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https://www.readbyqxmd.com/read/29303904/impact-of-relational-coordination-on-staff-and-patient-outcomes-in-outpatient-surgical-clinics
#1
Jody Hoffer Gittell, Caroline Logan, Jack Cronenwett, Tina C Foster, Richard Freeman, Marjorie Godfrey, Dale Collins Vidal
BACKGROUND: Pressures are increasing for clinicians to provide high-quality, efficient care, leading to increased concerns about staff burnout. PURPOSE: This study asks whether staff well-being can be achieved in ways that are also beneficial for the patient's experience of care. It explores whether relational coordination can contribute to both staff well-being and patient satisfaction in outpatient surgical clinics where time constraints paired with high needs for information transfer increase both the need for and the challenge of achieving timely and accurate communication...
January 5, 2018: Health Care Management Review
https://www.readbyqxmd.com/read/29289752/maintaining-the-fire-but-avoiding-burnout-implementation-and-evaluation-of-a-resident-well-being-program
#2
Taylor S Riall, Joshua Teiman, Michelle Chang, Denzel Cole, Tambre Leighn, Hilary McClafferty, Valentine N Nfonsam
BACKGROUND: There have been few programs designed to improve surgical resident wellbeing and such efforts often lack formal evaluation. STUDY DESIGN: General Surgery residents participated in the Energy Leadership Wellbeing and Resiliency Program. They were assessed at baseline and one year after implementation using the Energy Leadership Index (ELI, measures emotional intelligence), Maslach Burnout Inventory (MBI) General Survey, Perceived Stress Scale (PSS), the Beck Depression Inventory (BDI), and the annual required ACGME resident survey...
December 28, 2017: Journal of the American College of Surgeons
https://www.readbyqxmd.com/read/29280756/creating-structured-opportunities-for-social-engagement-to-promote-well-being-and-reduce-burnout-in-medical-students-and-residents
#3
Roy C Ziegelstein
Increasing attention is being paid to medical student and resident well-being, as well as to enhancing resilience and avoiding burnout in medical trainees. Medical schools and residency programs are implementing wellness initiatives that often include meditation and other mindfulness activities, self-reflection, journaling, and lectures or workshops on resilience tools such as metacognition and cognitive restructuring. These interventions have in common the creation of opportunities for trainees to become more aware of their experiences, to better recognize stressors, and to regulate their thoughts and feelings so that stressors are less likely to have harmful effects...
December 26, 2017: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/29280446/burnout-evaluation-of-radiation-residents-nationwide-results-of-a-survey-of-united-states-residents
#4
Stephen J Ramey, Awad A Ahmed, Cristiane Takita, Lynn D Wilson, Charles R Thomas, Raphael Yechieli
PURPOSE: To assess rates of burnout among US radiation oncology residents and evaluate program/resident factors associated with burnout. METHODS AND MATERIALS: A nationwide survey was distributed to residents in all US radiation oncology programs. The survey included the Maslach Burnout Index-Human Services Survey (MBI-HSS) as well as demographic and program-specific questions tailored to radiation oncology residents. Primary endpoints included rates of emotional exhaustion, depersonalization, and personal accomplishment from MBI-HSS subscale scores...
November 1, 2017: International Journal of Radiation Oncology, Biology, Physics
https://www.readbyqxmd.com/read/29279902/small-steps-to-address-medical-resident-burnout
#5
Nathaniel D Bayer, Peter S Capucilli
No abstract text is available yet for this article.
December 26, 2017: JAMA Pediatrics
https://www.readbyqxmd.com/read/29239771/burnout-among-chinese-adult-reconstructive-surgeons-incidence-risk-factors-and-relationship-with-intraoperative-irritability
#6
Hanlong Zheng, Hongyi Shao, Yixin Zhou
BACKGROUND: Burnout is a major concern in human service occupations, mainly characterizing in emotional exhaustion and depersonalization. There is very limited research dealing with burnout in orthopedic surgeons. Exploring burnout prevalence, risk factors, and intraoperative irritability-related incidences is necessary to improve the quality of life for surgeons. METHODS: The study population consisted of 202 registered adult reconstructive doctors in China. Burnout was measured using a normalized translated version of the Maslach Burnout Inventory-Human Service Survey...
