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Provider Burnout

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101. Association of burnout with doctor–patient relationship and common stressors among postgraduate trainees and house officers in Lahore—a cross-sectional study (PubMed)

Association of burnout with doctor–patient relationship and common stressors among postgraduate trainees and house officers in Lahore—a cross-sectional study Burnout is defined as a prolonged state of physical and psychological exhaustion. Doctors, due to the demanding nature of their job, are susceptible to facing burnout, which has far reaching implications on their productivity and motivation. It affects the quality of care they provide to patients, thus eroding the doctor-patient (...) relationship which embodies patient centeredness and autonomy. The study aims at addressing the stressors leading to burnout and its effect on the doctor-patient relationship.A descriptive, cross-sectional study design with convenience (non-probability) sampling technique was employed in six major hospitals of Lahore, Pakistan. A total of 600 doctors were approached for the study which included house officers or "HOs" (recent graduates doing their 1 year long internship) and post-graduate trainees or "PGRs

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2018 PeerJ

102. Feeling Pressure to Be a Perfect Mother Relates to Parental Burnout and Career Ambitions (PubMed)

Feeling Pressure to Be a Perfect Mother Relates to Parental Burnout and Career Ambitions Background and aims: Intensive mothering norms prescribe women to be perfect mothers. Recent research has shown that women's experiences of pressure toward perfect parenting are related to higher levels of guilt and stress. The current paper follows up on this research with two aims: First, we examine how mothers regulate pressure toward perfect mothering affectively, cognitively, and behaviorally, and how (...) such regulation may relate to parental burnout. Second, we examine how feeling pressure toward perfect mothering may spill over into mothers' work outcomes. Methods: Through Prolific Academic, an online survey was sent to fulltime working mothers in the United Kingdom and United States with at least one child living at home (N = 169). Data were analyzed using bootstrapping mediation models. Results: Feeling pressure to be a perfect mother was positively related to parental burnout, and this relation

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2018 Frontiers in psychology

103. Exploring the relative importance of work-organizational burnout risk factors in Belgian residents (PubMed)

Exploring the relative importance of work-organizational burnout risk factors in Belgian residents Previous research has shown that residents are at risk for developing burnout. Most burnout measures focus on individual risk factors, although work-organizational-focused measures might be beneficial as well. This study analyzed the relative importance of positive and negative work-organizational stressors, according to residents themselves, with NVivo11. Eleven work-organizational themes were (...) hours. Our results suggest to allocate resources to improve supervisors' skills, such as providing social support, feedback, and recognition. A better match between internship obligations and residents' studies could also contribute positively to this purpose.

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2018 Medical education online

104. Burnout and Exposure to Critical Incidents in a Cohort of Emergency Medical Services Workers from Minnesota (PubMed)

in the profession.We administered a 167-item electronic survey that included the Maslach Burnout Inventory (MBI) and a modified version of the Critical Incident History Questionnaire (n=29 incident types) to paramedics, emergency medical technicians (EMTs), and dispatchers of a single ambulance service. We defined the presence of burnout as a high score on either the emotional exhaustion or depersonalization subscales of the MBI.Survey respondents who provided regular 911 response at the time of the survey (...) Burnout and Exposure to Critical Incidents in a Cohort of Emergency Medical Services Workers from Minnesota Very little quantitative data on occupational burnout and exposure to critical incidents are available from contemporary United States emergency medical services (EMS) cohorts. Given that burnout has been associated positively with turnover intentions and absenteeism in EMS workers, studies that uncover correlates of burnout may be integral to combating growing concerns around retention

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2018 Western Journal of Emergency Medicine

105. A Cross-Sectional Analysis of Compassion Fatigue, Burnout, and Compassion Satisfaction in Pediatric Critical Care Physicians in the United States. (PubMed)

in patients and families puts pediatric critical care physicians at risk for compassion fatigue and low compassion satisfaction. Awareness of compassion fatigue, burnout, and compassion satisfaction and their predictors may benefit providers both personally and professionally by allowing them to proactively manage their distress. (...) A Cross-Sectional Analysis of Compassion Fatigue, Burnout, and Compassion Satisfaction in Pediatric Critical Care Physicians in the United States. To determine the prevalence of compassion fatigue, burnout, and compassion satisfaction and identify potential personal and professional predictors of these phenomena in pediatric critical care providers.Cross-sectional, online survey.Pediatric critical care practices in the United States.Pediatric critical care fellows and attending

