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Mindfulness for Healthcare Professionals

Stress Resilience and Burnout Prevention

Mindfulness for Healthcare Professionals (MHP) is an intensive stress reduction and burnout prevention training program containing the core elements of the renowned Mindfulness-Based Stress Reduction (MBSR) curriculum customized and extended for Healthcare practitioners, leadership and staff.

Levels of stress and burnout in the healthcare profession have been exacerbated in recent decades by significant changes in how health care is delivered and administered. Extensive research has shown that mindfulness training, and the MBSR and MHP curricula in particular, can have significant positive impacts on participants’ job satisfaction, their relationships with patients, co-workers and administration, and their focus and creativity at work. The data, both third party and our own, specifically show that participants’ feelings of stress and burnout are greatly improved by the end of the course. (See “MHP: Evidence-based”, below.)

Training Results

After this training, participants should be able to:

  1. Employ formal and informal mindfulness training techniques in both preventive and responsive ways in high stress situations;

  2. Understand the three primary components of burnout and implement mindfulness practices to reduce risk of burnout along these axes;
  3. Identify helpful and unhelpful thought patterns when they arise, and apply mindful problem solving, emotional regulation, and meaning-focused coping strategies, both at work and at home;
  4. Be more present, compassionate and engaged with patients in ways that promote better patient outcomes;
  5. Show change in mindfulness, perceived stress, and burnout as shown in standardized measures administered pre- and post-training.

Program structure

There are six meetings: five class sessions of 2.5 hours each and one 6-hour extended session.

Each meeting includes:

  1. Information on the scientific and contemplative basis of mindfulness.
  2. Hands-on mindfulness training exercises.
  3. Reflection and introspection on participants’ experiences in and out of class.
  4. Skillful facilitation of conversations between participants. The course is experiential and interactive.

As Director of Faculty Wellness at the University of Washington Medical School I have repeatedly hired Mindfulness Northwest to teach groups of physicians.

The classes were full with waiting lists from the day after they were announced.

The principal instructor, Tim Burnett, has an amazing ability to connect well with his students. He is very skillful at communicating the theoretical concepts of stress, coping and mindful communication. He clearly walks the walk and is very able to connect the theory with the practice. The class reviews were uniformly positive, and mostly glowing, with many participants signing up for more than one session.

From an administrative viewpoint, Mindfulness Northwest was extremely professional, well organized and easy to deal with. We offered both introductory and continuing mindfulness training.

Claudia Finkelstein, MDCM, Director of Faculty Wellness Programs
Clinical Associate Professor of Medicine, 
University of Washington Medical School


Learning Community Model: We have found that bringing participants together in a safe and interconnected classroom community itself helps healthcare professionals recognize how isolated and stressed they have become.

Continuing Education: While we are unable to grant CMEs directly, in sites with a Washington State Medical Association accredited sponsor the course has been approved for CMEs every time. We are happy to provide all of the needed documentation for a successful CME application.

MHP: An Evidence-based Stress Resilience and Burnout Prevention Curriculum

Stress and Burnout are serious problems. Physicians and other healthcare professionals are under extreme and growing risk for burnout and psychological distress as a result of on-the-job stressors. In 2012, Shanafelt et al. reported that nearly half of physicians report at least one symptom of burnout. In 2015, Shanafelt did a follow up study that demonstrated burnout and satisfaction with work-life balance in US physicians worsened significantly from 2011 to 2014.

The evidence is growing that this burnout comes at a cost not only to the physicians, but to their patients, colleagues, and families (McClarrerty 2014). 

In a 2009 paper, Freischlag & Shanafelt report that burnout has:

  • Professional consequences: medical errors, poor judgment and adverse patient outcomes;
  • Personal consequences: depression, anxiety, substance use, and suicide; and
  • Organizational consequences: disruptive behavior, lower patient satisfaction scores, and increased malpractice risk.

Finally, research suggests that when physicians are running low on empathy, their patients take longer to recover from illnesses and are less likely to adhere to treatment (Rakel et al. 2011, Canale et a.l 2012).

