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Physician resilience

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https://www.readbyqxmd.com/read/29138360/defang-aces-end-toxic-stress-by-developing-resilience-through-physician-community-partnerships
#1
REVIEW
Amanda Jichlinski
No abstract text is available yet for this article.
November 14, 2017: Pediatrics
https://www.readbyqxmd.com/read/29130037/posttraumatic-psychiatric-disorders-and-resilience-in-healthcare-providers-following-a-disastrous-earthquake-an-interventional-study-in-taiwan
#2
Ya-Ting Ke, Hsiu-Chin Chen, Chien-Ho Lin, Wen-Fu Kuo, An-Chi Peng, Chien-Chin Hsu, Chien-Cheng Huang, Hung-Jung Lin
Background: Posttraumatic psychiatric disorders (PTPDs) are common in disaster workers; however, their incidence and resilience in healthcare providers (HCPs) following a disastrous earthquake are still unclear. Therefore, we conducted an interventional study to clarify this issue. Methods: After a medical response to the scene of a collapsed huge building, we conducted an assessment of the HCPs using an immediate self-administered questionnaire and a follow-up questionnaire 1 month later...
2017: BioMed Research International
https://www.readbyqxmd.com/read/29107117/burnout-and-stress-among-us-surgery-residents-psychological-distress-and-resilience
#3
Carter C Lebares, Ekaterina V Guvva, Nancy L Ascher, Patricia S O'Sullivan, Hobart W Harris, Elissa S Epel
BACKGROUND: Burnout among physicians affects mental health, performance and patient outcomes. Surgery residency is a high-risk time for burnout. We examined burnout and the psychological characteristics that may contribute to burnout vulnerability and resilience in a group of surgical trainees. STUDY DESIGN: An online survey was distributed in September, 2016, to all ACGME-accredited general surgery programs. Burnout was assessed with an abbreviated Maslach Burnout Inventory...
October 24, 2017: Journal of the American College of Surgeons
https://www.readbyqxmd.com/read/29048447/strategies-for-disease-prevention-and-health-promotion-in-urban-areas-the-erice-50-charter
#4
D D'Alessandro, S Arletti, A Azara, M Buffoli, L Capasso, A Cappuccitti, A Casuccio, A Cecchini, G Costa, A M De Martino, M Dettori, E Di Rosa, G M Fara, M Ferrante, G Giammanco, A Lauria, G Melis, U Moscato, I Oberti, C Patrizio, M G Petronio, A Rebecchi, V Romano Spica, G Settimo, C Signorelli, S Capolongo
The Erice 50 Charter titled "Strategies for Diseases Prevention and Health Promotion in Urban Areas" was unanimously approved at the conclusion of the 50th Residential Course "Urban Health. Instruments for promoting health and for assessing hygienic and sanitary conditions in urban areas", held from 29th March to 2nd April 2017 in Erice, at the "Ettore Majorana" Foundation and Centre for Scientific Culture and promoted by the International School of Epidemiology and Preventive Medicine "G. D'Alessandro" and the Study Group "Building Hygiene" of the Italian Society of Hygiene, Preventive Medicine and Public Health (SItI)...
November 2017: Annali di Igiene: Medicina Preventiva e di Comunità
https://www.readbyqxmd.com/read/29018095/a-systematic-review-of-interventions-to-foster-physician-resilience
#5
REVIEW
Susan Fox, Sinéad Lydon, Dara Byrne, Caoimhe Madden, Fergal Connolly, Paul O'Connor
This review aimed to synthesise the literature describing interventions to improve resilience among physicians, to evaluate the quality of this research and to outline the type and efficacy of interventions implemented. Searches were conducted in April 2017 using five electronic databases. Reference lists of included studies and existing review papers were screened. English language, peer-reviewed studies evaluating interventions to improve physician resilience were included. Data were extracted on setting, design, participant and intervention characteristics and outcomes...
October 10, 2017: Postgraduate Medical Journal
https://www.readbyqxmd.com/read/29016500/nonreassuring-status-improving-obstetrician-gynecologist-wellness
#6
Abigail Ford Winkel, Francine Hughes, Stephanie V Blank
Physician wellness directly affects patient and physician health and has broader implications for our health systems. A summary of what is known about physician wellness in medicine, and obstetrics and gynecology in particular, identifies several areas for future focus. To change our culture and the structure of our academic health centers in a way that promotes resilience, we suggest greater attention to preparedness for practice and attention to work-life integration as well as mentoring and professional development...
November 2017: Obstetrics and Gynecology
https://www.readbyqxmd.com/read/28967726/how-to-define-the-therapeutic-limits
#7
Alberto Cester, Monica Maselli, Francesco Bolzetta
With the advance of technological progress and the increase in life expectancy, it is nowadays mandatory to define what is the therapeutic limit. Every day each physician must take therapeutic decisions on the basis of his scientific knowledge, but also of his own conscience and sense of limits. They can not avoid to consider the global risk of death, disability and morbidity in more advanced age, especially in the field of cardiology and cardiac surgery. In these subjects, both fit that frail, is necessary not only an evaluation for adequate risk assessment, but also a multidimensional assessment performed with advanced tools...
