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Physician resiliency

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https://www.readbyqxmd.com/read/28194689/exploring-physician-perspectives-of-residency-holdover-handoffs-a-qualitative-study-to-understand-an-increasingly-important-type-of-handoff
#1
Jonathan A Duong, Trevor P Jensen, Sasha Morduchowicz, Michelle Mourad, James D Harrison, Sumant R Ranji
BACKGROUND: The term "holdover admissions" refers to patients admitted by an overnight physician and whose care is then transferred to a new primary team the next morning. Descriptions of the holdover process in internal medicine are sparse. OBJECTIVE: To identify important factors affecting the quality of holdover handoffs at an internal medicine (IM) residency program and to compare them to previously identified factors for other handoffs. DESIGN: We undertook a qualitative study using structured focus groups and interviews...
February 13, 2017: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/28156648/is-empathy-associated-with-a-derived-sense-of-meaning-among-resident-physicians-working-with-patients-nearing-the-end-of-life-on-a-hematology-oncology-ward
#2
Jonathan Komisar
: 28 Background: An association between empathy and physician-in-training based meaning derived from patient deaths has not been explored previously. If meaning is associated with empathy, an intervention to enhance meaning may counteract empathy decline and promote clinician resilience. This study sought to understand if empathy might be associated with the ability to find meaning in the clinical situations that residents face in oncology. METHODS: Internal Medicine residents rotating on a Hematology/Oncology ward were asked "Do you derive a sense of meaning from working with dying patients? Yes or No...
October 9, 2016: Journal of Clinical Oncology: Official Journal of the American Society of Clinical Oncology
https://www.readbyqxmd.com/read/28143568/factors-predicting-training-transfer-in-health-professionals-participating-in-quality-improvement-educational-interventions
#3
Ahmed Eid, Doris Quinn
BACKGROUND: Predictors of quality improvement (QI) training transfer are needed. This study aimed to identify these predictors among health professionals who participated in a QI training program held at a large hospital in the United States between 2005 and 2014. It also aimed to determine how these predictive factors facilitated or impeded QI training transfer. METHODS: Following the Success Case Method, we used a screening survey to identify trainees with high and low levels of training transfer...
January 31, 2017: BMC Medical Education
https://www.readbyqxmd.com/read/28125436/psychosocial-difficulties-in-patients-with-parkinson-s-disease
#4
Silvia Schiavolin, Alberto Raggi, Rui Quintas, Milda Cerniauskaite, Ambra M Giovannetti, Venusia Covelli, Luigi Romito, Antonio E Elia, Francesco Carella, Paola Soliveri, Matilde Leonardi
The aim of this study was to report the most frequent psychosocial difficulties (PSDs) in patients with Parkinson disease (PD), to explore the relationship between PSDs, disability and quality of life (QoL), and to address the predictors of PSDs. Patients with PD were interviewed using a protocol composed of a questionnaire investigating PSDs (PARADISE 24), QoL, disability, comorbidity, and social support questionnaires, scales on resilience, personality traits, and empathy in physician. Most frequent PSDs were reported...
January 25, 2017: International Journal of Rehabilitation Research. Revue Internationale de Recherches de Réadaptation
https://www.readbyqxmd.com/read/28103729/strategies-to-promote-resilience-empathy-and-well-being-in-the-health-professions-insights-from-the-2015-centile-conference
#5
Aviad Haramati, Sian Cotton, Jamie S Padmore, Hedy S Wald, Peggy A Weissinger
The high prevalence of physician burnout is of great concern and may begin with observed declines in empathy and increases in stress and burnout in medical and health professions students. While underlying causes have been described, there is less certainty on how to create effective interventions in curricula and workplace. In October 2015, The Center for Innovation and Leadership in Education (CENTILE) at Georgetown University, together with MedStar Health, Georgetown's clinical partner, and six academic institutions sponsored a conference in Washington, DC...
January 20, 2017: Medical Teacher
https://www.readbyqxmd.com/read/28065490/burnout-among-cardiologists
#6
EDITORIAL
Jeffrey B Michel, Denisse M Sangha, John P Erwin
Burnout is a loss of enthusiasm for work, cynicism, and a low sense of accomplishment. Loss of autonomy and authority, complex regulatory requirements, report cards, quality metrics, the rise of large integrated health care systems, and the demise of solo practice are just a few realities of medical practice that contribute to physician burnout. Physicians suffering burnout often focus on compensation and perceived status as antidotes, although evidence suggests they play no role. Randomized controlled trials suggest that interventions designed to improve coping and resiliency including cognitive behavioral therapy and physical and mental relaxations to reduce stress can be effective...
