These findings diverge from prior nonrandomized studies of mindfulness interventions, emphasizing the importance of rigorous study design and suggesting that additional study is needed to develop evidence-based methods to reduce trainee burnout. None of the 6 secondary outcomes significantly differed by arm at month 6 or month 15.Ĭonclusions and Relevance A novel mindfulness curriculum did not significantly affect EE, burnout, empathy, or mindfulness immediately or 9 months after curriculum implementation.
Both arms’ EE scores were higher at 6 and 15 months than at baseline, but EE did not significantly differ by arm in multivariable analyses (6 months: 35.4 vs 32.4 adjusted difference, 3.03 95% CI, −0.14 to 6.21 15 months: 33.8 vs 32.9 adjusted difference, 1.42 95% CI, −2.42 to 5.27). Analyses were adjusted for baseline outcome measures. Participants included 194 (57.1%) in the Mindfulness Intervention for New Interns and 146 (42.9%) in the control arm. Results Of the 365 interns invited to participate, 340 (93.2% 255 female 51 30 years or older) completed surveys at baseline 273 (74.8%) also participated at month 6 and 195 (53.4%) at month 15. Surveys were implemented at baseline, month 6, and month 15. Board Certified Pediatrician Fellow of the American Academy of Pediatrics. Yelp is a fun and easy way to find, recommend and talk about whats great and not so great in.
The study assessed mindfulness with the Five Facet Mindfulness Questionnaire and empathy with the Interpersonal Reactivity Index subscales of perspective taking and empathetic concern. Mindful Pediatrics PC in Boulder, reviews by real people. Secondary outcomes were depersonalization, personal accomplishment, and burnout. Main Outcomes and Measures The primary outcome was emotional exhaustion (EE) as measured by the Maslach Burnout Inventory 9-question EE subscale (range, 7-63 higher scores correspond to greater perceived burnout). The active control arm included monthly 1-hour social lunches. Interventions The intervention included 7 hour-long sessions of a monthly mindfulness curriculum (Mindfulness Intervention for New Interns) and a monthly mindfulness refresher implemented during internship. Fifteen US pediatric training programs participated from June 14, 2017, to February 28, 2019.
Objective To examine whether a novel mindfulness curriculum implemented in the first 6 months of internship reduces burnout.ĭesign, Setting, and Participants This pragmatic, multicenter, stratified cluster randomized clinical trial of a mindfulness curriculum randomized 340 pediatric interns to the intervention or control arm within program pairs generated based on program size and region. Learn more about what makes us unique and the pediatric services that we offer.Importance Mindfulness curricula can improve physician burnout, but implementation during residency presents challenges. Recommendations will include the most appropriate evidence-based conventional and holistic treatment modalities, including dietary and lifestyle suggestions, nutritional supplements, and pharmaceutical medications, as needed. Treatment plans will be guided by a comprehensive history and the evaluation of blood, urine, stool, or other testing.
Follow-up appointments generally last between 20 and 40 minutes.
Our providers select the most appropriate and supportive combination of conventional and alternative treatments to achieve the best outcome.īecause getting to know you is the key to an accurate diagnosis and treatment, we spend a full hour with new patients.
We use our knowledge of general pediatrics, nutrition, mindfulness, and holistic medicine to guide our patients and their families in both preventative care and illness. Mindful Pediatrics promotes the highest quality of care in a supportive and nurturing environment.