RT Journal Article SR Electronic T1 Burnout, resilience, and perception of mindfulness programmes among GP trainees: a mixed-methods study JF BJGP Open JO BJGP Open FD Royal College of General Practitioners SP bjgpopen20X101058 DO 10.3399/bjgpopen20X101058 VO 4 IS 3 A1 Hanson, Petra A1 Clarke, Amy A1 Villarreal, Manuel A1 Khan, Majid A1 Dale, Jeremy YR 2020 UL http://bjgpopen.org/content/4/3/bjgpopen20X101058.abstract AB Background Trainee GPs are at risk of developing burnout as a result of high stress levels. Improving resilience may prevent the negative effects of stress on wellbeing, morale, and patient care, thereby supporting recruitment to general practice.Aim To explore experiences of stress and burnout among GP trainees, and their level of interest in undertaking a mindfulness programme.Design & setting A qualitative study was performed with a cohort of GP trainees in Coventry and Warwickshire.Method This mixed-methods study utilised a survey with validated measures to investigate the prevalence of burnout, state of wellbeing, and resilience in GP trainees. Focus groups were also used to explore experiences of stress and burnout, and perceptions of mindfulness practice.Results In total, 47 (response rate 39%) trainees completed the survey and 14 participated in focus groups. There was a high prevalence of disengagement (n = 36; 80%) and emotional exhaustion (n = 35; 77%), with 29 (64%) scoring above the cut-off value for both. While 16 (34%) reported already practising mindfulness, 39 (83%) described interest in engaging in mindfulness practice. The focus groups identified a range of issues relating to how trainees recognise stress and burnout, their help-seeking and coping strategies, the perceived barriers to practising self-care, and motivations for participating in mindfulness training.Conclusion This study confirms the degree of stress and burnout that GP trainees experience, and their desire for greater wellbeing and resilience support. It identified a high level of interest in attending a mindfulness programme, but also barriers to engagement. Results of this research shaped the Mindful Practice Curriculum programme, which was later provided to this cohort of trainees.