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Provider Burnout

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161. How to respond to physician burnout in a colleague

How to respond to physician burnout in a colleague How to respond to physician burnout in a colleague How to respond to physician burnout in a colleague | | June 25, 2017 106 Shares Two hours of administrative tasks for every hour with patients. A proliferation of non-physician administrators deciding how the day is going to run. Little in our training about how to cope with uncertainty and change. It’s no surprise that burnout rates are approaching 60 percent. Despite being so common, when we (...) see a colleague struggling with physician burnout, we may not know what to say. Responding appropriately can bring someone back from burnout and may even save a life. Here are some tips: 1. Approach the situation with compassion. Burnout is often referred to as erosion of the soul, and for good reason. With it comes a great sense of despair, hopelessness, and isolation. We lose our perspective. Often there is no better remedy than the kindness of a colleague, someone who has walked in our shoes

2017 KevinMD blog

162. The impact of physician burnout on clinical and academic productivity of gynecologic oncologists: A decision analysis. (PubMed)

entering the workforce from 2011 to 2015. The SGO practice survey provided physician demographics and mean annual RVUs. Published data were used to estimate probability of burnout for male and female gynecologic oncologists, and the impact of depression, alcohol abuse, and early retirement. Academic productivity was defined as annual PubMed publications since finishing fellowship.Without burnout, RVU production for the cohort of 250 gynecologic oncologists was 26.2 million (M) RVUs over 15years (...) The impact of physician burnout on clinical and academic productivity of gynecologic oncologists: A decision analysis. Physician burnout is associated with mental illness, alcohol abuse, and job dissatisfaction. Our objective was to estimate the impact of burnout on productivity of gynecologic oncologists during the first half of their career.A decision model evaluated the impact of burnout on total relative value (RVU) production during the first 15years of practice for gynecologic oncologists

2017 Gynecologic Oncology

163. Stop piling on physicians: The last straw in burnout

to do with burnout? Stick with me, the parallels are striking. The root cause of physician burnout The root cause of physician burnout is putting highly motivated and caring professionals in a work environment in which they are unable to succeed. A work environment full of barriers and frustrations that prevent physicians from providing quality care to their patients. Frustrated physicians burnout as they go to heroic lengths to maintain quality and service to their patients. They: Try to make (...) physician burnout a public health emergency. The AMA has dedicated significant resources and appointed a VP to focus on provider well-being and practice resiliency. The National Academy of Medicine is launching its initiative. It’s great to see this long overdue attention to physician burnout and the increased focus on wellness. My question is, “Are we responding the right way?” My answer is, “Not really.” There is a lot of emphasis on wellness programs. Wellness and resiliency programs help to make

2017 KevinMD blog

164. Scribes for physician burnout: How scribes help reconnect doctors with their patients

Scribes for physician burnout: How scribes help reconnect doctors with their patients Scribes for physician burnout: How scribes help reconnect doctors with their patients Scribes for physician burnout: How scribes help reconnect doctors with their patients | | August 3, 2017 821 Shares Recently, I had an opportunity to drop in on two of the foremost researchers in physician burnout, Sara Poplau and Mark Linzer of Hennepin County Medical Center in Minneapolis. We chatted about various aspects (...) of the current burnout crisis and exciting new initiatives on the horizon. Then we spent some time contemplating a frustrating truth: leaders in health care often fail to acknowledge a reality that leaders in other industries have long embraced: treat your employees well, prioritize their well-being and safety, and you will reap benefits in your most important performance goals. It’s a proven strategy for success. But try to convince board members and the C-suite of a hospital, health system, or large

2017 KevinMD blog

165. Can health care executives help with physician burnout?

significantly in the past 10 years The most important of these is the workplace. Most hospitals and clinics are designed in a way that clinicians face growing barriers and frustrations as they strive to provide excellent patient care. Removing these barriers and frustrations is the hardest change to make and the one that has received the least attention until recently. Burnout impacts executives It’s not easy being a C-suite member in a hospital or health system. Many experience burnout themselves. Recall (...) it, but they have the most important role to play in fixing the most important cause of burnout. Operations are ultimately the responsibility of the leaders of the organization. If operations are dysfunctional, the workers will try to fix things but rarely succeed without support. Middle managers are the closest to the front line challenges. They often try to provide support to the front lines, but without getting support from those they report up to, they struggle as well. Executives are that missing

