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Physician burnout

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https://www.readbyqxmd.com/read/27918798/controlled-interventions-to-reduce-burnout-in-physicians-a-systematic-review-and-meta-analysis
#1
Maria Panagioti, Efharis Panagopoulou, Peter Bower, George Lewith, Evangelos Kontopantelis, Carolyn Chew-Graham, Shoba Dawson, Harm van Marwijk, Keith Geraghty, Aneez Esmail
Importance: Burnout is prevalent in physicians and can have a negative influence on performance, career continuation, and patient care. Existing evidence does not allow clear recommendations for the management of burnout in physicians. Objective: To evaluate the effectiveness of interventions to reduce burnout in physicians and whether different types of interventions (physician-directed or organization-directed interventions), physician characteristics (length of experience), and health care setting characteristics (primary or secondary care) were associated with improved effects...
December 5, 2016: JAMA Internal Medicine
https://www.readbyqxmd.com/read/27910035/self-care-as-a-professional-imperative-physician-burnout-depression-and-suicide
#2
Catherine M Kuhn, Ellen M Flanagan
PURPOSE: Burnout has been identified in approximately half of all practicing physicians, including anesthesiologists. In this narrative review, the relationship between burnout, depression, and suicide is explored, with particular attention to the anesthesiologist. Throughout this review, we highlight our professional imperative regarding this epidemic. SOURCE: The authors searched the existing English language literature via PubMed from 1986 until present using the search terms physician burnout, depression, and suicide, with particular attention to studies regarding anesthesiologists and strategies to address these problems...
December 1, 2016: Canadian Journal of Anaesthesia, Journal Canadien D'anesthésie
https://www.readbyqxmd.com/read/27895218/a-new-approach-to-identify-high-burnout-medical-staffs-by-kernel-k-means-cluster-analysis-in-a-regional-teaching-hospital-in-taiwan
#3
Yii-Ching Lee, Shian-Chang Huang, Chih-Hsuan Huang, Hsin-Hung Wu
This study uses kernel k-means cluster analysis to identify medical staffs with high burnout. The data collected in October to November 2014 are from the emotional exhaustion dimension of the Chinese version of Safety Attitudes Questionnaire in a regional teaching hospital in Taiwan. The number of effective questionnaires including the entire staffs such as physicians, nurses, technicians, pharmacists, medical administrators, and respiratory therapists is 680. The results show that 8 clusters are generated by kernel k-means method...
2016: Inquiry: a Journal of Medical Care Organization, Provision and Financing
https://www.readbyqxmd.com/read/27893517/ready-for-change-the-role-of-physician-and-staff-engagement-burnout-and-workplace-attributes
#4
Dorothy Hung, Po-Han Chen
We examined factors associated with change readiness among 343 primary care physicians and 590 nonphysician staff undergoing "Lean"-based process improvements. Baseline levels of engagement were associated with greater readiness for change across all measured domains. Job-related burnout correlated with greater need for change, but lower self-efficacy and perceived support, whereas a personal sense of accomplishment was associated with higher efficacy to implement changes. At a department level, teamwork, participation in decision making, and change history were associated with higher engagement and lower burnout among physicians and staff; conversely, a busy or stressful department correlated with lower engagement and higher burnout...
November 23, 2016: Journal of Ambulatory Care Management
https://www.readbyqxmd.com/read/27871627/executive-leadership-and-physician-well-being-nine-organizational-strategies-to-promote-engagement-and-reduce-burnout
#5
REVIEW
Tait D Shanafelt, John H Noseworthy
These are challenging times for health care executives. The health care field is experiencing unprecedented changes that threaten the survival of many health care organizations. To successfully navigate these challenges, health care executives need committed and productive physicians working in collaboration with organization leaders. Unfortunately, national studies suggest that at least 50% of US physicians are experiencing professional burnout, indicating that most executives face this challenge with a disillusioned physician workforce...
