Programs
developed by
Dr Maura Kenny
Teaching Partner, University of Oxford Mindfulness Centre,
distilled from the 8-week MBCT (Mindfulness-Based Cognitive Therapy)
Program Description
This 6-session program has been developed by practising Consultant Psychiatrist and MBCT-Teaching Partner (University of Oxford Mindfulness Centre) Dr Maura Kenny from the 8-week MBCT program.
It comprises six 75-minute sessions delivered online or onsite to healthcare providers
at all levels of training and multi-disciplinary roles.
The selection of succinct topics for self-care and shorter daily practices for busy healthcare professionals make this program an effective introduction to Mindfulness.
CONTENTS
Automatic pilot and its relationship to stress
Becoming aware of distractions and using the breath as an anchor
Looking after the body as a way to recalibrate
Becoming aware of thinking and responding kindly
Renewing our energy for our work
Using what has been learnt to care for oneself
Reference Papers:
Mills, Chapman and Fraser (2018) Exploring the Meaning and Practice of Self-Care Among
Palliative Care Nurses and Physicians: A Qualitative Study.
BMC Palliative Care, 17:63
Sanchez-Reilly, Morrison & Carey et al (2013)
Caring for Oneself to Care for Others: Physicians and Their Self-Care.
J. Support Onco., 11(2):75-81
Sibinga and Wu (2010) Clinician Mindfulness and Patient Safety.
JAMA, 304(22):2532-2533
Tsiga, Panagopoulou and Montgomery (2017) Examining the Link Between Burnout and Medical Error. Burnout Research, 6:1-8
MSCP Training Pathway:
a. Participated in a 8-week applied mindfulness course (e.g. MBSR, MBCT, Breathworks, MSC)
b. Completed Level 1 of a recognised mindfulness teacher-training pathway
c. Attended a silent teacher-led meditation retreat in mindfulness
d. 3-day MSCP Training Intensive
e. Supervision for the first course delivered
Link to MSCP:
developed by
Kristen Neff, Chris Germer,
Krista Gregory, Natalie Bell, Phoebe Long and Marissa Knox
An empirically supported program approved by the Center for Mindful Self-Compassion (CMSC)
distilled for healthcare from the 8-week MSC (Mindful Self-Compassion) course
CONTENTS
What is self-compassion?
Practising self-compassion
Discovering your compassionate voice
Self-compassion and resilience
Self-compassion and burnout
Core values and intentions for healthcare
Program Description
This 6-session program has been developed from the 8-week Mindful Self-Compassion program.
It comprises six 75-minute sessions delivered online or onsite to healthcare providers
at all levels of training and multi-disciplinary roles.
Succinct topics for self-compassion in healthcare are selected to promote cultivation of compassion,
enhance resilience and prevent burnout, with short daily practices tailored for busy professionals on the job.
This program can be presented as a 6-week online/in-person course, weekend workshop or one-day seminar.
Reference Papers:
Back, Deignan and Potter (2014) Compassion, Compassion Fatigue and Burnout: Key Insights for
Oncology Professionals.
American Society of Clinical Oncology, ASCO Educational Book, e454-e459
Egan, Mantzios and Jackson (2016) Healthcare Practitioners and the Directive Towards Compassionate Healthcare in the UK: Exploring the Need to Educate Health Practitioners on How to be Self-Compassionate and Mindful Alongside Mandating Compassion Towards Patients.
Health Professions Education (http://dx.doi.org/10.1080/0142159X.2016.1248925)
Germer and Neff (2013) Self-Compassion in Clinical Practice.
Journal of Clinical Psychology: In Session, 69(8):856-867
J. Mills, M. Chapman (2016) Compassion and Self-Compassion in Medicine: Self-Care for the Caregiver. Australasian Medical Journal, 9(5):87-91
Neff, Knox and Long et al (2020) Caring for Others Without Losing Yourself: An Adaptation of the
Mindful Self-Compassion Program for Healthcare Communities.
Journal of Clinical Psychology, 76(9):1543-1562
Rajput and Rosenberger (2017) Developing Self-Empathy in Medical Students and Physicians
to Improve Patient Outcomes.
