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Assessing a Structured Mental Fitness Program for Academic Acute Care Surgeons: A Pilot Study.

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This pilot study shows that a structured mental fitness program significantly improved Positive Intelligence (PQ) scores for academic surgeons. While wellness and sleep did not change, the program fostered connectedness and a shared language among participants.

Keywords:
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Area of Science:

  • Medical Education
  • Surgical Training
  • Physician Wellness

Background:

  • Physician wellness is linked to patient care outcomes.
  • Mental fitness is an understudied aspect of wellness in academic medicine.
  • A structured mental fitness program was piloted for academic surgeons.

Purpose of the Study:

  • To assess the impact of a Positive Intelligence (PQ) training program on academic surgeons.
  • To evaluate changes in PQ scores, wellness, sleep, and trainee evaluations.
  • To explore participant perceptions of the program's benefits and sustainability.

Main Methods:

  • A prospective, mixed-methods pilot study involving academic surgeons and fellows.
  • A 6-week Positive Intelligence (PQ) program with daily app exercises, readings, and coaching.
  • Outcomes measured included pre- and post-training PQ scores, sleep, wellness, teaching evaluations, and user experience via Net Promoter Score and focus groups.

Main Results:

  • Fifteen participants showed a statistically significant increase in PQ scores (59 to 65, P=0.004).
  • No significant changes were observed in sleep, well-being, or teaching evaluations.
  • High users (based on program engagement) demonstrated higher ongoing usage, and the Net Promoter Score was 25.

Conclusions:

  • The structured mental fitness program demonstrated benefits for academic surgeons, notably improving PQ scores.
  • The program fostered interpersonal benefits like connectedness and a shared language.
  • Future research should explore this program on a larger scale, including trainees and other healthcare providers, and assess patient outcome implications.