Skip to main content
Top
Published in: Archives of Gynecology and Obstetrics 1/2017

01-01-2017 | General Gynecology

Being prepared to work in Gynecology Medicine: evaluation of an intervention to promote junior gynecologists professionalism, mental health and job satisfaction

Authors: Stefanie Mache, Lisa Baresi, Monika Bernburg, Karin Vitzthum, David Groneberg

Published in: Archives of Gynecology and Obstetrics | Issue 1/2017

Login to get access

Abstract

Background

Dealing with work-related stress is highly prevalent for employees in Gynecology Medicine. Junior physicians, in particular, have to face high working demands and challenges while starting their medical career after graduation. Job resources (i.e., social support) and personal resources (coping skills) might reduce job strain. The evidence for supportive and effective mental health interventions for clinicians is limited. Offering psychosocial skill training for entrants in Gynecology Medicine is expected to be highly beneficial. Following this, the present pilot study focused on strengthening physicians’ psychosocial skills and analyzed the effects of innovative training for junior gynecologists working in German hospitals.

Methods

Coping skills training for junior gynecologists was offered as group training for 12 weekly sessions over a time period of 3 months. Physicians were randomized to either an intervention group (IG) receiving the training (n = 38) or a control group (CG; n = 40). Training content involved developing and learning coping skills as well as solution-focused and cognitive behavioral counselling for junior gynecologists. Study outcomes were (1) perceived occupational stress, (2) emotional exhaustion, (3) resilience coping behavior, (4) emotion regulation skills and (5) job satisfaction. Surveys were distributed at baseline (T0), after the training (T1), after 3 (T2) and 6 months (T3).

Results

Junior gynecologists (IG) reported a significant decrease in perceived job stress and emotional exhaustion from baseline to all follow-ups, whereas the control group did not show any comparable results. A clear positive value of the mental health promotion program was also noticeable with regard to job satisfaction and increased coping skills (i.e., emotion regulation). Overall satisfaction with the skill training was high: gynecologists reported high scores for training design, content, received outcome and overall satisfaction with the training.

