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Do Mindfulness and Self-Compassion Predict Burnout in Pediatric Residents?
Kathi J Kemper1, Hilary McClafferty, Paria M Wilson
1K.J. Kemper is founding director, Center for Integrative Health and Wellness, and professor of pediatrics, The Ohio State University, Columbus, Ohio. H. McClafferty is director, Pediatric Integrative Medicine in Residency Program, and codirector, Fellowship in Integrative Medicine, University of Arizona Center for Integrative Medicine, University of Arizona College of Medicine, Tucson, Arizona. P.M. Wilson is assistant professor, Division of Emergency Medicine, Children's Hospital of Pittsburgh and University of Pittsburgh, Pittsburgh, Pennsylvania. J.R. Serwint is professor emeritus of pediatrics, Johns Hopkins University, Baltimore, Maryland. M. Batra is associate program director, Pediatric Residency Program, and associate professor of pediatrics, Seattle Children's Hospital and University of Washington, Seattle, Washington. J.D. Mahan is director, Pediatric Residency Program, and professor of pediatrics, Nationwide Children's Hospital and The Ohio State University, Columbus, Ohio. C.J. Schubert is professor of pediatrics, Cincinnati Children's Hospital Medical Center and University of Cincinnati, Cincinnati, Ohio. B.B. Staples is director, Pediatric Residency Program, and associate professor of pediatrics, Duke University Medical Center, Durham, North Carolina. A. Schwartz is Michael Reese Endowed Professor of Medical Education and director of research, University of Illinois College of Medicine, Chicago, Illinois, and data analyst, Association of Pediatric Program Directors Longitudinal Educational Assessment Research Network.
Burnout and stress are common and stable in pediatric residents. Mindfulness and self-compassion help reduce stress and improve confidence in providing care.
Area of Science:
- Medical Education
- Psychology
- Pediatrics
Background:
- Burnout symptoms are prevalent among healthcare professionals.
- Understanding the stability of burnout and its relationship with self-compassion, stress, and mindfulness in pediatric residents is crucial.
Purpose of the Study:
- To investigate the stability of burnout and compassion over time.
- To examine the relationships among burnout, self-compassion, stress, and mindfulness in pediatric residents.
Main Methods:
- Prospective cohort study involving 872 pediatric residents from 31 U.S. programs.
- Online surveys administered in 2016 and 2017 assessing demographics, mindfulness, self-compassion, stress, burnout, and confidence in compassionate care.
Main Results:
- Burnout prevalence was 58% and remained stable over 12 months.
- Mindfulness and self-compassion were protective factors, associated with lower stress and higher confidence in providing compassionate care.
- A one-standard-deviation increase in self-compassion decreased burnout probability from 58% to 48%.
Conclusions:
- Burnout and stress are prevalent and stable in pediatric residents.
- Mindfulness and self-compassion demonstrate a longitudinal association with reduced stress and enhanced confidence in care.
- Further research is recommended to evaluate interventions promoting mindfulness and self-compassion in this population.
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