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Emergency medicine burnout

Kathleen M McKenna, Daniel A Hashimoto, Michael S Maguire, William E Bynum
Awareness of the risks of burnout, depression, learner mistreatment, and suboptimal learning environments is increasing in academic medicine. A growing wellness and resilience movement has emerged in response to these disturbing trends; however, efforts to address threats to physician resilience have often emphasized strategies to improve life outside of work, with less attention paid to the role of belonging and connection at work. In this Commentary the authors propose that connection to colleagues, patients, and profession is fundamental to medical learners' resilience, highlighting "social resilience" as a key factor in overall well-being...
September 2016: Academic Medicine: Journal of the Association of American Medical Colleges
Elena Salmoirago-Blotcher, George Fitchett, Katherine Leung, Gregory Volturo, Edwin Boudreaux, Sybil Crawford, Ira Ockene, Farr Curlin
BACKGROUND: Burnout is highly prevalent among Emergency Medicine (EM) physicians and has significant impact on quality of care and workforce retention. The objective of this study was to determine whether higher religion/spirituality (R/S) is associated with a lower prevalence of burnout among EM physicians (primary outcome). A history of malpractice lawsuits and maladaptive behaviors were the secondary outcomes. METHODS: This was a cross-sectional, survey-based study conducted among a random sample of physicians from the Massachusetts College of Emergency Physicians mailing list...
June 2016: Preventive Medicine Reports
Brenda K Wiederhold, Giuseppe Riva, Andrea Gaggioli, Mark D Wiederhold
Creating a significant negative impact on both their quality of life and the quality of patient care with an evident economical burden for the healthcare system, there is a growing concern over physician burnout. The range of interventions and treatments that have been used to address this problem, however, appear quite fragmented and lack compelling efficacy. We describe the main factors known to contribute to the development of physician burnout as well as currently available treatments. Studies seem to indicate that both specialisation area as well as personality traits may contribute to the manifestation...
2016: Studies in Health Technology and Informatics
Bedia Gulen, Mustafa Serinken, Cenker Eken, Özgür Karcıoglu, Okkes Taha Kucukdagli, Elif Kilic, Guleser Akpinar, Suleyman Nogay, Mahmut Kuh
OBJECTIVES: Burnout syndrome is recognized as a major global problem among emergency healthcare workers as it causes prevalent fatigue, job separations, and disappointment. The objective of this study was to investigate the relationship of the glial marker S100B in sera of emergency physicians with burnout syndrome and depression. METHODS: This was a prospective observational study of emergency medicine residents in three distinct university-based departments of emergency medicine...
July 2016: Academic Emergency Medicine: Official Journal of the Society for Academic Emergency Medicine
Benjamin Schooley, Neset Hikmet, Menderes Tarcan, Gamze Yorgancioglu
Studies on the topic of burnout measure the effects of emotional exhaustion (EE), depersonalization (DP) (negative or cynical attitudes toward work), and reduced sense of personal accomplishment (PA). While the prevalence of burnout in practicing emergency medicine (EM) professionals has been studied, little is known of the prevalence and factors across physicians, nurses, technicians, and health information technicians working for the same institution. The aim of this study was to assess burnout differences across EM professional types...
March 2016: Medicine (Baltimore)
Yuuki Matsumoto, Michiko Hoshiko, Yoshitaka Morimatsu, Mihoko Mori, Nanae Kushino, Tatsuya Ishitake
OBJECTIVES: Fatigue caused by high workload is often responsible for the high attrition among doctors, and has contributed to a disruption in community medicine. In order to address this problem, institutional mechanisms at the hospital level are required. Previous studies have shown that systemic measures at the hospital level and a change in the mindset of patients can help manage the problem. "Convenient visits" refer to emergency visits for non-emergency problems. It is an avoidable cause of high workload on doctors...
2015: [Nihon Kōshū Eisei Zasshi] Japanese Journal of Public Health
Irene Bopp-Kistler
Before the disclosure of the diagnosis, both the patients with dementia and their relatives experience a long time not only full of insecurity, uncertainty, fear and misgivings but also of conflicts. The beginning of a neurodegenerative disease is always associated with a lot of open questions. If young patients are still active in their professional life, already the stage of "Mild Cognitive Impairment" will cause mistakes, burnout, mobbing, depression and sick leaves. In the partner relationship conflicts and accusations may emerge...
April 2015: Therapeutische Umschau. Revue Thérapeutique
Kenneth Wj Heng
Multitasking is an essential skill to develop during Emergency Medicine (EM) residency. Residents who struggle to cope in a multitasking environment risk fatigue, stress, and burnout. Improper management of interruption has been causally linked with medical errors. Formal teaching and evaluation of multitasking is often lacking in EM residency programs. This article reviewed the literature on multitasking in EM to identify best practices for teaching and evaluating multitasking amongst EM residents. With the advancement in understanding of what multitasking is, deliberate attempts should be made to teach residents pitfalls and coping strategies...
2014: International Journal of Emergency Medicine
Enrico Pira
Herein the question of health protection/safety and well being in the Law Enforcement is introduced and includes examples of some particular risk conditions that may be multiple and polymorphous. Not only the "traditional" sources are involved in these risks, like chemical, physical and biological agents, but other issues emerge in these "new scenarios" connected to risk factors involving organization and/or psychosocial elements. From this, we may deduce that there is a specific need for all the operators involved in prevention/care in this particular sector to be well versed on the highest possible updated specialized knowledge along with having a complete and thorough mastery of the best practices in Occupational Medicine to face this task in the correct manner:...