November 18, 2016: Mayo Clinic Proceedings
https://www.readbyqxmd.com/read/27853320/burnout-in-the-neonatal-intensive-care-unit-and-its-relation-to-healthcare-associated-infections
#6
D S Tawfik, J B Sexton, P Kan, P J Sharek, C C Nisbet, J Rigdon, H C Lee, J Profit
OBJECTIVE: To examine burnout prevalence among California neonatal intensive care units (NICUs) and to test the relation between burnout and healthcare-associated infection (HAI) rates in very low birth weight (VLBW) neonates. STUDY DESIGN: Retrospective observational study of provider perceptions of burnout from 2073 nurse practitioners, physicians, registered nurses and respiratory therapists, using a validated four-item questionnaire based on the Maslach Burnout Inventory...
November 17, 2016: Journal of Perinatology: Official Journal of the California Perinatal Association
https://www.readbyqxmd.com/read/27846852/a-systematic-review-of-physician-retirement-planning
#7
Michelle Pannor Silver, Angela D Hamilton, Aviroop Biswas, Natalie Irene Warrick
BACKGROUND: Physician retirement planning and timing have important implications for patients, hospitals, and healthcare systems. Unplanned early or late physician retirement can have dire consequences in terms of both patient safety and human resource allocations. This systematic review examined existing evidence on the timing and process of retirement of physicians. Four questions were addressed: (1) When do physicians retire? (2) Why do some physicians retire early? (3) Why do some physicians delay their retirement? (4) What strategies facilitate physician retention and/or retirement planning? METHODS: English-language studies were searched in electronic databases MEDLINE, Web of Science, Scopus, CINAHL, AgeLine, Embase, HealthSTAR, ASSA, and PsycINFO, from inception up to and including March 2016...
November 15, 2016: Human Resources for Health
https://www.readbyqxmd.com/read/27844198/anesthesiology-resident-wellness-program-at-the-university-of-saskatchewan-curriculum-content-and-delivery
#8
Anita Chakravarti, Mateen Raazi, Jennifer O'Brien, Breanna Balaton
Resident and physician health are increasingly recognized by the Royal College of Physicians and Surgeons of Canada and its CanMEDS framework as integral to residency training in Canada. Resident stress, burnout, and depression also have implications for patient care. Although curricula have been advocated to promote resident wellness and resilience, no such published curricula exist to guide programs in addressing these needs. The purpose of this article is to describe the curriculum content and delivery of the Anesthesiology Residency Wellness Program (ARWP) at the University of Saskatchewan...
November 14, 2016: Canadian Journal of Anaesthesia, Journal Canadien D'anesthésie
https://www.readbyqxmd.com/read/27833649/use-of-moulded-hearing-protectors-by-child-care-workers-an-interventional-pilot-study
#9
Peter Koch, Johanna Stranzinger, Jan Felix Kersten, Albert Nienhaus
BACKGROUND: Employees of a multi-site institution for children and adolescents started to wear moulded hearing protectors (MHPs) during working hours, as they were suffering from a high level of noise exposure. It was agreed with the institutional physician and the German Institution for Statutory Accident Insurance and Prevention in the Health and Welfare Services (BGW) that this presented an opportunity to perform a scientific study to investigate potential beneficial effects on risk of burnout and subjective noise exposure at work when child care workers wear MHPs...
2016: Journal of Occupational Medicine and Toxicology
https://www.readbyqxmd.com/read/27832222/stress-and-burnout-among-physicians-prevalence-and-risk-factors-in-a-singaporean-internal-medicine-programme
#10
Kay Choong See, Tow Keang Lim, Ee Heok Kua, Jason Phua, Gerald Sw Chua, Khek Yu Ho
No abstract text is available yet for this article.
