Group Self-Reflection to Address Burnout: A Facilitator's Guide

Introduction Inadequately supported clinicians risk burnout, which is prevalent among them. Balint-like groups can be utilized to address clinician stressors and augment interpersonal skills by exploring the clinician-patient relationship. Methods In January 2012, we initiated the Clinical Case Disc...

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Autores principales:	Marshall Fleurant, Karen E. Lasser, Lisa M. Quintiliani, Jane Liebschutz
Formato:	article
Lenguaje:	EN
Publicado:	Association of American Medical Colleges 2017
Materias:	Editor's Choice Professional Competence Clinical Competence Professionalism Faculty Development Self-Assessment Medicine (General) R5-920 Education L
Acceso en línea:	https://doaj.org/article/54e301f051b04468871d34eb0079e2e3
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spelling	oai:doaj.org-article:54e301f051b04468871d34eb0079e2e32021-12-03T14:18:33ZGroup Self-Reflection to Address Burnout: A Facilitator's Guide10.15766/mep_2374-8265.106632374-8265https://doaj.org/article/54e301f051b04468871d34eb0079e2e32017-12-01T00:00:00Zhttp://www.mededportal.org/doi/10.15766/mep_2374-8265.10663https://doaj.org/toc/2374-8265Introduction Inadequately supported clinicians risk burnout, which is prevalent among them. Balint-like groups can be utilized to address clinician stressors and augment interpersonal skills by exploring the clinician-patient relationship. Methods In January 2012, we initiated the Clinical Case Discussion Group (CCDG), based on Michael Balint's Balint group, at the Boston University School of Medicine Section of General Internal Medicine. The CCDG is an interprofessional group discussion founded on self-reflection of patient cases designed to tease out ethical, psychosocial, and medical issues that impact the clinician-patient relationship. The format consists of a facilitator-led small group session including 5–10 minutes of case discussion followed by open group discussion. In April 2014, we conducted a cross-sectional survey of clinicians who participated in the CCDG to evaluate the group's ability to foster skills in self-reflection, empathy, response to patient challenges, personal awareness, and tolerance of uncertainty, and to address clinicians' personal and professional stressors. Results More than 75% of clinicians surveyed agreed that participation fostered skills in tolerating uncertainty, increasing empathy, and navigating difficult patient relationships. All respondents agreed the group developed skills in self-reflection. At least 40% of clinicians reported some degree of isolation, professional stress, and personal stress; group participation addressed these issues at least 70% of the time. Discussion This self-reflection case discussion group, incorporated into academic clinical practice, supports the professional development of a broad cadre of clinicians and addresses both personal and professional stressors. Clinical departments should consider systematically implementing similar groups in practice.Marshall FleurantKaren E. LasserLisa M. QuintilianiJane LiebschutzAssociation of American Medical CollegesarticleEditor's ChoiceProfessional CompetenceClinical CompetenceProfessionalismFaculty DevelopmentSelf-AssessmentMedicine (General)R5-920EducationLENMedEdPORTAL, Vol 13 (2017)
institution	DOAJ
collection	DOAJ
language	EN
topic	Editor's Choice Professional Competence Clinical Competence Professionalism Faculty Development Self-Assessment Medicine (General) R5-920 Education L
spellingShingle	Editor's Choice Professional Competence Clinical Competence Professionalism Faculty Development Self-Assessment Medicine (General) R5-920 Education L Marshall Fleurant Karen E. Lasser Lisa M. Quintiliani Jane Liebschutz Group Self-Reflection to Address Burnout: A Facilitator's Guide
description	Introduction Inadequately supported clinicians risk burnout, which is prevalent among them. Balint-like groups can be utilized to address clinician stressors and augment interpersonal skills by exploring the clinician-patient relationship. Methods In January 2012, we initiated the Clinical Case Discussion Group (CCDG), based on Michael Balint's Balint group, at the Boston University School of Medicine Section of General Internal Medicine. The CCDG is an interprofessional group discussion founded on self-reflection of patient cases designed to tease out ethical, psychosocial, and medical issues that impact the clinician-patient relationship. The format consists of a facilitator-led small group session including 5–10 minutes of case discussion followed by open group discussion. In April 2014, we conducted a cross-sectional survey of clinicians who participated in the CCDG to evaluate the group's ability to foster skills in self-reflection, empathy, response to patient challenges, personal awareness, and tolerance of uncertainty, and to address clinicians' personal and professional stressors. Results More than 75% of clinicians surveyed agreed that participation fostered skills in tolerating uncertainty, increasing empathy, and navigating difficult patient relationships. All respondents agreed the group developed skills in self-reflection. At least 40% of clinicians reported some degree of isolation, professional stress, and personal stress; group participation addressed these issues at least 70% of the time. Discussion This self-reflection case discussion group, incorporated into academic clinical practice, supports the professional development of a broad cadre of clinicians and addresses both personal and professional stressors. Clinical departments should consider systematically implementing similar groups in practice.
format	article
author	Marshall Fleurant Karen E. Lasser Lisa M. Quintiliani Jane Liebschutz
author_facet	Marshall Fleurant Karen E. Lasser Lisa M. Quintiliani Jane Liebschutz
author_sort	Marshall Fleurant
title	Group Self-Reflection to Address Burnout: A Facilitator's Guide
title_short	Group Self-Reflection to Address Burnout: A Facilitator's Guide
title_full	Group Self-Reflection to Address Burnout: A Facilitator's Guide
title_fullStr	Group Self-Reflection to Address Burnout: A Facilitator's Guide
title_full_unstemmed	Group Self-Reflection to Address Burnout: A Facilitator's Guide
title_sort	group self-reflection to address burnout: a facilitator's guide
publisher	Association of American Medical Colleges
publishDate	2017
url	https://doaj.org/article/54e301f051b04468871d34eb0079e2e3
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Group Self-Reflection to Address Burnout: A Facilitator's Guide

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