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Provider Burnout

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61. Resident Burnout

Resident Burnout Rotation Prep | NEJM Resident 360 Social Login Email Login Log in via Email Create Your Account We will not share your email with anyone. Password must be at least 8 characters. Show or Hide the password you are typing. Request to Join has invited you to join this group Your browser does not support video tags Welcome! NEJM Resident 360 helps you prepare for your next rotation quickly and efficiently, provides support for coping with the pressures of resident life, and equips (...) you to take the next major step in your career. Rotation Prep supports your learning with an overview of the basics, and expertly chosen resources that provide the foundational information you need. Explore the educational features in Learning Lab, ways to connect with peers in Resident Lounge, and find career tips and guidance in Career. Exploring , , , and is FREE. Access to Rotation Prep is FREE to you through your institution's subscription, or you may connect with an individual subscription

2016 Now@NEJM

62. Matthew Castle: Burnout

Matthew Castle: Burnout Matthew Castle: Burnout - The BMJ ---> I don’t want to do this job any more. I’ve had enough. There. I’ve said it. Well, you wanted a statement, an explanation for those data anomalies, and that’s it, in a nutshell. I will reiterate: I don’t think you’ll find patient care has been compromised. Up to this point, my performance has met or exceeded all reasonable expectations. For what it’s worth, you can interrogate my partners again, but they won’t be able to fault my (...) clinical decision making in any way whatsoever. And as you know, my patient feedback ratings are superlative. But if I carry on like this, I’ll be heading for a breakdown. So I’m done. Finished, for now. Go back a couple of generations of general practitioners and you’ll find the same story. They called it burnout, back then. Too many patients, too little time, too little space for oneself. You feel like a sponge, constantly soaking up all those tortured ideas, concerns and expectations. All those

2017 The BMJ Blog

63. Predictors and outcomes of burnout among primary care providers practicing in the United States: a systematic review

Predictors and outcomes of burnout among primary care providers practicing in the United States: a systematic review Print | PDF PROSPERO This information has been provided by the named contact for this review. CRD has accepted this information in good faith and registered the review in PROSPERO. CRD bears no responsibility or liability for the content of this registration record, any associated files or external websites. Email salutation (e.g. "Dr Smith" or "Joanne") for correspondence (...) -Bonferroni correction for testing multiple subgroup analyses will be performed. If one or more subgroup analyses cannot be performed due to insufficient data, the p-value will be adjusted accordingly. ">Other Subgroup analysis or meta-regression are used to explore between-study heterogeneity and can provide insight into the relationship between study characteristics (e.g. species, sex or drug class or dose) and effect size. They should be considered hypothesis-generating. Ideally, a threshold describing

2018 PROSPERO

64. Work-related Mental Consequences: Implications of Burnout on Mental Health Status Among Health Care Providers (PubMed)

Work-related Mental Consequences: Implications of Burnout on Mental Health Status Among Health Care Providers Burnout can create problems in every aspect of individual's' human life. It may have an adverse effect on interpersonal and family relations and can lead to a general negative attitude towards life.The purpose of this study is to investigate whether burnout is associated with the mental health status of health care providers.The sample in this study consisted of 240 health care (...) employees. The Greek version of Maslach's Burnout Inventory (MBI) was used for measuring burnout levels and the Greek version of the Symptoms Rating Scale for Depression and Anxiety (SRSDA) questionnaire was used to evaluate health care providers' mental health status. Descriptive statistics were initially generated for sample characteristics. Normality was checked by the Kolmogorov-Smirnov test and data was processed with parametric tests. General linear models with MBI dimensions as independent

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2015 Acta Informatica Medica

65. Burnout in Nurses Working With Youth With Chronic Pain: A Pilot Intervention. (PubMed)

Burnout in Nurses Working With Youth With Chronic Pain: A Pilot Intervention. Nurse burnout is a significant issue, with repercussions for the nurse, patients, and health-care system. Our prior mixed-methods analyses helped inform a model of burnout in nurses working with youth with chronic pain. Our aims were to (a) detail the development of an intervention to decrease burnout; (b) evaluate the intervention's feasibility and acceptability; and (c) provide preliminary outcomes (...) -care practices. Measures provided assessment of feasibility, acceptability, and effectiveness at baseline and 3 months postintervention in a single group, repeated measures design.Data support the feasibility and acceptability of the intervention. Pilot outcome results demonstrated improvements in the target behaviors of education on psychosocial influences, self-care, and venting to coworkers as well as self-compassion, general health, and burnout. There were no changes in pain beliefs

