Abstract
BackgroundBurnout is being experienced by medical students, residents, and practicing physicians at significant rates. Higher levels of Hardiness and Emotional Intelligence may protect individuals against burnout symptoms. Previous studies have shown both Hardiness and Emotional IntelIigence protect against detrimental effects of stress and can be adapted through training; however, there is limited research on how training programs affect both simultaneously. Therefore, the objective of this study was to define the association of Hardiness and Emotional Intelligence and their potential improvement through hyper realistic immersion simulation training in military medical students.MethodsParticipants in this study consisted of 68 second year medical students representing five medical schools who were concurrently enrolled in the United States military scholarship program. During a six day hyper-realistic surgical simulation training course, students rotated through different roles of a medical team and responded to several mass-casualty scenarios. Hardiness and Emotional Intelligence were assessed using the Hardiness Resilience Gauge (HRG) and the Emotional Quotient Inventory (EQ-I 2.0) respectively, at two time points: on arrival (pre-event) and after completion of the course (post-event).ResultsHardiness and Emotional Intelligence scores and sub scores consistently improved from pre-event to post-event assessments. No difference in training benefit was observed between genders but differences were observed by age where age was more often associated with Emotional Intelligence. In addition, factor analysis indicated that the HRG and EQ-I 2.0 assessment tools measured predominately different traits although they share some commonalities in some components.ConclusionThis study indicates that Hardiness and Emotional Intelligence scores can be improved through immersion training in military medical students. Results from this study support the use of training course interventions and prompt the need for long term evaluation of improvement strategies on mitigating burnout symptoms.
Highlights
Medical professionals, are expected to perform at an extraordinary level while working in a stressful environment where failure can be costly
This project was designed as a prospective study to evaluate the conjoined effect of Hardiness and Emotional Intelligence after a hyper realistic surgical simulation training session
The hyper realistic surgical training session simulates the immersive environment of a mass-casualty event in a non-threatening military setting where the entire timeline from the simulated attack, situation assessment, triage, medical management is recreated in real time
Summary
Medical professionals, are expected to perform at an extraordinary level while working in a stressful environment where failure can be costly. Their continuous exposure to stressful environments increases their chances to develop symptoms of burnout (Adler et al, 2017; West et al, 2018). Individuals that have low levels of Hardiness, low Emotional Intelligence, poor self-esteem, and have avoidant coping mechanisms may experience higher rates of burnout (Dahlin et al, 2007; Garrosa et al, 2010; Galaiya et al, 2020). Higher levels of Hardiness and Emotional Intelligence may protect individuals against burnout symptoms. The objective of this study was to define the association of Hardiness and Emotional Intelligence and their potential improvement through hyper realistic immersion simulation training in military medical students
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