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Abstract：
UNASSIGNED: Burnout symptoms among physicians are common and have potentially serious ramifications for physicians and their patients. Randomized studies testing interventions to address burnout have been uncommon.
UNASSIGNED: To explore the effect of individualized coaching on the well-being of physicians.
UNASSIGNED: A pilot randomized clinical trial involving 88 practicing physicians in the departments of medicine, family medicine, and pediatrics who volunteered for coaching was conducted between October 9, 2017, and March 27, 2018, at Mayo Clinic sites in Arizona, Florida, Minnesota, and Wisconsin. Statistical analysis was conducted from August 24, 2018, to March 25, 2019.
UNASSIGNED: A total of 6 coaching sessions facilitated by a professional coach.
UNASSIGNED: Burnout, quality of life, resilience, job satisfaction, engagement, and meaning at work using established metrics. Analysis was performed on an intent-to-treat basis.
UNASSIGNED: Among the 88 physicians in the study (48 women and 40 men), after 6 months of professional coaching, emotional exhaustion decreased by a mean (SD) of 5.2 (8.7) points in the intervention group compared with an increase of 1.5 (7.7) points in the control group by the end of the study (P < .001). Absolute rates of high emotional exhaustion at 5 months decreased by 19.5% in the intervention group and increased by 9.8% in the control group (-29.3% [95% CI, -34.0% to -24.6%]) (P < .001). Absolute rates of overall burnout at 5 months also decreased by 17.1% in the intervention group and increased by 4.9% in the control group (-22.0% [95% CI, -25.2% to -18.7%]) (P < .001). Quality of life improved by a mean (SD) of 1.2 (2.5) points in the intervention group compared with 0.1 (1.7) points in the control group (1.1 points [95% CI, 0.04-2.1 points]) (P = .005), and resilience scores improved by a mean (SD) of 1.3 (5.2) points in the intervention group compared with 0.6 (4.0) points in the control group (0.7 points [95% CI, 0.0-3.0 points]) (P = .04). No statistically significant differences in depersonalization, job satisfaction, engagement, or meaning in work were observed.
UNASSIGNED: Professional coaching may be an effective way to reduce emotional exhaustion and overall burnout as well as improve quality of life and resilience for some physicians.
UNASSIGNED: ClinicalTrials.gov identifier: NCT03207581.
UNASSIGNED: To explore the effect of individualized coaching on the well-being of physicians.
UNASSIGNED: A pilot randomized clinical trial involving 88 practicing physicians in the departments of medicine, family medicine, and pediatrics who volunteered for coaching was conducted between October 9, 2017, and March 27, 2018, at Mayo Clinic sites in Arizona, Florida, Minnesota, and Wisconsin. Statistical analysis was conducted from August 24, 2018, to March 25, 2019.
UNASSIGNED: A total of 6 coaching sessions facilitated by a professional coach.
UNASSIGNED: Burnout, quality of life, resilience, job satisfaction, engagement, and meaning at work using established metrics. Analysis was performed on an intent-to-treat basis.
UNASSIGNED: Among the 88 physicians in the study (48 women and 40 men), after 6 months of professional coaching, emotional exhaustion decreased by a mean (SD) of 5.2 (8.7) points in the intervention group compared with an increase of 1.5 (7.7) points in the control group by the end of the study (P < .001). Absolute rates of high emotional exhaustion at 5 months decreased by 19.5% in the intervention group and increased by 9.8% in the control group (-29.3% [95% CI, -34.0% to -24.6%]) (P < .001). Absolute rates of overall burnout at 5 months also decreased by 17.1% in the intervention group and increased by 4.9% in the control group (-22.0% [95% CI, -25.2% to -18.7%]) (P < .001). Quality of life improved by a mean (SD) of 1.2 (2.5) points in the intervention group compared with 0.1 (1.7) points in the control group (1.1 points [95% CI, 0.04-2.1 points]) (P = .005), and resilience scores improved by a mean (SD) of 1.3 (5.2) points in the intervention group compared with 0.6 (4.0) points in the control group (0.7 points [95% CI, 0.0-3.0 points]) (P = .04). No statistically significant differences in depersonalization, job satisfaction, engagement, or meaning in work were observed.