2018 Pediatric Critical Care Medicine

106. Psychometric properties of the Shirom-Melamed Burnout Measure (SMBM) among adolescents: results from three cross-sectional studies. (PubMed)

in each sample.The SMBM had adequate internal consistency. Confirmatory factor analyses showed that both a first- and second-order model achieve good model fit. Moreover, evidence for sufficient convergent and discriminant validity was found. Finally, in two of the three samples, female adolescents reported higher SMBM scores.The SMBM has been widely used in international burnout research. However, this is the first study providing empirical evidence that the SMBM has acceptable psychometric (...) Psychometric properties of the Shirom-Melamed Burnout Measure (SMBM) among adolescents: results from three cross-sectional studies. Burnout has long been understood as work-related physical, emotional, and cognitive exhaustion. However, burnout symptoms can also be found among younger people, including school-aged adolescents. While the Shirom-Melamed Burnout Measure (SMBM) is a widely applied instrument, its psychometric properties have not yet been investigated in adolescent populations. We

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2018 BMC Psychiatry

107. Let’s reshape the river of burnout

Let’s reshape the river of burnout Let's reshape the river of burnout Let’s reshape the river of burnout | | September 2, 2018 22 Shares I’ve been river rafting just one time in my life. We paid for a guided trip down Idaho’s famous “River of No Return — the Salmon,” and spent the day traveling stretches of rapids and stretches of calm. It was exhilarating enough for a newbie but not enough to ever feel like my life or livelihood was seriously at risk. But I’ve also seen that same river (...) at flood stage, and it is downright scary looking. There is simply too much water in the riverbanks going too fast, too many rocks underneath shaping the rapids, and too much uncertainty about which way your raft might go. Even an experienced guide who has shot Class VI rapids might not have the skill or strength to ensure the passengers of their raft would make it through at that stage. In many ways, this is where doctors, other medical providers and, sometimes, even clinic administrators are at right

2018 KevinMD blog

108. Physicians don’t just suffer burnout. They suffer moral injuries.

of resourcefulness and resilience, traits that most physicians have finely honed during decades of intense training and demanding work. Even at the Mayo Clinic, which has been tracking, investigating, and addressing burnout for more than a decade, report its symptoms. We believe that burnout is itself a symptom of something larger: our broken health care system. The increasingly complex web of providers’ highly conflicted allegiances — to patients, to self, and to employers — and its attendant moral injury may (...) Physicians don’t just suffer burnout. They suffer moral injuries. Physicians don't just suffer burnout. They suffer moral injuries. Physicians don’t just suffer burnout. They suffer moral injuries. | | August 4, 2018 8K Shares Physicians on the front lines of health care today are sometimes described as going to battle. It’s an apt metaphor. Physicians, like combat soldiers, often face a profound and unrecognized threat to their well-being: moral injury. Moral injury is frequently

2018 KevinMD blog

109. Chasing numbers contributes to physician burnout

Chasing numbers contributes to physician burnout Chasing numbers contributes to physician burnout Chasing numbers contributes to physician burnout | | August 27, 2018 91 Shares A store cashier sees dozens of customers during a shift. A car tire shop mechanic may work on 20 cars. Workdays can be hard across professions. Medicine surely does not escape this. We just don’t deal with customers or goods, despite efforts to make it look like that. A simple runny nose visit may be the closest thing (...) to a customer who is there for a simple transaction, and in reality, they don’t even need to be there. Yet, they are welcomed additions to the daily treadmill of the “provider” to balance out the complexity of taking care of people with actual medical conditions. After all, it is a numbers game, and we have to meet our numbers. When all the customers are gone, we sit down to document every bit of the healing transactions. We do touch-up work on the paintings to make them look human and then try to reflect

2018 KevinMD blog

110. Physician Burnout, Well-being, and Work Unit Safety Grades in Relationship to Reported Medical Errors. (PubMed)

hierarchical models evaluated the associations among burnout, well-being measures, work unit safety grades, and medical errors.Of 6695 responding physicians in active practice, 6586 provided information on the areas of interest: 3574 (54.3%) reported symptoms of burnout, 2163 (32.8%) reported excessive fatigue, and 427 (6.5%) reported recent suicidal ideation, with 255 of 6563 (3.9%) reporting a poor or failing patient safety grade in their primary work area and 691 of 6586 (10.5%) reporting a major (...) Physician Burnout, Well-being, and Work Unit Safety Grades in Relationship to Reported Medical Errors. To evaluate physician burnout, well-being, and work unit safety grades in relationship to perceived major medical errors.From August 28, 2014, to October 6, 2014, we conducted a population-based survey of US physicians in active practice regarding burnout, fatigue, suicidal ideation, work unit safety grade, and recent medical errors. Multivariate logistic regression and mixed-effects