Conclusions

In this pilot study, participating in a psychosocial skills training course adapted for gynecology clinicians was associated with reductions in perceived job stress, exhaustion and improvements in coping skills and satisfaction. Modified psychosocial skills training may be a time-efficient tool to support gynecologists in their performance and well-being, which may have positive implications for patient care.
Literature
1.
go back to reference Emmons SL, Nichols M, Schulkin J, James KE, Cain JM (2006) The influence of physician gender on practice satisfaction among obstetrician gynecologists. Am J Obstet Gynecol 194:1728–1738CrossRefPubMed Emmons SL, Nichols M, Schulkin J, James KE, Cain JM (2006) The influence of physician gender on practice satisfaction among obstetrician gynecologists. Am J Obstet Gynecol 194:1728–1738CrossRefPubMed
2.
go back to reference Bauer J, Groneberg DA, Brueggmann D (2016) Gender-based workplace assessment in gynecology and obstetrics in Germany: results from the iCEPT Study. Arch Gynecol Obstet 294:317–326CrossRefPubMed Bauer J, Groneberg DA, Brueggmann D (2016) Gender-based workplace assessment in gynecology and obstetrics in Germany: results from the iCEPT Study. Arch Gynecol Obstet 294:317–326CrossRefPubMed
3.
go back to reference Esteves SC, Hamada A, Kondray V, Pitchika A, Agarwal A (2012) What every gynecologist should know about male infertility: an update. Arch Gynecol Obstet 286:217–229CrossRefPubMed Esteves SC, Hamada A, Kondray V, Pitchika A, Agarwal A (2012) What every gynecologist should know about male infertility: an update. Arch Gynecol Obstet 286:217–229CrossRefPubMed
4.
go back to reference Graham J, Ramirez A (2002) Improving the working lives of cancer clinicians. Eur J Cancer Care 11:188–192CrossRef Graham J, Ramirez A (2002) Improving the working lives of cancer clinicians. Eur J Cancer Care 11:188–192CrossRef
5.
go back to reference Rasmussen V, Turnell A, Butow P, Juraskova I, Kirsten L, Wiener L, Patenaude A, Hoekstra-Weebers J, Grassi L (2016) Burnout among psychosocial oncologists: an application and extension of the effort-reward imbalance model. Psychooncology 25:194–202CrossRefPubMed Rasmussen V, Turnell A, Butow P, Juraskova I, Kirsten L, Wiener L, Patenaude A, Hoekstra-Weebers J, Grassi L (2016) Burnout among psychosocial oncologists: an application and extension of the effort-reward imbalance model. Psychooncology 25:194–202CrossRefPubMed
6.
go back to reference Keeton K, Fenner DE, Johnson TRB, Hayward RA (2007) Predictors of physician career satisfaction, work-life balance, and burnout. Obstet Gynecol 109:949–955CrossRefPubMed Keeton K, Fenner DE, Johnson TRB, Hayward RA (2007) Predictors of physician career satisfaction, work-life balance, and burnout. Obstet Gynecol 109:949–955CrossRefPubMed
7.
go back to reference Becker JL, Milad MP, Klock SC (2006) Burnout, depression, and career satisfaction: cross-sectional study of obstetrics and gynecology residents. Am J Obstet Gynecol 195:1444–1449CrossRefPubMed Becker JL, Milad MP, Klock SC (2006) Burnout, depression, and career satisfaction: cross-sectional study of obstetrics and gynecology residents. Am J Obstet Gynecol 195:1444–1449CrossRefPubMed
8.
go back to reference Shanafelt TD, Boone S, Tan L (2012) Burnout and satisfaction with work-life balance among US physicians relative to the general US population. Arch Intern Med 172:1377–1385CrossRefPubMed Shanafelt TD, Boone S, Tan L (2012) Burnout and satisfaction with work-life balance among US physicians relative to the general US population. Arch Intern Med 172:1377–1385CrossRefPubMed
9.
go back to reference Ramirez AJ, Graham J, Richards MA, Cull A, Gregory WM (1996) Mental health of hospital consultants: the effects of stress and satisfaction at work. Lancet 347:724–728CrossRefPubMed Ramirez AJ, Graham J, Richards MA, Cull A, Gregory WM (1996) Mental health of hospital consultants: the effects of stress and satisfaction at work. Lancet 347:724–728CrossRefPubMed
10.