October 2014: Giornale Italiano di Medicina del Lavoro Ed Ergonomia
Amany Ali Kotb, Khalid Abd-Elmoez Mohamed, Mohammed Hbany Kamel, Mosleh Abdul Rahman Ismail, Abdulmajeed Ahmed Abdulmajeed
INTRODUCTION: The burnout syndrome is characterized by emotional exhaustion, depersonalization, and low personal accomplishment. It is associated with impaired job performance. METHODS: This descriptive study examined 171 physicians for the presence of burnout and its related risk factors. The evaluation of burnout was through Maslach Burnout Inventory (MBI). The participant was considered to meet the study criteria for burnout if he or she got a "high" score on at least 2 of the three dimensions of MBI...
2014: Pan African Medical Journal
Tajek B Hassan
Sustainable and satisfying working practices in emergency medicine are vital to produce career longevity and prevent premature 'burnout'. A range of strategies is required to ensure success for the individual and the system in which he/she works.
November 2014: British Journal of Hospital Medicine
Kevin Reynard, Ruth Brown
Workforce crises in medicine can be devastating for a specialty, patients and professionals. Emergency medicine and general practice are currently affected but other acute specialties are showing early signs and symptoms of the condition. While symptomatic treatments are helpful, recognition and treatment of the causes is critical.
November 2014: British Journal of Hospital Medicine
Yunbei Xiao, Jinguo Wang, Si Chen, Zhigang Wu, Jian Cai, Zhiliang Weng, Chengdi Li, Xiaowei Zhang
BACKGROUND: Chinese physicians are not only facing heavy work overloads, but also abuse and injury because of patient mistrust of physicians. The primary objective of the present study was to measure psychological distress, burnout levels and job satisfaction among Chinese emergency physicians. METHODS: All the physicians from the EDs of three large general hospitals were recruited to undertake a questionnaire-based survey from March to April 2012. The Hospital Anxiety and Depression Scale (HADS), Maslach Burnout Inventory-General Survey and Minnesota Satisfaction Questionnaire were used...
December 2014: Emergency Medicine Australasia: EMA
Christian Beneker
No abstract text is available yet for this article.
July 24, 2014: MMW Fortschritte der Medizin
James Kimo Takayesu, Edward A Ramoska, Ted R Clark, Bhakti Hansoti, Joseph Dougherty, Will Freeman, Kevin R Weaver, Yuchiao Chang, Eric Gross
OBJECTIVES: While the prevalence of burnout in practicing emergency physicians has been studied, little is known of the prevalence and risk factors in emergency medicine (EM) residents. The aim of this study was to assess the prevalence of burnout among EM residents and the individual-level factors associated with burnout. METHODS: Eight EM residency programs were surveyed using the Maslach Burnout Inventory (MBI). Demographic data and data on job satisfaction and tolerance of uncertainty in clinical decision-making were collected using validated instruments...
September 2014: Academic Emergency Medicine: Official Journal of the Society for Academic Emergency Medicine
Hilary McClafferty, Oscar W Brown
Physician health and wellness is a critical issue gaining national attention because of the high prevalence of physician burnout. Pediatricians and pediatric trainees experience burnout at levels equivalent to other medical specialties, highlighting a need for more effective efforts to promote health and well-being in the pediatric community. This report will provide an overview of physician burnout, an update on work in the field of preventive physician health and wellness, and a discussion of emerging initiatives that have potential to promote health at all levels of pediatric training...
October 2014: Pediatrics
M Fernanda Bellolio, Daniel Cabrera, Annie T Sadosty, Erik P Hess, Ronna L Campbell, Christine M Lohse, Karmen L Sunga
INTRODUCTION: Compassion fatigue (CF) is the emotional and physical burden felt by those helping others in distress, leading to a reduced capacity and interest in being empathetic towards future suffering. Emergency care providers are at an increased risk of CF secondary to their first responder roles and exposure to traumatic events. We aimed to investigate the current state of compassion fatigue among emergency medicine (EM) resident physicians, including an assessment of contributing factors...
September 2014: Western Journal of Emergency Medicine
Adnan Agha, Ayedh Mordy, Eram Anwar, Noha Saleh, Imran Rashid, Mona Saeed
BACKGROUND: Burnout Syndrome is a mental condition caused by chronic exposure to work related stress and is identified by the presence of any of the three distinct elements of emotional exhaustion, depersonalization and lack of personal accomplishment. Middle grade doctors are the backbone of any tertiary care hospital / medical institution, partaking in unscheduled and inpatient care. OBJECTIVE: The aim of this study was to assess the presence of burnout syndrome in the middle grade doctors in a tertiary care hospital in Saudi Arabia...
2015: Work: a Journal of Prevention, Assessment, and Rehabilitation
(no author information available yet)
With their hectic schedules and demanding work responsibilities, emergency physicians are particularly vulnerable to symptoms of burnout. One study showed that more than half of emergency providers reported at least one symptom of burnout when they were asked to fill out a survey tool used to measure burnout--more than any other type of provider. It's a concern because physicians experiencing burnout may be less attentive to their patients, and some ultimately choose to leave medicine because they are no longer satisfied with their work...
June 2014: ED Management: the Monthly Update on Emergency Department Management
Amos M Yinnon, Gabriel Munter, Reuven Friedmann, David Katz, Gideon Nesher, Thomas Tichler, Shoshana Zevin
BACKGROUND: The specialty and practice of internal medicine have been subject to serious challenges in the last two decades. METHODS: We describe the integrative model of internal medicine as developed in our hospital, providing solutions to some major challenges. RESULTS: Major components include: (1) Senior physicians and residents are employed by the Division rather than individual Departments of Medicine, allowing for balanced distribution of professional capabilities...
March 2014: Harefuah
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