An Examination of Mindfulness-Based Programs in US Medical Schools
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Some medical schools have begun introducing mindfulness concepts to their students, and academic mindfulness centers associated with medical schools (AMCAMS) have started to emerge. However, knowledge of the expansion of mindfulness-based interventions within academic medical institutions is primarily anecdotal. The study objective was to evaluate the scope of mindfulness-related activities across medical schools in the USA and to identify AMCAMS and their programmatic characteristics. First, we conducted a systematic website content search to evaluate mindfulness activities related to wellness, research, clinical use, and education among the 140 accredited US medical schools. Second, we surveyed AMCAMS directors to query the type of programs offered, the type of professionals participating at AMCAMS, and approaches for financial sustainability. Website content analysis showed that mindfulness-related activity was present at 79 % of US medical schools in 2014. Activities for wellness (87/140; 62 %) and research (69/140; 49 %) were most common. A potential AMCAMS was identified at 27 % (38/140) of medical schools, and 33 of 38 directors at those centers completed our survey (87 % response rate). AMCAMS directors reported that the most commonly offered program was Mindfulness-Based Stress Reduction (MBSR) followed by Mindful Movement and Mindfulness-Based Cognitive Therapy (MBCT). Private-pay MBI groups (21/33; 64 %), private donations (17/33; 52 %), and fee-for-service billing (16/33; 48 %) were the most common contributors to financial sustainability. This is the first effort to collect data on all mindfulness-based programming within US medical schools and the first study to describe and identify AMCAMS characteristics. We discuss next steps for research on AMCAMS and dissemination of mindfulness in medicine.
KeywordsMindfulness Mindfulness-based interventions Medical school Medicine Sustainability Mindfulness center
The research team would like to thank the AMCAMS directors for completing the survey.
Compliance with Ethical Standards
Gold Foundation, Arthur Vining Davis Foundations.
No funding was received for this specific project.
Ethical approval has been granted by the Institutional Review Board of Cambridge Health Alliance on 5/2/2014, Reference number CHA-IRB-0990/05/14.
The work was carried out in accordance with the Declaration of Helsinki, including, but not limited to the anonymity of AMCAMS directors being guaranteed, and the informed consent of participants was obtained.
- American Mindfulness Research Association (2016). Find a Program - American Mindfulness Research Association. Retrieved September 01, 2016, from https://goamra.org/resources/find-program/#
- Amutio, A., Martinez-Taboada, C., Hermosilla, D., & Delgado, L. C. (2015). Enhancing relaxation states and positive emotions in physicians through a mindfulness training program: a one-year study. Psychology, Health and Medicine, 20(6), 720–731. doi: 10.1080/13548506.2014.986143.CrossRefPubMedGoogle Scholar
- Black, D. S., O’Reilly, G. A., Olmstead, R., Breen, E. C., & Irwin, M. R. (2015). Mindfulness meditation and improvement in sleep quality and daytime impairment among older adults with sleep disturbances: a randomized clinical trial. JAMA Internal Medicine, 175(4), 494–501. doi: 10.1001/jamainternmed.2014.8081.CrossRefPubMedPubMedCentralGoogle Scholar
- Bowen, S., Witkiewitz, K., Clifasefi, S. L., Grow, J., Chawla, N., Hsu, S. H., & Larimer, M. E. (2014). Relative efficacy of mindfulness-based relapse prevention, standard relapse prevention, and treatment as usual for substance use disorders: a randomized clinical trial. JAMA Psychiatry, 71(5), 547–556. doi: 10.1001/jamapsychiatry.2013.4546.CrossRefPubMedPubMedCentralGoogle Scholar