go back to reference Brooks SK, Chalder T, Gerada C (2011) Doctors vulnerable to psychological distress and addictions: treatment from the Practitioner Health Programme. J Ment Health 20:157–164CrossRefPubMed Brooks SK, Chalder T, Gerada C (2011) Doctors vulnerable to psychological distress and addictions: treatment from the Practitioner Health Programme. J Ment Health 20:157–164CrossRefPubMed
11.
go back to reference Fahrenkopf AM, Sectish TC, Barger LK, Sharek PJ, Lewin D, Chiang VW, Edwards S, Wiedermann BL, Landrigan CP (2008) Rates of medication errors among depressed and burnt out residents: prospective cohort study. BMJ Clin Res Ed 336:488–491CrossRef Fahrenkopf AM, Sectish TC, Barger LK, Sharek PJ, Lewin D, Chiang VW, Edwards S, Wiedermann BL, Landrigan CP (2008) Rates of medication errors among depressed and burnt out residents: prospective cohort study. BMJ Clin Res Ed 336:488–491CrossRef
12.
go back to reference West CP, Shanafelt TD (2007) Physician well-being and professionalism. Minn Med 90:44–46PubMed West CP, Shanafelt TD (2007) Physician well-being and professionalism. Minn Med 90:44–46PubMed
13.
go back to reference Ruitenburg MM, Frings-Dresen MHW, Sluiter JK (2012) The prevalence of common mental disorders among hospital physicians and their association with self-reported work ability: a cross-sectional study. BMC Health Serv Res 12:292CrossRefPubMedPubMedCentral Ruitenburg MM, Frings-Dresen MHW, Sluiter JK (2012) The prevalence of common mental disorders among hospital physicians and their association with self-reported work ability: a cross-sectional study. BMC Health Serv Res 12:292CrossRefPubMedPubMedCentral
14.
go back to reference Shanafelt TD (2009) Enhancing meaning in work: a prescription for preventing physician burnout and promoting patient-centered care. JAMA 302:1338–1340CrossRefPubMed Shanafelt TD (2009) Enhancing meaning in work: a prescription for preventing physician burnout and promoting patient-centered care. JAMA 302:1338–1340CrossRefPubMed
15.
go back to reference Williams ES, Manwell LB, Konrad TR, Linzer M (2007) The relationship of organizational culture, stress, satisfaction, and burnout with physician-reported error and suboptimal patient care: results from the MEMO study. Health Care Manag Rev 32:203–212CrossRef Williams ES, Manwell LB, Konrad TR, Linzer M (2007) The relationship of organizational culture, stress, satisfaction, and burnout with physician-reported error and suboptimal patient care: results from the MEMO study. Health Care Manag Rev 32:203–212CrossRef
16.
go back to reference Hancke K, Igl W, Toth B (2014) Work—life balance of German gynecologists: a web-based survey on satisfaction with work and private life. Arch Gynecol Obstet 289:123–129CrossRefPubMed Hancke K, Igl W, Toth B (2014) Work—life balance of German gynecologists: a web-based survey on satisfaction with work and private life. Arch Gynecol Obstet 289:123–129CrossRefPubMed
17.
go back to reference Carver CS, Scheier MF, Weintraub JK (1989) Assessing coping strategies: a theoretically based approach. J Pers Soc Psychol 56:267–283CrossRefPubMed Carver CS, Scheier MF, Weintraub JK (1989) Assessing coping strategies: a theoretically based approach. J Pers Soc Psychol 56:267–283CrossRefPubMed
18.
go back to reference Macedo T, Wilheim L, Gonçalves R, Coutinho ES, Vilete L, Figueira I, Ventura P (2014) Building resilience for future adversity: a systematic review of interventions in non-clinical samples of adults. BMC Psychiatry 14:227–241CrossRefPubMedPubMedCentral Macedo T, Wilheim L, Gonçalves R, Coutinho ES, Vilete L, Figueira I, Ventura P (2014) Building resilience for future adversity: a systematic review of interventions in non-clinical samples of adults. BMC Psychiatry 14:227–241CrossRefPubMedPubMedCentral
19.
go back to reference Ramaswamy R, Williams A, Clark EM, Kelley AS (2014) Communication skills curriculum for foreign medical graduates in an internal medicine residency program. J Am Geriatr Soc 62:2153–2158CrossRefPubMedPubMedCentral Ramaswamy R, Williams A, Clark EM, Kelley AS (2014) Communication skills curriculum for foreign medical graduates in an internal medicine residency program. J Am Geriatr Soc 62:2153–2158CrossRefPubMedPubMedCentral
20.
