{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,27]],"date-time":"2026-07-27T22:51:59Z","timestamp":1785192719985,"version":"3.55.0"},"reference-count":27,"publisher":"MDPI AG","issue":"2","license":[{"start":{"date-parts":[[2026,1,28]],"date-time":"2026-01-28T00:00:00Z","timestamp":1769558400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Clinician Health and Well-Being Program and the Chief Wellness Officer at UC Davis Health"},{"name":"National Center for Advancing Translational Sciences (NCATS), National Institutes of Health","award":["UL1 TR001860"],"award-info":[{"award-number":["UL1 TR001860"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>Background: Burnout negatively impacts clinicians, patients, and healthcare systems. We examined the immediate and sustained effects of an evidence-based, multi-modal Stress Management and Resiliency Training (SMART) Program on clinician well-being. Methods: Clinicians who registered to participate in the SMART Program were invited to join an observational study and complete questionnaires before the program started, at two months (post-program), and at eight months (six months following program completion). Results: We found significant improvements in well-being, burnout, perceived stress, stress coping, resilience, and self-compassion at 2 months (all p &lt; 0.001), with moderate-to-large effect sizes (d = 0.57 to 1.0). Significant benefits were maintained at 8 months, with small-to-moderate effect sizes (d = 0.41 to 0.65). Exploratory analyses found significant correlations between improvements in well-being from baseline to 8 months and the number of stress-management techniques used at 8 months (r = 0.53, p &lt; 0.0001) and the number of days on which participants practiced meditation for at least 10 min (r = 0.28, p = 0.049). Conclusion: Participation in the SMART Program was associated with significant improvements in clinician well-being that persisted six months following program completion and was positively associated with the number of stress-management tools used and meditation practice.<\/jats:p>","DOI":"10.3390\/ijerph23020161","type":"journal-article","created":{"date-parts":[[2026,1,28]],"date-time":"2026-01-28T15:04:46Z","timestamp":1769612686000},"page":"161","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["The Stress Management and Resiliency Training (SMART) Program Is Associated with Sustained Improvement in Clinician Well-Being: Results from an Observational Cohort Study"],"prefix":"10.3390","volume":"23","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5351-3545","authenticated-orcid":false,"given":"Brittany L.","family":"Garcia","sequence":"first","affiliation":[{"name":"Department of Internal Medicine, University of California Davis, Sacramento, CA 95817, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7540-1429","authenticated-orcid":false,"given":"Maureen A.","family":"Craig","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, University of California Davis, Sacramento, CA 95817, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicole","family":"Adams","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, University of California Davis, Sacramento, CA 95817, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6319-264X","authenticated-orcid":false,"given":"Elyse R.","family":"Park","sequence":"additional","affiliation":[{"name":"Departments of Psychiatry and Medicine, Massachusetts General Hospital, Boston, MA 02114, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0199-9675","authenticated-orcid":false,"given":"Michelle L.","family":"Dossett","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, University of California Davis, Sacramento, CA 95817, USA"},{"name":"Center for Healthcare Policy and Research, University of California Davis, Sacramento, CA 95817, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2026,1,28]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","unstructured":"Dyrbye, L.N., Shanafelt, T.D., Sinsky, C.A., Clinic, M., American Medical Association, Cipriano, P.F., American Nurses Association, Bhatt, J., American Hospital Association, and Ommaya, A. 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