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2018 Mayo Clinic Proceedings

111. The Effects of a Primary Care Transformation Initiative on Primary Care Physician Burnout and Workplace Experience. (PubMed)

The Effects of a Primary Care Transformation Initiative on Primary Care Physician Burnout and Workplace Experience. Physician burnout is associated with deleterious effects for physicians and their patients and might be exacerbated by practice transformation.Assess the effect of the Comprehensive Primary Care (CPC) initiative on primary care physician experience.Prospective cohort study conducted with about 500 CPC and 900 matched comparison practices. Mail surveys of primary care physicians (...) , selected using cross-sectional stratified random selection 11 months into CPC, and a longitudinal design with sample replacement 44 months into CPC.Primary care physicians in study practices.A multipayer primary care transformation initiative (October 2012-December 2016) that required care delivery changes and provided enhanced payment, data feedback, and learning support.Burnout, control over work, job satisfaction, likelihood of leaving current practice within 2 years.More than 1000 physicians

2018 Journal of General Internal Medicine

112. Factors Related to Physician Burnout and Its Consequences: A Review (PubMed)

in providing care to their patients, and burnout may be from increased stress levels in overworked physicians. Additionally, the healthcare system mandates physicians to keep a meticulous record of their physician-patient encounters along with clerical responsibilities. Physicians are not well-trained in managing clerical duties, and this might shift their focus from solely caring for their patients. This can be addressed by the systematic application of evidence-based interventions, including (...) Factors Related to Physician Burnout and Its Consequences: A Review Physician burnout is a universal dilemma that is seen in healthcare professionals, particularly physicians, and is characterized by emotional exhaustion, depersonalization, and a feeling of low personal accomplishment. In this review, we discuss the contributing factors leading to physician burnout and its consequences for the physician's health, patient outcomes, and the healthcare system. Physicians face daily challenges

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2018 Behavioral Sciences

113. Organ procurement center allows for daytime liver transplantation with less resource utilization: may address burnout, pipeline and safety for field of transplantation. (PubMed)

associated with extubation in the operating room and less postoperative transfusion. There were no significant differences in short- or long-term postoperative outcomes. For exported livers, 54.3% were procured by a local team, saving 137 flights (151 559 miles). The OPC resulted in optimally timed liver transplants and decreased resource utilization with no negative impact on patient outcomes. It allows for ease in exporting organs procured by local surgeons, and potentially addresses provider burnout (...) Organ procurement center allows for daytime liver transplantation with less resource utilization: may address burnout, pipeline and safety for field of transplantation. Abdominal organ transplantation faces several challenges: burnout, limited pipeline of future surgeons, changes in liver allocation potentially impacting organ procurement travel, and travel safety. The organ procurement center (OPC) model may be one way to mitigate these issues. Liver transplants from 2009 to 2016 were reviewed

2018 American Journal of Transplantation

114. Achieving the Quadruple Aim by Reducing Burnout

curriculum offered every other week for six months. Each session lasted 80 minutes and all staff at the intervention clinics were expected to participate. A total of 16 hours of experiences were provided. No Intervention: Control Clinics Completed baseline, end of curriculum, and 6 month follow up survey. Otherwise no intervention Outcome Measures Go to Primary Outcome Measures : Change in Burnout Score on Maslach Burnout Inventory [ Time Frame: Baseline, 6 Months and 12 Months ] Score on Maslach Burnout (...) Achieving the Quadruple Aim by Reducing Burnout Achieving the Quadruple Aim by Reducing Burnout - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before adding more. Achieving the Quadruple Aim by Reducing Burnout The safety

2018 Clinical Trials

115. Novel electronic health record (EHR) education intervention in large healthcare organization improves quality, efficiency, time, and impact on burnout. (PubMed)

Novel electronic health record (EHR) education intervention in large healthcare organization improves quality, efficiency, time, and impact on burnout. A novel approach to advanced electronic health record (EHR) skills training was developed in a large healthcare organization to improve high-quality EHR documentation, while reducing stressors linked to physician burnout.The 3-day intensive EHR education intervention covered best practices in EHR documentation and physician well-being (...) . The specialty physician faculty used interactive teaching including demonstration, facilitation, and individual coaching. Laptops were provided for hands-on practice. Mixed-method evaluation included real-time feedback, daily surveys, and post-activity surveys to measure participant learning and satisfaction, and also collection of performance data from the EHR to measure use of order sets designed to improve quality of care.Since 2014, 46 trainings were held with 3500 physicians. Most physicians (85%-98