December 18, 2016: American Journal of Cardiology
https://www.readbyqxmd.com/read/28062351/training-the-workforce-description-of-a-longitudinal-interdisciplinary-education-and-mentoring-program-in-palliative-care
#7
Stacie Levine, Sean O'Mahony, Aliza Baron, Aziz Ansari, Catherine Deamant, Joel Frader, Ileana Leyva, Michael Marschke, Michael Preodor
CONTEXT: The rapid increase in demand for palliative care (PC) services has led to concerns regarding workforce shortages and threats to the resiliency of PC teams. OBJECTIVES: To describe the development, implementation, and evaluation of a regional interdisciplinary training program in PC. METHODS: Thirty nurse and physician "fellows" representing 22 health systems across the Chicago region participated in a two-year PC training program...
January 3, 2017: Journal of Pain and Symptom Management
https://www.readbyqxmd.com/read/28006984/illness-perception-patterns-in-patients-with-coronary-artery-disease
#8
E Kunschitz, O Friedrich, Ch Schöppl, J Maitz, J Sipötz
The purpose of this study is to identify patterns of illness perception in patients with angiografically verified Coronary Artery Disease. A total of 166 patients (age: 64.4 ± 12.1, 80.7% male) were recruited after angiography. Cluster analysis on the items of the Brief Illness Perception Questionnaire was used to identify patterns of illness perception. The resulting groups were characterized with regard to Quality of Life (MacNew), anxiety and depression (GAD-7 and PHQ-9) and resilience (RS-13). The analysis revealed 4 distinct groups differing with regard to the items covering the perception of the physical and emotional impact of disease...
December 23, 2016: Psychology, Health & Medicine
https://www.readbyqxmd.com/read/27999605/fever-views-in-anthroposophic-medicine-and-their-scientific-validity
#9
REVIEW
David D Martin
Objective. To conduct a scoping review to characterize how fever is viewed in anthroposophic medicine (AM) and discuss the scientific validity of these views. Methods. Systematic searches were run in Medline, Embase, CAMbase, and Google Scholar. Material from anthroposophic medical textbooks and articles was also used. Data was extracted and interpreted. Results. Most of the anthroposophic literature on this subject is in the German language. Anthroposophic physicians hold a beneficial view on fever, rarely suppress fever with antipyretics, and often use complementary means of alleviating discomfort...
2016: Evidence-based Complementary and Alternative Medicine: ECAM
https://www.readbyqxmd.com/read/27957671/medical-student-resilience-strategies-a%C3%A2-content-analysis-of-medical-students-portfolios
#10
Richard A Prayson, S Beth Bierer, Elaine F Dannefer
INTRODUCTION: Stress and burnout among medical students is a well-recognized concern. A student's ability to employ resilience strategies to self-regulate behaviour is critical to the student's future career as a physician. METHODS: We retrospectively reviewed a sampling of year 1, 2 and 5 portfolio essays focused on the Personal Development competency and performance milestones, written by 49 students from three different classes in a 5-year programme devoted to training physician investigators...
February 2017: Perspectives on Medical Education
https://www.readbyqxmd.com/read/27908849/physician-heal-thyself-luke-4-23
#11
EDITORIAL
Jamie Hacker Hughes, Amra Saleem Rao, Neelam Dosanjh, Esther Cohen-Tovée, Jeremy Clarke, Gita Bhutani
The performance culture of the health service means that the psychological well-being of staff is becoming paramount in maintaining the workforce and in sustaining psychological health and morale. A Charter for Psychological Staff Wellbeing and Resilience is introduced that puts the onus on us and on employers to make the necessary adjustments to their workplace cultures and encourage professionals - us - to break through the barrier of stigma.
December 2016: British Journal of Psychiatry: the Journal of Mental Science
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
#12
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/27875605/sustaining-family-physicians-in-urban-underserved-settings
#13
Anne Getzin, Bonnie L Bobot, Deborah Simpson
OBJECTIVE: Our objective was to identify factors that sustain family physicians practicing in Milwaukee's underserved urban areas. METHODS: Family physicians with clinical careers in Milwaukee's urban, underserved communities were identified and invited to participate in a 45-60 minute interview using a literature-based semi-structured protocol. Each interview was transcribed and de-identified prior to independent analysis using a grounded theory qualitative approach by two authors to yield sustaining themes...
November 2016: Family Medicine
https://www.readbyqxmd.com/read/27844198/anesthesiology-resident-wellness-program-at-the-university-of-saskatchewan-curriculum-content-and-delivery
#14
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...