July 18, 2017: Monaldi Archives for Chest Disease, Archivio Monaldi Per le Malattie del Torace
https://www.readbyqxmd.com/read/28966896/increasing-resident-wellness-through-a-novel-retreat-curriculum
#8
Angela Cornelius, Brian G Cornelius, Mary Ann Edens
Background Because of their arduous schedules, residents are susceptible to burnout, fatigue, and depression. In 2015, the Accreditation Council for Graduate Medical Education (ACGME) launched a campaign to foster physician wellness, in response to the suicides of three residents during the previous year. The campaign calls for strategies to developing resiliency, identify problems, and promote well-being. One of the suggested methods to promote well-being was a residency retreat. Objective To implement a novel retreat curriculum that emphasizes team building between residents and faculty, with which residents expressed high satisfaction...
July 28, 2017: Curēus
https://www.readbyqxmd.com/read/28961595/the-relation-between-mastery-anticipated-stigma-and-depression-among-older-adults-in-a-primary-care-setting
#9
Elmira Raeifar, Ashley Halkett, Matthew C Lohman, Jo Anne Sirey
The current study evaluates the interaction between mastery, depression, and psychological barriers to care among older adults in a primary care setting, including the longitudinal effects of anticipated stigma and mastery on depressive symptoms. The sample was composed of 70 depressed older adults (age ≥ 60) who were newly recommended antidepressant treatment by their physicians. This cohort is part of a larger study examining the usefulness of the Treatment Initiation and Participation program to improve medication adherence...
October 2017: Journal of Nervous and Mental Disease
https://www.readbyqxmd.com/read/28935298/physician-burnout-are-we-treating-the-symptoms-instead-of-the-disease
#10
John J Squiers, Kevin W Lobdell, James I Fann, J Michael DiMaio
Despite increasing recognition of physician burnout, its incidence has only increased in recent years, with nearly half of physicians suffering from symptoms of burnout in the most recent surveys. Unfortunately, most burnout research has focused on its profound prevalence rather than seeking to identify the root cause of the burnout epidemic. Health care organizations throughout the United States are implementing committees and support groups in an attempt to reduce burnout among their physicians, but these efforts are typically focused on increasing resilience and wellness among participants rather than combating problematic changes in how medicine is practiced by physicians in the current era...
October 2017: Annals of Thoracic Surgery
https://www.readbyqxmd.com/read/28930035/calgary-edmonton-and-the-university-of-alberta-the-extraordinary-medical-mobilization-by-canada-s-newest-province
#11
Mark P Da Cambra, Vivian C McAlister
The Canadian contribution of medical services to the British Empire during the First World War was a national endeavour. Physicians from across the country enlisted in local regiments to join. No other region provided more physicians per capita than the newly formed province of Alberta. Largely organized through the Medical School of the University of Alberta, the No. 11 Canadian Field Ambulance out of Edmonton and the No. 8 Canadian Field Ambulance out of Calgary ultimately enlisted between one-third and half of the province's doctors to the war campaign...
September 2017: Canadian Journal of Surgery. Journal Canadien de Chirurgie
https://www.readbyqxmd.com/read/28865665/a-new-framework-for-addressing-adverse-childhood-and-community-experiences-the-building-community-resilience-model
#12
Wendy R Ellis, William H Dietz
OBJECTIVE: We propose a transformative approach to foster collaboration across child health, public health, and community-based agencies to address the root causes of toxic stress and childhood adversity and to build community resilience. METHODS: Physicians, members of social service agencies, and experts in toxic stress and adverse childhood experiences (ACEs) were interviewed to inform development of the Building Community Resilience (BCR) model. Through a series of key informant interviews and focus groups, we sought to understand the role of BCR for child health systems and their partners to reduce toxic stress and build community resilience to improve child health outcomes...
September 2017: Academic Pediatrics
https://www.readbyqxmd.com/read/28865642/adapting-the-patient-centered-medical-home-to-address-psychosocial-adversity-results-of-a-qualitative-study
#13
Cecilia Vu, Emily Rothman, Caroline J Kistin, Kelly Barton, Barb Bulman, Ann Budzak-Garza, Denyse Olson-Dorff, Megan H Bair-Merritt
OBJECTIVE: The patient-centered medical home (PCMH) seeks to improve population health. However, PCMH models often focus on improving treatment of chronic diseases rather than on addressing psychosocial adversity. We sought to gather key stakeholder input about how PCMHs might feasibly and sustainably address psychosocial adversity within their patient populations. METHODS: We conducted 25 semistructured interviews with key stakeholders, such as physicians, nurses, medical assistants, and patients...