October 2016: Annals of the Academy of Medicine, Singapore
https://www.readbyqxmd.com/read/27810465/whose-problem-is-it-the-priority-of-physician-wellness-in-residency-training
#11
Abigail Ford Winkel, Anh T Nguyen, Helen K Morgan, Darya Valantsevich, Mark B Woodland
OBJECTIVE: Physician wellness is associated with improved outcomes for patients and physicians. Wellness is a priority of the Accreditation Council on Graduate Medical Education, and many residencies have programs in place to improve wellness. This study sought to understand how stakeholders in graduate medical education perceive wellness among other educational priorities and whether these programs are improving the experience and training of residents. METHODS: The Council on Resident Education in Obstetrics and Gynecology (OBGYN)/Association of Professors in Gynecology Wellness Task Force created a survey and distributed it electronically to all OBGYN residents and program directors (PDs) in 2015...
October 31, 2016: Journal of Surgical Education
https://www.readbyqxmd.com/read/27808467/measuring-pediatric-hematology-oncology-fellows-skills-in-humanism-and-professionalism-a-novel-assessment-instrument
#12
Jennifer C Kesselheim, Anurag K Agrawal, Nita Bhatia, Angel Cronin, Rima Jubran, Paul Kent, Leslie Kersun, Amulya Nageswara Rao, Melissa Rose, Stephanie Savelli, Mukta Sharma, Evan Shereck, Clare J Twist, Michael Wang
BACKGROUND: Educators in pediatric hematology-oncology lack rigorously developed instruments to assess fellows' skills in humanism and professionalism. PROCEDURE: We developed a novel 15-item self-assessment instrument to address this gap in fellowship training. Fellows (N = 122) were asked to assess their skills in five domains: balancing competing demands of fellowship, caring for the dying patient, confronting depression and burnout, responding to challenging relationships with patients, and practicing humanistic medicine...
November 3, 2016: Pediatric Blood & Cancer
https://www.readbyqxmd.com/read/27797570/moral-distress-in-physicians-and-nurses-impact-on-professional-quality-of-life-and-turnover
#13
Cindy L Austin, Robert Saylor, Phillip J Finley
Objective: The purpose of this study was to investigate moral distress (MD) and turnover intent as related to professional quality of life in physicians and nurses at a tertiary care hospital. Method: Health care providers from a variety of hospital departments anonymously completed 2 validated questionnaires (Moral Distress Scale-Revised and Professional Quality of Life Scale). Compassion fatigue (as measured by secondary traumatic stress [STS] and burnout [BRN]) and compassion satisfaction are subscales which make up one's professional quality of life...
October 31, 2016: Psychological Trauma: Theory, Research, Practice and Policy
https://www.readbyqxmd.com/read/27776092/perceived-nonbeneficial-treatment-of-patients-burnout-and-intention-to-leave-the-job-among-icu-nurses-and-junior-and-senior-physicians
#14
Daniel Schwarzkopf, Hendrik Rüddel, Daniel O Thomas-Rüddel, Jörg Felfe, Bernhard Poidinger, Claudia T Matthäus-Krämer, Christiane S Hartog, Frank Bloos
OBJECTIVES: Perceiving nonbeneficial treatment is stressful for ICU staff and may be associated with burnout. We aimed to investigate predictors and consequences of perceived nonbeneficial treatment and to compare nurses and junior and senior physicians. DESIGN: Cross-sectional, multicenter paper-pencil survey on personal and work-related characteristics, perceived nonbeneficial treatment, burnout, and intention to leave the job. SETTING: Convenience sample of 23 German ICUs...
October 21, 2016: Critical Care Medicine
https://www.readbyqxmd.com/read/27774974/-the-doctor-in-a-vise-between-health-and-the-law-what-to-do
#15
Murat Akbaba, Vedat Davutoğlu
The relationship between patients and physicians has maintained its importance throughout human history because of special features of the medical profession. This relationship engendered true loyalty of patients to their physicians as well as serious legal conflicts. Medical malpractice has gained importance among physicians and ignited discussion because of new articles added to the Turkish Penal Code in 2005. In a very short time, the penalties mandated had a chilling, negative effect on doctors, resulting in loss of affection for the profession, hesitation to intervene, and burnout syndrome...
