1. Compassion Fatigue and Resident Spirituality: Are They Related? Lisa Zak-Hunter PhD, LMFT Tara Neil MD Jessica Jarvis MD Emily Manlove MD

2. Disclosures None

3. Introduction ¼ FM residents report high burn-out or depersonalization. Of family medicine physicians, 70% felt they were religious and 58% used it to help with coping. Residents in primary care with poorer spiritual well-being have poorer overall health ratings when controlling for mood. VCFMR has a significant number of residents with strong religious beliefs that influence care.

4. Project Description Pre-post survey design Pre: Online survey completed 2x (early and mid academic year) Intervention: Group meetings (6, 1 hr sessions) Post: Online survey will be completed after the intervention is complete.

5. Research Questions Do our residents experience burn-out, low compassion satisfaction, or secondary trauma? Are there differences in compassion satisfaction, burn- out, and secondary trauma based on faith practice? Do our residents experience different levels of burn- out, low compassion satisfaction, or secondary trauma at different at different times of the academic year?

6. Methods: Measures Professional Quality of Life Scale (ProQOL5) –Subscales Secondary Trauma Burn-out Spirituality Questions –My faith/spirituality influences my approach to patient care. –My faith/spirituality helps protect against compassion fatigue. –I participate in faith-based or spiritual practices (e.g. prayer, meditation, services).

7. Methods: Participants Time 1 (n=58) Early Academic Year Time 2 (n=34) Mid Academic Year Time 3 Post-Group % Female44.841.2TBD % PGY 120.711.8TBD % PGY 232.820.6TBD % PGY 313.820.6TBD % Faculty32.847.1TBD Age (m & SD)33.02 (9.14)34 (8.71)TBD

8. Results: Pre-survey (overall) Raw Score Level <22Low 22-41Average >42High

9. Results: Pre-survey My Faith Influences My Approach to Patient Care CategoryTime 1Time 2 Compassion SatisfactionNon sig Burn OutPositive AssociationNon sig Secondary TraumaNon sigPositive Association

10. Results: Pre-survey My Faith/Spirituality Helps Protect Against Compassion Fatigue CategoryTime 1Time 2 Compassion SatisfactionNon sigPositive Association Burn OutPositive Association Secondary TraumaNon sigPositive Association

11. Results: Pre-survey I Participate in Faith Based or Spiritual Practice CategoryTime 1Time 2 Compassion SatisfactionNon sig Burn OutNon sigPositive Association Secondary TraumaNon sigPositive Association

12. Discussion Overall, our residents report low levels of burn out and trauma. Faith does play a role in patient care. –Positive or negative? ‘Servant leaders’, ‘heart for service’

13. References Lebensohn P, Dodds S, Benn R, Brooks AJ, Birch, Cook P, et al. Resident wellness behaviors: Relationship to stress, depression, and burnout. Family Medicine. 2013;45(8):541-549. Farr CA, Lantos JD, Roach BS, Sellergren MA, Marshall CH. Religious characteristics of U.S. Physicians, A national survey. J Gen Intern Med. 2005;629-634. Yi MS, Luckhaupt SE, Mrus JM, Mueller CV, Peterman, AH et al. Religion, spirituality, and depressive symptoms in primary care house officers. Ambulatory Pediatrics. 2006;6:84-90. Yi MS, Mrus JM, Mueller CV, Luckhaupt SE, Peterman AH, et al. Self-rated health of primary care house officers and its relationship to psychological and spiritual well-being. BMC Medical Education. 2007;7:9

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