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2018 Medicine

116. A physician’s strategy to conquer burnout

A physician’s strategy to conquer burnout A physician's strategy to conquer burnout A physician’s strategy to conquer burnout | | September 16, 2018 7 Shares I just spent two days at the Florida Medical Association Annual Meeting. We were there to help educate the physicians on real asset investing. I met many interesting people and likely started some new and exciting relationships. Many of the physicians stopped to talk to us about real estate investing and the benefits of passive cash flow (...) removed. Almost 100 percent say that they would love to practice medicine the way they were trained, which is to put the patient first. While I am familiar with physician burnout, I was unaware of its pervasiveness. According to a 2018 Medscape survey, physician burnout has reached epidemic proportions and is above 50 percent. A 2015 Mayo Clinic article compared physician surveys from 2011 and 2014 and found that burnout increased from 45 percent to 54 percent during those three years. Work-life

2018 KevinMD blog

117. Burnout doesn’t start in medical school

for premedical student mental health and well-being? These are some of the questions that need to be addressed in order to understand better how the premedical experience informs physician development. It would help to identify if premedical students experience burnout and implement primary prevention strategies, such as providing educational seminars to teach students how to recognize burnout and self-care strategies to prevent or reduce its impact. Not only would this help students navigate the stressors (...) Burnout doesn’t start in medical school Burnout doesn’t start in medical school Burnout doesn’t start in medical school | | September 17, 2018 185 Shares Burnout affects of physicians. Interventions have been proposed at virtually every stage of a physician’s life, from medical school to residency training to professional practice. While the rigors of medical training certainly contribute to the high levels of burnout in the profession, there are indications that the trouble begins

2018 KevinMD blog

118. Academic Physician Burnout and Transcendental Meditation

Academic Physician Burnout and Transcendental Meditation Academic Physician Burnout and Transcendental Meditation - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before adding more. Academic Physician Burnout (...) and Transcendental Meditation 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. Read our for details. ClinicalTrials.gov Identifier: NCT03714204 Recruitment Status : Completed First Posted : October 22, 2018 Last Update Posted : October 22, 2018 Sponsor: Marie Loiselle Collaborator: Loyola University Chicago Information provided by (Responsible Party): Marie Loiselle

2018 Clinical Trials

119. How burnout helped this physician find his purpose

the burnout into a raging fire. In an attempt to improve our happiness, we buy the house, cars, and private school educations that are befitting of a doctor. Unfortunately, these things do not provide happiness — and often act more like water placed on a grease fire. We think it’ll help us, but it actually makes our problem worse! Many of us learn the hard way, or sadly the lesson comes too late. In fact, as our consumerism culture consumes us, the inflated lifestyle increases the already massive debt (...) burden that we bear. When we finish training, we are supposed to be basking in the bright light at the end of the tunnel. Instead, we feel choked by the all-consuming debt, inflated lifestyle, and . Once this vicious cycle starts, it is challenging to stop. The road to burnout helped me find my purpose I write because a financially independent physician is a better doctor. It provides complete control of your job, and allows for work-life balance that will increase satisfaction, productivity

2018 KevinMD blog

120. Association Between Physician Burnout and Patient Safety, Professionalism, and Patient Satisfaction: A Systematic Review and Meta-analysis. (PubMed)

- and late-career physicians (Cohen Q = 7.27; P = .003). The reporting method of patient safety incidents and professionalism (physician-reported vs system-recorded) significantly influenced the main results (Cohen Q = 8.14; P = .007).This meta-analysis provides evidence that physician burnout may jeopardize patient care; reversal of this risk has to be viewed as a fundamental health care policy goal across the globe. Health care organizations are encouraged to invest in efforts to improve physician (...) Association Between Physician Burnout and Patient Safety, Professionalism, and Patient Satisfaction: A Systematic Review and Meta-analysis. Physician burnout has taken the form of an epidemic that may affect core domains of health care delivery, including patient safety, quality of care, and patient satisfaction. However, this evidence has not been systematically quantified.To examine whether physician burnout is associated with an increased risk of patient safety incidents, suboptimal care

2018 JAMA Internal Medicine

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