Mindfulness training is a part of the solution. Several research and pilot studies using mindfulness-based training for physicians, residents, and medical students have demonstrated improvement in quality of life and well-being for participants, and significant reductions in symptoms of burn-out, depression, total mood disturbance and anxiety (Krasner & Epstien 2009, Luken & Sammons 2016, Regebr et al. 2014, Hassed et al. 2009, Rosenzweig et al. 2003).

Mindfulness for Healthcare Professionals Works for Participants and Organizations

Our Mindfulness for Healthcare Professionals training includes all of the core elements of the well-studied Mindfulness-Based Stress Reduction curriculum (Kabat-Zinn 1990, 1982, 2002) in a briefer and more concentrated format and is similar in scale to several mindfulness training interventions which have proven effective (Fourtney et al. 2013, Schoroeder et al. 2015).

Preliminary data we’ve collected suggests our course results in a decrease of symptoms of burnout, an increase in mindfulness, and a decrease in perceived stress. Specifically, the data show:

  • an increase in mindfulness of 11%;
  • a decrease in perceived stress of 21%;
  • a reduction in depersonalization of 15%:
  • a gain in emotional exhaustion 6%; and
  • an increased sense of efficacy 8%.

Mindfulness for Healthcare Professionals has been offered since 2011 at the University of Washington Medical School, The Everett Clinic, Evergreen Medical Center, Skagit Valley Regional Medical Center, PeaceHealth St. Joseph’s Medical Center, and Providence and through the WPHP and SCCA.

Research bibliography available on our website.

Besides the excellent quality of their well-designed and well-executed mindfulness-based stress-reduction programs, we appreciated Mindfulness Northwest’s businesslike approach and their responsiveness to the scheduling needs of our client organizations.

Jason Green, Founding Director
Washington Physicians Health Program Wellness Program



From participants

I did not realize how burned out I was until I filled out the physician burnout survey just before the first MHP class. I had been going to work and having a bad day each day, but had not made the connection that I was having a bad day every day. I really was not enjoying my job, not even the time spent with patients, which had always been the fun part of it. Within 2 weeks of starting the MHP class, I started enjoying patient care again, and with regular meditation, the millions of little daily annoyances stopped getting to me. Recently, I stopped meditating for a few weeks and began to feel the irritation creeping back (although I am at least still enjoying my time with patients). I started meditating again and am already feeling better.The MHP course gave me a chance to develop stress-lowering techniques that I can incorporate into the usual course of my busy day as a resident. These methods have allowed me to provide better care for patients by being able to be more focused when I am speaking with them rather than worried about what I need to do when I leave the patient’s room.

The focus that the course has on teaching students to be present in the moment has also helped me to better separate my work life from my home life which helps me feel more focused when I am at work and better able to foster personal relationships outside of work. I believe that other residents would benefit from the techniques taught in this course.

Participating in MHP was great in a number of ways. I am pretty good at holding “curiosity” as a cornerstone of how I approach relationships with patients. It is a helpful way to ground myself and to not wander over into the world of judgment. The course reminded me to also be gentle with myself, well more so than I usually am, to notice when something came up or a practice was challenging, but not to get judgmental about it. And at the outset, I was facing an unknown future (and really whose is not?!) with a fair amount of fear. I cannot say the course eliminated the fear but it again reminded me of the stance of curiosity, openness.

The practices are useful, especially if I were to really adopt them as practices. And regardless of how attentive I am to incorporating them in my daily life, they are there for me to have and use, and they have been useful for me since the course.

Learning and practicing the various techniques will be really helpful for my work with patients and others who I advise.

Current & Upcoming MHP Classes

    • 08 Apr 2018
    • 06 May 2018
    • 5 sessions
    • UW Medicine South Lake Union, 850 Republican St Seattle, WA 98109

    For UW-affiliated Healthcare Professionals: Mindfulness training on Sunday evenings. A chance for Seattle-area professionals to learn about mindfulness first-hand in a supportive group of peers.

