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Physician burnout

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https://www.readbyqxmd.com/read/29166355/restoring-faculty-vitality-in-academic-medicine-when-burnout-threatens
#1
Darshana T Shah, Valerie N Williams, Luanne E Thorndyke, E Eugene Marsh, Roberta E Sonnino, Steven M Block, Thomas R Viggiano
Increasing rates of burnout-with accompanying stress and lack of engagement-among faculty, residents, students, and practicing physicians have caused alarm in academic medicine. Central to the debate among academic medicine's stakeholders are oft-competing issues of social accountability; cost containment; effectiveness of academic medicine's institutions; faculty recruitment, retention, and satisfaction; increasing expectations for faculty; and mission-based productivity.The authors propose that understanding and fostering what contributes to faculty and institutional vitality is central to preventing burnout during times of change...
November 21, 2017: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/29141616/contextual-factors-and-clinical-reasoning-differences-in-diagnostic-and-therapeutic-reasoning-in-board-certified-versus-resident-physicians
#2
Elexis McBee, Temple Ratcliffe, Katherine Picho, Lambert Schuwirth, Anthony R Artino, Ana Monica Yepes-Rios, Jennifer Masel, Cees van der Vleuten, Steven J Durning
BACKGROUND: The impact of context on the complex process of clinical reasoning is not well understood. Using situated cognition as the theoretical framework and videos to provide the same contextual "stimulus" to all participants, we examined the relationship between specific contextual factors on diagnostic and therapeutic reasoning accuracy in board certified internists versus resident physicians. METHODS: Each participant viewed three videotaped clinical encounters portraying common diagnoses in internal medicine...
November 15, 2017: BMC Medical Education
https://www.readbyqxmd.com/read/29133547/electronic-health-records-contributing-to-physician-burnout
#3
Roger Collier
No abstract text is available yet for this article.
November 13, 2017: CMAJ: Canadian Medical Association Journal, Journal de L'Association Medicale Canadienne
https://www.readbyqxmd.com/read/29121895/the-relationship-between-resident-burnout-and-safety-related-and-acceptability-related-quality-of-healthcare-a-systematic-literature-review
#4
Carolyn S Dewa, Desmond Loong, Sarah Bonato, Lucy Trojanowski, Margaret Rea
BACKGROUND: There has been increasing interest in examining the relationship between physician wellbeing and quality of patient care. However, few reviews have specifically focused on resident burnout and quality of patient care. The purpose of this systematic literature review of the current scientific literature is to address the question, "How does resident burnout affect the quality of healthcare related to the dimensions of acceptability and safety?" METHODS: This systematic literature review uses a multi-step screening process of publicly available peer-reviewed studies from five electronic databases: (1) Medline Current, (2) Medline In-process, (3) PsycINFO, (4) Embase, and (5) Web of Science...
November 9, 2017: BMC Medical Education
https://www.readbyqxmd.com/read/29119764/-is-burnout-a-syndrome-or-an-occupational-disease-instructions-for-occupational-physicians
#5
Francesco Chirico
Since Herbert Freudenberger described Burnout Syndrome (BOS) in 1974, thousands of scientific papers have been published on this syndrome and this trend does not seem to diminish. After being internationally known as a syndrome characterized by emotional exhaustion, depersonalization, and reduced personal accomplishment in helping professions, its construct has been criticized, questioned, and subjected to profound modifications. To date, however, in Italy and in many other Countries it is not possible to diagnose this syndrome, because World Health Organization, in its last ICD-10, did not indicate any clinical criteria to diagnose it...
September 2017: Epidemiologia e Prevenzione
https://www.readbyqxmd.com/read/29107117/burnout-and-stress-among-us-surgery-residents-psychological-distress-and-resilience
#6
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/29101937/an-organization-model-to-assist-individual-physicians-scientists-and-senior-health-care-administrators-with-personal-and-professional-needs
#7
REVIEW
Tait D Shanafelt, Deborah J Lightner, Christopher R Conley, Steven P Petrou, Jarrett W Richardson, Pamela J Schroeder, William A Brown
Working as a physician, scientist, or senior health care administrator is a demanding career. Studies have demonstrated that burnout and other forms of distress are common among individuals in these professions, with potentially substantive personal and professional consequences. In addition to system-level interventions to promote well-being globally, health care organizations must provide robust support systems to assist individuals in distress. Here, we describe the 15-year experience of the Mayo Clinic Office of Staff Services (OSS) providing peer support to physicians, scientists, and senior administrators at one center...
