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March 12, 2019; 92 (11) Resident & Fellow Section

Education Research: Evaluation of curriculum to teach resilience skills to neurology residents

View ORCID ProfileBrenda Bursch, Caitlin Mulligan, View ORCID ProfileAdrienne M. Keener, View ORCID ProfileHilary Aralis, Jessica Lloyd, View ORCID ProfileCatherine Mogil, Wendy Barrera, Maegan Sinclair, View ORCID ProfilePatricia Lester
First published March 11, 2019, DOI: https://doi.org/10.1212/WNL.0000000000007100
Brenda Bursch
From the Departments of Psychiatry & Biobehavioral Sciences (B.B., H.A., C.M., W.B., M.S., P.L.), Pediatrics (B.B., J.L.), and Neurology (C.M., A.M.K.), David Geffen School of Medicine at UCLA, Los Angeles, CA.
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Caitlin Mulligan
From the Departments of Psychiatry & Biobehavioral Sciences (B.B., H.A., C.M., W.B., M.S., P.L.), Pediatrics (B.B., J.L.), and Neurology (C.M., A.M.K.), David Geffen School of Medicine at UCLA, Los Angeles, CA.
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Adrienne M. Keener
From the Departments of Psychiatry & Biobehavioral Sciences (B.B., H.A., C.M., W.B., M.S., P.L.), Pediatrics (B.B., J.L.), and Neurology (C.M., A.M.K.), David Geffen School of Medicine at UCLA, Los Angeles, CA.
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Hilary Aralis
From the Departments of Psychiatry & Biobehavioral Sciences (B.B., H.A., C.M., W.B., M.S., P.L.), Pediatrics (B.B., J.L.), and Neurology (C.M., A.M.K.), David Geffen School of Medicine at UCLA, Los Angeles, CA.
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Jessica Lloyd
From the Departments of Psychiatry & Biobehavioral Sciences (B.B., H.A., C.M., W.B., M.S., P.L.), Pediatrics (B.B., J.L.), and Neurology (C.M., A.M.K.), David Geffen School of Medicine at UCLA, Los Angeles, CA.
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Catherine Mogil
From the Departments of Psychiatry & Biobehavioral Sciences (B.B., H.A., C.M., W.B., M.S., P.L.), Pediatrics (B.B., J.L.), and Neurology (C.M., A.M.K.), David Geffen School of Medicine at UCLA, Los Angeles, CA.
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Wendy Barrera
From the Departments of Psychiatry & Biobehavioral Sciences (B.B., H.A., C.M., W.B., M.S., P.L.), Pediatrics (B.B., J.L.), and Neurology (C.M., A.M.K.), David Geffen School of Medicine at UCLA, Los Angeles, CA.
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Maegan Sinclair
From the Departments of Psychiatry & Biobehavioral Sciences (B.B., H.A., C.M., W.B., M.S., P.L.), Pediatrics (B.B., J.L.), and Neurology (C.M., A.M.K.), David Geffen School of Medicine at UCLA, Los Angeles, CA.
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Patricia Lester
From the Departments of Psychiatry & Biobehavioral Sciences (B.B., H.A., C.M., W.B., M.S., P.L.), Pediatrics (B.B., J.L.), and Neurology (C.M., A.M.K.), David Geffen School of Medicine at UCLA, Los Angeles, CA.
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Citation
Education Research: Evaluation of curriculum to teach resilience skills to neurology residents
Brenda Bursch, Caitlin Mulligan, Adrienne M. Keener, Hilary Aralis, Jessica Lloyd, Catherine Mogil, Wendy Barrera, Maegan Sinclair, Patricia Lester
Neurology Mar 2019, 92 (11) 538-541; DOI: 10.1212/WNL.0000000000007100

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Abstract

Objective To evaluate feasibility and acceptability of a health professional resilience skills training program with neurology residents.

Methods The curriculum consists of five 1-hour-long modules that included the following skills: reflective narrative practices, emotion regulation, communication with highly distressed individuals, boundary management, and the identification of depression and trauma. Using a web-based survey tool, we administered the Brief Resilience Scale (BRS) and Abbreviated Maslach Burnout Inventory (aMBI) at baseline, in addition to a pre- and post-survey assessing change in beliefs and self-efficacy, as well as satisfaction with the intervention. Means were compared using the Wilcoxon rank-sum and signed rank tests.

Results Twenty-two residents representing each year of training completed the pre-survey; 41% were women. Subscale scores on the aMBI revealed that 50% had moderate or high emotional exhaustion, 41% had moderate depersonalization, and 37% had moderate or low personal accomplishment, though 77.3% reported high career satisfaction. Female residents had lower scores on the BRS (mean 3.26 vs 3.88, p < 0.05), though scores on aMBI subscales did not differ by sex. Scores did not differ by year of training. Sixteen residents completed both the pre- and post-survey. Significant increases were detected in 4 of 9 self-efficacy statements. Seventy-one percent of residents were satisfied or extremely satisfied with the training.

Conclusions Residents were satisfied with the curriculum and reported improved ability to identify and cope with work-related stress. Further study is needed to evaluate the influence of skills adoption and practice on resilience and burnout.

Glossary

aMBI=
abbreviated Maslach Burnout Inventory;
BRS=
Brief Resilience Scale;
UCLA=
University of California, Los Angeles

Footnotes

  • Go to Neurology.org/N for full disclosures. Funding information and disclosures deemed relevant by the authors, if any, are provided at the end of the article.

  • © 2019 American Academy of Neurology
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