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Provider Burnout

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141. Burnout in Orthopaedic Surgeons: A Challenge for Leaders, Learners, and Colleagues: AOA Critical Issues. (PubMed)

education. Burnout rates are similar to those in the general population when medical students enter school, and increase steadily through medical education prior to residency. Burnout rates in residents are high, reported to be between 41% and 74% across multiple specialties. This impacts our young physician workforce in orthopaedics. The purpose of this review is to provide the available information that characterizes burnout and addresses the issues inherent to preventing burnout, and to build (...) Burnout in Orthopaedic Surgeons: A Challenge for Leaders, Learners, and Colleagues: AOA Critical Issues. Burnout, depression, suicidal ideation, and dissatisfaction with work-life balance have been reported in all medical specialties and at all stages of medical education and practice experience. Burnout consists of progressive emotional, attitudinal, and physical exhaustion. Physicians with burnout may treat patients as objects and feel emotionally depleted. Burnout is characterized by a loss

2017 The Journal of Bone and Joint Surgery. American Volume

142. "It's like heart failure. It's chronic…and it will kill you": A qualitative analysis of burnout among hospice and palliative care clinicians. (PubMed)

technique.We interviewed 20 palliative care clinicians (14 physicians, four advanced practice providers, and two social workers). Common sources of burnout included increasing workload, tensions between nonspecialists and palliative care specialists, and regulatory issues. We heard grave concerns about the stability of the palliative care workforce and concerns about providing high-quality palliative care in light of a distressed and overburdened discipline. Participants proposed antiburnout solutions (...) "It's like heart failure. It's chronic…and it will kill you": A qualitative analysis of burnout among hospice and palliative care clinicians. Although prior surveys have identified rates of self-reported burnout among palliative care clinicians as high as 62%, limited data exist to elucidate the causes, ameliorators, and effects of this phenomenon.We explored burnout among palliative care clinicians, specifically their experiences with burnout, their perceived sources of burnout, and potential

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2017 Journal of pain and symptom management

143. Forget burnout. Let’s address physician dissatisfaction.

. The environment of care delivery has become so complex and fraught with barriers to providing the excellent care we were trained to give, that it is overwhelming to imagine where to begin. The physician engagement-burnout (or satisfaction-dissatisfaction) continuum is related to the ratio of work demands to the resources available to achieve success in that work. The demands of being a physician are many and varied. The nature of the work itself, that of caring for the sick and dying, can contribute to stress (...) , emotional exhaustion, and eventual burnout. Care providers, from physicians to ICU nurses to hospice workers, must recognize the potential hazards of the essential nature of their work and ensure adequate personal resources are in place to support that work. This is where support through mindfulness, resilience, reflection, friends and family plays an important role. But this is nothing new, as the burden of dealing with human suffering has always been part and parcel of the physician experience

2017 KevinMD blog

144. There is a direct connection between inefficiency and burnout

and burnout and a higher likelihood of leaving the practice within two years. These clinics also had significantly more missed opportunities to provide preventative services and had significantly higher rates of medical errors. Our experience and that of many of the physicians we interviewed confirmed the importance of workplace chaos in the development of burnout. Diane identified workplace chaos as the most important factor in the burnout that led her to leave clinical practice. Craig Albanese, MD, MBA (...) There is a direct connection between inefficiency and burnout There is a direct connection between inefficiency and burnout There is a direct connection between inefficiency and burnout | | January 12, 2017 870 Shares An excerpt from . Mark Linzer’s research identified workplace chaos as one of the key predictors of physician stress, burnout, and intention to leave. A recent analysis of the data showed that physicians in clinics with chaotic work environments had significantly more stress

2017 KevinMD blog

145. Burnout Among Chinese Adult Reconstructive Surgeons: Incidence, Risk Factors, and Relationship With Intraoperative Irritability. (PubMed)

Burnout Among Chinese Adult Reconstructive Surgeons: Incidence, Risk Factors, and Relationship With Intraoperative Irritability. 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.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. Demographics, professional characteristics, and intraoperative irritability-related questions were also collected by electronic questionnaires. Statistical analysis was performed using SPSS 22.0.The overall rate of burnout was 85.1%. Variables significantly associated with high emotional exhaustion scores included

2017 Journal of Arthroplasty

146. How to fight physician burnout - KevinMD shares his personal experience

How to fight physician burnout - KevinMD shares his personal experience CasesBlog - Medical and Health Blog: How to fight physician burnout - KevinMD shares his personal experience Health News Updated Daily by Internist and Allergist at Cleveland Clinic Florida Pages How to fight physician burnout - KevinMD shares his personal experience Posted by Allergy on Labels: No comments: Post a Comment Subscribe to: Total Pageviews About Us All opinions expressed here are those of their authors (...) and not of their employer. The information provided here is for educational purposes only and is not intended to provide medical advice. By accessing the web site, the visitors acknowledge that there is no physician-patient relationship between them and the authors. Blog Archive All rights reserved, Dimov 2005-2019, email: clinicalcases@gmail.com. Powered by .