    Join us in an investigation of mindfulness from the inside out. Mindfulness for Healthcare Professionals is based on Mindfulness-Based Stress Reduction (MBSR). MBSR is the best researched mindfulness intervention with positive research indications for:

    • Reduced stress and anxiety while working
    • Reduced burnout
    • Improved communication and relationships with patients
    • Better patient outcomes
    • Improved communications and relationships with co-workers
    • Improved focus and creativity
    • Greater job satisfaction
    This Mindfulness for Healthcare Professionals class was inspired by MBSR and offers a deep taste of mindfulness training in a shorter 5-week period.

    Eligibility:
    This course is for UW-affiliated clinicians and their family members. This includes UW Medicine Staff and residents/fellows/students and their family members. Please contact GME directly with eligibility questions at uwgme@uw.edu or 206.616.8286.

    Course details:
    Mindfulness for Healthcare Professionals is a structured 5-week course on mindfulness that promotes stress reduction, health and well-being.  This highly participatory, practical class includes:

    • Guided instruction in mindfulness meditation practices
    • Gentle stretching and mindful yoga
    • Inquiry exercises to enhance awareness in everyday life
    • Group dialogue and small group exercises
    • Daily home assignments
    • Guided audio files for home practice
    • a 40-page workbook with short readings, a guide to the course, and resources to support your ongoing investigation of mindfulness
    Please see our MBSR page for full details about the well-researched MBSR class (designed by Jon Kabat-Zinn and the Center for Mindfulness at the UMass Medical Center) upon which this Mindfulness for Healthcare Professionals class is based.


    This course has been offered to physicians, healthcare professionals and therapists at many regional medical centers since 2012 including UW Medicine, Evergreen Health, The Everett Clinic, Seattle Cancer Care Alliance, and the Skagit Valley Medical Center through the Northwest Washington Medical Society or co-sponsored with the Washington Physicians Health Program.

    Schedule:
    5 meetings: 4 regular class sessions and one extended session.

    Sunday evenings 6 pm - 8:30 pm: April 8th, 15th, and 22nd and May 6th.

    Extended session: Sunday April 29th, 1 pm - 7 pm.

    Instructor: Richard Johnson, PhD, Mindfulness Northwest Senior Instructor

    Location
    UW School of Medicine
    South Lake Union
    850 Republican St.
    Seattle, WA
    (Map and directions)

    Cost:
    $150 for UW Faculty/Staff, $50 for UW Housestaff

    The fee includes all 5 meetings and instructional materials (course manual and home practice CDs). 

    This class is sponsored by UW Graduate Medical Education and the UW School of Medicine Wellness Committee and offered at a reduced fee.

    Registration:
    Registration is through UW GME via a Catalyst survey (link to come).

    • 22 Apr 2018
    • 20 May 2018
    • 5 sessions
    • St. Joseph Hospital, Conference Room 5/6, 2901 Squalicum Parkway, Bellingham, WA
    • 11
    Register


    A 14-credit CME mindfulness series in Bellingham for area medical professionals and therapists and their spouses or partners.


    The Physicians' Well-Being Network and Mindfulness Northwest are happy to continue to provide this program to enhance the health of regional healthcare professionals.

    Join us in an investigation of mindfulness from the inside out. Mindfulness for Healthcare Professionals is based on Mindfulness-Based Stress Reduction (MBSR). MBSR is the best researched mindfulness intervention with positive research indications for:

    • Reduced stress and anxiety while working
    • Reduced burnout
    • Improved communication and relationships with patients
    • Better patient outcomes
    • Improved communications and relationships with co-workers
    • Improved focus and creativity
    • Greater job satisfaction
    This Mindfulness for Healthcare Professionals class was inspired by MBSR and offers a deep taste of mindfulness training in a shorter 5-week period.

    Eligibility:
    This course is for healthcare professionals and therapists (MD/DO/PA/NP/RN/LMHC/MHC/MSW, etc.) and their spouse or partner.

