Evidence map›Paper›PMID 33526019›Full record

SynthesisBMC medical education2021

Addressing the physician burnout epidemic with resilience curricula in medical education: a systematic review.

Chanhee Seo, Mario Corrado, Karine Fournier, Tayler Bailey, Kay-Anne Haykal

Open access · goldAbstract readSystematic Review
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in BMC medical education, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 3 pooled it
11.3field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

25 citing papers in PubMed, 3 syntheses or guidelines pooled it, 57 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 1 country.

Chanhee Seo *Department of Family Medicine, Faculty of Medicine, University of Ottawa, 451 Ch. Smyth Rd. (2024), Ottawa, ON, K1H 8M5, Canada.
Mario Corrado *Department of Family Medicine, Faculty of Medicine, University of Ottawa, 451 Ch. Smyth Rd. (2024), Ottawa, ON, K1H 8M5, Canada.
Karine FournierHealth Sciences Library, University of Ottawa, Ottawa, ON, K1H 8M5, Canada.
Tayler BaileyDepartment of Family Medicine, Faculty of Medicine, McMaster University, Hamilton, ON, L8P 1H6, Canada.
Kay-Anne HaykalDepartment of Family Medicine, Faculty of Medicine, University of Ottawa, 451 Ch. Smyth Rd. (2024), Ottawa, ON, K1H 8M5, Canada. Khaykal@uottawa.ca.
University of Ottawa · CAMcMaster University · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundA variety of stressors throughout medical education have contributed to a burnout epidemic at both the undergraduate medical education (UGME) and postgraduate medical education (PGME) levels. In response, UGME and PGME programs have recently begun to explore resilience-based interventions. As these interventions are in their infancy, little is known about their efficacy in promoting trainee resilience. This systematic review aims to synthesize the available research evidence on the efficacy of resilience curricula in UGME and PGME.

methodsWe performed a comprehensive search of the literature using MEDLINE, EMBASE, PsycINFO, Educational Resources Information Centre (ERIC), and Education Source from their inception to June 2020. Studies reporting the effect of resilience curricula in UGME and PGME settings were included. A qualitative analysis of the available studies was conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Risk of bias was assessed using the ROBINS-I Tool.

resultsTwenty-one studies met the inclusion criteria. Thirteen were single-arm studies, 6 quasi-experiments, and 2 RCTs. Thirty-eight percent (8/21; n = 598) were implemented in UGME, while 62 % (13/21, n = 778) were in PGME. There was significant heterogeneity in the duration, delivery, and curricular topics and only two studies implemented the same training model. Similarly, there was considerable variation in curricula outcome measures, with the majority reporting modest improvement in resilience, while three studies reported worsening of resilience upon completion of training. Overall assessment of risk of bias was moderate and only few curricula were previously validated by other research groups.

conclusionsFindings suggest that resilience curricula may be of benefit to medical trainees. Resilience training is an emerging area of medical education that merits further investigation. Additional research is needed to construct optimal methods to foster resilience in medical education.

Indexed as

Education, MedicalEducation, Medical, UndergraduateEpidemicsPhysiciansCurriculumHumansCurriculumPost-graduate medical education (PGME)ResilienceSystematic reviewUndergraduate medical education (UGME)

Identifiers

PMID33526019
PMCPMC7849619
OpenAlexW3127050130

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.