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Purpose@#The efficacy of the Mindful Self-Compassion (MSC) for Healthcare Communities program has not been verified. This study aims to evaluate the feasibility and efficacy of the online MSC for Healthcare Communities program on burnout, stress-related health, and resilience among surgical trainees. @*Methods@#A single-arm pilot study was conducted at a tertiary referral academic hospital in Korea. Surgical trainees were recruited through flyer postings; therefore, a volunteer sample was used. Thus, 15 participants participated, among whom 9 were women and 11 were doctor-residents. The Self-Compassion for Healthcare Communities (SCHC) program was conducted from September to October 2021 via weekly online meetings (1 hour) for 6 weeks. The efficacy of the program was evaluated using validated scales for burnout, stress, anxiety, depression, self-compassion, and resilience before and after the intervention and 1 month later. @*Results@#The results showed significantly reduced burnout, anxiety, and stress scores. After the program, high emotional exhaustion and depersonalization rates decreased, and personal accomplishment increased. Eight participants showed reduced anxiety postintervention, and 9 showed reduced stress. Improvements were observed between pre- and postintervention in resilience, life satisfaction, and common humanity. Changes in self-compassion predicted higher gains in resilience and greater reductions in burnout and stress. @*Conclusion@#The SCHC is a feasible and effective program to improve resilience, self-compassion, and life satisfaction and reduce stress, anxiety, depression, and burnout in surgical trainees. This study highlights the need to include specific mental health programs in surgical training to improve trainees’ well-being.
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Male albino rats fed 8 or 25% casein as a source of protein (designated here as low and high protein diet) were exposed to cold(4-5 degrees C) or heat (36-38 degrees C) environment for 21 days. Another series of rats were exposed alternately between cold and hot environments every other day. The weight of the liver, pancreas, kidneys and testis were increased in rats exposed to the cold environment on both low and high protein regimen. Histologically the pancreatic section from cold and alternating temperature rats showed enlargement of the pancreatic acini, cellular hypertrophy and increase in zymogen granules. The weight of the spleen in hot environment and of pancreas in alternating environment were also increased in rats given high protein diet. In the rats exposed to cold, the volume of the biliary-pancreatic secretion was significantly increased, which may reflect the hypertrophy and weight increase of both liver ,and pancreas, however, the content of amylase and lipase were decreased and trypsin was little changed or increased in case of high protein regimen. In rats exposed to hot environment, in contrast, the amylase content of the juice was Increased in high protein regimen. Little change of pancreatic enzymes were seen in the alternating group. The serum protein of all experimental groups was elevated and the serum amylase was elevated only in rats exposed to the alternating environment. The mortality of rats fed low protein diet was 33.3% in both cold and alternating environments and 25.0% in the hot environment. The mortality of rats fed a high protein diet was lower than low protein regimen, and furthermore, none died in the alternating environment with the high protein regimen. The data indicate that exposure to either cold or hot environment bring about danger to life, and also functional and morphological alterations of digestive viscera. The increased organ weight and digestive secretion in cold environment is suggestive of pituitary-adrenal participation in cold adaptation while no such involovement is apparent in heat adaptation. The higher protein regimen demonstrated protective effect for either cold or hot environmental stress.