{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,3]],"date-time":"2026-06-03T05:32:22Z","timestamp":1780464742364,"version":"3.54.1"},"reference-count":17,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2021,8,6]],"date-time":"2021-08-06T00:00:00Z","timestamp":1628208000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2021,8,6]],"date-time":"2021-08-06T00:00:00Z","timestamp":1628208000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["BMC Med Educ"],"published-print":{"date-parts":[[2021,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Background<\/jats:title>\n                <jats:p>Almost half of trainees experience burnout during their career. Despite the Accreditation Council on Graduate Medical Education (ACGME) recommendation that training programs enact well-being curricula, there is no proven method of addressing this difficult topic.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>We created a curriculum addressing physician resiliency and well-being, designed for an Internal Medicine Residency Program. This curriculum utilized episodes from a medical television series, <jats:italic>Scrubs<\/jats:italic>, to facilitate a monthly, 1-h faculty guided discussion group. We collected informal feedback and abbreviated Maslach Burnout Inventories (aMBI) monthly and conducted a formal focus group after 6 months to gauge its effectiveness.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>The curriculum was successfully conducted for 12 months with each session averaging 18\u201320 residents. Residents reported high satisfaction, stating it was more enjoyable and helpful than traditional resiliency training. 19 of 24 residents (79\u2009%) completed a baseline aMBI, and 17 of 20 residents (85\u2009%) who attended the most recent session completed the 6-month follow-up, showing a non-significant 1-point improvement in all subsets of the aMBI.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusions<\/jats:title>\n                <jats:p>This novel, low-cost, easily implemented curriculum addressed resiliency and burn-out in an Internal Medicine Residency. It was extremely well received and can easily be expanded to other training programs or to providers outside of training.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s12909-021-02856-9","type":"journal-article","created":{"date-parts":[[2021,8,6]],"date-time":"2021-08-06T07:03:23Z","timestamp":1628233403000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["I\u2019m No Superman: fostering physician resilience through guided group discussion of Scrubs"],"prefix":"10.1186","volume":"21","author":[{"given":"Arthur","family":"Holtzclaw","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jack","family":"Ellis","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christopher","family":"Colombo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2021,8,6]]},"reference":[{"key":"2856_CR1","unstructured":"Smith M, Segal J, Robinson L. Burnout Prevention and Treatment 2019 [Available from: https:\/\/www.helpguide.org\/articles\/stress\/burnout-prevention-and-recovery.htm."},{"issue":"10","key":"2856_CR2","doi-asserted-by":"publisher","first-page":"1317","DOI":"10.1001\/jamainternmed.2018.3713","volume":"178","author":"M Panagioti","year":"2018","unstructured":"Panagioti M, Geraghty K, Johnson J, Zhou A, Panagopoulou E, Chew-Graham C, et al. Association Between Physician Burnout and Patient Safety, Professionalism, and Patient Satisfaction: A Systematic Review and Meta-analysis. JAMA Intern Med. 2018;178(10):1317\u201330.","journal-title":"JAMA Intern Med"},{"issue":"11","key":"2856_CR3","doi-asserted-by":"publisher","first-page":"1114","DOI":"10.1001\/jama.2018.12615","volume":"320","author":"LN Dyrbye","year":"2018","unstructured":"Dyrbye LN, Burke SE, Hardeman RR, Herrin J, Wittlin NM, Yeazel M, et al. Association of Clinical Specialty With Symptoms of Burnout and Career Choice Regret Among US Resident Physicians. JAMA. 2018;320(11):1114\u201330.","journal-title":"JAMA"},{"issue":"2","key":"2856_CR4","doi-asserted-by":"publisher","first-page":"195","DOI":"10.1001\/jamainternmed.2016.7674","volume":"177","author":"M Panagioti","year":"2017","unstructured":"Panagioti M, Panagopoulou E, Bower P, Lewith G, Kontopantelis E, Chew-Graham C, et al. Controlled Interventions to Reduce Burnout in Physicians: A Systematic Review and Meta-analysis. JAMA Intern Med. 2017;177(2):195\u2013205.","journal-title":"JAMA Intern Med"},{"issue":"7","key":"2856_CR5","doi-asserted-by":"publisher","first-page":"961","DOI":"10.1097\/ACM.0000000000000655","volume":"90","author":"LN Dyrbye","year":"2015","unstructured":"Dyrbye LN, Eacker A, Durning SJ, Brazeau C, Moutier C, Massie FS, et al. The