MedEdPublish (http://doi.org/10.15694/mep.2017.000151)
MSC Training Pathway:
a. Participated in an 8-week Mindful Self-Compassion Course
b. Attended a silent teacher-led meditation retreat in mindfulness/self-compassion
c. 6-day residential or 12-day online MSC Teacher-Training Intensive
d. Teacher Training Practicum
e. Supervision for the first course delivered
Links to CMSC:
Mindful Practice in Medicine
Inspiring and developing health professionals to thrive and better serve others
developed by
Drs Ronald Epstein & Michael Krasner
University of Rochester Medical Center
MINDFUL PRACTICE IN MEDICINE THEMES:
Awareness
Self-Monitoring
Cognition
Teamwork
Suffering
Errors
Managing Time
Working with Uncertainty
Self-Care & Self-Compassion
Compassion for Others
Challenges to Professionalism
Grief & Loss
Resilience
Modules are thematically oriented around a particular topic relevant to clinical practice, presented through
-
Interactive PowerPoints slides
-
Contemplative Exercises
-
Narrative & Appreciative Inquiry
Program Description
(Mindful Practice in Medicine):
Mindful Practice in Medicine offer a means to
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Enhance the self-awareness, wellness and resilience of health professionals;
-
Improve their relationship with patients and colleagues;
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Advance the quality of medical care they provide;
-
Mindful Practice in Medicine help to develop qualities of exemplary clinicians in all specialties and at all levels of experience. These qualities include the ability to be present, attentive, and curious, and to adopt a "beginner's mind" with the goal of achieving greater awareness and insight into one's own work.
Reference Materials:
Croskerry (2013) From Mindless to Mindful Practice—Cognitive Bias and Clinical Decision Making.
The New England Journal of Medicine, 368(26):2445-2448
Epstein (2017) Attending: Medicine, Mindfulness and Humanity. Simon & Schuster, NY
Epstein (2011) Mindful Practice: A Key to Patient Safety.
Focus on Patient Safety, 14(2):3-7
Epstein and Krasner (2013) Physician Resilience: What It Means, Why It Matters, and How to Promote It. Acad. Med., 88:301-303
Krasner, Epstein and Beckman et al (2009) Association of an Educational Program in Mindful Communication with Burnout, Empathy, and Attitudes among Primary Care Physicians.
JAMA, 302(12):1284-1293
Wu (2000) Medical Error: The Second Victim. BMJ, 320:726-727
Training Pathway:
a. Participation at a 4-day Mindful Practice in Medicine Retreat Workshop (in-person or online)
b. Active meditation practice
c. Experience teaching health profession students, residents and/or practitioners
d. 5-day Mindful Practice Facilitator Training Workshop
Link to Mindful Practice in Medicine:
https://mindfulpracticeinmedicine.com
This 4-day Core Workshop is being planned for Singapore 3-7 July 2023
Details of the Singapore 2023 Programme and Facilitator Bio:
https://tinyurl.com/MPIMSG23
Registration:
https://tinyurl.com/MPIMReg
Mindful Caring Elective 2020:
Caring for Ourselves and for Our Patients
(for Medical Students and Clinical Tutors)
"Capacity for compassion is not a given, nor is empathy always natural,
because to witness suffering can be one of the hardest things."
"Mindfulness and compassion are two wings of a bird in wise caring."
Gilbert & Choden
Program Description:
This Student Elective is offered to clinical-year (third and fourth year) medical students in Singapore
addressing the experience of encountering patient-suffering in the clinical rotations,
developing skills to turn towards suffering and uncertainty,
and responding with compassion through:
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Mindful Self-Awareness
-
Self-Compassion and Self-Care
-
Effective Emotional Regulation
CONTENTS
Module A: Mindful Self-Care Program
Module B: Self-Compassion for Healthcare Communities
Module C: Introduction to Medical Humanities and Narrative Medicine
Module D: Reflections on the Journey of Medical Training
Reference Materials:
Brazeau, Schroeder and Rovi et al. (2010) Relationship between Medical Student Burnout, Empathy and Professional Climate. Academic Medicine, 87(6):1-5
Cassell (1982) The Nature of Suffering and the Goals of Medicine.
