tab)
Study at a glance
AI-extracted from the abstract| Characteristics | Feasibility study Peer reviewed |
|---|---|
| Sample size | 85 |
| Population | Internal medicine and psychiatry interns at a large US teaching hospital during the first 6 months of internship |
| Interventions | behavioral skills and positive perspective-taking strategies |
| Duration | 6-hour curriculum delivered over the first 6 months of internship |
| Keywords | Physician wellness Resident resilience Smart-3rp Smart-r |
| Key points | The authors report that a resident-led resiliency curriculum for internal medicine and psychiatry interns is feasible: all 90 interns participated, 88% consented to the study, and preliminary curriculum feedback was enthusiastic. Over the first six months of internship, burnout, fatigue, and depression increased as expected, while other key risk and resilience factors were unchanged. The authors state that controlled studies are needed to determine efficacy. |
Abstract
This study aimed to determine the feasibility of a resident-led resiliency curriculum developed by residents, for residents. 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. 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. 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.
Citations in the library
Cites 3
- Association of an Educational Program in Mindful Communication With Burnout, Empathy, and Attitudes Among Primary Care Physicians JAMA September 22, 2009
- Mindfulness-Based Stress Reduction Lowers Psychological Distress In Medical Students Teaching and Learning in Medicine April 1, 2003
- A randomised controlled trial of the effects of mindfulness practice on medical student stress levels. Med Educ April 1, 2011