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Self-Compassion for Healthcare Communities: Exploring the Effects of a Synchronous Online Continuing Medical
Paula Gardiner1, Adrián Pérez-Aranda, Natalie Bell
1Dr. Gardiner: Director of Primary Care Implementation Research at Cambridge Health Alliance, Cambridge, MA, and Associate Professor at University of Massachusetts Medical School, Worcester, MA. Dr. Pérez-Aranda: Lecturer at Autonomous University of Barcelona, Department of Clinical and Health Psychology, Cerdanyola del Vallès, Spain. Ms. Bell: Director of Program Development at Center for Mindful Self-Compassion, San Diego, CA. Dr. Clark: Chief Wellness Officer of Southern California Permanente Medical Group, Pasadena, CA. Dr. Schuman-Olivier: Associate Professor in Psychiatry, Harvard Medical School, Boston, MA. Dr. Lin: Clinical professor at the School of Medicine, University of Washington, Seattle, WA.
Introduction:
Physician burnout is a common problem for which self-compassion training has shown positive effects. In this program evaluation, we explore the effects of a synchronous online continuing medical education program (Self-Compassion for Healthcare Communities, SCHC) to improve physician burnout and related outcomes.
Methods:
The SCHC program was delivered online via Zoom and consisted of six 1-hour weekly sessions to enhance self-compassion and well-being. The primary outcome was the "burnout" subscale of the Professional Quality of Life scale; compassion satisfaction, secondary traumatic stress, self-compassion, resilience activation and decompression, and job satisfaction were evaluated, and qualitative data were also collected.
Results:
A total of 116 physicians attended at least one session of the program, 48 of whom completed both the preprogram and postprogram surveys. The results showed that physicians experienced a reduction in their burnout levels ( P = .001) as well as improvements in compassion satisfaction ( P = .027), secondary traumatic stress ( P = .001), self-compassion ( P < .001), resilience decompression ( P = .012), and job satisfaction ( P = .038). Qualitative data, obtained from a total of 91 participants who attended at least one session, indicated that participants were satisfied with the SCHC program: they found it useful for learning to be compassionate with themselves and they highly valued having the chance to connect with other colleagues who experience similar struggles.
Discussion:
The live online SCHC program showed benefits on physician burnout and related outcomes such as compassion satisfaction, secondary traumatic stress, self-compassion, resilience decompression, and job satisfaction. Nonetheless, in addition to individual-focused well-being programs, systemic changes in health care delivery were also deemed necessary to decrease burnout.
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