2018 Journal of pediatric psychology

66. Burnout Syndrome: Global Medicine Volunteering as a Possible Treatment Strategy. (PubMed)

Burnout Syndrome: Global Medicine Volunteering as a Possible Treatment Strategy. In the last few decades, "burnout syndrome" has become more common among clinicians, or at least more frequently recognized. Methods to prevent and treat burnout have had inconsistent results. Simultaneously, clinicians' interest in global medicine has increased dramatically, offering a possible intervention strategy for burnout while providing help to underserved areas.Caused by a variety of stressors, burnout (...) for combating burnout by reconnecting physicians with their love of the profession.Because studies have shown that regular volunteering improves mental health, short-term global medicine experiences may reinvigorate and reengage clinicians on the verge of, or suffering from, persistent burnout syndrome. Fortuitously, this intervention often will greatly benefit medically underserved populations.Copyright © 2018 Elsevier Inc. All rights reserved.

2018 Journal of Emergency Medicine

67. "The health system cannot sustain current rates of clinician burnout and continue to deliver safe, high-quality care". What to do?

"The health system cannot sustain current rates of clinician burnout and continue to deliver safe, high-quality care". What to do? CasesBlog - Medical and Health Blog: "The health system cannot sustain current rates of clinician burnout and continue to deliver safe, high-quality care". What to do? Health News Updated Daily by Internist and Allergist at Cleveland Clinic Florida Pages "The health system cannot sustain current rates of clinician burnout and continue to deliver safe, high-quality (...) care". What to do? From the NEJM: More than half of U.S. physicians report significant symptoms of burnout — a rate more than twice that among professionals in other fields. Medical students and residents have higher rates of burnout and depression than their peers who are pursuing nonmedical careers. Physicians with symptoms of burnout are twice as likely to leave an organization as those without such symptoms "The health system cannot sustain current rates of clinician burnout and continue

2018 CasesBlog - Medical and Health Blog

68. Gender Differences in Utilization of Duty-Hour Regulations, Aspects of Burnout, and Psychological Well-being Among General Surgery Residents in the United States. (PubMed)

differences include a lack of female mentorship/leadership, dual-role responsibilities, gender blindness, and differing pressures and approaches to patient care.Female residents report working more, experiencing certain aspects of burnout more frequently, and having poorer psychological well-being. Qualitative themes provide insights into possible cultural and programmatic shifts to address the concerns for female residents. (...) Gender Differences in Utilization of Duty-Hour Regulations, Aspects of Burnout, and Psychological Well-being Among General Surgery Residents in the United States. The aim of the study was to (1) assess differences in how male and female general surgery residents utilize duty-hour regulations and experience aspects of burnout and psychological well-being, and (2) to explore reasons why these differing experiences exist.There may be differences in how women and men enter, experience, and leave

2018 Annals of Surgery

69. Person-centred eHealth for Treatment and Rehabilitation of Severe Stress and Burnout Syndrome

or more studies before adding more. Person-centred eHealth for Treatment and Rehabilitation of Severe Stress and Burnout Syndrome (PROMISE) The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. of clinical studies and talk to your health care provider before participating. Read our for details. ClinicalTrials.gov Identifier: NCT03404583 Recruitment Status (...) : 240 participants Allocation: Randomized Intervention Model: Parallel Assignment Masking: None (Open Label) Primary Purpose: Supportive Care Official Title: Person-centred eHealth for Treatment and Rehabilitation of Severe Stress and Burnout Syndrome - a Randomized Controlled Trial in Primary Health Care Actual Study Start Date : February 14, 2018 Estimated Primary Completion Date : February 2020 Estimated Study Completion Date : February 2022 Resource links provided by the National Library

2018 Clinical Trials

70. Burnout and posttraumatic stress in paediatric critical care personnel: Prediction from resilience and coping styles. (PubMed)

and PTSD.This is a multicentre, cross-sectional study. Data were collected in the PICU and in other paediatric wards of nine hospitals. Participants consisted of 298 PICU staff members (57 physicians, 177 nurses, and 64 nursing assistants) and 189 professionals working in non-critical paediatric units (53 physicians, 104 nurses, and 32 nursing assistants). They completed the Brief Resilience Scale, the Coping Strategies Questionnaire for healthcare providers, the Maslach Burnout Inventory, and the Trauma (...) Burnout and posttraumatic stress in paediatric critical care personnel: Prediction from resilience and coping styles. Our aims were (1) to explore the prevalence of burnout syndrome (BOS) and posttraumatic stress disorder (PTSD) in a sample of Spanish staff working in the paediatric intensive care unit (PICU) and compare these rates with a sample of general paediatric staff and (2) to explore how resilience, coping strategies, and professional and demographic variables influence BOS