November 2017: Mayo Clinic Proceedings
https://www.readbyqxmd.com/read/29101932/professional-satisfaction-and-the-career-plans-of-us-physicians
#8
Christine A Sinsky, Lotte N Dyrbye, Colin P West, Daniel Satele, Michael Tutty, Tait D Shanafelt
OBJECTIVE: To evaluate the relationship between burnout, satisfaction with electronic health records and work-life integration, and the career plans of US physicians. PARTICIPANTS AND METHODS: Physicians across all specialties in the United States were surveyed between August 28, 2014, and October 6, 2014. Physicians provided information regarding the likelihood of reducing clinical hours in the next 12 months and the likelihood of leaving current practice within the next 24 months...
November 2017: Mayo Clinic Proceedings
https://www.readbyqxmd.com/read/29101929/physician-burnout-a-leading-indicator-of-health-system-performance
#9
EDITORIAL
Kristine D Olson
No abstract text is available yet for this article.
November 2017: Mayo Clinic Proceedings
https://www.readbyqxmd.com/read/29098127/can-shared-decision-making-improve-physician-well-being-and-reduce-burnout
#10
EDITORIAL
Claudia C Dobler, Colin P West, Victor M Montori
There are many causes of physician burnout in today's health care environment, including an ever increasing administrative workload, pressure to do more work in less time, and a drive to reduce costs and improve patient outcomes. Importantly, lack of meaning in work is a crucial documented driver of physician burnout. Clinical encounters perceived as meaningful by physicians could therefore potentially positively impact physician well-being. Here we reflect on the potential of interventions that aim to enhance the patient-physician interaction, such as shared decision making, to improve physician well-being by facilitating interactions with patients that are perceived as meaningful...
August 27, 2017: Curēus
https://www.readbyqxmd.com/read/29098053/watering-canmeds-flowers
#11
Sarah Voll, Taufik A Valiante
We expand on the discourse related to nature surrounding Canadian medical training and the CanMEDS flower. We advance the notion that a major contributor to burnout is the increasing complexity and segregation of not only the medical profession, but society as a whole, leading to choice overload and an overemphasis on complex, data driven, rational decision making. We then propose that the key to watering CanMEDS flowers and preventing physician burnout lies in getting back to the basics of human behaviour.
June 2017: Canadian Medical Education Journal
https://www.readbyqxmd.com/read/29078944/the-evolution-of-the-laborist
#12
REVIEW
Allison J Allen, Aaron B Caughey
The laborist movement was introduced as a means to improve the quality of care patients receive in the labor suite and decrease physician burnout and malpractice claims. This model of care has rapidly expanded, and there is evidence of its potential role in improving labor outcomes. This article outlines the different models of laborist care, reviews the evidence for its potential impact on labor outcomes, and discusses the economic impact the employment of laborists can have.
December 2017: Obstetrics and Gynecology Clinics of North America
https://www.readbyqxmd.com/read/29070072/prevalence-and-determinants-of-burnout-syndrome-among-physicians-in-cameroon-a-research-proposal
#13
Vitalis Fambombi Feteh, Tsi Njim, Miriam A M Nji, Chia Mark Ayeah, Carlson-Babila Sama, Frank Leonel Tianyi
OBJECTIVES: Burnout syndrome is a common psychological state, that may affect human healthcare providers due to their prolonged exposure to job stressors. Burnout can hinder optimal healthcare delivery. Hence this study aims to determine the prevalence and correlates of burnout syndrome amongst physicians in Cameroon. Specifically: (1) to determine the prevalence of burnout syndrome amongst Cameroonian doctors. (2) To identify potential determinants of burnout among Cameroonian doctors...
October 25, 2017: BMC Research Notes
https://www.readbyqxmd.com/read/29067517/the-physician-attrition-crisis-a-cross-sectional-survey-of-the-risk-factors-for-reduced-job-satisfaction-among-us-surgeons
#14
Theresa N Jackson, Chris P Pearcy, Zhamak Khorgami, Vaidehi Agrawal, Kevin E Taubman, Michael S Truitt
INTRODUCTION: A physician shortage is on the horizon, and surgeons are particularly vulnerable due to attrition. Reduced job satisfaction leads to increased job turnover and earlier retirement. The purpose of this study is to delineate the risk factors that contribute to reduced job satisfaction. METHODS: A cross-sectional survey of US surgeons was conducted from September 2016 to May 2017. Screening for job satisfaction was performed using the abridged Job in General scale...
