RISE Program for Physician Burnout

Overseen By Amanda T Sawyer, PhD

Age: 18+

Sex: Any

Trial Phase: Academic

Sponsor: AdventHealth

Disqualifiers: Resident physician, Advanced practice provider, Executive leader

No Placebo Group All trial participants will receive the active study treatment (no placebo)

Approved in 1 Jurisdiction This treatment is already approved in other countries

Compensation: Varies

Number of Visits: 3

36 Participants Needed

Trial Summary

Do I need to stop my current medications for the trial?

The trial information does not specify whether you need to stop taking your current medications.

What data supports the effectiveness of the RISE for Physicians Program treatment for physician burnout?

Programs aimed at enhancing physician resilience, like the RISE for Physicians Program, are considered promising for addressing burnout, as they focus on building resilience, which is crucial for physician well-being. Similar programs have shown potential in promoting happiness and wellness among healthcare providers by incorporating self-care strategies and workplace wellness activities. ^{1 2 3 4 5}

Is the RISE Program for Physician Burnout safe for humans?

The RISE Program, which includes peer support initiatives, has been implemented in healthcare settings and is generally considered safe, as it focuses on emotional support and resilience without involving medical interventions. ^{1 2 6 7 8}

How is the RISE for Physicians Program different from other treatments for physician burnout?

The RISE for Physicians Program is unique because it focuses on building resilience (the ability to recover from stress) in doctors, which is a novel approach compared to traditional methods that often focus solely on reducing burnout symptoms. This program aims to enhance overall well-being and happiness in the workplace, which is not commonly addressed in other treatments. ^{1 2 4 9 10}

What is the purpose of this trial?

The purpose of this study is to determine whether the RISE for Physicians program has a significant impact on physicians' burnout, resilience, insight, self-compassion, empowerment, and professional and personal mental health and well-being.

Research Team

Amanda T Sawyer, PhD

Principal Investigator

AdventHealth

Eligibility Criteria

This trial is for physicians experiencing burnout and stress. It aims to see if the RISE program can help improve their mental health, resilience, and overall well-being.

Inclusion Criteria

Employed physician, contract physician, or non-employed physician with privileges at an AdventHealth hospital, emergency room, or AHMG practice

Exclusion Criteria

A resident physician

An advanced practice provider

I am an executive leader.

Timeline

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Program Participation

Participants attend the RISE for Physicians program, a 2.5 day retreat-style psychoeducational group program facilitated by licensed mental health professionals

2.5 days

1 visit (in-person)

Follow-up

Participants are monitored for changes in burnout, resilience, insight, self-compassion, empowerment, and mental health through surveys

3 months

2 visits (virtual)

Treatment Details

Interventions

• RISE for Physicians Program

Trial Overview The study is testing the effectiveness of the RISE for Physicians Program in reducing burnout and stress among doctors while enhancing their self-compassion, empowerment, insight, and resilience.

Participant Groups

Group I: Intervention Group Experimental Treatment 1 Intervention

Intervention group will attend the RISE for Physicians program, a 2.5 day retreat-style psychoeducational group program facilitated by licensed mental health professionals (LMHPs)

RISE for Physicians Program is already approved in United States for the following indications:

Approved in United States as RISE for Physicians Program for:

• Support for physician burnout, resilience, insight, self-compassion, empowerment, and professional and personal mental health and well-being

Who Is Running the Clinical Trial?

AdventHealth

Lead Sponsor

Trials

118

Recruited

31,800+

Findings from Research

Comprehensive programs aimed at preventing physician burnout are becoming more common, focusing not just on reducing burnout but also on enhancing overall physician happiness and wellness.

These programs incorporate various strategies, such as measuring burnout levels, promoting workplace safety, optimizing compensation, and aligning individual and organizational goals, to create a supportive work environment.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Quality and Safety in Healthcare, Part LVIII: Promoting Physician Happiness and Wellness. Harolds, JA.[2021]

A qualitative study involving 18 obstetrics and gynecology residents revealed that resilience in physicians is influenced by their professional identity, connections with others, and the surrounding personal and professional environments.

The findings suggest that enhancing physician resilience requires both individual skill-building programs and broader cultural interventions within the medical community to effectively support doctors in training.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Physician resilience: a grounded theory study of obstetrics and gynaecology residents. Winkel, AF., Robinson, A., Jones, AA., et al.[2019]

A review of 10 studies on resilience interventions for physicians found that while some programs, particularly those involving mindfulness, showed promise in improving resilience, the results were mixed and not consistently effective across all studies.

Common limitations in the studies included self-selection bias and a lack of control groups, making it difficult to generalize the findings specifically to physicians and highlighting the need for further research to identify effective resilience-building strategies.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Interventions to increase resilience in physicians: A structured literature review. Moorfield, C., Cope, V.[2021]

Resilience in obstetrics and gynecology residents is deeply connected to their personal and professional identities, which motivates them to overcome challenges in their training.