2018 Australian Critical Care

71. Want a resilient organization? Address physician burnout now.

by providing coaching and training, while also implementing changes in how the organization functions and promotes dialogue aiming at stress reduction. Wider societal changes would also reduce the likelihood of physician burnout and bolster the functioning of the health care system. Diane W. Shannon is an internal medicine physician who blogs at . David Brendel is a psychiatrist and executive coach who blogs at . Image credit: … … 30 Shares Tagged as: , , Subscribe to KevinMD and never miss a story! Get (...) Want a resilient organization? Address physician burnout now. Want a resilient organization? Address physician burnout now. Want a resilient organization? Address physician burnout now. | | April 9, 2018 30 Shares Physician burnout rates hover around 50 percent, and the adverse consequences are serious. Burnout is associated with increased medical errors, suboptimal care, turnover and personal costs, including substance use, depression, and suicide. The financial cost to health care

2018 KevinMD blog

72. Mindfulness is not the answer for burnout

ever feel so tired you just break down? I feel better now, don’t worry.” All of us have a vague sense of what someone who is “burned out” looks like. Burnout manifests in many different ways: insomnia and nightmares about providing inadequate care, anger at a patient for not getting better, arguing over small details with other staff and, sometimes, crying out of sheer exhaustion in the bathroom. But there is a frustrating lack of specificity in defining burnout, despite widespread recognition (...) if they feel like they are the only one experiencing it. How can physicians spend more time building relationships with their patients, supporting each other, engaging each other in their work and sharing their successes and venting frustrations that might otherwise be internalized? Deliberate action from administrators, politicians, health care providers and patient advocates at the institutional and national level are required to address burnout. A recent shows that although 98 percent of health care

2018 KevinMD blog

73. Burnout in oncologists is a serious issue: What can we do about it? (PubMed)

on the wellbeing of oncologists and their patients. In this review article, we provide an oncologist's perspective on this important and topical issue. We have summarised the literature with regard to the consequences of physician burnout, its associated risk factors and previously evaluated solutions. We conclude by suggesting further strategies for addressing this problem.Copyright © 2018. Published by Elsevier Ltd. (...) Burnout in oncologists is a serious issue: What can we do about it? The cancer burden is rising globally with an increasing need for oncologists. The significant demands associated with caring for cancer patients within a rapidly evolving scientific field, poses manifold challenges, including the risk of work-related burnout. Surveys have already shown that the prevalence of burnout in oncologists worldwide is significant. There is growing concern that burnout has a detrimental impact

2018 Cancer Treatment Reviews

74. Leaders can bring doctors out of burnout

Leaders can bring doctors out of burnout Leaders can bring doctors out of burnout Leaders can bring doctors out of burnout | | March 5, 2018 28 Shares As physicians, we are seen as leaders whether we like it or not. And as such, we are charged with modeling greatness. But do we? Our training, while teaching us to be experts and authorities, does not teach us how to be leaders. One thing our training does teach us: self-neglect, self-sacrifice and unrealistic expectation. This is where I believe (...) first,” and soon we are not even on the list of people to take care. However, it doesn’t end there. We are put in positions of leadership with this mindset, and we ask and expect our team to engage in the same self-neglecting behavior. Then, we wonder why our doctors are not performing to their highest potential. We call them “disruptive” when they decompensate and refuse to acknowledge their state of burnout (much less our own). How did we get here? Conditioning, simply put, has created a vicious

2018 KevinMD blog

75. Mindful Self-Care and Secondary Traumatic Stress Mediate a Relationship Between Compassion Satisfaction and Burnout Risk Among Hospice Care Professionals. (PubMed)

Mindful Self-Care and Secondary Traumatic Stress Mediate a Relationship Between Compassion Satisfaction and Burnout Risk Among Hospice Care Professionals. Effective self-care in hospice is anecdotally proclaimed to reduce burnout risk. Yet, the topic has received little empirical attention.This study developed a model for predicting burnout risk from compassion satisfaction (CS), secondary traumatic stress (STS), and mindful self-care.Hospice care professionals (n = 324).Cross-sectional self (...) -report survey.Mindful self-care was correlated with CS ( r = 0.497, p < .01), Burnout ( r = -0.726, p < .01), and STS ( r = -0.276, p < .01). A multiple regression model indicated that the combined effect of CS, STS, and mindful self-care explained 73.7% of the variance in Burnout. Mindful self-care and STS mediated a relationship between CS and Burnout. Each self-care category was statistically significant protective factors against burnout risk ( p < .01). Associations with Burnout in order