New England Journal of Medicine, 306(11):639-645
Charon (2017) To See the Suffering. Academic Medicine, 92(12):1668-1670
Dunn, Iglewicz and Moutier (2008) A Conceptual Model of Medical Student Well-Being: Promoting Resilience and Preventing Burnout. Academic Psychiatry, 32:1
Elton (2018) Also Human: The Inner Lives of Doctors. Windmill Books, London
Kalanithi (2016) When Breath Becomes Air: What Makes Life Worth Living in the Face of Death?
Vintage (Penguin Random House), London
Mambu (2017) Restoring the Art of Medicine. The American Journal of Medicine, 130(12):1340-1341
Remen (2006) Kitchen Table Wisdom: Stories That Heal. Riverhead Books, NY
Richardson, Jaber and Chan et al. (2016) Self-Compassion and Empathy: Impact on Burnout and Secondary Traumatic Stress in Medical Training.
Open Journal of Epidemiology, Vol 6(3)
Schrijver (2016) Pathology in the Medical Profession? Taking the Pulse of Physician Wellness and Burnout.
Arch. Pathol. Lab. Med., 140:976-982
See, Lim and Kua et al. (2016) Stress and Burnout among Physicians: Prevalence and Risk Factors in a Singapore Internal Medicine Program. Annals Academy of Medicine, 45(10):471-474
Mindful Caring 2023:
Cultivating Compassion & Enhancing Resilience
in Healthcare
(for Medical Educators & Healthcare Practitioners)
"The expectation that we can be immersed in suffering and loss daily and not be touched by it,
is as unrealistic as expecting to be able to walk through water without getting wet.
The way we deal with loss shapes our capacity to be present to life more than anything else."
Rachel Naomi Remen MD (Kitchen Table Wisdom)
Program Description:
This program brings together current thoughts in healthcare professional well-being
and Mindful Compassion education for healthcare professionals in the light of our needs as a Healthcare Community in Singapore.
How can healthcare providers care for others amidst their own anxieties and uncertainties? How can healthcare providers continue to care for others without losing themselves?
How might an understanding of empathy, compassion and mindfulness mitigate stress and burnout, enhancing well-being and flourishing in healthcare professionals?
How might mindful leadership and humanising healthcare improve patient experience?
Reference Materials:
Hougaard and Carter (2018) The Mind of the Leader: How to Lead Yourself, Your People and Your Organisation for Extraordinary Results. Harvard Business Review Press
Maslach and Leiter (1997) The Truth About Burnout: How Organisations Cause Personal Stress and
What to Do About It. San Francisco: Jossey-Bass
Shanafelt and Noseworthy (2017) Executive Leadership and Physician Well-Being: Nine Organisational Strategies to Promote Engagement and Reduce Burnout.
Mayo Clinic Proceedings, 92(1):129-146
Shelley (2019) Physician Burnout Syndrome: Antithesis of Physician Well-Being.
Archive of Medicine and Health Sciences, 7(1):1-10
Voce, Veneziani and Metta (2016) Affective Organisational Commitment and Dispositional Mindfulness
as Correlates of Burnout in Healthcare Professionals.
Journal of Workplace Behavioural Health, 31(2):63-70
Wald (2020) Optimising Resilience and Wellbeing for Healthcare Professionals During Public Health Crisis:
Practical Tips for an 'Integrative Resilience' Approach. Medical Teacher
CONTENTS
Topics being developed
(by local healthcare educators):
1. Introducing Mindful Self-Care & Mindful Self-Compassion for Healthcare
2. Practising Mindful Self-Care
3. Practising Mindful Self-Compassion
4. Exploring Emotional Awareness, Suffering, Loss & Grief in Practice
5. Am I Best Motivated by Self-Criticism or by Self-Compassion?
6. Exploring Resilience & Exhaustion in Health Professionals
7. Flourishing, Well-being & Burnout in Healthcare
8. A Connection in Purpose (Core Values & Intentions)
9. Thinking About Mindful Leadership
10. Silent Day of Mindful Compassion Practice