2017 KevinMD blog

166. How does the EHR drive burnout? Let’s count the ways.

with patients. Breakdown of community. The relationships among co-workers and colleagues that provide support in tough times. Absence of fairness. The sense that expectations and support are different for you than others, worse if decisions are made without communication. Mismatch of values. A disconnection in priorities between you and your organization. Does the EHR drive burnout in all six simensions? The EHR does have a role in exacerbating burnout in all six of these key drivers. I’d like to review one (...) and organizational leadership. Developing a regular forum in which physicians and leaders come together is key. Use this to listen to each other and collaborate on solutions. Doctors need to participate in strategic planning, budgeting and managing operations with a commitment to the good of the organization. This may seem overly optimistic, but it is key to addressing a deep cause of burnout. Mismatch of values. Physicians are deeply committed to their mission of providing quality patient care. Administrators

2017 KevinMD blog

167. Examining Burnout, Depression, and Self-Compassion in Veterans Affairs Mental Health Staff. (PubMed)

Examining Burnout, Depression, and Self-Compassion in Veterans Affairs Mental Health Staff. Burnout, a state of emotional exhaustion associated with negative personal and occupational outcomes, is prevalent among healthcare providers. A better understanding of the psychological factors that may be associated with resilience to burnout is essential to develop effective interventions. Self-compassion, which includes kindness toward oneself, recognition of suffering as part of shared human (...) experience, mindfulness, and nonjudgment toward inadequacies and failures, may be one such factor. The purpose of this study was to examine the relationships between burnout, depression, and self-compassion in Veterans Affairs (VA) mental health staff.Cross-sectional study.VA medical center and affiliated community-based clinics.VA mental health staff.The 19-item Copenhagen Burnout Inventory, the 26-item Self-Compassion Scale, and the Patient Health Questionnaire 2-item depression screen. Demographic

2017 Journal of Alternative and Complementary Medicine

168. Physician Burnout and Well-Being: A Systematic Review and Framework for Action. (PubMed)

Physician Burnout and Well-Being: A Systematic Review and Framework for Action. Physician burnout in the United States has reached epidemic proportions and is rising rapidly, although burnout in other occupations is stable. Its negative impact is far reaching and includes harm to the burned-out physician, as well as patients, coworkers, family members, close friends, and healthcare organizations.The purpose of this review is to provide an accurate, current summary of what is known about (...) physician burnout and to develop a framework to reverse its current negative impact, decrease its prevalence, and implement effective organizational and personal interventions.I completed a comprehensive MEDLINE search of the medical literature from January 1, 2000, through December 28, 2016, related to medical student and physician burnout, stress, depression, suicide ideation, suicide, resiliency, wellness, and well-being. In addition, I selectively reviewed secondary articles, books addressing

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2017 Diseases of the colon and rectum

169. Telemedicine: A cure for physician burnout?

Telemedicine: A cure for physician burnout? Telemedicine: A cure for physician burnout? Telemedicine: A cure for physician burnout? | | April 29, 2017 277 Shares At the end of my daughter’s first week of preschool, she came home with a burning question: “Mom, my friend at school says that she has two days in a row when she and her mommy and daddy are all home at the same time. They call it a weekend. Will we ever have a weekend?” I was floored. That simple question encapsulated the only life (...) all fair game. In addition, driving to the hospital required significant commuting time; my drive home after a 24-hour shift could easily be over an hour, compounding my exhaustion. These long and erratic hours took a toll on my emotional and physical health. I started displaying the typical signs of physician burnout: emotional exhaustion and the feeling of processing my patients, instead of caring for them. Where I had previously felt sympathy and compassion for parents who were so scared

2017 KevinMD blog

170. Addressing palliative care clinician burnout in organizations: a workforce necessity, an ethical imperative. (PubMed)

Addressing palliative care clinician burnout in organizations: a workforce necessity, an ethical imperative. Clinician burnout reduces the capacity for providers and health systems to deliver timely, high quality, patient-centered care and increases the risk that clinicians will leave practice. This is especially problematic in hospice and palliative care: patients are often frail, elderly, vulnerable, and complex; access to care is often outstripped by need; and demand for clinical experts (...) will increase as palliative care further integrates into usual care. Efforts to mitigate and prevent burnout currently focus on individual clinicians. However, analysis of the problem of burnout should be expanded to include both individual- and systems-level factors as well as solutions; comprehensive interventions must address both. As a society, we hold organizations responsible for acting ethically, especially when it relates to deployment and protection of valuable and constrained resources. We should