2018 American Journal of Hospice and Palliative Medicine

76. The messages that sanctify a culture of physician burnout

The messages that sanctify a culture of physician burnout The messages that sanctify a culture of physician burnout The messages that sanctify a culture of physician burnout | | March 11, 2018 2K Shares I realize today that shame, and the stigma about needing help if you’re a care provider, profoundly affected my career path and even my sense of identity. When I was overwhelmed, exhausted, stressed, and scared, did I reach out for help? No, I kept going until I hit a wall, burned out, and left (...) clinical practice. After leaving, did I talk publicly about the chaotic conditions and broken system that led to my burnout? No, I blamed myself and kept quiet for a decade and a half. When invited to speak on clinician burnout at a recent conference, I decided to focus on the stigma that kept me from seeking help. Upon reflection, I saw that at its core was a mostly unspoken dictum that care providers cannot be fallible and cannot have human needs — as if the only way to help the vulnerable

2018 KevinMD blog

77. Chinese Anesthesiologists Have High Burnout and Low Job Satisfaction: A Cross-Sectional Survey. (PubMed)

multivariable logistic regression analysis, we found that age, hospital category, working hours per week, caseload per day, frequency of perceived challenging cases, income, and sleep quality were independent variables associated with burnout. Anesthesiologists with a high level of depersonalization tended to engage in shorter preoperative conversations with patients, provide less information about pain or the procedure, and to have less empathy with them.The anesthesiologists in the Beijing-Tianjin-Hebei (...) Chinese Anesthesiologists Have High Burnout and Low Job Satisfaction: A Cross-Sectional Survey. The Chinese health care system must meet the needs of 19% of the world's population. Despite recent economic growth, health care resources are unevenly distributed. This creates the potential for job stress and burnout. We therefore conducted a survey among anesthesiologists in the Beijing-Tianjin-Hebei region focusing on job satisfaction and burnout to determine the incidence and associated

2018 Anesthesia and Analgesia

78. Physician burnout - it’s here for sure, now what to do about it?

Physician burnout - it’s here for sure, now what to do about it? Allergy Notes: Physician burnout - it’s here for sure, now what to do about it? 2018 WSAAI update Allergy, Asthma and Immunology News Updated Daily by Board-certified Allergist at Cleveland Clinic Florida Pages Physician burnout - it’s here for sure, now what to do about it? 2018 WSAAI update This is a Twitter summary from the 2018 WSAAI meeting. This summary was compiled from the tweets posted by , an allergist/immunologist, who (...) attended the 2018 Western Society of Allergy, Asthma and Immunology (WSAAI) meeting. The tweets were labeled #WSAAI. The text was edited and modified by me. Mark T. O'Hollaren "Is it time to take care of the doctor? Why recapturing the joy of medicine is crucial for the well being of both patients and physicians". 50-60% of physicians are now experiencing clinical symptoms of burnout. 400 physicians per year commit suicide in the US. Editor’s note: Allergist are the specialty with the second lowest

2018 Allergy Notes blog

79. Gendered Expectations: Do They Contribute to High Burnout Among Female Physicians? (PubMed)

Gendered Expectations: Do They Contribute to High Burnout Among Female Physicians? Patients have differing expectations of female versus male physicians. Female patients tend to seek more empathic listening and longer visits, especially with female physicians; however, female doctors are not provided more time for this. Female doctors have more female patients than male doctors, and more patients with psychosocial complexity. We propose that gender differences in patient panels and gendered (...) expectations of female physicians may contribute to the high rate of burnout among female clinicians, as well as to the many female physicians working part-time to reduce stress in their work lives. We propose several mechanisms for addressing this, including brief increments in visit time (20, 30 and 40 min), staff awareness, training in patient expectations during medical school, adjusting for patient gender in compensation plans, and co-locating behavioral medicine specialists in primary care settings

2018 Journal of General Internal Medicine

80. Web-Based Tools and Mobile Applications To Mitigate Burnout, Depression, and Suicidality Among Healthcare Students and Professionals: a Systematic Review.

, depression, and suicide prevention or intervention for healthcare students or providers and identified five categories of programs with significant effectiveness: Cognitive Behavioral Therapy (online), meditation, mindfulness, breathing, and relaxation techniques. Using these categories, we searched for Web-based (through Google and beacon.anu.edu.au -a wellness resource website) and mobile applications (Apple and mobile. va.gov/appstore ) for stress, burnout, depression, and suicide prevention (...) and identified 36 resources to further evaluate based on relevance, applicability to healthcare providers (confidentiality, convenience, and cost), and the strength of findings supporting their effectiveness.We selected seven resources under five general categories designed to foster wellness and reduce burnout, depression, and suicide risk among healthcare workers: breathing (Breath2Relax), meditation (Headspace, guided meditation audios), Web-based Cognitive Behavioral Therapy (MoodGYM, Stress Gym

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2018 Academic psychiatry : the journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry

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