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https://www.readbyqxmd.com/read/27692469/interventions-to-prevent-and-reduce-physician-burnout-a-systematic-review-and-meta-analysis
#1
Colin P West, Liselotte N Dyrbye, Patricia J Erwin, Tait D Shanafelt
BACKGROUND: Physician burnout has reached epidemic levels, as documented in national studies of both physicians in training and practising physicians. The consequences are negative effects on patient care, professionalism, physicians' own care and safety, and the viability of health-care systems. A more complete understanding than at present of the quality and outcomes of the literature on approaches to prevent and reduce burnout is necessary. METHODS: In this systematic review and meta-analysis, we searched MEDLINE, Embase, PsycINFO, Scopus, Web of Science, and the Education Resources Information Center from inception to Jan 15, 2016, for studies of interventions to prevent and reduce physician burnout, including single-arm pre-post comparison studies...
November 5, 2016: Lancet
https://www.readbyqxmd.com/read/27576031/in-reply-to-gopal-and-prochazka-and-to-youngclaus
#2
Tait D Shanafelt, Daniel V Satele, Liselotte N Dyrbye
No abstract text is available yet for this article.
September 2016: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/27567665/parental-satisfaction-of-u-s-physicians-associated-factors-and-comparison-with-the-general-u-s-working-population
#3
Tait D Shanafelt, Omar Hasan, Sharonne Hayes, Christine A Sinsky, Daniel Satele, Jeff Sloan, Colin P West, Lotte N Dyrbye
BACKGROUND: Physicians work considerably longer hours and are less satisfied with work-life balance than U.S. workers in other fields. There is, however, minimal data on physicians' parental satisfaction. METHODS: To evaluate differences in parental satisfaction among physicians and workers in other fields, we surveyed U.S. physicians as well as a probability-based sample of the general U.S. working population between August 2014-October 2014. Parental satisfaction and the perceived impact of career on relationships with children were evaluated...
2016: BMC Medical Education
https://www.readbyqxmd.com/read/27313121/relationship-between-clerical-burden-and-characteristics-of-the-electronic-environment-with-physician-burnout-and-professional-satisfaction
#4
Tait D Shanafelt, Lotte N Dyrbye, Christine Sinsky, Omar Hasan, Daniel Satele, Jeff Sloan, Colin P West
OBJECTIVE: To evaluate associations between the electronic environment, clerical burden, and burnout in US physicians. PARTICIPANTS AND METHODS: Physicians across all specialties in the United States were surveyed between August and October 2014. Physicians provided information regarding use of electronic health records (EHRs), computerized physician order entry (CPOE), and electronic patient portals. Burnout was measured using validated metrics. RESULTS: Of 6375 responding physicians in active practice, 5389 (84...
July 2016: Mayo Clinic Proceedings
https://www.readbyqxmd.com/read/27294444/ability-of-a-9-item-well-being-index-to-identify-distress-and-stratify-quality-of-life-in-us-workers
#5
Liselotte N Dyrbye, Daniel Satele, Tait Shanafelt
OBJECTIVE: To determine whether the well-being index (WBI) can identify US workers in distress and stratify quality of life (QOL). METHODS: We used data from 5392 US workers and 6880 physicians to evaluate the efficacy of the WBI and an expanded version of the WBI (eWBI) to identify individuals with distress (high fatigue, burnout, low QOL, and suicidal ideation) and high QOL. RESULTS: Individuals with distress were more likely to endorse each of the WBI items as well as a greater number of total items (all P < 0...
August 2016: Journal of Occupational and Environmental Medicine
https://www.readbyqxmd.com/read/27191841/role-modeling-and-regional-health-care-intensity-u-s-medical-student-attitudes-toward-and-experiences-with-cost-conscious-care
#6
Andrea N Leep Hunderfund, Liselotte N Dyrbye, Stephanie R Starr, Jay Mandrekar, James M Naessens, Jon C Tilburt, Paul George, Elizabeth G Baxley, Jed D Gonzalo, Christopher Moriates, Susan D Goold, Patricia A Carney, Bonnie M Miller, Sara J Grethlein, Tonya L Fancher, Darcy A Reed
PURPOSE: To examine medical student attitudes toward cost-conscious care and whether regional health care intensity is associated with reported exposure to physician role-modeling behaviors related to cost-conscious care. METHOD: Students at 10 U.S. medical schools were surveyed in 2015. Thirty-five items assessed attitudes toward, perceived barriers to and consequences of, and observed physician role-modeling behaviors related to cost-conscious care (using scales for cost-conscious and potentially wasteful behaviors; Cronbach alphas of 0...
