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Enhanced stress resilience training for UK surgical trainees; Effect and evolution evaluated

Luton, Oliver W., James, Osian P., Mellor, Katie, Eley, Catherine, Hopkins, Luke, Robinson, David B.T., Barlow, Emma, Lebares, Carter C., Lewis, Wyn G. and Egan, Richard J. 2023. Enhanced stress resilience training for UK surgical trainees; Effect and evolution evaluated. Journal of Surgical Education 80 (10) , pp. 1395-1402. 10.1016/j.jsurg.2023.07.017

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Introduction Core Surgical Training (CST) programs are associated with high burnout. This study aimed to assess the influence of Enhanced Stress Resilience Training (ESRT) over a 2-year period in a single UK Statutory Education Body. Method CSTs participated in 5-weeks of formal ESRT to address work stressors. The primary outcome measure was career progression related to curriculum metrics and National Training Number (NTN) appointment. Secondary measures related to burnout using validated psychological inventories. Results Of 42 CSTs, 13 engaged fully with ESRT (31.0%; male 8, female 5, median age 28 year.), 11 engaged partially, and 18 did not. ESRT engagement was associated with better NTN appointment (ESRT 8/13 (61.5%) vs. not 1/18 (5.6%), p = 0.025), less burnout [aMBI; mean 5.14 (SD ± 2.35) vs. 3.14 (±2.25), F 6.637, p = 0.002, η p 2 =0.167], less stress [PSS-10; 19.22 (±5.91) vs. 15.79 (±5.47), F 8.740, p < 0.001, η p 2 =0.200], but more mindfulness [CAMS-R; 19.22 (±5.91) vs. 20.57 (±2.93), F 3.201, p = 0.047, η p 2 =0.084]. On multivariable analysis, Improving Surgical Training (run-through CST) program (OR 5.2 (95% CI 1.42-28.41, p = 0.022), MRCS pass (OR 17.128 (95% CI 1.48-197.11, p = 0.023) and ESRT engagement (OR 13.249, 95% CI 2.08-84.58, p = 0.006) were independently associated with NTN success. Discussion ESRT was associated with less stress and burnout, better mindfulness, and most importantly 13-fold better career progression.

Item Type: Article
Date Type: Publication
Status: Published
Schools: Medicine
Additional Information: License information from Publisher: LICENSE 1: URL:, Start Date: 2023-07-18
Publisher: Elsevier
ISSN: 1931-7204
Date of First Compliant Deposit: 14 August 2023
Date of Acceptance: 9 August 2023
Last Modified: 04 Oct 2023 06:16

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