Abstract
With the increasing demands on the practice of medicine, this qualitative study asked residents and their faculty (n = 44) to reflect on how they cope with their work. They provided written reflections to questions about successful and disappointing patient experiences, as well as describing their personal, religious, or spiritual practices. Key themes included connecting with family and friends, learning from their mistakes, using cognitive behavioral tools, and engaging with their spirituality and religiosity. One third specifically mentioned they used prayer and/or meditation. We contextualized selected quotes with their level of spiritual well-being, religiosity, and burnout.
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Atherley, A. E., Hambleton, I. R., Unwin, N., George, C., Lashley, P. M., & Taylor, C. G. (2016). Exploring the transition of undergraduate medical students into a clinical clerkship using organizational socialization theory. Perspectives in Medical Education, 5(2), 78–87. https://doi.org/10.1007/s40037-016-0259-3.
Brandt, M. L. (2017). Sustaining a career in surgery. American Journal of Surgery, 214(4), 707–714. https://doi.org/10.1016/j.amjsurg.2017.06.022.
Cohen, S., & Wills, T. A. (1985). Stress, social support, and the buffering hypothesis. Psychological Bulletin, 98(2), 310–357.
Creswell, J. W. (2007). Qualitative inquiry and research design: Choosing among five approaches (3rd ed.). Thousand Oaks: Sage.
Damiano, R. F., DiLalla, L. F., Lucchetti, G., & Dorsey, J. K. (2017). Empathy in medical students is moderated by openness to spirituality. Teaching and Learning in Medicine, 29(2), 188–195. https://doi.org/10.1080/10401334.2016.1241714.
Doolittle, B. R., Windish, D. M., & Seelig, C. B. (2013). Burnout, coping and spirituality among internal medicine resident physicians. Journal of Graduate Medical Education, 5(2), 257–261. https://doi.org/10.4300/JGME-D-12-00136.1.
Doolittle, B. R., & Windish, D. M. (2015). Correlation of burnout syndrome with specific coping strategies, behaviors, and spiritual attitudes among interns at Yale University. Journal of Educational Evaluation for Health Professionals, 12, 41. https://doi.org/10.3352/jeehp.2015.12.41.
Ellison, C. G. (1991). Religious involvement and subjective well-being. Journal of Health and Social Behavior, 32, 80–99. https://doi.org/10.2307/2136801.
Fortin, A. H., Dwamena, F. C., Frankel, R. M., Lepisto, B. L., & Smith, R. C. (2019). Smith’s patient-centered interviewing: An evidence based method (4th ed.). New York, NY: McGraw-Hill Education.
Godoy, A., & Allen, N. (2017). Does spirituality reduce the effects of burnout? Retrieved October 3, 2019 from Electronic Theses, Projects, and Dissertations, 478. https://scholarworks.lib.csusb.edu/etd/478.
Hansen, A., Peterson, L. E., Fang, B., & Phillips, R. L. (2018). Burnout in young family physicians: Variation across states. Journal of the American Board of Family Medicine, 31(1), 7–8. https://doi.org/10.3122/jabfm.2018.01.170269.
Hardiman, P., & Simmonds, J. G. (2013). Spiritual well-being, burnout and trauma in counsellors and psychotherapists. Mental Health, Religion, and Culture, 16(10), 1044–1055. https://doi.org/10.1080/13674676.2012.732560.
Ho, R. T. H., Sing, C. Y., Fong, T. C. T., Au-Yeung, F. S. W., Law, K. Y., Lee, L. F., et al. (2016). Underlying spirituality and mental health: The role of burnout. Journal of Occupational Health, 58, 66–71. https://doi.org/10.1539/joh.15-0142-OA.
Ishak, W. W., Lederer, S., Mandili, C., et al. (2009). Burnout during residency training: A literature review. Journal of Graduate Medical Education, 1(2), 236–242. https://doi.org/10.4300/JGME-D-09-00054.1.
Kim, H. S., & Yeom, H. A. (2018). The association between spiritual well-being and burnout in intensive care unit nurses: A descriptive study. Intensive & Critical Care Nursing, 46, 92–97. https://doi.org/10.1016/j.iccn.2017.11.005.
Koenig, H. G., Wang, Z., Al Zaben, F., & Adi, A. (2015). Belief into Action Scale: A comprehensive and sensitive measure of religious involvement. Religions, 6, 1006–1016. https://doi.org/10.3390/rel6031006.
Koh, M. Y. H., Chong, P. H., Neo, P. S. H., Ong, Y. J., Yong, W. C., Ong, W. Y., et al. (2015). Burnout, psychological morbidity and use of coping mechanisms among palliative care practitioners: A multi-centre cross-sectional study. Palliative Medicine, 29(7), 633–642. https://doi.org/10.1177/0269216315575850.
Kovacs, B., & Kezdy, A. (2008). Religious belief and burnout. European Journal of Mental Health, 3(2), 253–265. https://doi.org/10.1556/EJMH.3.2008.2.5.