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2017 Journal of pain and symptom management

171. We need to start talking about what comes after physician burnout

We need to start talking about what comes after physician burnout We need to start talking about what comes after physician burnout We need to start talking about what comes after physician burnout | | February 12, 2017 960 Shares I burned out, big and bad. I can see that now. My practice environment had become gradually untenable and every attempt I made to change it was blocked. My call schedule was inflexible and a lot more frequent than when I started my job. The hospitalists and ED kept (...) sending me cases I didn’t feel qualified to manage, but as it was usually the middle of the night and I was the general surgeon on call, I had no choice. In the morning, when I asked again if we could find another way to manage these patients, I was told to suck it up, and usually something about bootstraps. I was also trying to handle this without appearing stressed so referring providers would keep sending me patients. Despite this, my projected salary for the next year was significantly lower

2017 KevinMD blog

172. Fighting burnout: No is the wrong answer. It is not acceptable.

daring to sit in the front row. Looking for answers. The presenters looked a little shell-shocked, when they realized how many people had squeezed into the room to hear their solution to provider burnout. Now, I don’t think anyone really thought they were going to give us the answer, the answers, the things we need to do, that one thing we need to change, the couple of things we need to do to make our lives in healthcare as easy as we once imagined they all could be. But I think there was at least (...) Fighting burnout: No is the wrong answer. It is not acceptable. Fighting burnout: No is the wrong answer. It is not acceptable. Fighting burnout: No is the wrong answer. It is not acceptable. | | April 9, 2017 137 Shares Down in Baltimore for a meeting, long days full of plenary sessions and workshops, awards ceremonies and poster sessions. Recycled hotel air, bad coffee, great camaraderie. Lots of new ideas, lots of new ways of looking at things, lots of reinventing the wheel, lots of hope

2017 KevinMD blog

173. Simulation of a Novel Schedule for Intensivist Staffing to Improve Continuity of Patient Care and Reduce Physician Burnout. (PubMed)

Simulation of a Novel Schedule for Intensivist Staffing to Improve Continuity of Patient Care and Reduce Physician Burnout. Despite widespread adoption of in-house call for ICU attendings, there is a paucity of research on optimal scheduling of intensivists to provide continuous on-site coverage. Overnight call duties have traditionally been added onto 7 days of continuous daytime clinical service. We designed an alternative ICU staffing model to increase continuity of attending physician care

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2017 Critical Care Medicine

174. A randomized controlled trial of mindfulness to reduce stress and burnout among intern medical practitioners. (PubMed)

in stress and burnout was observed for participants in the mindfulness condition. No such reductions were observed for participants in the control condition.Mindfulness interventions may provide medical practitioners with skills to effectively manage stress and burnout, thereby reducing their experience of these symptoms. It is likely that doctors would benefit from the inclusion of such a training program as a part of their general medical education. (...) A randomized controlled trial of mindfulness to reduce stress and burnout among intern medical practitioners. Stress and burnout are highly prevalent among medical doctors, and are associated with negative consequences for doctors, patients, and organizations. The purpose of the current study was to examine the effectiveness of a mindfulness training intervention in reducing stress and burnout among medical practitioners, by means of a Randomised Controlled Trial design.Participants were 44

2017 Medical teacher

175. Life coaching for physicians is an underused physician burnout tool

Life coaching for physicians is an underused physician burnout tool Life coaching for physicians is an underused physician burnout tool Life coaching for physicians is an underused physician burnout tool | | March 5, 2017 64 Shares The onset of the new millennium has brought about a shift in not only the technological aspect of our industry, but also the mindset of physicians who are entering the field. Gone are the days of “work 40 years at the same practice, retire and live the good life (...) .” Physicians are finding more creative ways to be doctors including entering non-clinical careers, being entrepreneurs on the side, and moving into more integrative practices. While going back to school for a masters in business administration may be the path for some, many doctors may not have the time, or the inclination to want to spend yet another 2 to 3 years in school just for another set of letters behind their name. In addition, physicians are facing issues like stress, overwhelm, and burnout