November 3, 2017: Journal of Arthroplasty
https://www.readbyqxmd.com/read/29223304/the-relationship-between-perceived-gender-judgment-and-well-being-among-surgical-residents
#7
Arghavan Salles, Laurel Milam, Geoffrey Cohen, Claudia Mueller
BACKGROUND: Physician well-being is a significant problem. Here we explore whether one factor, a resident's concern for being judged by one's gender, influences well-being. METHODS: Over two years at one institution, we surveyed surgical residents on validated measures of well-being as well as the extent to which they felt they were judged because of their gender (gender judgment). We used correlations and linear regression to investigate the relationships between gender judgment and well-being...
November 6, 2017: American Journal of Surgery
https://www.readbyqxmd.com/read/29198973/association-of-burnout-with-emotional-intelligence-and-personality-in-surgical-residents-can-we-predict-who-is-most-at-risk
#8
Brenessa Lindeman, Emil Petrusa, Sophia McKinley, Daniel A Hashimoto, Denise Gee, Douglas S Smink, John T Mullen, Roy Phitayakorn
OBJECTIVES: Burnout is common among surgical residents and may be related to personality characteristics, emotional intelligence (EI), or work experiences. DESIGN: Longitudinal cohort study over 1 year. SETTING: Tertiary academic medical centers in the Northeast. PARTICIPANTS: All general surgery residents in 2 programs (n = 143) were invited to complete an electronic survey at 3 time points; 88, 64, and 69 residents completed the survey (overall response rate 52%)...
November 2017: Journal of Surgical Education
https://www.readbyqxmd.com/read/29196982/a-brief-instrument-to-assess-both-burnout-and-professional-fulfillment-in-physicians-reliability-and-validity-including-correlation-with-self-reported-medical-errors-in-a-sample-of-resident-and-practicing-physicians
#9
Mickey Trockel, Bryan Bohman, Emi Lesure, Maryam S Hamidi, Dana Welle, Laura Roberts, Tait Shanafelt
OBJECTIVE: The objective of this study was to evaluate the performance of the Professional Fulfillment Index (PFI), a 16-item instrument to assess physicians' professional fulfillment and burnout, designed for sensitivity to change attributable to interventions or other factors affecting physician well-being. METHODS: A sample of 250 physicians completed the PFI, a measure of self-reported medical errors, and previously validated measures including the Maslach Burnout Inventory (MBI), a one-item burnout measure, the World Health Organization's abbreviated quality of life assessment (WHOQOL-BREF), and PROMIS short-form depression, anxiety, and sleep-related impairment scales...
December 1, 2017: Academic Psychiatry
https://www.readbyqxmd.com/read/29194855/regarding-wellness-and-burnout-initiatives-in-emergency-medicine
#10
Ravi Katari
The recent outpouring of scholarly and open-access content on resident wellness and occupational satisfaction with regards to Emergency Medicine (EM) has been an inspiration and welcome development. ACEP Wellness Week, EMRA Wellness Committee, the recently established ALiEM Wellness Think Tank are a handful of several great examples of the professional community coming together to address the challenging reality of burnout in EM. Indeed, that EM is uniquely affected among other specialties has been extensively documented to an impressive degree...
December 1, 2017: Academic Emergency Medicine: Official Journal of the Society for Academic Emergency Medicine
https://www.readbyqxmd.com/read/29193438/routine-practice-in-staffed-community-accommodation-approved-premises-in-england-and-wales-quantitative-benchmarking-from-the-first-year-of-a-longitudinal-study
#11
Jason Davies, Aisling O'Meara
BACKGROUND: In England and Wales, 'approved premises' offer 24-hour staffed accommodation for high-risk offenders, most of whom are returning to the community from prison. With a move towards a standardised operating model, it is essential to be able to measure outcomes. AIMS: Our aim is to collate and evaluate 'benchmarks' for approved premises. METHODS: A cross-sectional, descriptive design was used to establish the impact of existing practice in all four approved premises in Wales...
