ArticleBJS open2021
Enhanced stress-resilience training for surgical trainees.
Article in BJS open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 5 of them syntheses that pooled it.
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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.
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.
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Who cites it
13 citing papers in PubMed, 5 syntheses or guidelines pooled it, 48 citations in OpenAlex.
- Second victim syndrome in surgeons: systematic review and meta-analysis of the impact of adverse events on surgeons.The British journal of surgery · 2025Pooled it
- Burnout among paediatric surgeons: a systematic review and meta-analysis.BMJ paediatrics open · 2025Pooled it
- Mindfulness-based interventions for improving mental health of frontline healthcare professionals during the COVID-19 pandemic: a systematic review.Systematic reviews · 2024Pooled it
- Organizational and Individual Interventions for Managing Work-Related Stress in Healthcare Professionals: A Systematic Review.Medicina (Kaunas, Lithuania) · 2023Pooled it
- Surgical trainee burnout during the COVID-19 pandemic: a systematic review.Annals of the Royal College of Surgeons of England · 2023Pooled it
- Enhanced Stress-Resilience Training (ESRT) for graduate-entry medical students: a randomised-controlled, mixed-method investigation.BMC medical education · 2025Trial
- Acceptance and commitment therapy- based intervention to improve psychological skills and resilience in surgical trainees: a randomised waitlist-controlled trial.BMC surgery · 2025Trial
- Barriers and Facilitators of Implementing Workplace Interventions Supporting Young Workers' Safety, Work Environment and Health: A Scoping Review of Qualitative and Mixed-Method Studies.Journal of occupational rehabilitation · 2026Article
- The evolution of cardiothoracic surgery training: from apprenticeship to AI-assisted simulation.Kardiochirurgia i torakochirurgia polska = Polish journal of cardio-thoracic surgery · 2026Review
- Professionalism in medical education: the state of the art.International journal of medical education · 2024Article
- Systematic Review of Mind-Body Modalities to Manage the Mental Health of Healthcare Workers during the COVID-19 Era.Healthcare (Basel, Switzerland) · 2022Review
- Flourishing as a guide to intervention: a national multicenter study of general surgery residents.Global surgical education : journal of the Association for Surgical Education · 2022Article
- Wellness interventions in surgery: a scoping review.Canadian journal of surgery. Journal canadien de chirurgieArticle
Corrections and comments
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Authors and funding
10 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionCore surgical training programmes are associated with a high risk of burnout. This study aimed to assess the influence of a novel enhanced stress-resilience training (ESRT) course delivered at the start of core surgical training in a single UK statutory education body.
methodAll newly appointed core surgical trainees (CSTs) were invited to participate in a 5-week ESRT course teaching mindfulness-based exercises to develop tools to deal with stress at work and burnout. The primary aim was to assess the feasibility of this course; secondary outcomes were to assess degree of burnout measured using Maslach Burnout Inventory (MBI) scoring.
resultsOf 43 boot camp attendees, 38 trainees completed questionnaires, with 24 choosing to participate in ESRT (63.2 per cent; male 13, female 11, median age 28 years). Qualitative data reflected challenges delivering ESRT because of arduous and inflexible clinical on-call rotas, time pressures related to academic curriculum demands and the concurrent COVID-19 pandemic (10 of 24 drop-out). Despite these challenges, 22 (91.7 per cent) considered the course valuable and there was unanimous support for programme development. Of the 14 trainees who completed the ESRT course, nine (64.3 per cent) continued to use the techniques in daily clinical work. Burnout was identified in 23 trainees (60.5 per cent) with no evident difference in baseline MBI scores between participants (median 4 (range 0-11) versus 5 (1-11), P = 0.770). High stress states were significantly less likely, and mindfulness significantly higher in the intervention group (P < 0.010); MBI scores were comparable before and after ESRT in the intervention cohort (P = 0.630, median 4 (range 0-11) versus 4 (1-10)). DISCUSSION: Despite arduous emergency COVID rotas ESRT was feasible and, combined with protected time for trainees to engage, deserves further research to determine medium-term efficacy.
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Registered trials
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.