A Curriculum to Enhance Resilience in Internal Medicine Interns

Abstract

Small group resilience workshops were feasible over 2 years and well received by IM interns, who noted gaining new skills to approach challenges. There was no improvement in resilience scores after the sessions.

Resilience in medical doctors: a systematic review

“…We identified five interventional studies that aimed to improve doctors' resilience and assessed the influence of an intervention on resilience. [29][30][31][32][33] Resilience building interventions took a variety of forms. The majority were delivered in group settings to trainees or residents over a number of weeks and all assessed resilience using a validated psychological measure before undertaking the programme, and at one or more time points after the programme was delivered.…”

“…[31,32] Three out of the five interventional studies encouraged mindfulness or involved mindfulnessbased interventions. [31][32][33] Mindfulness based interventions are comprised of mental training to enhance one's ability to nonjudgmentally attend to the present moment. This aims to cultivate a clear thinking mental state.…”

“…The final study had devised their own resiliency building curriculum. [32] All studies used validated psychological tests to measure resilience before and after the intervention. Only the self-care skills training programme implemented by Mache in psychiatrists and surgeons, identified a significant improvement in resilience scores as a result of an intervention.…”

Wellness Domains for Residency Training Programs

“…While there is evidence to suggest that incorporating mindfulness programs into residency training can lead to improved resilience, increased wellness, and decreased burnout and reduced stress, some studies have found less promising results for all-comers and others have suggested caution prior to incorporating a one-size-fits-all intervention during mandatory conference time [16,17]. We therefore suggest considering voluntary or asynchronous sessions on mindfulness, positive thinking, self-compassion and resilience, which have been found to be successful [15,[18][19][20][21]. Normalizing and encouraging the utilization of therapy and counseling when needed would also be beneficial.…”

The Development and Implementation of a Longitudinal Wellness Curriculum for McGill University’s Undergraduate Medical Program

“…The development and implementation of a longitudinal wellness curriculum for McGill University's undergraduate medical program Camila Velez, Namta Gupta, Pascale Gendreau 13 International Journal of Whole Person Care Vol 6, No 1 (2019)wellness. These seven wellness dimensions guide the research, classification, and integration of content into the Wellness Curriculum.The Wellness Curriculum primarily integrates curriculum components and programming elements that have been previously found to be effective and useful for primary prevention, and that have been well-received by medical learners[1,28,32,38]. The Wellness Curriculum is informed by special considerations tailored to the needs of the local program.…”