May 17, 2016: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/26934693/burnout-and-alcohol-abuse-dependence-among-u-s-medical-students
#7
Eric R Jackson, Tait D Shanafelt, Omar Hasan, Daniel V Satele, Liselotte N Dyrbye
PURPOSE: To explore the relationship between alcohol abuse/dependence with burnout and other forms of distress among a national cohort of medical students. METHOD: In 2012, the authors completed a national survey of medical students from the American Medical Association's Physician Masterfile containing validated items assessing alcohol abuse/dependence, burnout, depression, suicidality, quality of life (QOL), and fatigue. Descriptive and comparative statistical analyses were computed, including chi-square and multivariate logistic regression, to determine relationships between variables...
September 2016: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/26883115/assessment-of-quantitative-and-allelic-mgmt-methylation-patterns-as-a-prognostic-marker-in-glioblastoma
#8
Lasse S Kristensen, Signe R Michaelsen, Henrik Dyrbye, Derya Aslan, Kirsten Grunnet, Ib J Christensen, Hans S Poulsen, Kirsten Grønbæk, Helle Broholm
Methylation of the O(6)-methylguanine-DNA methyltransferase (MGMT) gene is a predictive and prognostic marker in newly diagnosed glioblastoma patients treated with temozolomide but how MGMT methylation should be assessed to ensure optimal detection accuracy is debated. We developed a novel quantitative methylation-specific PCR (qMSP) MGMT assay capable of providing allelic methylation data and analyzed 151 glioblastomas from patients receiving standard of care treatment (Stupp protocol). The samples were also analyzed by immunohistochemistry (IHC), standard bisulfite pyrosequencing, and genotyped for the rs1690252 MGMT promoter single nucleotide polymorphism...
March 2016: Journal of Neuropathology and Experimental Neurology
https://www.readbyqxmd.com/read/26653297/changes-in-burnout-and-satisfaction-with-work-life-balance-in-physicians-and-the-general-us-working-population-between-2011-and-2014
#9
Tait D Shanafelt, Omar Hasan, Lotte N Dyrbye, Christine Sinsky, Daniel Satele, Jeff Sloan, Colin P West
OBJECTIVE: To evaluate the prevalence of burnout and satisfaction with work-life balance in physicians and US workers in 2014 relative to 2011. PATIENTS AND METHODS: From August 28, 2014, to October 6, 2014, we surveyed both US physicians and a probability-based sample of the general US population using the methods and measures used in our 2011 study. Burnout was measured using validated metrics, and satisfaction with work-life balance was assessed using standard tools...
December 2015: Mayo Clinic Proceedings
https://www.readbyqxmd.com/read/26599850/in-reply-to-bianchi-et-al
#10
COMMENT
Liselotte N Dyrbye, Tait D Shanafelt
No abstract text is available yet for this article.
December 2015: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/26311111/percutaneous-radiofrequency-lesion-of-the-superior-cervical-sympathetic-ganglion-in-patients-with-tinnitus
#11
Henk M Koning, Brigitte A Dyrbye, Frits J van Hemert
OBJECTIVE: The aim of this study was to determine the efficacy of radiofrequency lesioning of the superior cervical sympathetic ganglion for patients with tinnitus. STUDY DESIGN: This is a retrospective long-term clinical review of patients with tinnitus treated with a blockade of the superior cervical sympathetic ganglion. SETTING: The human subjects were 366 consecutive patients who came to the DC Klinieken in Almere and Amsterdam from January 2010 to January 2014 for consultations on their tinnitus that persisted for 1 month or longer...
August 27, 2015: Pain Practice: the Official Journal of World Institute of Pain
https://www.readbyqxmd.com/read/26173517/the-adverse-effect-of-weight-stigma-on-the-well-being-of-medical-students-with-overweight-or-obesity-findings-from-a-national-survey
#12
Sean M Phelan, Diana J Burgess, Rebecca Puhl, Liselotte N Dyrbye, John F Dovidio, Mark Yeazel, Jennifer L Ridgeway, David Nelson, Sylvia Perry, Julia M Przedworski, Sara E Burke, Rachel R Hardeman, Michelle van Ryn
BACKGROUND: The stigma of obesity is a common and overt social bias. Negative attitudes and derogatory humor about overweight/obese individuals are commonplace among health care providers and medical students. As such, medical school may be particularly threatening for students who are overweight or obese. OBJECTIVE: The purpose of our study was to assess the frequency that obese/overweight students report being stigmatized, the degree to which stigma is internalized, and the impact of these factors on their well-being...
September 2015: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/26134266/physician-burnout-can-we-make-a-difference-together
#13
RANDOMIZED CONTROLLED TRIAL
Matthew Siedsma, Lillian Emlet
BACKGROUND: Despite the documented prevalence and clinical ramifications of physician distress, few rigorous studies have tested interventions to address the problem. METHODS: HASH(0x3d7eba0) OBJECTIVE: To test the hypothesis that an intervention involving a facilitated physician small-group curriculum would result in improvement in well-being. DESIGN: A randomized clinical trial of practicing physicians. Additional data were collected on nontrial participants responding to annual surveys timed to coincide with the trial surveys...
