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Provider Burnout

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161. The Association of Team-Specific Workload and Staffing with Odds of Burnout Among VA Primary Care Team Members. Full Text available with Trip Pro

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

2017 Journal of General Internal Medicine

162. "It's like heart failure. It's chronic…and it will kill you": A qualitative analysis of burnout among hospice and palliative care clinicians. Full Text available with Trip Pro

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

2017 Journal of pain and symptom management

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

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

164. Physician Burnout: The Hidden Health Care Crisis. Full Text available with Trip Pro

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

165. Conceptualisation of job-related wellbeing, stress and burnout among healthcare workers in rural Ethiopia: a qualitative study. Full Text available with Trip Pro

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

2017 BMC health services research

166. Simulation of a Novel Schedule for Intensivist Staffing to Improve Continuity of Patient Care and Reduce Physician Burnout. Full Text available with Trip Pro

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

2017 Critical Care Medicine

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

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 Controlled trial quality: uncertain

168. Examining Burnout, Depression, and Self-Compassion in Veterans Affairs Mental Health Staff. Full Text available with Trip Pro

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

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

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

2017 Diseases of the colon and rectum

170. A systematic review including meta-analysis of work environment and burnout symptoms. Full Text available with Trip Pro

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

2017 BMC public health

171. 3 tools doctors can use to prevent burnout

physicians. Classic definition of burnout: A psychological syndrome in response to chronic interpersonal stressors on the job. The three key dimensions of this response are an overwhelming exhaustion, feelings of cynicism and detachment from the job and a sense of ineffectiveness and lack of accomplishment. Frequently cited causes for burnout are the use of electronic health records (EHRs) and physicians’ perceptions of their ability to provide high-quality care. While we need leaders of medicine to help (...) 3 tools doctors can use to prevent burnout 3 tools doctors can use to prevent burnout 3 tools doctors can use to prevent burnout | | March 15, 2019 484 Shares It was a beautiful warm mid-July morning in Minnesota. And I was taken by surprise by my feeling of complete and utter contentment. I was with my family bicycling around a lake on a smooth groomed gravel path surrounded by trees, ferns and so many shades of green my breath was taken away. The cool riparian air mixed with the warmth

2019 KevinMD blog

172. Physician Burnout Jumps Dramatically In Just a Few Years

% of graduating residents now choose to be employees rather then to open a private practice. If they choose private practice, they may have to wait 6 months to be enrolled in the insurers panels. 5 transformational medical practice events could have contributed to the spike in physician burnout, according to the authors: 1. Hospital purchases of medical groups 2. Rising drug prices 3. The Affordable Care Act 4. 'Pay for performance’ in which providers are offered financial incentives to improve quality (...) Physician Burnout Jumps Dramatically In Just a Few Years CasesBlog - Medical and Health Blog: Physician Burnout Jumps Dramatically In Just a Few Years Health News Updated Daily by Internist and Allergist at Cleveland Clinic Florida Pages Physician Burnout Jumps Dramatically In Just a Few Years In , Drs. Andrew G. Alexander and Kenneth A. Ballou reported 3 factors for physician burnout: 1. The traditional doctor-patient relationship has been dwarfed by the relationship between health insurance

2019 CasesBlog - Medical and Health Blog

173. Fixing physician burnout means changing the culture of medicine

. For instance, last fall Michigan Medicine began offering to new mothers, fathers, and guardians six weeks of paid leave after the birth or adoption of a child. We are expanding child-care support and reviewing scheduling procedures to provide more flexibility to our caregivers without compromising patient care. Recognizing that sharp increases in are a major contributor to burnout, Michigan Medicine is testing the effectiveness of using scribes to handle some paperwork chores as well as new approaches (...) Fixing physician burnout means changing the culture of medicine Fixing physician burnout means changing the culture of medicine Fixing physician burnout means changing the culture of medicine | | February 22, 2019 32 Shares A talented young physician was concerned about her job at Michigan Medicine, where we both work. She thought she might have to leave the organization because she could not meet mandatory early-morning start times for procedures or outpatient visits. She was especially

2019 KevinMD blog

174. A psychiatrist’s attempt to stop burnout

. Crossroads provided a protected hour of self-reflection and discussion between PGY-1 internal medicine residents twice a month throughout the NYU health system. Guided by psychiatrists, discussions relating to burnout, depression, and suicide were just a few of the talking points that interns explored. Confidentiality and food were provided to fortify the idea that our colleagues’ thoughts were protected and that this hour could be a sense of reprieve from the ebb and flow of a chaotic workday (...) . Contingency planning was also established so that if trainees presented with thoughts of suicidal ideation or another psychiatric emergency, our psychiatrists could get them urgent help in a safe and confidential manner. While still in its youth, Crossroads has shown promising results. Attendance has risen, and trainees who are need have been referred to mental health providers for extra assistance. There is still much work to be done. Burnout is a system’s issue, and we do require systemic change to make

2019 KevinMD blog

175. Inaction is driving our collective burnout

clinicians. Story by story, they’re telling us that our nation is in crisis. Too many people are dying too unnecessarily from too many treatable conditions by too many factors that we can control. Sure, no one likes the electronic medical record. But that’s not at the heart of burnout. Inaction is driving our collective burnout — not just in health care, but in all care. Again and again, providers across the country are put in a position of saying, “We did all we could.” They may have done all they could (...) Inaction is driving our collective burnout Inaction is driving our collective burnout Inaction is driving our collective burnout | | January 9, 2019 29 Shares I sat knee-to-knee with a nurse practitioner at a school-based clinic in rural Ohio. Choking back tears, she described a patient she couldn’t get out of her head: a middle-school girl, accompanied by her mother and a social worker. Just days prior, the girl was dropped off at her father’s home for the weekend. Before the promised Friday

2019 KevinMD blog

176. Clinicians' Perspectives on Providing Emergency-Only Hemodialysis to Undocumented Immigrants: A Qualitative Study. (Abstract)

incentives, and concerns about sustainability), and 4) inspiration toward advocacy (deriving inspiration from patients and strengthened altruism).Whether the findings apply to other settings is unknown, and social desirability response bias might have reduced reporting of negative perceptions and experiences.Clinicians in safety-net settings who provide EOHD to undocumented patients describe experiencing moral distress and being driven toward professional burnout. The burden of EOHD on clinicians should (...) Clinicians' Perspectives on Providing Emergency-Only Hemodialysis to Undocumented Immigrants: A Qualitative Study. In the United States, nearly half of undocumented immigrants with end-stage kidney disease receive hemodialysis only when they are evaluated in an emergency department and are found to have life-threatening renal failure ("emergency-only hemodialysis" [EOHD]). These patients experience psychosocial distress and much higher mortality than patients receiving regularly scheduled

2018 Annals of Internal Medicine

177. A systematic review of the risk and protective factors of burnout among health professionals working in a palliative care setting

A systematic review of the risk and protective factors of burnout among health professionals working in a palliative care setting 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 (...) applicable, Holm-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

2018 PROSPERO

178. Systematic review of burnout during medical residency training: prevalence and associated factors

Systematic review of burnout during medical residency training: prevalence and associated factors 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: Organisation web address (...) 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 the number of studies per subgroup

2018 PROSPERO

179. Is burnout a problem for specialists and residents in physical medicine &amp rehabilitation: a systematic review

Is burnout a problem for specialists and residents in physical medicine & rehabilitation: 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

180. Interventions to address burnout among surgical trainees: a systematic review

Interventions to address burnout among surgical trainees: 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: Organisation web address: Timing and effect (...) 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 the number of studies per subgroup

2018 PROSPERO

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