November 29, 2017: Criminal Behaviour and Mental Health: CBMH
https://www.readbyqxmd.com/read/29166355/restoring-faculty-vitality-in-academic-medicine-when-burnout-threatens
#12
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/29145116/conversion-of-sweet-potato-waste-to-solid-fuel-via-hydrothermal-carbonization
#13
Xinfei Chen, Xiaoqian Ma, Xiaowei Peng, Yousheng Lin, Zhongliang Yao
Hydrothermal carbonization (HTC) of sweet potato waste was performed to investigate the effect of process parameters including reaction temperature (180-300 °C) and residence time (0-120 min) on the characteristics of hydrochars. The results showed that the increase of reaction temperature and residence time both decreased the yield of hydrochars. With the increase of reaction temperature and residence time, the carbon content of hydrochars increased, while the hydrogen and oxygen contents decreased. The lower H/C and O/C ratios indicated that dehydration and decarboxylation reactions occurred during HTC...
November 1, 2017: Bioresource Technology
https://www.readbyqxmd.com/read/29143427/effectiveness-of-educational-program-using-printed-educational-material-on-care-burden-distress-among-staff-of-residential-aged-care-facilities-without-medical-specialists-and-or-registered-nurses-cluster-quasi-randomization-study
#14
Koji Fukuda, Seishi Terada, Mamoru Hashimoto, Katsuyuki Ukai, Ryo Kumagai, Mizue Suzuki, Masahiro Nagaya, Mika Yoshida, Hideyuki Hattori, Kenta Murotani, Kenji Toba
AIM: Behavioral and psychological symptoms of dementia are an important source of distress for caregivers. The aim of the present study was to evaluate the effectiveness of educational intervention using printed educational material for reducing distress induced by behavioral and psychological symptoms of dementia among caregivers working at facilities without medical specialists and/or registered nurses. METHODS: A cluster quasi-randomized, controlled comparative trial was carried out at 17 facilities in Japan...
November 15, 2017: Geriatrics & Gerontology International
https://www.readbyqxmd.com/read/29141616/contextual-factors-and-clinical-reasoning-differences-in-diagnostic-and-therapeutic-reasoning-in-board-certified-versus-resident-physicians
#15
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/29124715/the-relationship-between-psychological-distress-and-perception-of-emotional-support-in-medical-students-and-residents-and-implications-for-educational-institutions
#16
Alan McLuckie, Katherine M Matheson, Ashley L Landers, Jeff Landine, Jason Novick, Tessa Barrett, Gina Dimitropoulos
OBJECTIVE: Psychological distress is pervasive among medical students and residents (MSR) and is associated with academic under-performance, decreased empathy, burnout, and suicidal ideation. To date, there has been little examination of how demographic and socioeconomic factors influence trainee's psychological distress levels, despite suggestion that financial concerns are a common source of stress. Recent Canadian studies examining the prevalence of distress, burnout, and resilience in MSR are limited...
November 9, 2017: Academic Psychiatry
https://www.readbyqxmd.com/read/29121895/the-relationship-between-resident-burnout-and-safety-related-and-acceptability-related-quality-of-healthcare-a-systematic-literature-review
#17
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/29107117/burnout-and-stress-among-us-surgery-residents-psychological-distress-and-resilience
#18
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/29098597/smart-r-a-prospective-cohort-study-of-a-resilience-curriculum-for-residents-by-residents
#19
Deanna Chaukos, Emma Chad-Friedman, Darshan H Mehta, Laura Byerly, Alper Celik, Thomas H McCoy, John W Denninger
OBJECTIVE: This study aimed to determine the feasibility of a resident-led resiliency curriculum developed by residents, for residents. METHODS: The Stress Management and Resiliency Training Program for Residents (SMART-R) is a 6-h group-based curriculum that teaches meditation, behavioral skills, and positive perspective-taking strategies. SMART-R was implemented for all medicine and psychiatry interns at a large US teaching hospital during the first 6 months of internship...
November 2, 2017: Academic Psychiatry
https://www.readbyqxmd.com/read/29075396/work-hour-limits-versus-wellness-interventions-in-reducing-resident-burnout
#20
COMMENT
Abigail Ford Winkel, Nathalie Feldman
No abstract text is available yet for this article.
October 2017: Journal of Graduate Medical Education
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