2017 KevinMD blog

176. Physician coaching and retreats are innovative ways to fight burnout

Physician coaching and retreats are innovative ways to fight burnout Physician coaching and retreats are innovative ways to fight burnout Physician coaching and retreats are innovative ways to fight burnout | | February 25, 2017 93 Shares One of the most memorable times from my family medicine training days was the annual residency my intern year. It was the year of the World Cup, and a bonding experience that would later save my life. Being able to be with not only my residency class, but also (...) with. Furthermore, most physicians simply do not have an outlet for when they are feeling alone and hopeless. However, new avenues and outlets are beginning to arise and research is finding some statistical significance to their benefits. Group physician retreats and physician coaching are two such things. Mindfulness programs have been shown in several studies to decrease burnout and improve well-being in physicians. Furthermore, Family Medicine Journal published a study in 2015 that showed statistical

2017 KevinMD blog

177. A systematic review including meta-analysis of work environment and burnout symptoms. (PubMed)

A systematic review including meta-analysis of work environment and burnout symptoms. Practitioners and decision makers in the medical and insurance systems need knowledge on the relationship between work exposures and burnout. Many burnout studies - original as well as reviews - restricted their analyses to emotional exhaustion or did not report results on cynicism, personal accomplishment or global burnout. To meet this need we carried out this review and meta-analyses with the aim to provide (...) systematically graded evidence for associations between working conditions and near-future development of burnout symptoms.A wide range of work exposure factors was screened. Inclusion criteria were: 1) Study performed in Europe, North America, Australia and New Zealand 1990-2013. 2) Prospective or comparable case control design. 3) Assessments of exposure (work) and outcome at baseline and at least once again during follow up 1-5 years later. Twenty-five articles met the predefined relevance and quality

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2017 BMC public health

178. The Association of Team-Specific Workload and Staffing with Odds of Burnout Among VA Primary Care Team Members. (PubMed)

of burnout among primary care providers (PCPs), nurse care managers, clinical associates (MAs, LPNs), and administrative clerks with the staffing and workload on their teams.We conducted an individual-level cross-sectional analysis of survey and administrative data in 2014.Primary care personnel at VA clinics responding to a national survey.Burnout was measured with a validated single-item survey measure dichotomized to indicate the presence of burnout. The independent variables were survey measures (...) The Association of Team-Specific Workload and Staffing with Odds of Burnout Among VA Primary Care Team Members. Work-related burnout is common in primary care and is associated with worse patient safety, patient satisfaction, and employee mental health. Workload, staffing stability, and team completeness may be drivers of burnout. However, few studies have assessed these associations at the team level, and fewer still include members of the team beyond physicians.To study the associations

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2017 Journal of General Internal Medicine

179. 2016 CAPS ethics session/Ein debate: 1. Regionalization of pediatric surgical care 2. Ethical introduction of surgical innovation 3. Addressing stress in a surgical practice: resiliency, well-being, and burnout. (PubMed)

2016 CAPS ethics session/Ein debate: 1. Regionalization of pediatric surgical care 2. Ethical introduction of surgical innovation 3. Addressing stress in a surgical practice: resiliency, well-being, and burnout. The following is the conference proceeding of the Second Ein Debate from the 48th Annual Meeting of the Canadian Association of Paediatric Surgeons held in Vancouver, BC, from September 22 to 24, 2016. The three main topics for debate, as prepared by the members of the CAPS Ethics (...) of a case of BA. In the pro argument, the evidence and lessons learned from different European countries are explored as well as different models to provide the best BA care outside of large teaching centers. In the counterargument, the author explains how regionalization of care could be detrimental for the patient, the family, the regional center, and for the health care system in general. In the debate on surgical innovation the authors define surgical innovation. They review the pertinent ethical

2017 Journal of Pediatric Surgery

180. Limbic brain structures and burnout-A systematic review.

Limbic brain structures and burnout-A systematic review. More profound understanding of the relationship between the burnout and the limbic system function can provide better insight into brain structures associated with the burnout syndrome. The objective of this review is to explore all evidence of limbic brain structures associated with the burnout syndrome. In total, 13 studies were selected. Four of them applied the neuroimaging technology to investigate the sizes/volumes of the limbic (...) brain structures of burnout patients. Six other studies were to investigate the hypothalamus-pituitary-adrenal (HPA) axis of burnout patients. Based on the results of the studies on the HPA-axis and neuroimaging of the limbic brain structures, one can see great impact of the chronic occupational stress on the limbic structures in terms of HPA dysregulation, a decrease of BDNF, impaired neurogenesis and limbic structures atrophy. It can be concluded that chronic stress inhibits the feedback control

2017 Advances in medical sciences

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