There is weak evidence to support one resilience intervention over another for physicians who have completed training¶
Claim · All claims
Evidence · 1 study · quant-synthesisr2·q2
Currency · newest study 2019 · not yet checked against its sources · not reviewed by a person
Subclaims¶
Reading the evidence codes
q is the design tier, i the impact, n the sample, and the kind with its r
the rigour judged within that kind: what each code means.
This claim: no standardized effect is recorded in observations/ for it yet, so no benchmark reading is possible.
q2 i? The systematic review found weak evidence supporting any one intervention over another for improving resilience in practicing physicians, with evidence quality ranging from very low to low. → Venegas Carolina Lavin 2019
Evidence¶
Venegas Carolina Lavin 2019¶
Venegas Carolina Lavin, Nkangu Miriam N., Duffy Melissa C., Fergusson Dean A., Spilg Edward G. (2019). Interventions to improve resilience in physicians who have completed training: A systematic review. PLoS ONE. https://doi.org/10.1371/journal.pone.0210512
q2 · i? · quant-synthesis · r2
Systematic review and meta-analysis (PROSPERO-registered, PRISMA-reported) of resilience interventions for physicians who have completed training; 7,579 records screened, 17 studies included, 9 with extractable physician data. The review concludes "there is weak evidence to support one intervention over another".
"Our systematic review demonstrates that there is weak evidence to support one intervention over another to improve resilience in physicians who have completed training. The quality of evidence for the outcomes ranged from very low to low."
Discussion¶
Related Claims¶
- Subgroup analysis for primary care physicians showed burnout improvements that did not differ from the overall observational results — related
- The randomized trial providing analyzable burnout data showed no statistically significant improvement in any burnout subscale — related
- Two small pilot RCTs measuring resilience with validated scales reported significant improvement — related
- Virtual patient simulations show mixed effects: improved diagnostic accuracy in one trial, no advantage over video teaching in another, and short-lived knowledge gains — related
- In a Danish RCT, trained physicians identified more cases of complicated grief and prescribed fewer psychotropic drugs than untrained control physicians — related
- In a Spanish RCT, widows whose family physician was trained in bereavement care experienced poorer emotional outcomes than widows in the control group — related
- Observational studies showed statistically significant improvement in all burnout subscales, with pooled emotional-exhaustion SMD of -0.67 — related
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