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.
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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.
Beckman, H. B., Wendland, M., Mooney, C., Krasner, M. S., Quill, T. E., Suchman, A. L., & Epstein, R. M. (2012). The impact of a program in mindful communication on primary care physicians. Academic Medicine, 87(6), 815–819. doi:10.1097/ACM.0b013e318253d3b2.
Berner, E. S. (2011). Mind wandering and medical errors. Medical Education, 45(11), 1068–1069. doi:10.1111/j.1365-2923.2011.04072.x.
Black, D. S. (2014). Mindfulness-based interventions: an antidote to suffering in the context of substance use, misuse, and addiction. Substance Use & Misuse, 49(5), 487–491. doi:10.3109/10826084.2014.860749.
Black, D. S., & Slavich, G. M. (2016). Mindfulness meditation and the immune system: a systematic review of randomized controlled trials. Annals of the New York Academy of Sciences, 1373, 13–24.
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.
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.
Buchholz, L. (2015). Exploring the promise of mindfulness as medicine. Journal of the American Medical Association, 314(13), 1327–1329.
Chang, E., Eddins-Folensbee, F., & Coverdale, J. (2012). Survey of the prevalence of burnout, stress, depression, and the use of supports by medical students at one school. Academic Psychiatry, 36(3), 177–182. doi:10.1176/appi.ap.11040079.
Cullen, M. (2011). Mindfulness-based interventions: an emerging phenomenon. Mindfulness, 2(3), 186–193.
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.
Dobkin, P. L., & Hutchinson, T. A. (2013). Teaching mindfulness in medical school: where are we now and where are we going? Medical Education, 47(8), 768–779. doi:10.1111/medu.12200.
Dyrbye, L. N., Thomas, M. R., & Shanafelt, T. D. (2006). Systematic review of depression, anxiety, and other indicators of psychological distress among U.S. and Canadian medical students. Academic Medicine, 81(4), 354–373.
Epstein, R. M. (1999). Mindful practice. Journal of the American Medical Association, 282(9), 833–839. doi:10.1001/jama.282.9.833.
Galla, B. M., O’Reilly, G. A., Kitil, M. J., Smalley, S. L., & Black, D. S. (2015). Community-based mindfulness program for disease prevention and health promotion: targeting stress reduction. American Journal of Health Promotion, 30(1), 36–41.
Gilbert, D., & Waltz, J. (2010). Mindfulness and health behaviors. Mindfulness, 1(4), 227–234. doi:10.1007/s12671-010-0032-3.
Goldhagen, B. E., Kingsolver, K., Stinnett, S. S., & Rosdahl, J. A. (2015). Stress and burnout in residents: impact of mindfulness-based resilience training. Advances in Medical Education and Practice, 6, 525.
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.
Hilton, S. (2011). Mind wandering in medical practice. Medical Education, 45(11), 1066–1067. doi:10.1111/j.1365-2923.2011.04140.x.
Hölzel, B. K., Lazar, S. W., Gard, T., Schuman-Olivier, Z., Vago, D. R., & Ott, U. (2011). How does mindfulness meditation work? Proposing mechanisms of action from a conceptual and neural perspective. Perspectives on Psychological Science, 6(6), 537–559.
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.
Hutchinson, T. A., & Dobkin, P. L. (2009). Mindful medical practice: just another fad? Canadian Family Physician, 55(8), 778–779.
Irving, J. A., Dobkin, P. L., & Park, J. (2009). Cultivating mindfulness in health care professionals: a review of empirical studies of mindfulness-based stress reduction (MBSR). Complementary Therapies in Clinical Practice, 15(2), 61–66. doi:10.1016/j.ctcp.2009.01.002.
Irving, J. A., Park-Saltzman, J., Fitzpatrick, M., Dobkin, P. L., Chen, A., & Hutchinson, T. (2012). Experiences of health care professionals enrolled in mindfulness-based medical practice: a grounded theory model. Mindfulness, 5(1), 60–71. doi:10.1007/s12671-012-0147-9.
Kahn, M. W. (2015). On taking notice—learning mindfulness from (Boston) Brahmins. New England Journal of Medicine, 372(10), 901–903. doi:10.1056/NEJMp1410397.
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.
Li, M. J., Black, D. S., & Garland, E. L. (2016). The Applied Mindfulness Process Scale (AMPS): a process measure for evaluating mindfulness-based interventions. Personality and Individual Differences, 93, 6–15.
Ludwig, D. S., & Kabat-Zinn, J. (2008). Mindfulness in medicine. Journal of the American Medical Association, 300(11), 1350–1352.
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.
Niazi, A. K., & Niazi, S. K. (2011). Mindfulness-based stress reduction: a non-pharmacological approach for chronic illnesses. North American Journal of Medical Sciences, 3(1), 20.
O’Reilly, G. A., Cook, L., Spruijt‐Metz, D., & Black, D. S. (2014). Mindfulness‐based interventions for obesity‐related eating behaviours: a literature review. Obesity Reviews, 15(6), 453–461.
Phang, C. K., Chiang, K. C., Ng, L. O., Keng, S. L., & Oei, T. P. S. (2016). Effects of brief group mindfulness-based cognitive therapy for stress reduction among medical students in a Malaysian university. Mindfulness, 7(1), 189–197. doi:10.1007/s12671-015-0399-2.
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.
Pickert, K. (2014). The mindful revolution. New York Times, 23, 40–49.
Prins, J. T., Gazendam-Donofrio, S. M., Tubben, B. J., Van Der Heijden, F. M., Van De Wiel, H. B., & Hoekstra-Weebers, J. E. (2007). Burnout in medical residents: a review. Medical Education, 41(8), 788–800. doi:10.1111/j.1365-2923.2007.02797.x.
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.
Rosenzweig, S., Reibel, D. K., Greeson, J. M., Brainard, G. C., & Hojat, M. (2003). Mindfulness-based stress reduction lowers psychological distress in medical students. Teaching and Learning in Medicine, 15(2), 88–92. doi:10.1207/S15328015TLM1502_03.
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.
Shanafelt, T. D., West, C. P., Sloan, J. A., Novotny, P. J., Poland, G. A., Menaker, R., & Dyrbye, L. N. (2009). Career fit and burnout among academic faculty. Archives of Internal Medicine, 169(10), 990–995. doi:10.1001/archinternmed.2009.70.
Shapiro, S. L., Schwartz, G. E., & Bonner, G. (1998). Effects of mindfulness-based stress reduction on medical and premedical students. Journal of Behavioral Medicine, 21(6), 581–599.
Smallwood, J., Mrazek, M. D., & Schooler, J. W. (2011). Medicine for the wandering mind: mind wandering in medical practice. Medical Education, 45(11), 1072–1080. doi:10.1111/j.1365-2923.2011.04074.x.
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.
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.
The research team would like to thank the AMCAMS directors for completing the survey.
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.
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Barnes, N., Hattan, P., Black, D.S. et al. An Examination of Mindfulness-Based Programs in US Medical Schools. Mindfulness 8, 489–494 (2017). https://doi.org/10.1007/s12671-016-0623-8
- Mindfulness-based interventions
- Medical school
- Mindfulness center