go back to reference Puskar KR, Sereika S, Tusaie-Mumford K (2003) Effect of the teaching kids to cope (TKC) program on outcomes of depression and coping among rural adolescents. J Child Adolesc Psychiatr Nurs 16:71–80CrossRefPubMed Puskar KR, Sereika S, Tusaie-Mumford K (2003) Effect of the teaching kids to cope (TKC) program on outcomes of depression and coping among rural adolescents. J Child Adolesc Psychiatr Nurs 16:71–80CrossRefPubMed
21.
go back to reference Tan L, Wang MJ, Modini M, Joyce S, Mykletun A, Christensen H, Harvey SB (2014) Preventing the development of depression at work: a systematic review and meta-analysis of universal interventions in the workplace. BMC Med 12:74CrossRefPubMedPubMedCentral Tan L, Wang MJ, Modini M, Joyce S, Mykletun A, Christensen H, Harvey SB (2014) Preventing the development of depression at work: a systematic review and meta-analysis of universal interventions in the workplace. BMC Med 12:74CrossRefPubMedPubMedCentral
22.
go back to reference Krasner MS, Epstein RM, Beckman H (2009) Association of an educational program in mindful communication with burnout, empathy, and attitudes among primary care physician. JAMA 302:1284–1293CrossRefPubMed Krasner MS, Epstein RM, Beckman H (2009) Association of an educational program in mindful communication with burnout, empathy, and attitudes among primary care physician. JAMA 302:1284–1293CrossRefPubMed
24.
go back to reference Lagerveld SE, Blonk RW, Brenninkmeijer V, Wijngaards-de Meij L, Schaufeli WB (2012) Work-focused treatment of common mental disorders and return to work: a comparative outcome study. J Occup Health Psychol 17:220–234CrossRefPubMed Lagerveld SE, Blonk RW, Brenninkmeijer V, Wijngaards-de Meij L, Schaufeli WB (2012) Work-focused treatment of common mental disorders and return to work: a comparative outcome study. J Occup Health Psychol 17:220–234CrossRefPubMed
25.
go back to reference Lazarus R, Folkman S (1984) Stress, appraisal, and coping. Springer Publishing Co, New York Lazarus R, Folkman S (1984) Stress, appraisal, and coping. Springer Publishing Co, New York
26.
go back to reference Malouff JM, Thorsteinsson EB, Schutte NS (2007) The efficacy of problem solving therapy in reducing mental and physical health problems: a meta-analysis. Clin Psychol Rev 27:46–57CrossRefPubMed Malouff JM, Thorsteinsson EB, Schutte NS (2007) The efficacy of problem solving therapy in reducing mental and physical health problems: a meta-analysis. Clin Psychol Rev 27:46–57CrossRefPubMed
27.
go back to reference D’Zurilla T, Nezu A, Dobson KS (2010) Problem-solving therapy. Handbook of cognitive-behavioral therapies. Guilford Press, New York D’Zurilla T, Nezu A, Dobson KS (2010) Problem-solving therapy. Handbook of cognitive-behavioral therapies. Guilford Press, New York
28.
go back to reference Levenstein S, Prantera C, Varvo V, Scribano ML, Berto E, Luzi C (1993) Development of the Perceived Stress Questionnaire: a new tool for psychosomatic research. J Psychsom Res 37:19–32CrossRef Levenstein S, Prantera C, Varvo V, Scribano ML, Berto E, Luzi C (1993) Development of the Perceived Stress Questionnaire: a new tool for psychosomatic research. J Psychsom Res 37:19–32CrossRef
29.
go back to reference Kristensen T, Hannerz H, Høgh A, Borg V (2005) The Copenhagen Psychosocial Questionnaire (COPSOQ). A tool for the assessment and improvement of the psychosocial work environment. Scand J Work Environ Health 31:438–449CrossRefPubMed Kristensen T, Hannerz H, Høgh A, Borg V (2005) The Copenhagen Psychosocial Questionnaire (COPSOQ). A tool for the assessment and improvement of the psychosocial work environment. Scand J Work Environ Health 31:438–449CrossRefPubMed
30.
go back to reference Nuebling M, Hasselhorn HM (2010) The Copenhagen Psychosocial Questionnaire in Germany: from the validation of the instrument to the formation of a job-specific database of psychosocial factors at work. Scand J Public Health 38:120–124CrossRefPubMed Nuebling M, Hasselhorn HM (2010) The Copenhagen Psychosocial Questionnaire in Germany: from the validation of the instrument to the formation of a job-specific database of psychosocial factors at work. Scand J Public Health 38:120–124CrossRefPubMed