Krause, N., Ellison, C. G., Shaw, B. A., Marcum, J. P., & Boardman, J. D. (2001). Church-based social support and religious coping. Journal for the Scientific Study of Religion, 40(4), 637–656. https://doi.org/10.1111/0021-8294.00082.
Leondari, A., & Gialamas, V. (2009). Religiosity and psychological well-being. International Journal of Psychology, 44(4), 241–248. https://doi.org/10.1080/0020759070100529.
Linzer, M., & Poplau, S. (2017). Building a sustainable primary care workforce: Where do we go from here? Journal of the American Board of Family Medicine, 30(2), 127–129. https://doi.org/10.3122/jabfm.2017.02.170014.
Maslach, C., Jackson, S. E., & Leiter, M. P. (1996). Maslach burnout inventory manual. (3rd ed.). Mind Garden, Inc., Retrieved October 3, 2019 from www.mindgarden.com.
Miles, M. B., Huberman, A. M., & Saldana, J. (2014). Qualitative data analysis: A methods sourcebook. Thousand Oaks: Sage Publications.
Munoz, A. R., Salsman, J. M., Stein, K. D., & Cella, D. (2015). Reference values of the Functional Assessment of Chronic Illness Therapy-Spiritual Well-Being (FACIT-Sp-12): A report from the American Cancer Society’s studies of cancer survivors. Cancer, 121(11), 1838–1844. https://doi.org/10.1002/cncr.29286.
Osborne, J. (2016). Physician burnout and the other reversible diastolic dysfunction. Family Practice Management, 23(3), 48.
Pargament, K. I., & Brant, C. R. (1998). Religion and coping. In H. G. Koenig, D. King, & V. B. Carson (Eds.), Handbook of religion and mental health (2nd ed., pp. 111–128). San Diego: Academic Press.
Peterman, A. H., Fitchett, G., Brady, M. J., Hernandez, L., & Cella, D. (2002). Measuring spiritual well-being in people with cancer: The Functional Assessment of Chronic Illness Therapy—Spiritual Well-Being Scale (FACIT-Sp). Annals of Behavioral Medicine, 24(1), 49–58. https://doi.org/10.1207/S15324796ABM2401_06.
Rabow, M. W., Newman, M., & Remen, R. N. (2014). Teaching in relationship: The impact on faculty of teaching “The Healer’s Art”. Teaching and Learning in Medicine, 26(2), 121–128. https://doi.org/10.1080/10401334.2014.883982.
Rabow, M. W., Wrubel, J., & Remen, R. N. (2007). Authentic community as an educational strategy for advancing professionalism: A national evaluation of the Healer’s Art course. Journal of General Internal Medicine, 22(10), 1422–1428. https://doi.org/10.1007/s11606-007-0274-5.
Ratanawongsa, N., Wright, S. M., & Carrese, J. A. (2007). Well-being in residency: A time for temporary imbalance? Medical Education, 41(3), 273–280.
Satterfield, J. M., & Becerra, C. (2010). Developmental challenges, stressors and coping strategies in medical residents: A qualitative analysis of support groups. Medical Education, 44, 908–916. https://doi.org/10.1111/j.1365-2923.2010.03736.x.
Steffen, P. R., Masters, K. S., & Baldwin, S. (2017). What mediates the relationship between religious service attendance and aspects of well-being? Journal of Religion and Health, 56, 158–170. https://doi.org/10.1007/s10943-016-0203-1.
The Doctors Company. The future of healthcare: A national survey of physicians-2018. (2018). Retrieved October 3, 2019 from https://www.thedoctors.com/contentassets/23c0cee958364c6582d4ba95afa47fcc/tdc_the-future-of-healthcare-survey-2018.pdf.
Wachholtz, A., & Rogoff, M. (2013). The relationship between spirituality and burnout among medical students. Journal of Contemporary Medical Education, 1(2), 83–91. https://doi.org/10.5455/jcme.20130104060612.
Yi, M. S., Mrus, J. M., Mueller, C. V., Luckhaupt, S. E., Peterman, A. H., Puchalski, C., et al. (2007). Self-rated health of primary care house officers and its relationship to psychological and spiritual well-being. BMC Medical Education, 7(1), 9. https://doi.org/10.1186/1472-6920-7-9.
Acknowledgements
Harold Koenig, M.D. advised the study design and granted permission to use and modify the BIAC. Thank you also to David Cella, Ph.D. and FACIT.org for permission to use the FACIT and for advice on creating groups with differing levels of spirituality. The staff at Mind Garden, Inc. created a smooth data collection experience, surpassing expectations.
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Schmidt, C., Roffler, M. Coping with the Practice of Medicine: Religion, Spirituality, and Other Personal Strategies. J Relig Health 60, 2092–2108 (2021). https://doi.org/10.1007/s10943-020-01098-1
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DOI: https://doi.org/10.1007/s10943-020-01098-1