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Related Experiment Videos

Group Self-Reflection to Address Burnout: A Facilitator's Guide.

Marshall Fleurant1,2, Karen E Lasser3,4,5, Lisa M Quintiliani6

  • 1Assistant Professor of Medicine, Grady Section, Department of General Medicine and Geriatrics, Emory University School of Medicine.

Mededportal : the Journal of Teaching and Learning Resources
|February 26, 2019
PubMed
Summary

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This summary is machine-generated.

Clinical Case Discussion Groups (CCDG) help clinicians manage stress and enhance patient relationships. These groups foster self-reflection, empathy, and coping skills, addressing professional and personal challenges effectively.

Area of Science:

  • Medical Education
  • Psychosocial Support
  • Clinical Practice

Background:

  • Clinician burnout is a significant issue, often stemming from unaddressed stressors.
  • The clinician-patient relationship is central to medical practice and can be a source of stress.
  • Balint-like groups offer a framework for exploring these complex dynamics.

Purpose of the Study:

  • To evaluate the effectiveness of a Clinical Case Discussion Group (CCDG) in fostering clinician skills.
  • To assess the CCDG's impact on addressing clinician stressors and improving interpersonal dynamics.
  • To determine the group's utility in enhancing self-reflection, empathy, and tolerance of uncertainty.

Main Methods:

  • Initiated a Clinical Case Discussion Group (CCDG) based on Balint principles in academic internal medicine.
Keywords:
Balint GroupBalint-TypeClinical CompetenceEditor's ChoiceEducational Medical/MethodsFaculty DevelopmentGroup ProcessesPhysician-Patient RelationsProfessional CompetenceProfessionalismSelf-Assessment

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  • Employed a facilitator-led, small-group format for exploring patient cases and their ethical, psychosocial, and medical implications.
  • Conducted a cross-sectional survey to assess participant-reported skill development and stress reduction.

    • Main Results:

    • Over 75% of clinicians reported improved skills in tolerating uncertainty, empathy, and managing difficult patient interactions.
    • 100% of participants agreed the group enhanced self-reflection abilities.
    • The CCDG successfully addressed personal and professional stressors for at least 70% of clinicians experiencing them.

    Conclusions:

    • The self-reflection facilitated by CCDGs supports clinician professional development and well-being.
    • These groups effectively mitigate personal and professional stressors within academic clinical settings.
    • Systematic implementation of similar case discussion groups is recommended for clinical departments.