Her residency in pediatrics was at Children’s Health in Dallas, one of the best children’s hospital in the nation and Parkland Hospital, one of the largest hospitals in the country. It was here where she met her wonderful husband Graham. She enjoyed new friendships, student activities and most of all enjoyed studying (!) while in medical school. She then attended UT Southwestern in Dallas, one of the top medical schools in the country. She went on to graduate with honors from UT Austin with a Bachelor of Science in Psychology and minor in Biology. Music and theater also enriched her childhood, starting from the piano lab at Egly through summers at Camille Playhouse and choir at Oliveira and Hanna. She exceled in UIL and student council and enjoyed her time as an acceptable member of the tennis and diving teams. She went to Egly Elementary, Oliveira Middle School and Hanna High School.
Trial Registration ClinicalTrials.Dolly Lucio Sevier, MD Board Certified Pediatricianįellow of the American Academy of Pediatricsĭr. These findings diverge from prior nonrandomized studies of mindfulness interventions, emphasizing the importance of rigorous study design and suggesting that additional study is needed to develop evidence-based methods to reduce trainee burnout. None of the 6 secondary outcomes significantly differed by arm at month 6 or month 15.Ĭonclusions and Relevance A novel mindfulness curriculum did not significantly affect EE, burnout, empathy, or mindfulness immediately or 9 months after curriculum implementation. Both arms’ EE scores were higher at 6 and 15 months than at baseline, but EE did not significantly differ by arm in multivariable analyses (6 months: 35.4 vs 32.4 adjusted difference, 3.03 95% CI, −0.14 to 6.21 15 months: 33.8 vs 32.9 adjusted difference, 1.42 95% CI, −2.42 to 5.27). Analyses were adjusted for baseline outcome measures. Participants included 194 (57.1%) in the Mindfulness Intervention for New Interns and 146 (42.9%) in the control arm. Results Of the 365 interns invited to participate, 340 (93.2% 255 female 51 30 years or older) completed surveys at baseline 273 (74.8%) also participated at month 6 and 195 (53.4%) at month 15. Surveys were implemented at baseline, month 6, and month 15. The study assessed mindfulness with the Five Facet Mindfulness Questionnaire and empathy with the Interpersonal Reactivity Index subscales of perspective taking and empathetic concern. Secondary outcomes were depersonalization, personal accomplishment, and burnout. Main Outcomes and Measures The primary outcome was emotional exhaustion (EE) as measured by the Maslach Burnout Inventory 9-question EE subscale (range, 7-63 higher scores correspond to greater perceived burnout). The active control arm included monthly 1-hour social lunches. Interventions The intervention included 7 hour-long sessions of a monthly mindfulness curriculum (Mindfulness Intervention for New Interns) and a monthly mindfulness refresher implemented during internship. Fifteen US pediatric training programs participated from June 14, 2017, to February 28, 2019.
Objective To examine whether a novel mindfulness curriculum implemented in the first 6 months of internship reduces burnout.ĭesign, Setting, and Participants This pragmatic, multicenter, stratified cluster randomized clinical trial of a mindfulness curriculum randomized 340 pediatric interns to the intervention or control arm within program pairs generated based on program size and region. Importance Mindfulness curricula can improve physician burnout, but implementation during residency presents challenges.