31.
go back to reference Schaufeli W, Leiter M, Maslach C, Jackson S (1996) Maslach Burnout Inventory—General Survey (MBI-GS). In: Maslach C, Jackson SE, Leiter MP (eds) Maslach Burnout Inventory Manual. Consulting Psychologists Press, Palo Alto Schaufeli W, Leiter M, Maslach C, Jackson S (1996) Maslach Burnout Inventory—General Survey (MBI-GS). In: Maslach C, Jackson SE, Leiter MP (eds) Maslach Burnout Inventory Manual. Consulting Psychologists Press, Palo Alto
32.
go back to reference Berking M, Znoj H (2008) Development and validation of a self-report instrument for the assessment of emotion-specific regulation skills (ERSQ-27). Z Psychiatrie Psychol Psychother 56:141–153 Berking M, Znoj H (2008) Development and validation of a self-report instrument for the assessment of emotion-specific regulation skills (ERSQ-27). Z Psychiatrie Psychol Psychother 56:141–153
33.
go back to reference Sinclair VG, Wallston KA (2004) The development and psychometric evaluation of the Brief Resilient Coping Scale. Assessment 11:94–101CrossRefPubMed Sinclair VG, Wallston KA (2004) The development and psychometric evaluation of the Brief Resilient Coping Scale. Assessment 11:94–101CrossRefPubMed
34.
go back to reference Benjamini Y, Hochberg Y (1995) Controlling the false discovery rate: a practical and powerful approach to multiple testing. Stat Soc Ser 57 Benjamini Y, Hochberg Y (1995) Controlling the false discovery rate: a practical and powerful approach to multiple testing. Stat Soc Ser 57
35.
go back to reference Cohen J, Hillsdale NJ (1988) Statistical power analysis for the behavioral sciences. Lawrence Erlbaum Associates, New York Cohen J, Hillsdale NJ (1988) Statistical power analysis for the behavioral sciences. Lawrence Erlbaum Associates, New York
36.
go back to reference Buchberger B, Heymann R, Huppertz H, Friepörtner K, Pomorin N, Wasem J (2011) The effectiveness of interventions in workplace health promotion as to maintain the working capacity of health care personal. GMS Health Technol Assess 1 Buchberger B, Heymann R, Huppertz H, Friepörtner K, Pomorin N, Wasem J (2011) The effectiveness of interventions in workplace health promotion as to maintain the working capacity of health care personal. GMS Health Technol Assess 1
37.
go back to reference Zimber A, Gregersen S, Kuhnert S, Nienhaus A (2010) Workplace health promotion through human resources development part I: development and evaluation of qualification programme for prevention of psychic stresses. Gesundheitswesen 72:209–215CrossRefPubMed Zimber A, Gregersen S, Kuhnert S, Nienhaus A (2010) Workplace health promotion through human resources development part I: development and evaluation of qualification programme for prevention of psychic stresses. Gesundheitswesen 72:209–215CrossRefPubMed
38.
go back to reference Burton NW, Pakenham KI, Brown WJ (2008) Feasibility and effectiveness of psychosocial resilience training: a pilot study of the READY program. Psychol Health Med 15:266–277CrossRef Burton NW, Pakenham KI, Brown WJ (2008) Feasibility and effectiveness of psychosocial resilience training: a pilot study of the READY program. Psychol Health Med 15:266–277CrossRef
39.
go back to reference Leppin AL, Gionfriddo MR, Sood A, Montori VM, Erwin PJ, Zeballos-Palacios C, Bora PR, Dulohery MM, Brito JP, Boehmer KR, Tilburt JC (2014) The efficacy of resilience training programs: a systematic review protocol. Syst Rev. doi:10.1186/2046-4053-3-20 Leppin AL, Gionfriddo MR, Sood A, Montori VM, Erwin PJ, Zeballos-Palacios C, Bora PR, Dulohery MM, Brito JP, Boehmer KR, Tilburt JC (2014) The efficacy of resilience training programs: a systematic review protocol. Syst Rev. doi:10.​1186/​2046-4053-3-20
40.
go back to reference Goldhagen BE, Kingsolver K, Stinnett SS, Rosdahl JA (2015) Stress and burnout in residents: impact of mindfulness-based resilience training. Adv Med Educ Pract 25:525–532 Goldhagen BE, Kingsolver K, Stinnett SS, Rosdahl JA (2015) Stress and burnout in residents: impact of mindfulness-based resilience training. Adv Med Educ Pract 25:525–532
41.