    Course details:
    Mindfulness for Healthcare Professionals is a structured 5-week, 16 hour course on mindfulness that promotes stress reduction, health and well-being. This highly participatory, practical class includes:

    • Guided instruction in mindfulness meditation practices
    • Guided instruction in stretching and mindful yoga
    • Inquiry exercises to enhance awareness in everyday life
    • Group dialogue and small group exercises
    • Daily home assignments
    • A CD of meditations for home practice
    • a 50-page workbook with short readings, a guide to the course, and resources to support your ongoing investigation of mindfulness

    This course is derived from the well-researched, 8-week Mindfulness-Based Stress Reduction (MBSR) course designed by Jon Kabat-Zinn and the Center for Mindfulness at the UMass Medical Center. Further details found below.

    This course has been offered to physicians, healthcare professionals and therapists at many regional medical centers since 2012 including UW Medicine, Evergreen Health, The Everett Clinic, Seattle Cancer Care Alliance, and the Skagit Valley Medical Center through the Northwest Washington Medical Society or co-sponsored with the Washington Physicians Health Program.

    Instructor: Tim Burnett, Executive Director & Guiding Instructor at Mindfulness Northwest

    Schedule:
    4 classroom sessions: Sunday evenings 6 pm - 8:30 pm, April 22nd, April 29th, May 6th, and May 20th (skipping May 13th).

    Extended session: Saturday May 12th , 10 am - 4 pm.

    Location:
    Classroom sessions:

    St. Joseph Hospital
    Conference Room 5/6 (the right side of room 5/6 as you leave the cafeteria)
    2901 Squalicum Parkway
    Bellingham, WA 98225
    (map and directions)

    Extended session (Saturday May 12th):

    Semiahmoo County Park (near Blaine)
    9261 Semiahmoo Pkwy
    Blaine, WA 98230
    (map and directions)

    Cost:
    $300.

    The fee includes all 5 meetings and instructional materials (course manual and home practice CDs).

    Payment plans are available during registration (4 equal monthly payments; no financing fee).

    Financial Assistance: Scholarship assistance may be available for those unable to pay at the low end of the sliding fee scale. Please APPLY FOR A SCHOLARSHIP.

    To Register:
       Register Online or register by phone at 360-830-6439 ext 0.

    Continuing Education:
    PeaceHealth St. Joseph Medical Center is accredited by the Washington State Medical Association to provide continuing medical education for physicians.

    PeaceHealth St. Joseph designates this live activity for a maximum of 14 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

    This activity meets the criteria for up to 14 hours of Category I Continuing Medical Education (CME) credit to satisfy the relicensure requirements of the Washington State Medical Quality Assurance Commission.

    Category 1 CME credits are generally accepted on a 1:1 equivalency by nursing, social work, mental health counseling and other licensing authorities. Health care professionals are advised to check about equivalencies with their licensing authorities in advance.

    Disclosure: The Planning Committee, faculty and CME Committee of PeaceHealth St. Joseph Medical Center disclose no relevant commercial interest.

    Learning Objectives:
    After this education, learners should be able to:

    • 1.  Employ formal and informal mindfulness training techniques in preventive and responsive ways in high stress situations;
    • 2.  Identify the three primary components of burnout and implement mindfulness practices to reduce risk of burnout along these three axes;
    • 3.  Discuss with peers strategies for positive, mindful engagement in work and home situations which trigger stress response and unhelpful behaviors;
    • 4.  Identify helpful and unhelpful thought patterns, problem solving, emotional regulation, and meaning-focused coping strategies;
    • 5.  Show change in mindfulness, perceived stress, and burnout as shown in standardized measures administered pre and post.

    Additional Details:
    This course is based on the longer Mindfulness-Based Stress Reduction (MBSR) training which has been shown in numerous studies to:

    • increase immune system function
    • reduce anxiety
    • prevent relapse of depression
    • reduce negative emotions responding to stress
    • manage chronic pain
    • help manage chronic health conditions including high blood pressure, fibromyalgia, heart disease, asthma, GI distress, and skin disorders
    • provide an effective coping mechanism for short and long-term stressful situations
    • encourage growth in the brain areas associated with learning, memory, focus, attention, emotional regulation, and empathy
    • enhance compassion and altruism
    • with relationships and communication, parents reduce pregnancy-related anxiety
    • help professionals cope with stress, connect with patients, and reduce burnout-inducing negative emotions and anxiety.
    • help veterans and other sufferers of PTSD
    • with obesity - increase “mindfulness of eating”
    • provide an increase in general health and well-being through a focus on prevention and improved awareness of what's truly harmful and helpful

    This condensed Mindfulness for Healthcare Professionals class includes much of the MBSR material, offering a deep taste of mindfulness in a shorter class.

