Impact of a Wellness Leadership Intervention on the Empathy, Burnout, and Resting Heart Rate of Medical Faculty

Debra A Gilin; Gregory G Anderson; Seyedehsan Etezad; Dayna Lee-Baggley; Angela M Cooper; Roberta J Preston

doi:10.1016/j.mayocpiqo.2023.09.005

Impact of a Wellness Leadership Intervention on the Empathy, Burnout, and Resting Heart Rate of Medical Faculty

Mayo Clin Proc Innov Qual Outcomes. 2023 Nov 23;7(6):545-555. doi: 10.1016/j.mayocpiqo.2023.09.005. eCollection 2023 Dec.

Authors

Debra A Gilin¹, Gregory G Anderson¹, Seyedehsan Etezad¹, Dayna Lee-Baggley², Angela M Cooper³, Roberta J Preston²

Affiliations

¹ Department of Psychology, Saint Mary's University, Halifax, Nova Scotia, Canada.
² Faculty of Medicine, Dalhousie University, Halifax, Nova Scotia, Canada.
³ Departments of Family Medicine and Psychiatry, Dalhousie University, Halifax, Nova Scotia, Canada.

Abstract

Objective: To evaluate the efficacy of a wellness leadership intervention for improving the empathy, burnout, and physiological stress of medical faculty leaders.

Participants and methods: Participants were 49 medical faculty leaders (80% physicians, 20% basic scientists; 67% female). The 6-week course was evaluated with a 15-week longitudinal waitlist-control quasi-experiment from September 1, 2021, through December 20, 2021 (during the COVID-19 pandemic). We analyzed 3 pretest-posttest-posttest and 6 weekly survey measurements of affective empathy and burnout, and mean=85 (SD=31) aggregated daily resting heart rates per participant, using 2-level hierarchical linear modeling.

Results: The course found a preventive effect for leaders' burnout escalation. As the control group awaited the course, their empathy decreased (coefficient_Time=-1.27; P=.02) and their resting heart rates increased an average of 1.4 beats/min (coefficient_Time=0.18; P<.001), reflecting the toll of the pandemic. Intervention group leaders reported no empathy decrements (coefficient_Time=.33; P=.59) or escalated resting heart rate (coefficient_Time=-0.05; P=.27) during the same period. Dose-response analysis revealed that both groups reduced their self-rated burnout over the 6 weeks of the course (coefficient_Time=-0.28; P=.007), and those who attended more of the course showed less heart rate increase (coefficient_{Time∗Dosage}=-0.05; P<.001). In addition, 12.73% of the within-person fluctuation in empathy was associated with burnout and resting heart rate.

Conclusion: A wellness leadership intervention helped prevent burnout escalation and empathy decrement in medical faculty leaders during the COVID-19 pandemic, showing potential to improve the supportiveness and psychological safety of the medical training environment.