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J Grad Med Educ. 2017 Oct;9(5):600-604. doi: 10.4300/JGME-D-16-00554.1.

A Curriculum to Enhance Resilience in Internal Medicine Interns.

Abstract

BACKGROUND :

Burnout is a serious concern in graduate medical education. While enhancing resilience in trainees is considered beneficial, there are few studies showing successful interventions.

OBJECTIVE :

We developed and implemented a curriculum to teach resilience skills to internal medicine (IM) residents.

METHODS :

Our resilience curriculum focused on 4 small group skill-building workshops: setting realistic goals, managing expectations, letting go after stressful clinical events, and finding gratitude. All sessions were delivered by a chief resident during dedicated teaching time, and combined lectures, group discussions, reflection, and simulated skill-building exercises. Participants were assessed before and after the curriculum using the Connor-Davidson Resilience Scale.

RESULTS :

Over a period of 2 years, 81 interns participated; 75% (61 of 81) responded prior to participating in the curriculum, and 79% (64 of 81) responded after participation. The majority thought sessions should continue the following year (75%, 48 of 64). Postsession, participants were more comfortable talking about stress and burnout (70%, 44 of 63), were more comfortable talking about medical errors (73%, 46 of 63), and had learned new ways to approach challenges (64%, 41 of 64). Mean resilience scores were lower after the curriculum (72.54 ± 10.18 versus 68.65 ± 10.14, P = .034). Feedback from participants indicated that the sessions fostered a sense of togetherness among peers and provided them with an additional support system.

CONCLUSIONS :

Small group resilience workshops were feasible over 2 years and well received by IM interns, who noted gaining new skills to approach challenges. There was no improvement in resilience scores after the sessions.

PMID:
29075380
PMCID:
PMC5646918
[Available on 2018-10-01]
DOI:
10.4300/JGME-D-16-00554.1

Conflict of interest statement

Conflict of interest: The authors declare they have no competing interests.

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