Please select the eligibility criteria that correspond to the clinical trial below.
Title: N/A
Brief Summary: The study purpose is to evaluate the effect of a small group discussion based intervention on physician well-being, job satisfaction, and professionalism. Participants will be put in one of 3 groups by chance (as in the flip of a coin). A computerized selection process will be used to assign participants to the study groups. There is a 1 in 3 chance of being assigned at random to either of the 3 groups.

The first study group will meet once every two weeks for 9 months (from September 2010 through June 2011) from 12:30 pm until 2:00 pm. These meetings will be small group discussion sessions with groups of no more than 15 participants. Lunch will be provided for the first 30 minutes, and group discussion during the next 1 hour will be guided by the session facilitator around such topics as work-life balance, meaning in work, medical mistakes, spirituality, and unmet patient needs. However, the discussions will be open forums, and the groups themselves will help decide on topics relevant to the group. The 1 hour of protected non-clinical time every other week required for this group will be funded by the study.

The second study group will also have 1 hour of protected non-clinical time provided every other week for the same 9 months. This study group will not participate in small group discussions, but may use the protected time for professional tasks as they wish.

Participants in the third study group will continue with their current work practices, but will be provided with protected time to complete study surveys. If group sizes are too small after recruitment to allow a complete study of all three groups, the third study group will be removed and participants will be randomly assigned to one of the first two study groups only.

Participants in all groups will be asked to complete a quarterly survey on well-being, job satisfaction, and professionalism. Follow-up surveys will also be administered 3 months and 1 year after the conclusion of the small group sessions. Each survey is expected to take approximately 20-30 minutes to complete.


Options:
A: Inclusion Criteria:

* ICU nurses from adult ICUs with a professional experience in the actual ICU of at least 6 months and no decision to leave the ICU at the time of enrollment

Non inclusion Criteria:

* Less than 6 months of professional activity in the actual ICU at the time of enrollment
* Intent-to-leave in the next 6-month period
* Previous experience of this simulation program
* Pregnant women

Exclusion Criteria :

* ICU nurses who leave their city during the study period
* Pregnant women who miss their job during at least 4 weeks during the study period
B: Inclusion Criteria:

* Workers over the age of 19 and under 65
* In the Perceived Stress Scale 14 points or more
* If you are currently taking medication due to psychiatric illnesses such as depression, anxiety disorder, insomnia, etc., if the stabilizer is expected to have no change in drug dose during the clinical trial
* If you understand the protocol and voluntarily agree to participate
* If you have an Android phone

Exclusion Criteria:

* Age under 19, adult over 65
* If you have dementia, intellectual disability, or other cognitive impairment
* If you have convulsive disorder, stroke, or other neurological disorder
* If you have psychosis such as schizophrenia or bipolar disorder or you have a history
* If you have a disease that can affect the reliability of HRV test, such as heart disease or lung disease.
* Has received non-pharmacological psychiatric or counseling treatment within the current or last 6 months.
C: Inclusion Criteria:

* Senior Associate Consultant or Consultant in the Mayo Clinic Department of Medicine.

Exclusion Criteria:

* No clinical effort.
D: Inclusion Criteria:

* ICU admission contained entirely within the period of a single intensivist staffing format during the study period.

Exclusion Criteria:

* Repeat ICU admissions during the study period
* ICU admissions that overlapped more than one intensivist staffing format during the study period

Answer: C