September 2017: Academic Pediatrics
https://www.readbyqxmd.com/read/28861707/the-impact-of-a-required-longitudinal-stress-management-and-resilience-training-course-for-first-year-medical-students
#14
Liselotte N Dyrbye, Tait D Shanafelt, Ling Werner, Amit Sood, Daniel Satele, Alexandra P Wolanskyj
BACKGROUND: Although psychological distress is common among medical students, little remains known about effective interventions. One promising individual-focused approach is mindfulness-based stress management interventions; however, studies to date have relied on volunteers. OBJECTIVE: To determine whether a required longitudinal stress management and resilience course improves well-being among first-year medical students. DESIGN: A quasi-experimental study...
August 31, 2017: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/28797258/work-stress-associated-cool-down-reactions-among-nurses-and-hospital-physicians-and-their-relation-to-burnout-symptoms
#15
Arndt Büssing, Zarah Falkenberg, Carina Schoppe, Daniela Rodrigues Recchia, Désirée Poier
BACKGROUND: Hospital staff experience high level of work stress and they have to find strategies to adapt and react to it. When they perceive emotional exhaustion and job dissatisfaction in response to constant work stress, one reaction might be emotional withdrawal. This emotional distancing can be seen as an adaptive strategy to keep 'functionality' in the job. Both, perception of emotional exhaustion and emotional distancing as a strategy, can be operationalized as 'Cool Down'. We assume that work stress associated variables are positively associated with Cool Down reactions, while internal and external resources are negatively associated and might function as a buffer against emotional distancing...
August 10, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/28763733/finding-the-sweet-spot-developing-implementing-and-evaluating-a-burn-out-and-compassion-fatigue-intervention-for-third-year-medical-trainees
#16
Tara Tucker, Maryse Bouvette, Shauna Daly, Pamela Grassau
Medical trainees are at high risk for developing burnout. Introducing trainees to the risks of burnout and supporting identification and proactive responses to their 'warning' signs of compassion fatigue (CF) is critical in building resiliency. The authors developed and evaluated a burnout and CF program for third year trainees at a Canadian Medical School. Of 165 medical trainees who participated in the burnout and CF program, 59 (36%) provided evaluation and feedback of the program and its impact throughout their year...
December 2017: Evaluation and Program Planning
https://www.readbyqxmd.com/read/28734859/provider-health-and-wellness
#17
REVIEW
Anil Nanda, Anita Wasan, James Sussman
Provider health and wellness is a significant issue and can impact patient care, including patient satisfaction, quality of care, medical errors, malpractice risk, as well as provider and office staff turnover and early retirement. Health and wellness encompasses various areas including burnout, depression, divorce, and suicide and affects providers of all specialties and at all levels of training. Providers deal with many everyday stresses, including electronic health records, office politics, insurance and billing issues, dissatisfied patients, and their own personal and family issues...
July 19, 2017: Journal of Allergy and Clinical Immunology in Practice
https://www.readbyqxmd.com/read/28731537/frailty-and-cancer-implications-for-oncology-surgery-medical-oncology-and-radiation-oncology
#18
REVIEW
Cecilia G Ethun, Mehmet A Bilen, Ashesh B Jani, Shishir K Maithel, Kenneth Ogan, Viraj A Master
Answer questions and earn CME/CNE The concept of frailty has become increasingly recognized as one of the most important issues in health care and health outcomes and is of particular importance in patients with cancer who are receiving treatment with surgery, chemotherapy, and radiotherapy. Because both cancer itself, as well as the therapies offered, can be significant additional stressors that challenge a patient's physiologic reserve, the incidence of frailty in older patients with cancer is especially high-it is estimated that over one-half of older patients with cancer have frailty or prefrailty...
September 2017: CA: a Cancer Journal for Clinicians
https://www.readbyqxmd.com/read/28716506/how-to-prevent-burnout-in-cardiologists-a-review-of-the-current-evidence-gaps-and-future-directions
#19
REVIEW
Maria Panagioti, Keith Geraghty, Judith Johnson
Burnout is rising in all physicians, and cardiologists are not an exemption. Cardiology is a very popular specialty among medical students as it is associated with outstanding training standards and high prestige and income. In this review, we critically summarize the evidence on consequences, causes, and evidence-based interventions for burnout with a view toward recommending the best strategies for promoting wellness in cardiologists. Only a handful of studies have examined burnout specifically in cardiologists...
July 4, 2017: Trends in Cardiovascular Medicine
https://www.readbyqxmd.com/read/28704829/prevalence-of-and-risk-factors-for-secondary-traumatization-in-interpreters-for-refugees-a-cross-sectional-study
#20
David Kindermann, Carolin Schmid, Cassandra Derreza-Greeven, Daniel Huhn, Rupert Maria Kohl, Florian Junne, Maritta Schleyer, Judith K Daniels, Beate Ditzen, Wolfgang Herzog, Christoph Nikendei
BACKGROUND: A substantial proportion of refugees, fleeing persecution, torture, and war, are estimated to suffer from psychological traumatization. After being sheltered in reception centers, the refugees come in close contact with different occupational groups, e.g., physicians, social workers, and interpreters. Previous studies ascertained that such interpreters themselves often suffer from primary psychological traumatization. Moreover, through translating refugees' potentially traumatic depictions, the interpreters are in danger of developing a so-called secondary traumatization...
2017: Psychopathology
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