A pilot study of a longitudinal mindfulness curriculum in undergraduate medical education

Authors

  • Heather MacLean The University of Ottawa
  • Emelie Braschi University of Ottawa
  • Douglas Archibald University of Ottawa
  • Millaray Sanchez-Campos University of Ottawa
  • Danusha Jebanesan University of Ottawa
  • Diana Koszycki University of Ottawa
  • Carol Gonsalves University of Ottawa

DOI:

https://doi.org/10.36834/cmej.56726

Abstract

Background: To support student well-being, a mindfulness curriculum in undergraduate medical education was launched at our university in 2014. We describe the program and report 3-year results.

Methods: Medical students responded to online questionnaires on mindfulness (Freiburg Mindfulness Inventory), empathy (Jefferson Scale of Physician Empathy), resilience (Connor-Davidson Resilience Scale) and perceived stress (Perceived Stress Scale) and were surveyed for demographics, home practice, and subjective experience at curriculum launch and yearly for 3 years.

Results: In respondents, high stress (19.2 (SD=6)) and low resilience (71.2 (SD=12.5)) scores were seen throughout training. Scores for mindfulness correlated positively with those for empathy (r=.217 p<0.01) and resilience (r=.539, p<0.01), and negatively with stress scores (r=-.380, p<0.01). While overall scale scores did not statistically change after curriculum implementation, statistically significant increases were seen in mindfulness (12%, p=0.008), empathy (5%, p=0.045), and resilience scores (12%, p=0.002) with a trend toward lower stress scores (8%, p=0.080) in respondents who felt they applied the curriculum principles. Two hours of reported home practice per week was associated with statistically significant changes (14% increased mindfulness scores p<0.001; 6% increased empathy scores p<0.001, 10% increased resilience scores p=0.003; 11% decreased stress scores p= 0.008). Despite positive program evaluations for both mandatory and elective sessions, student attendance at elective sessions was low.

Conclusion: A mindfulness curriculum integrated into formal undergraduate medical education is feasible. Benefits may be confined to those students who apply curriculum principles and practice regularly. Further study is needed.

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Published

2020-02-27

How to Cite

1.
MacLean H, Braschi E, Archibald D, Sanchez-Campos M, Jebanesan D, Koszycki D, Gonsalves C. A pilot study of a longitudinal mindfulness curriculum in undergraduate medical education . Can. Med. Ed. J [Internet]. 2020 Feb. 27 [cited 2022 Jun. 25];11(4):e5-e18. Available from: https://journalhosting.ucalgary.ca/index.php/cmej/article/view/56726

Issue

Section

Original Research