Mindfulness, burnout, and effects on performance evaluations in internal medicine residents

Figures & data

Table 1 Prevalence of burnout at three time points

Burnout	Time point 1 (n = 32)		Time point 2 (n = 31)		Time point 3 (n = 24)
	M/n	SD/%	M/n	SD/%	M/n	SD/%
MBI EE	21.91	7.95	21.32	8.20	17.33	8.34
MBI DP	10.78	6.31	9.84	5.76	9.33	5.92
Total meeting criteria	19	50%	18	47.4%	12	31.6%

Notes: Scores on the MBI EE ≥27 are considered high burnout. Scores on the MBI DP ≥10 are considered high burnout.

Abbreviations: MBI, Maslach Burnout Inventory-Human Services; EE, emotional exhaustion subscale; DP, depersonalization subscale; M, mean; SD, standard deviation.

Table 2 Hierarchical logistic regression of dispositional mindfulness predicting burnout

Step	Predictor	B	SE B	p-value	Exp(B)	95% CI
Step 1	Gender	−2.02	1.85	0.28	0.13	0.003–5.004
	Stress	0.191	0.29	0.50	1.21	0.69–2.12
	Depression	−0.76	0.44	0.08	0.47	0.20–1.10
Step 2	FFMQ Nonreact	−0.07	0.20	0.74	0.93	0.63–1.39
	FFMQ Observe	−0.29	0.21	0.17	0.75	0.50–1.13
	FFMQ ActAware	−0.59	0.29	0.04*	0.55	0.32–0.97
	FFMQ Describe	0.05	0.23	0.84	1.05	0.67–1.63
	FFMQ Nonjudge	−0.11	0.17	0.51	0.89	0.64–1.25

Notes:

* p < 0.05. Nonreact: nonreactivity to inner experience. ActAware: acting with awareness. Nonjudge: nonjudging of inner experience.

Abbreviations: B, unstandardized beta weight; SE, standard error; Exp(B), odds ratio; CI, confidence interval; FFMQ, Five Facet Mindfulness Questionnaire.

Table 3 Chi-square classification table for milestone: “Manages patients with progressive responsibility and independence (PC3)”

Milestone	Performance score	Burnout criteria		Total
		Not met	Met
PC3 Criteria	Below average	2	12	14
	At or above average	11	12	23
	Total	13	24	37

Abbreviation: PC, patient care.

Table 4 Chi-square classification table for milestone: “Transitions patients effectively within and across health delivery systems (SBP4)”

Milestone	Performance score	Burnout criteria		Total
		Not met	Met
SBP4 Criteria	Below average	7	4	11
	At or above average	6	18	24
	Total	13	22	35

Abbreviation: SBP, system-based practice.

Table 5 Chi-square classification table for milestone: “Accepts responsibility and follows through on tasks (PROF2)”

Milestone	Performance score	Burnout criteria		Total
		Not met	Met
PROF2 Criteria	Below average	10	10	20
	At or above average	3	14	17
	Total	13	24	37

Abbreviation: PROF, professionalism.