2017 CasesBlog - Medical and Health Blog

147. Physician Burnout: Are We Treating the Symptoms Instead of the Disease? (PubMed)

and support groups in an attempt to reduce burnout among their physicians, but these efforts are typically focused on increasing resilience and wellness among participants rather than combating problematic changes in how medicine is practiced by physicians in the current era. This report provides a brief review of the current literature on the syndrome of burnout, a summary of several institutional approaches to combating burnout, and a call for a shift in the focus of these efforts toward one proposed (...) Physician Burnout: Are We Treating the Symptoms Instead of the Disease? Despite increasing recognition of physician burnout, its incidence has only increased in recent years, with nearly half of physicians suffering from symptoms of burnout in the most recent surveys. Unfortunately, most burnout research has focused on its profound prevalence rather than seeking to identify the root cause of the burnout epidemic. Health care organizations throughout the United States are implementing committees

2017 Annals of Thoracic Surgery

148. Here’s what Dr. Seuss can teach real doctors about burnout

Here’s what Dr. Seuss can teach real doctors about burnout Here's what Dr. Seuss can teach real doctors about burnout Here’s what Dr. Seuss can teach real doctors about burnout | | October 12, 2017 482 Shares While driving home from a weekend trip, my children were watching The Lorax in the backseat, and I couldn’t help but think how acutely applicable its theme is to the current state of medicine in America. Just as seemingly small changes in the name of “progress” slowly altered (...) the environment in The Lorax, a handful of mostly well-intended modifications have transformed the landscape of medicine into something unrecognizable and unsustainable. We now find ourselves in a place where primary care physician burnout is over 50 percent, and excellent physicians are leaving medicine for careers involving less stress and better work-life balance. But irrespective of the stress and the hours, the thing that ultimately pushes many good physicians out of medicine is the recognition

2017 KevinMD blog

149. A Survey Evaluating Burnout, Health Status, Depression, Reported Alcohol and Substance Use, and Social Support of Anesthesiologists. (PubMed)

A Survey Evaluating Burnout, Health Status, Depression, Reported Alcohol and Substance Use, and Social Support of Anesthesiologists. Burnout affects all medical specialists, and concern about it has become common in today's health care environment. The gold standard of burnout measurement in health care professionals is the Maslach Burnout Inventory-Human Services Survey (MBI-HSS), which measures emotional exhaustion, depersonalization (DP), and personal accomplishment. Besides affecting work (...) quality, burnout is thought to affect health problems, mental health issues, and substance use negatively, although confirmatory data are lacking. This study evaluates some of these effects.In 2011, the American Society of Anesthesiologists and the journal Anesthesiology cosponsored a webinar on burnout. As part of the webinar experience, we included access to a survey using MBI-HSS, 12-item Short Form Health Survey (SF-12), Social Support and Personal Coping (SSPC-14) survey, and substance use

2017 Anesthesia and Analgesia

150. Qualitative study of burnout, career satisfaction, and well-being among US neurologists in 2016. (PubMed)

Qualitative study of burnout, career satisfaction, and well-being among US neurologists in 2016. To understand the experience and identify drivers and mitigating factors of burnout and well-being among US neurologists.Inductive data analysis was applied to free text comments (n = 676) from the 2016 American Academy of Neurology survey of burnout, career satisfaction, and well-being.Respondents providing comments were significantly more likely to be older, owners/partners of their practice, solo (...) the meaning respondents attributed to ambiguous survey questions and highlight the barriers neurologists must overcome to practice their chosen specialty, including multiple regulatory hassles and increased work hours. Erosion of professionalism by external factors was a common issue. Our findings can provide strategic direction for advocacy and programs to prevent and mitigate neurologist burnout and promote well-being and engagement.© 2017 American Academy of Neurology.

