Abstract ID: 3424

Primary Topic: Faculty development/leadership
Secondary Topic: Clinical skills-building

Practical Tools for Building Clinician Resilience and Reducing Burnout
Darshan Mehta, MD, MPH; Michelle L Dossett, MD, PhD, MPH, Massachusetts General Hospital, Boston, MA, United States

Late Breaker: No

Overview

Over the past decade, a growing number of studies have demonstrated that programs incorporating mind-body practices, cognitive behavioral tools, appreciative inquiry, narrative medicine, and community-building exercises can reduce burnout in healthcare professionals. This workshop will briefly review published data on burnout and resilience and introduce participants to the Stress Management and Resiliency Training (SMART) Program developed at the Benson-Henry Institute (BHI) for Mind Body Medicine. Participants will gain familiarity with the comprehensive resiliency toolkit that comprises the SMART Program and engage in several experiential exercises taught in the program to develop awareness of tools used to build resiliency in different domains. The workshop will introduce practical tools that busy clinicians can incorporate into their lives and include time for Q&A. The SMART Program is typically conducted for 2 hours weekly over 8 weeks. It has been tested in, and shown to be efficacious among, a number of different patient populations and in healthcare providers.

Rationale

This workshop addresses both burnout and resiliency and introduces clinicians to a range of practical, evidence-based tools that they can incorporate into their personal and professional lives at any stage of their career. This workshop also introduces clinicians to a multimodal, evidence-based framework for thinking about resilience and provides a model (the Benson-Henry Institute’s SMART Program) for future exploration of resiliency tools. 

The SMART Program is the outgrowth of years of clinical experience and research and one of few such programs currently in existence. This multimodal resiliency program targets stress with three main components: mind-body skills building (participants are taught a variety of different meditation techniques, mini relaxations, walking meditation, and yoga), traditional stress awareness/management techniques to decrease stress reactivity, and practicing adaptive strategies through healthy lifestyle behaviors (sleep, exercise, nutrition, and social support) and cognitive reappraisal and adaptive coping skills (borrowed from cognitive behavior therapy, acceptance commitment therapy, and positive psychology).  The program is offered in a group format which includes interactive and narrative exercises and helps to build a sense of community.

Objectives

  • Describe the physiologic mechanisms by which mind-body practices reduce the stress response.
  • Explain how mindful practice can enhance patient care and communication skills
  • List 5 techniques for increasing resilience to stress and demonstrate three such approaches.
  • Describe a comprehensive framework for increasing resilience to stress.

Methods/Session Format

  • Background on burnout – definition, frequency, and consequences (4 min, presenter 2)
  • Resilience as a construct to counteract burnout, meta-analyses and potential solutions (4 min, presenter 2)
  • The science of mind-body medicine, mindful practice, and benefits for patients and providers (10 min, presenter 1)
  • Guided meditation practice and debriefing and introduction to mini relaxations (20 min, presenters 1 and 2)
  • Overview of the SMART Program resiliency model and its main components (5 min, presenter 1)
  • Energy battery exercise (15 min, presenter 2
  • Introduction to cognitive skills (4 min, presenter 1)
  • Appreciation exercise (3 min, presenter 2)
  • Building empathy – loving kindness meditation and mini (12 min, presenter 1)
  • Summary (3 min, presenter 1)
  • Q&A (10 min, presenters 1 and 2)

Outline

  • Background on burnout – definition, frequency, and consequences
  • Resilience as a construct to counteract burnout, meta-analyses and potential solutions
  • The science of mind-body medicine, mindful practice, and benefits for patients and providers
  • Guided meditation practice and debriefing and introduction to mini relaxations
  • Overview of the SMART Program resiliency model and its main components
  • Energy battery exercise
  • Introduction to cognitive skills
  • Appreciation exercise
  • Building empathy – loving kindness meditation and mini
  • Summary
  • Q&A

Materials to be Distributed

  • Visual representation of the SMART Model
  • Energy battery exercise
  • Appreciation exercise
  • Mini relaxations
  • Training information.