- de Vibe, M., Solhaug, I., Tyssen, R., Friborg, O., Rosenvinge, J. H., Sorlie, T., & Bjorndal, A. (2013). Mindfulness training for stress management: a randomised controlled study of medical and psychology students. BMC Medical Education, 13, 107. doi: 10.1186/1472-6920-13-107.CrossRefPubMedPubMedCentralGoogle Scholar
- Goyal, M., Singh, S., Sibinga, E. M., Gould, N. F., Rowland-Seymour, A., Sharma, R., & Haythornthwaite, J. A. (2014). Meditation programs for psychological stress and well-being: a systematic review and meta-analysis. JAMA Internal Medicine, 174(3), 357–368. doi: 10.1001/jamainternmed.2013.13018.CrossRefPubMedPubMedCentralGoogle Scholar
- Horrigan, B., Lewis, S., Abrams, D. I., & Pechura, C. (2012). Integrative medicine in America—how integrative medicine is being practiced in clinical centers across the United States. Global Advances in Health and Medicine, 1(3), 18–94. doi: 10.7453/gahmj.2012.1.3.006.CrossRefPubMedCentralGoogle Scholar
- Krasner, M. S., Epstein, R. M., Beckman, H., Suchman, A. L., Chapman, B., Mooney, C. J., & Quill, T. E. (2009). Association of an educational program in mindful communication with burnout, empathy, and attitudes among primary care physicians. Journal of the American Medical Association, 302(12), 1284–1293. doi: 10.1001/jama.2009.1384.CrossRefPubMedGoogle Scholar
- Mindfulness All-Party Parliamentary Group (2015). Mindful nation UK. Retreived from: http://themindfulnessinitiative.org.uk/images/reports/Mindfulness-APPG-Report_Mindful-Nation-UK_Oct2015.pdf
- Neumann, M., Edelhauser, F., Tauschel, D., Fischer, M. R., Wirtz, M., Woopen, C., & Scheffer, C. (2011). Empathy decline and its reasons: a systematic review of studies with medical students and residents. Academic Medicine, 86(8), 996–1009. doi: 10.1097/ACM.0b013e318221e615.CrossRefPubMedGoogle Scholar
- Phang, C. K., Mukhtar, F., Ibrahim, N., Keng, S. L., & Sidik, S. M. (2015). Effects of a brief mindfulness-based intervention program for stress management among medical students: the Mindful-Gym randomized controlled study. Advances in Health Sciences Education, 20(5), 1115–1134. doi: 10.1007/s10459-015-9591-3.CrossRefPubMedGoogle Scholar
- Pickert, K. (2014). The mindful revolution. New York Times, 23, 40–49.Google Scholar
- Roach, R., Martin, E. W., Curtis, J. R., Levy, M. M., & Amass, T. (2015). Using Mindfulness Meditation In An Effort To Improve Internal Medicine Residents’ Communication Around End-Of-Life Care. Internal Medicine, 3, 4.Google Scholar
- Segal, Z. V., Bieling, P., Young, T., MacQueen, G., Cooke, R., Martin, L., & Levitan, R. D. (2010). Antidepressant monotherapy vs sequential pharmacotherapy and mindfulness-based cognitive therapy, or placebo, for relapse prophylaxis in recurrent depression. Archives of General Psychiatry, 67(12), 1256–1264. doi: 10.1001/archgenpsychiatry.2010.168.CrossRefPubMedPubMedCentralGoogle Scholar
- Talisman, N., Harazduk, N., Rush, C., Graves, K., & Haramati, A. (2015). The impact of mind-body medicine facilitation on affirming and enhancing professional identity in health care professions faculty. Academic Medicine, 90(6), 780–784. doi: 10.1097/ACM.0000000000000720.CrossRefPubMedGoogle Scholar
- West, C. P., Dyrbye, L. N., Rabatin, J. T., Call, T. G., Davidson, J. H., Multari, A., & Shanafelt, T. D. (2014). Intervention to promote physician well-being, job satisfaction, and professionalism: a randomized clinical trial. JAMA Internal Medicine, 174(4), 527–533. doi: 10.1001/jamainternmed.2013.14387.CrossRefPubMedGoogle Scholar