Impact of Stigma and Personal Experiences on the Help-Seeking Behaviors of Medical Students With Burnout. Acad Med. 2015;90(7):961\u20139.","journal-title":"Acad Med"},{"issue":"11","key":"2856_CR6","doi-asserted-by":"publisher","first-page":"1181","DOI":"10.1001\/jama.2010.1300","volume":"304","author":"TL Schwenk","year":"2010","unstructured":"Schwenk TL, Davis L, Wimsatt LA. Depression, stigma, and suicidal ideation in medical students. JAMA. 2010;304(11):1181\u201390.","journal-title":"JAMA"},{"key":"2856_CR7","doi-asserted-by":"publisher","first-page":"156","DOI":"10.1186\/s12909-015-0437-8","volume":"15","author":"A Stanek","year":"2015","unstructured":"Stanek A, Clarkin C, Bould MD, Writer H, Doja A. Life imitating art: depictions of the hidden curriculum in medical television programs. BMC Med Educ. 2015;15:156.","journal-title":"BMC Med Educ"},{"issue":"3","key":"2856_CR8","doi-asserted-by":"publisher","first-page":"237","DOI":"10.3109\/0142159X.2012.737960","volume":"35","author":"C Hirt","year":"2013","unstructured":"Hirt C, Wong K, Erichsen S, White JS. Medical dramas on television: a brief guide for educators. Med Teach. 2013;35(3):237\u201342.","journal-title":"Med Teach"},{"issue":"1","key":"2856_CR9","first-page":"Jc05-7","volume":"10","author":"PR Shankar","year":"2016","unstructured":"Shankar PR, Rose C, Balasubramanium R, Nandy A, Friedmann A. Using movies to strengthen learning of the humanistic aspects of medicine. J Clin Diagn Res. 2016;10(1):Jc05-7.","journal-title":"J Clin Diagn Res"},{"issue":"2","key":"2856_CR10","doi-asserted-by":"publisher","first-page":"88","DOI":"10.1111\/tct.12178","volume":"11","author":"P Gallagher","year":"2014","unstructured":"Gallagher P, Wilson N, Jaine R. The efficient use of movies in a crowded curriculum. Clin Teach. 2014;11(2):88\u201393.","journal-title":"Clin Teach"},{"issue":"1","key":"2856_CR11","doi-asserted-by":"publisher","first-page":"86","DOI":"10.1080\/10401334.2013.857340","volume":"26","author":"H Graf","year":"2014","unstructured":"Graf H, Abler B, Weydt P, Kammer T, Plener PL. Development, implementation, and evaluation of a movie-based curriculum to teach psychopathology. Teach Learn Med. 2014;26(1):86\u20139.","journal-title":"Teach Learn Med"},{"issue":"9323","key":"2856_CR12","doi-asserted-by":"publisher","first-page":"2089","DOI":"10.1016\/S0140-6736(02)08915-8","volume":"359","author":"IC McManus","year":"2002","unstructured":"McManus IC, Winder BC, Gordon D. The causal links between stress and burnout in a longitudinal study of UK doctors. 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Fam Med. 2019;51(9):766\u201371.","journal-title":"Fam Med"},{"issue":"12","key":"2856_CR17","doi-asserted-by":"publisher","first-page":"1294","DOI":"10.1001\/jama.2009.1389","volume":"302","author":"CP West","year":"2009","unstructured":"West CP, Tan AD, Habermann TM, Sloan JA, Shanafelt TD. Association of resident fatigue and distress with perceived medical errors. JAMA. 2009;302(12):1294\u2013300.","journal-title":"JAMA"}],"container-title":["BMC Medical Education"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12909-021-02856-9.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s12909-021-02856-9\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12909-021-02856-9.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,8,6]],"date-time":"2021-08-06T07:09:28Z","timestamp":1628233768000},"score":1,"resource":{"primary":{"URL":"https:\/\/bmcmededuc.biomedcentral.com\/articles\/10.1186\/s12909-021-02856-9"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,8,6]]},"references-count":17,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2021,12]]}},"alternative-id":["2856"],"URL":"https:\/\/doi.org\/10.1186\/s12909-021-02856-9","relation":{},"ISSN":["1472-6920"],"issn-type":[{"value":"1472-6920","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,8,6]]},"assertion":[{"value":"29 January 2021","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"26 July 2021","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"6 August 2021","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"IRB review at Eisenhower Army Medical Center approved all methods and deemed the curriculum to be quality improvement and not human subjects research. Written informed consent was waived by the Eisenhower Army Medical Center IRB given the quality improvement determination and as all surveys were fully anonymous and optional. All methods were carried out in accordance with relevant guidelines and regulations.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"N\/A.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare that they have no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"419"}}