October 24, 2017: World Journal of Surgery
https://www.readbyqxmd.com/read/29035903/the-future-of-obstetrics-and-gynecology-macra-electronic-health-records-and-more
#15
Deborah A Wing
There is immense change affecting obstetrical and gynecologic medical practice at this moment in time-involving reimbursement with the shift from volume-based to value-based care, increasing regulation, and workforce sustainability. Aspects to be reviewed in this chapter include reimbursements and Medicare Access and CHIP Reauthorization Act of 2015 (MACRA), electronic medical records, physician satisfaction surveys, maintenance of certification, and physician burnout.
December 2017: Clinical Obstetrics and Gynecology
https://www.readbyqxmd.com/read/29035188/finding-purpose-honing-the-practice-of-making-meaning-in-medicine
#16
Lois Leveen
Despite decades of advances in diagnosing and treating a broad range of illnesses, many changes in our health care system impede true caregiving, leaving patients and practitioners dissatisfied and creating an emotional burden for practitioners that contributes to the staggering rates of physician burnout. Given this dissatisfaction and disconnection, practitioners and patients alike can benefit from structured opportunities to explore the expectations, assumptions, and emotions that shape our understanding of health and illness, and thus our experiences within the health care system...
2017: Permanente Journal
https://www.readbyqxmd.com/read/29022041/empathy-and-burnout-a-study-on-residents-from-a-singapore-institution
#17
Phong Teck Lee, Julian Loh, Gerald Sng, Joshua Tung, Khung Keong Yeo
INTRODUCTION: Empathy and burnout are two entities that are important in a physician's career. They are likely to relate to one another and can be heavily influenced by surrounding factors, such as medical education, local practices and cultural expectations. Empathy and burnout studies have not been performed in Singapore. This study was designed to evaluate empathy and burnout levels using the Jefferson Scale of Physician Empathy (JSPE) and Maslach Burnout Inventory (MBI) among residents in Singapore, and compare them with US literature...
October 12, 2017: Singapore Medical Journal
https://www.readbyqxmd.com/read/29016982/burnout-in-belgian-physicians-and-nurses
#18
S Vandenbroeck, E Van Gerven, H De Witte, K Vanhaecht, L Godderis
Background: Burnout in healthcare is a worldwide problem. However, most studies focus narrowly on work-related factors and outcomes in one health profession or speciality. Aims: To investigate the prevalence of burnout and its association with job demands, job resources, individual well-being, work-related attitudes and behaviour in physicians and nurses across different specialties. Methods: Multi-centre cross-sectional study of physicians and nurses working in Belgian hospitals...
September 6, 2017: Occupational Medicine
https://www.readbyqxmd.com/read/29016364/burnout-and-psychological-distress-among-pediatric-critical-care-physicians-in-the-united-states
#19
Asha N Shenoi, Meena Kalyanaraman, Aravind Pillai, Preethi S Raghava, Scottie Day
OBJECTIVES: To estimate the prevalence of physician burnout, psychological distress, and its association with selected personal and practice characteristics among pediatric critical care physicians and to evaluate the relationship between burnout and psychological distress. DESIGN: Cross-sectional, online survey. SETTING: Pediatric critical care practices in the United States. SUBJECTS: Pediatric critical care physicians...
October 7, 2017: Critical Care Medicine
https://www.readbyqxmd.com/read/28992145/burnout-syndrome-among-non-consultant-hospital-doctors-in-ireland-relationship-with-self-reported-patient-care
#20
Che Fatehah Che Sulaiman, Patrick Henn, Simon Smith, Colm M P O'Tuathaigh
Objective: Intensive workload and limited training opportunities for Irish non-consultant hospital doctors (NCHDs) has a negative effect on their health and well-being, and can result in burnout. Burnout affects physician performance and can lead to medical errors. This study examined the prevalence of burnout syndrome among Irish NCHDs and its association with self-reported medical error and poor quality of patient care. Methods: A cross-sectional quantitative survey-based design...
October 1, 2017: International Journal for Quality in Health Care
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