February 2017: Canadian Journal of Anaesthesia, Journal Canadien D'anesthésie
https://www.readbyqxmd.com/read/27771761/being-prepared-to-work-in-gynecology-medicine-evaluation-of-an-intervention-to-promote-junior-gynecologists-professionalism-mental-health-and-job-satisfaction
#15
Stefanie Mache, Lisa Baresi, Monika Bernburg, Karin Vitzthum, David Groneberg
BACKGROUND: Dealing with work-related stress is highly prevalent for employees in Gynecology Medicine. Junior physicians, in particular, have to face high working demands and challenges while starting their medical career after graduation. Job resources (i.e., social support) and personal resources (coping skills) might reduce job strain. The evidence for supportive and effective mental health interventions for clinicians is limited. Offering psychosocial skill training for entrants in Gynecology Medicine is expected to be highly beneficial...
October 22, 2016: Archives of Gynecology and Obstetrics
https://www.readbyqxmd.com/read/27723375/association-between-low-empathy-and-high-burnout-among-primary-care-physicians-and-nurses-in-lleida-spain
#16
Oriol Yuguero, Josep Ramon Marsal, Montserrat Esquerda, Luis Vivanco, Jorge Soler-González
BACKGROUND: Burnout is a growing problem among healthcare professionals and may be mitigated and even prevented by measures designed to promote empathy and resilience. OBJECTIVES: We studied the association between burnout and empathy in primary care practitioners in Lleida, Spain and investigated possible differences according to age, sex, profession, and place of practice (urban versus rural). METHODS: All general practitioners (GPs) and family nurses in the health district of Lleida (population 366 000) were asked by email to anonymously complete the Maslach Burnout Inventory (MBI) and the Jefferson Scale of Physician Empathy (JSPE) between May and July 2014...
October 10, 2016: European Journal of General Practice
https://www.readbyqxmd.com/read/27701371/burnout-syndrome-and-wellbeing-in-anesthesiologists-the-importance-of-emotion-regulation-strategies
#17
Teresa A Lapa, Filipa M Madeira, Joaquim S Viana, José Pinto-Gouveia
Anesthesiologists face stressful working conditions that can culminate in burnout syndrome. Despite various studies and protective measures which have attempted to prevent this situation, burnout continues to be a problem within the profession, impacting negatively on physicians' lives and their performance. In this review article mechanisms and consequences of burnout are described in addition to individual strategies for stress management and burnout reduction with potential impact on health care quality and wellbeing in anesthesiologists...
February 2017: Minerva Anestesiologica
https://www.readbyqxmd.com/read/27683848/charter-on-physician-professional-flourishing
#18
Stephen M Sergay
Medical care delivery has adapted to scientific and societal change in the past. However, today's advancing scientific accomplishments and care capabilities, in the context of current societal and economic developments and our emerging digital age, are challenging physician resilience and endurance and trust in the medical profession. Why has this happened and can these characteristics and perceptions of physicians be reversed? The Charter on Physician Professional Flourishing is a method designed to restore the promise of the medical profession and trust in it...
September 28, 2016: Neurology
https://www.readbyqxmd.com/read/27651982/the-influence-of-temperament-and-character-profiles-on-specialty-choice-and-well-being-in-medical-residents
#19
Martin Sievert, Igor Zwir, Kevin M Cloninger, Nigel Lester, Sandor Rozsa, C Robert Cloninger
BACKGROUND: Multiple factors influence the decision to enter a career in medicine and choose a specialty. Previous studies have looked at personality differences in medicine but often were unable to describe the heterogeneity that exists within each specialty. Our study used a person-centered approach to characterize the complex relations between the personality profiles of resident physicians and their choice of specialty. METHODS: 169 resident physicians at a large Midwestern US training hospital completed the Temperament and Character Inventory (TCI) and the Satisfaction with Life Scale (SWLS)...
2016: PeerJ
https://www.readbyqxmd.com/read/27620116/resilience-among-employed-physicians-and-mid-level-practitioners-in-upstate-new-york
#20
Anthony C Waddimba, Melissa Scribani, Melinda A Hasbrouck, Nicole Krupa, Paul Jenkins, John J May
OBJECTIVE: To investigate the factors associated with resilience among medical professionals. DATA SOURCES/STUDY SETTING: Administrative information from a rural health care network (1 academic medical center, 6 hospitals, 31 clinics, and 20 school health centers) was triangulated with self-report data from 308 respondents (response rate = 65.1 percent) to a 9/2013-1/2014 survey among practitioners serving a nine-county 5,600-square-mile area. STUDY DESIGN: A cross-sectional questionnaire survey comprising valid measures of resilience, practice meaningfulness, satisfaction, and risk/uncertainty intolerance, nested within a prospective, community-based project...
October 2016: Health Services Research
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