2015: Critical Care: the Official Journal of the Critical Care Forum
https://www.readbyqxmd.com/read/25844737/improving-physician-well-being-reply
#14
LETTER
Colin P West, Liselotte N Dyrbye, Tait D Shanafelt
No abstract text is available yet for this article.
April 2015: JAMA Internal Medicine
https://www.readbyqxmd.com/read/25823633/the-prevalence-of-substance-use-disorders-in-american-physicians
#15
Michael R Oreskovich, Tait Shanafelt, Lotte N Dyrbye, Litjen Tan, Wayne Sotile, Daniel Satele, Colin P West, Jeff Sloan, Sonja Boone
BACKGROUND: There have been few studies on the prevalence of substance use disorders (SUDS) in the physician population at large nor have any studies compared the prevalence of SUDS in American physicians by specialty. METHODS: We conducted a national study of SUDS in a large sample of U.S. physicians from all specialty disciplines using the AMA Physician Masterfile. Substance Use Disorders (SUDS) were measured using validated instruments. RESULTS: Of the 27,276 physicians who received an invitation to participate, 7,288 (26...
January 2015: American Journal on Addictions
https://www.readbyqxmd.com/read/25650824/the-impact-of-stigma-and-personal-experiences-on-the-help-seeking-behaviors-of-medical-students-with-burnout
#16
Liselotte N Dyrbye, Anne Eacker, Steven J Durning, Chantal Brazeau, Christine Moutier, F Stanford Massie, Daniel Satele, Jeff A Sloan, Tait D Shanafelt
PURPOSE: Because of the high prevalence of burnout among medical students and its association with professional and personal consequences, the authors evaluated the help-seeking behaviors of medical students with burnout and compared their stigma perceptions with those of the general U.S. population and age-matched individuals. METHOD: The authors surveyed students at six medical schools in 2012. They measured burnout, symptoms of depression, and quality of life using validated instruments and explored help-seeking behaviors, perceived stigma, personal experiences, and attitudes toward seeking mental health treatment...
July 2015: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/25539515/a-national-study-of-medical-students-attitudes-toward-self-prescribing-and-responsibility-to-report-impaired-colleagues
#17
Liselotte N Dyrbye, Colin P West, Daniel Satele, Sonja Boone, Jeff Sloan, Tait D Shanafelt
PURPOSE: The authors investigated medical students' attitudes about appropriate prescribing behaviors, their personal responsibility to report impaired colleagues, and what factors may influence these beliefs. METHOD: The authors conducted a cross-sectional study of U.S. medical students in 2012 to assess attitudes about appropriate prescribing behaviors and responsibility to report impaired colleagues, and to explore relationships between prescribing beliefs and burnout, depression, and alcohol abuse/dependence...
April 2015: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/25304386/content-and-timing-of-feedback-and-reflection-a-multi-center-qualitative-study-of-experienced-bedside-teachers
#18
Jed D Gonzalo, Brian S Heist, Briar L Duffy, Liselotte Dyrbye, Mark J Fagan, Gary Ferenchick, Heather Harrell, Paul A Hemmer, Walter N Kernan, Jennifer R Kogan, Colleen Rafferty, Raymond Wong, Michael D Elnicki
BACKGROUND: Competency-based medical education increasingly recognizes the importance of observation, feedback, and reflection for trainee development. Although bedside rounds provide opportunities for authentic workplace-based implementation of feedback and team-based reflection strategies, this relationship has not been well described. The authors sought to understand the content and timing of feedback and team-based reflection provided by bedside teachers in the context of patient-centered bedside rounds...
2014: BMC Medical Education
https://www.readbyqxmd.com/read/25250752/distress-among-matriculating-medical-students-relative-to-the-general-population
#19
MULTICENTER STUDY
Chantal M L R Brazeau, Tait Shanafelt, Steven J Durning, F Stanford Massie, Anne Eacker, Christine Moutier, Daniel V Satele, Jeff A Sloan, Liselotte N Dyrbye
PURPOSE: Many medical students experience distress during medical school. If matriculating medical students (MMSs) begin training with similar or better mental health than age-similar controls, this would support existing concerns about the negative impact of training on student well-being. The authors compared mental health indicators of MMSs versus those of a probability-based sample of the general U.S. population. METHOD: In 2012 all MMSs at six U.S. medical schools were invited to participate in a survey during orientation...
November 2014: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/24701315/ability-of-the-physician-well-being-index-to-identify-residents-in-distress
#20
Liselotte N Dyrbye, Daniel Satele, Jeff Sloan, Tait D Shanafelt
BACKGROUND: Resident well-being impacts competence, professionalism, career satisfaction, and the quality of care delivered to patients. OBJECTIVE: We established normative scores and reported evidence of relationship between the Physician Well-Being Index (PWBI) score to other variables and consequence validity for the PWBI in a national sample of residents, and evaluated the performance of the index after substituting the original fatigue item with an item not associated with driving a car...
March 2014: Journal of Graduate Medical Education
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