    • 05 Jun 2018
    • 03 Jul 2018
    • 5 sessions
    • Online
    • 11
    Register

    For Healthcare Professionals:
    An ONLINE class teaching the fundamentals of mindfulness and MBSR.
    Co-sponsored by WPHP & WSMA
    CME Credits Available

         

    Join us for an investigation of mindfulness from the inside out. Mindfulness for Healthcare Professionals is based on the Mindfulness-Based Stress Reduction (MBSR) program. MBSR is the best researched mindfulness intervention with positive research indications for:

      • Choose appropriate mindfulness training techniques in preventative and responsive ways in high stress situations.
      • Utilize appropriate mindfulness practices to mitigate the risk factors for burnout.
      • Discuss strategies with peers for a more positive, mindful engagement in work and home situations that have been previously triggered stress response and unhelpful behaviors.
      • Identify helpful vs. unhelpful thought patterns, problem solving, emotional regulation, and meaning-focused coping strategies.
      • Demonstrate meaningful change in personal mindfulness, perceived stress, and burnout as shown in standardized measures administered pre- and post-activity.
        This Mindfulness for Healthcare Professionals class was inspired by MBSR and offers a deep taste of mindfulness training in a shorter 4-week period.

        Eligibility:
        This course is open to all Washington State healthcare professionals and therapists (MD/DO/PA/NP/RN/LMHC/MHC/MSW, etc.).

        Course details:
        Mindfulness for Healthcare Professionals is a structured 4-week course on mindfulness that promotes stress reduction, health and well-being.  This highly participatory, practical class includes:

        • Guided instruction in mindfulness meditation practices
        • Gentle stretching and mindful yoga
        • Inquiry exercises to enhance awareness in everyday life
        • Group dialogue and small group exercises
        • Daily home assignments
        • Guided audio files for home practice
        • a 40-page workbook with short readings, a guide to the course, and resources to support your ongoing investigation of mindfulness
        Please see our MBSR page for full details about the well-researched MBSR class (designed by Jon Kabat-Zinn and the Center for Mindfulness at the UMass Medical Center) upon which this Mindfulness for Healthcare Professionals class is based.

        Schedule:
        5 meetings: 4 regular class sessions and one extended session.

        4 Tuesday evenings 6 pm- 8:30 pm: June 5 - July 3.  (no class June 19th)

        Extended session: Sunday June 24, 1 pm - 7 pm.

        InstructorTim Burnett, Executive Director and Guiding Instructor at Mindfulness Northwest

        Location: Offered Online.

        We'll use the Zoom video conferencing platform. Find out more about this easy to use software at www.Zoom.us. Broadband internet is required. Details on how to use Zoom will be sent with your registration.

        Cost: $365.

        The fee includes all 5 meetings and instructional materials (a downloadable manual and guided meditation audio tracks).

        Payment plans are available during registration (4 equal monthly payments; no financing fee).

        Financial Assistance: Scholarship assistance may be available for those in need. Please APPLY FOR A SCHOLARSHIP.

        Registration:
           REGISTER ONLINE or register by phone at 360-830-6439 ext 0.

        Continuing Education:
        This activity has been planned and implemented in accordance with accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of the Washington State Medical Association and Mindfulness Northwest. The WSMA is accredited by the ACCME to provide continuing medical education for physicians.

        The WSMA designates this live activity for a maximum of 14 AMA PRA Category 1 Credits™.  Physicians should claim only the credit commensurate with the extent of their participation in the activity.

        This activity meets the criteria for up to 14 hours of Category I CME credit to satisfy the relicensure requirements of the Washington State Medical Quality Assurance Commission.

      Mindfulness Northwest, a 501c(3) Tax-Exempt Non-Profit    office@mindfulnessnorthwest.com    360-830-6439
      214 N. Commercial St. #103, Bellingham, WA 98225


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