Colleagues Meeting to Promote and Sustain Satisfaction (COMPASS) Groups for Physician Well-Being: A Randomized Clinical Trial |
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| Institution: | 1. Division of General Internal Medicine, Department of Medicine, Mayo Clinic, Rochester, MN;2. Division of Primary Care Internal Medicine, Department of Medicine, Mayo Clinic, Rochester, MN;3. Division of Clinical Trials and Biostatistics, Department of Quantitative Health Sciences, Mayo Clinic, Rochester, MN;4. Division of Hematology, Department of Medicine, Stanford University, Palo Alto, CA;1. Director of the Program on Physician Well-being, Mayo Clinic, Rochester, MN;2. President and Chief Executive Officer, Mayo Clinic, Rochester, MN;1. American Medical Association, Chicago, IL;2. Division of Primary Care Internal Medicine, Department of Medicine, Mayo Clinic, Rochester, MN;3. Division of General Internal Medicine, Department of Medicine, Mayo Clinic, Rochester, MN;4. Division of Biomedical Statistics and Informatics, Mayo Clinic, Rochester, MN;5. Division of Hematology, Mayo Clinic, Rochester, MN;1. Department of Psychology, Palo Alto University, Palo Alto, CA, and VA Northern California Health Care System, Martinez, CA;2. VA Palo Alto Health Care System, Palo Alto, CA, and Stanford University School of Medicine, Stanford, CA;1. Stanford Medicine WellMD Center, Stanford University School of Medicine, CA;2. Comprehensive Ophthalmology, Boston Medical Center, Boston, MA;3. Internal Medicine, Brigham and Women''s Hospital, Boston, MA;4. Division of Neonatology, Children''s Hospital of Philadelphia, PA;5. Provider Services, University of Wisconsin Health, Madison;1. Division of General Internal Medicine and Division of Biomedical Statistics and Informatics, Mayo Clinic, Rochester, MN, US;2. Division of Primary Care Internal Medicine, Mayo Clinic, Rochester, MN, US;3. Medical Library, Mayo Clinic, Rochester, MN, US;4. Division of Hematology, Mayo Clinic, Rochester, MN, US |
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| Abstract: | ObjectiveTo evaluate physician small groups to promote physician well-being in a scenario with provided discussion topics but without trained facilitators, and for which protected time was not provided but meal expenses were compensated.Participants and MethodsWe conducted a randomized controlled trial of 125 practicing physicians in the Department of Medicine, Mayo Clinic, Rochester, Minnesota, between October 2013 and October 2014 with subsequent assessment of organizational program implementation. Twelve biweekly self-facilitated discussion groups involving reflection, shared experience, and small-group learning took place over 6 months. Main outcome measures included meaning in work, burnout, symptoms of depression, quality of life, social support, and job satisfaction assessed using validated metrics.ResultsAt 6 months after completion of the intervention (12 months from baseline), the rate of overall burnout had decreased by 12.7% (31/62 to 19/51) in the intervention arm versus a 1.9% increase (25/61 to 24/56) in the control arm (P<.001). The rate of depressive symptoms had decreased by 12.8% (29/62 to 17/50) in the intervention arm versus a 1.1% increase (20/61 to 19/56) in the control arm (P<.001). The proportion of physicians endorsing at least moderate self-reported likelihood of leaving their current practice in the subsequent 2 years had decreased by 1.9% (17/62 to 13/51) in the intervention arm and increased by 6.1% (14/61 to 16/55) in the control arm (P<.001). No statistically significant differences were seen in mean changes in burnout scale scores, meaning, or social support, although numeric differences generally favored the intervention.ConclusionSelf-facilitated physician small-group meetings improved burnout, depressive symptoms, and job satisfaction. This intervention represents a low-cost strategy to promote important dimensions of physician well-being.Trial Registrationclinicaltrials.gov Identifier: NCT04466423 |
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| Keywords: | COMPASS"} {"#name":"keyword" "$":{"id":"kwrd0015"} "$$":[{"#name":"text" "_":"Colleagues Meeting to Promote and Sustain Satisfaction MBI"} {"#name":"keyword" "$":{"id":"kwrd0025"} "$$":[{"#name":"text" "_":"Maslach Burnout Inventory QOL"} {"#name":"keyword" "$":{"id":"kwrd0035"} "$$":[{"#name":"text" "_":"quality of life |
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