UNASSIGNED: Professional coaching may be an effective way to reduce emotional exhaustion and overall burnout as well as improve quality of life and resilience for some physicians.
UNASSIGNED: ClinicalTrials.gov identifier: NCT03207581.
摘要：
医生之间的倦怠症状很常见，对医生及其患者有潜在的严重影响。测试干预措施以解决倦怠的随机研究并不常见。
■探讨个性化辅导对医师幸福感的影响。
■一项涉及医学系88名执业医师的随机临床试验，家庭医学,2017年10月9日至2018年3月27日，在亚利桑那州的梅奥诊所，佛罗里达,明尼苏达,威斯康星州。统计分析于2018年8月24日至2019年3月25日进行。
■由专业教练主持的总共6次教练课程。
■倦怠，生活质量,弹性，工作满意度,订婚,以及使用既定指标的工作意义。分析是在意向治疗的基础上进行的。
■在这项研究中的88名医生（48名女性和40名男性）中，经过6个月的专业指导，到研究结束时，干预组的情绪衰竭平均减少（SD）5.2（8.7）分，而对照组增加1.5（7.7）分（P<.001）。干预组5个月时高情绪衰竭的绝对发生率下降19.5%，对照组上升9.8%(-29.3%[95%CI,-34.0%,-24.6%])(P<.001)。干预组5个月时总倦怠的绝对发生率也下降了17.1%，对照组上升了4.9%(-22.0%[95%CI,-25.2%,-18.7%])(P<.001)。与对照组的0.1（1.7）分相比，干预组的生活质量平均（SD）提高了1.2（2.5）分（1.1分[95％CI，0.04-2.1分]）（P=0.005），与对照组的0.6(4.0)分(0.7分[95%CI,0.0-3.0分])相比,干预组的韧性评分提高了1.3(5.2)分的平均值(SD)(P=.04).在去个性化方面没有统计学上的显著差异，工作满意度,订婚,或在工作中的意义被观察到。
■专业指导可能是减少情绪疲惫和整体倦怠以及提高某些医生的生活质量和韧性的有效方法。
■ClinicalTrials.gov标识符：NCT03207581。
■探讨个性化辅导对医师幸福感的影响。
■一项涉及医学系88名执业医师的随机临床试验，家庭医学,2017年10月9日至2018年3月27日，在亚利桑那州的梅奥诊所，佛罗里达,明尼苏达,威斯康星州。统计分析于2018年8月24日至2019年3月25日进行。
■由专业教练主持的总共6次教练课程。
■倦怠，生活质量,弹性，工作满意度,订婚,以及使用既定指标的工作意义。分析是在意向治疗的基础上进行的。
■在这项研究中的88名医生（48名女性和40名男性）中，经过6个月的专业指导，到研究结束时，干预组的情绪衰竭平均减少（SD）5.2（8.7）分，而对照组增加1.5（7.7）分（P<.001）。干预组5个月时高情绪衰竭的绝对发生率下降19.5%，对照组上升9.8%(-29.3%[95%CI,-34.0%,-24.6%])(P<.001)。干预组5个月时总倦怠的绝对发生率也下降了17.1%，对照组上升了4.9%(-22.0%[95%CI,-25.2%,-18.7%])(P<.001)。与对照组的0.1（1.7）分相比，干预组的生活质量平均（SD）提高了1.2（2.5）分（1.1分[95％CI，0.04-2.1分]）（P=0.005），与对照组的0.6(4.0)分(0.7分[95%CI,0.0-3.0分])相比,干预组的韧性评分提高了1.3(5.2)分的平均值(SD)(P=.04).在去个性化方面没有统计学上的显著差异，工作满意度,订婚,或在工作中的意义被观察到。
■专业指导可能是减少情绪疲惫和整体倦怠以及提高某些医生的生活质量和韧性的有效方法。
■ClinicalTrials.gov标识符：NCT03207581。