go back to reference McCue JD, Sachs CL (1991) A stress management workshop improves residents’ coping skills. Arch Intern Med 151:2273–2277CrossRefPubMed McCue JD, Sachs CL (1991) A stress management workshop improves residents’ coping skills. Arch Intern Med 151:2273–2277CrossRefPubMed
42.
go back to reference Ospina-Kammerer V, Figley CR (2003) An evaluation of the respiratory one method (ROM) in reducing emotional exhaustion among family physician residents. Int J Emerg Ment Health 5:29–32PubMed Ospina-Kammerer V, Figley CR (2003) An evaluation of the respiratory one method (ROM) in reducing emotional exhaustion among family physician residents. Int J Emerg Ment Health 5:29–32PubMed
43.
go back to reference Shapiro SL, Astin JA, Bishop SR (2005) Mindfulness-based stress reduction for health care professionals: results from a randomized trial. Int J Stress Manag 12:164–176CrossRef Shapiro SL, Astin JA, Bishop SR (2005) Mindfulness-based stress reduction for health care professionals: results from a randomized trial. Int J Stress Manag 12:164–176CrossRef
44.
go back to reference Holton MK, Barry AE, Chaney JD (2015) Employee stress management: An examination of adaptive and maladaptive coping strategies on employee health. Work Holton MK, Barry AE, Chaney JD (2015) Employee stress management: An examination of adaptive and maladaptive coping strategies on employee health. Work
45.
go back to reference Schneider S, Kingsolver K, Rosdahl J (2014) Physician coaching to enhance well-being: a qualitative analysis of a pilot intervention. Explore 10:372–379CrossRefPubMed Schneider S, Kingsolver K, Rosdahl J (2014) Physician coaching to enhance well-being: a qualitative analysis of a pilot intervention. Explore 10:372–379CrossRefPubMed
46.
go back to reference Goodman MJ, Schorling JB (2012) A mindfulness course decreases burnout and improves well-being among healthcare providers. Int J Psychiatry Med 43:119–128CrossRefPubMed Goodman MJ, Schorling JB (2012) A mindfulness course decreases burnout and improves well-being among healthcare providers. Int J Psychiatry Med 43:119–128CrossRefPubMed
47.
go back to reference Pflugeisen BM, Drummond D, Ebersole D, Mundell K, Chen D (2016) Brief video-module administered mindfulness program for physicians: a pilot study. Explore 12:50–54CrossRefPubMed Pflugeisen BM, Drummond D, Ebersole D, Mundell K, Chen D (2016) Brief video-module administered mindfulness program for physicians: a pilot study. Explore 12:50–54CrossRefPubMed
48.
go back to reference Huang SL, Li RH, Huang FY, Tang FC (2015) The potential for mindfulness-based intervention in workplace mental health promotion: results of a randomized controlled trial. PLoS One 10 Huang SL, Li RH, Huang FY, Tang FC (2015) The potential for mindfulness-based intervention in workplace mental health promotion: results of a randomized controlled trial. PLoS One 10
49.
go back to reference West CP, Dyrbye LN, Rabatin JT, Call TG, Davidson JH, Multari A, Romanski SA, Hellyer JMH, Sloan JA, Shanafelt TF (2014) Intervention to promote physician well-being, job satisfaction, and professionalism: a randomized clinical trial. JAMA Intern Med 174:527–533CrossRefPubMed West CP, Dyrbye LN, Rabatin JT, Call TG, Davidson JH, Multari A, Romanski SA, Hellyer JMH, Sloan JA, Shanafelt TF (2014) Intervention to promote physician well-being, job satisfaction, and professionalism: a randomized clinical trial. JAMA Intern Med 174:527–533CrossRefPubMed
50.
go back to reference Sood A, Prasad K, Schroeder D, Varkey P (2011) Stress management and resilience training among Department of Medicine faculty: a pilot randomized clinical trial. J Gen Intern Med 26:858–861CrossRefPubMedPubMedCentral Sood A, Prasad K, Schroeder D, Varkey P (2011) Stress management and resilience training among Department of Medicine faculty: a pilot randomized clinical trial. J Gen Intern Med 26:858–861CrossRefPubMedPubMedCentral
51.
go back to reference Ayres J, Malouff JM (2007) Problem-solving training to help workers increase positive affect, job satisfaction, and life satisfaction. Eur J Work Organ Psychol 16:279–294CrossRef Ayres J, Malouff JM (2007) Problem-solving training to help workers increase positive affect, job satisfaction, and life satisfaction. Eur J Work Organ Psychol 16:279–294CrossRef