2017 Neurology

151. How burnout is plaguing doctors and harming patients

of discussion among physicians on wards, in clinic and at conferences, as we all realize that it is a menace. The core that provides care Unsurprisingly, the rot extends beyond the field of neurology. Several reports recently have highlighted that physician burnout rates across many major specialties in the U.S. have reached epidemic proportions. For example, a earlier this year suggested that the physician burnout rate exceeded 50 percent for the fields of emergency medicine, obstetrics and gynecology (...) How burnout is plaguing doctors and harming patients How burnout is plaguing doctors and harming patients How burnout is plaguing doctors and harming patients | | November 19, 2017 316 Shares The presidential symposium at this year’s Annual Meeting of the Child Neurology Society of America in early October in Kansas City raised many eyebrows. The first presentation of this symposium focused on burnout rates among neurologists around the country. Many of my colleagues felt

2017 KevinMD blog

152. Surgeon grows vegetables across from his hospital to cope with stress and burnout

Surgeon grows vegetables across from his hospital to cope with stress and burnout CasesBlog - Medical and Health Blog: Surgeon grows vegetables across from his hospital to cope with stress and burnout Health News Updated Daily by Internist and Allergist at Cleveland Clinic Florida Pages Surgeon grows vegetables across from his hospital to cope with stress and burnout From this : "Dr. Brian Halloran, a vascular surgeon at St. Joseph Mercy Ann Arbor, starts planning his garden long before spring (...) arrives in southeast Michigan. His tiny plot, located in the shadow of the 537-bed teaching hospital, helps Halloran cope with burnout from long hours and the stress of surgery on gravely ill patients. "You really have to find the balance to put it a little more in perspective," he said. Hospitals such as St. Joseph Mercy Ann Arbor have been investing in programs ranging from yoga classes to personal coaches designed to help doctors become more resilient. But national burnout rates keep rising

2017 CasesBlog - Medical and Health Blog

153. For women physicians, is there a connection between productivity and burnout?

reimbursement models. Female physicians may be less productive, as traditionally measured, and at greater risk for burnout, because they are performing activities that are time-consuming yet not captured with traditional RVU-based measurement. Coding vs. caring In a coffee shop a few years ago, I met a hospital-based internist who had left practice less than two years after completing residency because of burnout. She told me about the dilemma she faced on a regular basis: To provide comprehensive care (...) For women physicians, is there a connection between productivity and burnout? For women physicians, is there a connection between productivity and burnout? For women physicians, is there a connection between productivity and burnout? | | September 16, 2017 169 Shares Is the practice of medicine a different experience for male and female physicians? Two recent studies from athenahealth suggest that it is — in ways that should make us rethink what we value in health care. The first study found

2017 KevinMD blog

154. How are compassion fatigue, burnout, and compassion satisfaction affected by quality of working life? Findings from a survey of mental health staff in Italy. (PubMed)

for the future with Burnout only; (c) perceived quality of meetings, need of training, and perceiving no risks for the future predicted higher levels of Compassion Satisfaction.In order to provide adequate mental health services, service providers need to give their employees adequate ergonomic conditions, giving special attention to time pressures. Building trustful relationships with management and within the teams is also crucial. Training and meetings are other important targets for potential improvement (...) How are compassion fatigue, burnout, and compassion satisfaction affected by quality of working life? Findings from a survey of mental health staff in Italy. Quality of working life includes elements such as autonomy, trust, ergonomics, participation, job complexity, and work-life balance. The overarching aim of this study was to investigate if and how quality of working life affects Compassion Fatigue, Burnout, and Compassion Satisfaction among mental health practitioners.Staff working

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2017 BMC health services research

155. 3 ways tech innovation can fight physician burnout

3 ways tech innovation can fight physician burnout 3 ways tech innovation can fight physician burnout 3 ways tech innovation can fight physician burnout | | December 13, 2017 126 Shares According to published reports, . The reason? They are overwhelmed by payment and quality rules as well as poor information technology. It’s no secret that physicians spend long hours seeing patients. But as financial pressures have mounted within hospitals, doctors are forced to perform more administrative (...) tasks. In fact, . That’s all time diverted away from patient care. Many physicians feel a loss of autonomy — a major factor in burnout. The National Academy of Science now sees . The key issue is how we want health care professionals to spend their time. Instead of asking them to do more, we should ask, “Do more of what … and why?” Our current system is based on assumptions and technologies that are outdated and interfere with the delivery of modern health care. Three problems are clear: Physicians