Building strong relationships with peers, mentors, and patients, along with engaging in self-care practices, significantly enhances resilience and helps residents cope with the stresses of their medical training.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Thriving in scrubs: a qualitative study of resident resilience. Winkel, AF., Honart, AW., Robinson, A., et al.[2018]

The THRIVE© program, which included an eight-hour retreat and a six-week social media group study, significantly improved resilience and reduced burnout among 164 oncology staff, primarily nurses, at a cancer hospital in Ohio.

Improvements in resilience were maintained for at least six months after participating in the program, highlighting the long-term benefits of self-care strategies for healthcare providers in high-stress environments.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

The THRIVE© Program: Building Oncology Nurse Resilience Through Self-Care Strategies. Blackburn, LM., Thompson, K., Frankenfield, R., et al.[2021]

Physicians involved in adverse events often experience emotional distress, which significantly increases their risk of burnout, with an adjusted odds ratio of 1.90 for those affected.

Peer support is a crucial factor in reducing burnout among physicians after adverse events, as those who received such support had a lower risk of burnout (adjusted odds ratio of 0.65), highlighting the importance of fostering supportive environments in healthcare.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Multispecialty Physician Online Survey Reveals That Burnout Related to Adverse Event Involvement May Be Mitigated by Peer Support. Gupta, K., Rivadeneira, NA., Lisker, S., et al.[2023]

Among 340 internal medicine residents studied over four years, blood and body fluid (BBF) exposures were relatively rare, with only 7.6% reporting such incidents, indicating a generally safe training environment.

However, motor vehicle incidents were common, with 56% of residents reporting incidents, and factors like fatigue, sleepiness, and lower quality of life were significantly associated with increased odds of these incidents, highlighting the need for interventions to address resident distress and fatigue for safety.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Association of resident fatigue and distress with occupational blood and body fluid exposures and motor vehicle incidents. West, CP., Tan, AD., Shanafelt, TD.[2022]

A peer-to-peer support program implemented at a pediatric medical center trained 125 supporters and received 2187 referrals, demonstrating its feasibility in addressing healthcare worker burnout.

Survey results showed that 71.8% of frontline clinicians found the program valuable, and 81.3% recommended it for those involved in adverse and stressful events, indicating its effectiveness in mitigating emotional distress.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Implementation of a Peer-to-Peer Support Program in a Quaternary Pediatric Medical Center. Simpson, SL., Khan, S., Schiferl, LM., et al.[2023]

Burnout and depression among healthcare providers are rising, highlighting the urgent need for effective wellness programs to foster resiliency and well-being in future healthcare professionals.

The article outlines a residency wellness program with four core components—concrete resources, positive conversations, curriculum, and control—aimed at creating a culture of wellness, and mentions early efforts to empirically assess its impact across residency programs.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Creating a culture of wellness: conversations, curriculum, concrete resources, and control. Place, S., Talen, M.[2022]

A resilience program implemented at the Duke Eye Center revealed that 37% of surveyed staff reported emotional exhaustion, with higher burnout rates among those involved in clinical care, especially ophthalmic technicians.

Feedback indicated that the program, which included wellness tips and group discussions, was perceived to enhance collegiality and self-management skills, suggesting potential benefits for reducing burnout in healthcare settings.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

An eye center-wide burnout intervention: resilience program and burnout survey. Rosdahl, JA., Kingsolver, K.[2022]

References

1. United States pubmed.ncbi.nlm.nih.gov

Quality and Safety in Healthcare, Part LVIII: Promoting Physician Happiness and Wellness. [2021]

2. England pubmed.ncbi.nlm.nih.gov

Physician resilience: a grounded theory study of obstetrics and gynaecology residents. [2019]

3. United States pubmed.ncbi.nlm.nih.gov

Interventions to increase resilience in physicians: A structured literature review. [2021]

4. England pubmed.ncbi.nlm.nih.gov

Thriving in scrubs: a qualitative study of resident resilience. [2018]

5. United States pubmed.ncbi.nlm.nih.gov

The THRIVE© Program: Building Oncology Nurse Resilience Through Self-Care Strategies. [2021]

6. United States pubmed.ncbi.nlm.nih.gov

Multispecialty Physician Online Survey Reveals That Burnout Related to Adverse Event Involvement May Be Mitigated by Peer Support. [2023]

7. England pubmed.ncbi.nlm.nih.gov

Association of resident fatigue and distress with occupational blood and body fluid exposures and motor vehicle incidents. [2022]

8. United States pubmed.ncbi.nlm.nih.gov

Implementation of a Peer-to-Peer Support Program in a Quaternary Pediatric Medical Center. [2023]

9. United States pubmed.ncbi.nlm.nih.gov

Creating a culture of wellness: conversations, curriculum, concrete resources, and control. [2022]

10. United States pubmed.ncbi.nlm.nih.gov

An eye center-wide burnout intervention: resilience program and burnout survey. [2022]