October 2016: Türk Kardiyoloji Derneği Arşivi: Türk Kardiyoloji Derneğinin Yayın Organıdır
https://www.readbyqxmd.com/read/27770385/defining-team-effort-involved-in-patient-care-from-the-primary-care-physician-s-perspective
#16
Andrew S Hwang, Steven J Atlas, Johan Hong, Jeffrey M Ashburner, Adrian H Zai, Richard W Grant, Clemens S Hong
BACKGROUND: A better understanding of the attributes of patients who require more effort to manage may improve risk adjustment approaches and lead to more efficient resource allocation, improved patient care and health outcomes, and reduced burnout in primary care clinicians. OBJECTIVE: To identify and characterize high-effort patients from the physician's perspective. DESIGN: Cohort study. PARTICIPANTS: Ninety-nine primary care physicians in an academic primary care network...
October 21, 2016: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/27752601/sense-of-meaning-as-a-predictor-of-burnout-in-emergency-physicians-in-israel-a-national-survey
#17
Shulamit Ben-Itzhak, Jonathan Dvash, Maya Maor, Noa Rosenberg, Pinchas Halpern
OBJECTIVE: Burnout is common in physicians and particularly acute in emergency physicians. Physician burnout may adversely affect physicians' lives and the quality of care they provide, but much remains unknown about its main contributing factors. The present study evaluated burnout rates and contributing factors in emergency physicians in Israel, specifically focusing on the role of a sense of meaning, which has received little attention in the literature concerning burnout in emergency physicians...
December 2015: Clinical and Experimental Emergency Medicine
https://www.readbyqxmd.com/read/27741943/physician-empowerment-programme-a-unique-workshop-for-physician-managers-of-community-clinics
#18
Yafit Maza, Efrat Shechter, Neta Pur Eizenberg, Efrat Gortler Segev, Moshe Y Flugelman
BACKGROUND: The physician manager role in the health care system is invaluable as they serve as role models and quality setters. The requirements from physician managers have become more demanding and the role less prestigious; yet burnout and its prevention in this group have received little attention. Physician leadership development programmes have generally dealt directly with skill and knowledge acquisition. The aim of this research was to evaluate an intensive workshop designed to modify attitudes and improve skills of physician-managers of community clinics, through focus on personal well-being and empowerment...
October 14, 2016: BMC Medical Education
https://www.readbyqxmd.com/read/27735974/a-mindfulness-intervention-for-residents-relevance-for-pediatricians
#19
Mallory Taylor, Joseph R Hageman, Melanie Brown
Physician burnout is a topic of growing importance in today's health care system. Tangible interventions aimed at reducing burnout and promoting wellness are now necessary components of medical training and practice. A study examined the feasibility and impact of a brief mindfulness intervention using a free smartphone application with a resident population. Participants used a free smartphone application to complete a 10-day program in mindfulness meditation, and completed surveys at the end of the program...
October 1, 2016: Pediatric Annals
https://www.readbyqxmd.com/read/27732118/the-toxicity-of-self-blame-sex-differences-in-burnout-and-coping-in-internal-medicine-trainees
#20
Brielle M Spataro, Sarah A Tilstra, Doris M Rubio, Melissa A McNeil
BACKGROUND: Burnout is a significant problem facing internal medicine residents contributing to increased risk of depression and suicidal ideation. Coping mechanisms and burnout may differ based on sex. METHODS: The study was a retrospective cross-sectional study of reported burnout and coping mechanisms used by internal medicine residents in June 2014 at a large academic center and its community affiliate. Two hundred eighty-five postgraduate year (PGY)-1, 2, 3, and 4 and incoming PGY-1 residents were surveyed...
October 12, 2016: Journal of Women's Health
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