52.
go back to reference Kirkpatrick DL, Kirkpatrick DJ (2006) Evaluating training programs: the four levels. Berrett-Koehler Publishers, Oakland Kirkpatrick DL, Kirkpatrick DJ (2006) Evaluating training programs: the four levels. Berrett-Koehler Publishers, Oakland
53.
go back to reference McKensey A, Sullivan L (2016) Balint groups—helping trainee psychiatrists make even better use of themselves. Australas Psychiatry 24:84–87CrossRefPubMed McKensey A, Sullivan L (2016) Balint groups—helping trainee psychiatrists make even better use of themselves. Australas Psychiatry 24:84–87CrossRefPubMed
54.
go back to reference Parker SD, Leggett A (2014) Reflecting on our practice: an evaluation of Balint groups for medical students in psychiatry. Australas Psychiatry 22:190–194CrossRefPubMed Parker SD, Leggett A (2014) Reflecting on our practice: an evaluation of Balint groups for medical students in psychiatry. Australas Psychiatry 22:190–194CrossRefPubMed
55.
go back to reference Van Roy K, Vanheule S, Inslegers R (2015) Research on Balint groups: a literature review. Patient Educ Couns 98:685–694CrossRefPubMed Van Roy K, Vanheule S, Inslegers R (2015) Research on Balint groups: a literature review. Patient Educ Couns 98:685–694CrossRefPubMed
56.
go back to reference Lee E, Kealy D (2014) Revisiting Balint’s innovation: enhancing capacity in collaborative mental health care. J Interprof Care 28:466–470CrossRefPubMed Lee E, Kealy D (2014) Revisiting Balint’s innovation: enhancing capacity in collaborative mental health care. J Interprof Care 28:466–470CrossRefPubMed
57.
go back to reference Aust B, Ducki A (2004) Comprehensive Health promotion interventions at the workplace: experiences with health circles in Germany. J Occup Health Psychol 9:258–270CrossRefPubMed Aust B, Ducki A (2004) Comprehensive Health promotion interventions at the workplace: experiences with health circles in Germany. J Occup Health Psychol 9:258–270CrossRefPubMed
58.
go back to reference Köhler T, Janssen C, Platz SC, Reese JP, Lay J, Steinhausen S, Gloede T, Kowalski C, Schulz-Nieswandt F, Pfaff H (2010) Communication, social capital and workplace health management as determinants of the innovative climate in German banks. Int J Public Health 55:561–570CrossRefPubMedPubMedCentral Köhler T, Janssen C, Platz SC, Reese JP, Lay J, Steinhausen S, Gloede T, Kowalski C, Schulz-Nieswandt F, Pfaff H (2010) Communication, social capital and workplace health management as determinants of the innovative climate in German banks. Int J Public Health 55:561–570CrossRefPubMedPubMedCentral
59.
go back to reference Warnecke E, Quinn S, Ogden K, Towle N, Nelson MR (2011) A randomised controlled trial of the effects of mindfulness practice on medical student stress levels. Med Educ 45:381–388CrossRefPubMed Warnecke E, Quinn S, Ogden K, Towle N, Nelson MR (2011) A randomised controlled trial of the effects of mindfulness practice on medical student stress levels. Med Educ 45:381–388CrossRefPubMed
60.
go back to reference Shanafelt TD, Balch CM, Bechamps GJ (2009) Burnout and career satisfaction among American surgeons. Ann Surg 250:463–471PubMed Shanafelt TD, Balch CM, Bechamps GJ (2009) Burnout and career satisfaction among American surgeons. Ann Surg 250:463–471PubMed
Metadata
Title
Being prepared to work in Gynecology Medicine: evaluation of an intervention to promote junior gynecologists professionalism, mental health and job satisfaction
Authors
Stefanie Mache
Lisa Baresi
Monika Bernburg
Karin Vitzthum
David Groneberg
Publication date
01-01-2017
Publisher
Springer Berlin Heidelberg
Published in
Archives of Gynecology and Obstetrics / Issue 1/2017
Print ISSN: 0932-0067
Electronic ISSN: 1432-0711
DOI
https://doi.org/10.1007/s00404-016-4223-6

Other articles of this Issue 1/2017

Archives of Gynecology and Obstetrics 1/2017 Go to the issue

Gynecologic Endocrinology and Reproductive Medicine

Ovarian reserve in women with a previous history of severe pre-eclampsia

Correspondence

Answer to the editor