ArticleBMC medical education2026
Evaluation of the effects of group reflection sessions on burnout complaints in medical residents.
Article in BMC medical education, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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4 authors.
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Abstract
backgroundThe prevalence of burnout complaints among medical residents is high and rising, with health-related consequences for residents, and negative impact on the quality of healthcare. Group reflection sessions are a promising intervention to impact on burnout and enhance well-being in medical professionals. The aim was to evaluate the effect of a consecutive series of 6-10 group reflection sessions of 2.5-3 h each, on job demands, job resources, resilience, burnout symptom and work engagement in medical residents.
methodsThe study has a pre- and post-intervention controlled design. A group of residents (n = 78) received group reflection sessions lasting on average nine months, with a control group (n = 23) not receiving any intervention. Data collection at baseline and after nine months included: demographics, job demands, job and personal resources, resilience, the Burnout Assessment Tool (BAT) and the Utrecht Work Engagement Scale (UWES). Temporal changes, within and between groups were tested.
resultsAt baseline, 3% of the intervention group and 0% of the control group was at risk for burnout. In the intervention group, resources (supervisor support, self-efficacy, and resilience) improved significantly over time (differences in means T1 - T0: 0.09; 0.10; 0.08 respectively, p < 0.05). In the control group, one resource (resilience subscale hope) and work engagement decreased significantly over time (difference in means T1 - T0: -0.23, -0.32, respectively, p < 0.05). Group differences were not significant over time (p > 0.05).
conclusionsGroup reflection aided to maintain and strengthen psychological capital in residents. The lack of significant between-group differences over time might be explained by floor and ceiling effects, limited power and a too short follow-up period to detect the development of burnout risk. Research in a larger sample is required to corroborate these preliminary findings on psychological capital. Research with a longer follow-up in a group at risk for burnout is needed to test effects on burnout complaints and whether this effect is mediated by psychological capital.
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