2017 KevinMD blog

156. Determinants of Informal Care, Burden, and Risk of Burnout in Caregivers of Stroke Survivors: The CONOCES Study. (PubMed)

care was associated with stroke severity and the individual's health-related quality of life. When informal care was provided, both the burden borne by caregivers and the likelihood of caregivers being at a high risk of burnout was associated with (1) caregiving hours; (2) the patient's health-related quality of life; (3) the severity of the stroke measured at discharge; (4) the patient having atrial fibrillation; and (5) the degree of dependence.This study reveals the heavy burden borne (...) Determinants of Informal Care, Burden, and Risk of Burnout in Caregivers of Stroke Survivors: The CONOCES Study. The aim of this article was to analyze the likelihood of receiving informal care after a stroke and to study the burden and risk of burnout of primary caregivers in Spain.The CONOCES study is an epidemiological, observational, prospective, multicenter study of patients diagnosed with stroke and admitted to a Stroke Unit in the Spanish healthcare system. At 3 and 12 months post-event

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2017 Stroke

157. Your EHR password could help fight burnout

repeating a password is a reductionist approach that should not be used as a substitute for more comprehensive wellness plans to combat burnout. Incorporating institutional changes, political changes, longitudinal mindfulness-based training, resiliency training and provider autonomy are likely overall more important strategies. I am not advocating for positive passwords as a magic bullet, but rather as a tool we physicians — and all members of the health care team who use the EHR — have accessible (...) Your EHR password could help fight burnout Your EHR password could help fight burnout Your EHR password could help fight burnout | | December 9, 2017 102 Shares You sign in, and there it is, your third request for your password just to open your electronic health record (EHR). “Again?” you think to yourself in frustration as your patient waits silently for you to log in and start the visit. It seems physicians are becoming increasingly frustrated with EHRs, and in most surveys, EHRs are noted

2017 KevinMD blog

158. Conceptualisation of job-related wellbeing, stress and burnout among healthcare workers in rural Ethiopia: a qualitative study. (PubMed)

stress and experience features of burnout, which may contribute to the high turnover of staff and dissatisfaction of both patients and providers. Recent initiatives to integrate mental healthcare into primary care provide an opportunity to promote the wellbeing of healthcare workers and intervene to address burnout and emotional problems by creating a better understanding of mental health. (...) Conceptualisation of job-related wellbeing, stress and burnout among healthcare workers in rural Ethiopia: a qualitative study. Wellbeing of healthcare workers is important for the effective functioning of health systems. The aim of this study was to explore the conceptualisations of wellbeing, stress and burnout among healthcare workers in primary healthcare settings in rural Ethiopia in order to inform the development of contextually appropriate interventions.A qualitative study was conducted

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2017 BMC health services research

159. What this physician practice did to fight burnout

What this physician practice did to fight burnout What this physician practice did to fight burnout What this physician practice did to fight burnout | | July 10, 2017 533 Shares As a physician who left clinical medicine because of burnout and as a writer, I’m drawn to stories of physicians whose professional and personal lives have improved after reasoned interventions. So my ears jumped to attention earlier this month when a colleague at a summit on physician burnout described the positive (...) results his practice had achieved in reducing burnout. Read Pierce, MD, is interim director of the Hospital Medicine Group (HMG) and is the associate director of the Institute for Healthcare Quality, Safety and Efficiency at the University of Colorado. Leaders in HMG, a hospital-based internist group that includes 85 physicians, physician assistants, and nurse practitioners, conducted a detailed survey three years ago as the first step in an effort to better understand the existing culture at work

2017 KevinMD blog

160. Physician Burnout: The Hidden Health Care Crisis. (PubMed)

Physician Burnout: The Hidden Health Care Crisis. Physician burnout is an under-recognized and under-reported problem. Characterized by a state of mental exhaustion, depersonalization, and a decreased sense of personal accomplishment, burnout may affect more than 60% of family practice providers and at least one third of gastroenterologists. Some studies have shown that younger physicians, physicians performing high-risk procedures, and physicians experiencing work-life conflicts (...) are at greatest risk. If unrecognized, the costs to the physician and to the health care system can be enormous because physician burnout is associated with increased rates of depression, alcohol and drug abuse, divorce, suicide, medical errors, difficult relationships with coworkers, and patient dissatisfaction, as well as physician attrition. If properly recognized, appropriate treatments are available. This article presents a case study of a physician suffering from burnout, reviews how burnout is defined

2017 Clinical Gastroenterology and Hepatology

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