Assessment of Physician Well-being, Part One: Burnout and Other Negative States

Lall, Michelle D.; Gaeta, Theodore J.; Chung, Arlene S.; Dehon, Erin; Malcolm, William; Ross, Adam; Way, David P.; Weichenthal, Lori; Himelfarb, Nadine T.

doi:10.5811/westjem.2019.1.39665

Cited by 34 publications

(42 citation statements)

References 83 publications

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“…These demographic and occupational variables have been identi ed in the literature as having a signi cant effect on burnout and stress levels and were believed important to collect in order to control for potential confounding variables. 18,19,24,33,34,[39][40][41][42]47 The Study Protocol:…”

Section: Demographic and Occupational Variablesmentioning

confidence: 99%

Burnout and Stress Among Emergency Physicians in the Kingdom of Bahrain Using the Copenhagen Burnout Inventory (CBI) and Short Form-stress Overload Scale (SOS-S)

Abuzeyad

Bashmi

Das

et al. 2020

Preprint

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Background: Emergency physicians (EPs) are exposed to various stressors that lead to burnout, and these factors have never been examined in the emergency departments (EDs) of the Kingdom of Bahrain. The study identifies the prevalence rates and associated variables for burnout and stress among EPs in Bahrain’s EDs.Methods: A cross sectional study involving 134 EPs working in the ED for the three major tertiary hospitals completed the Copenhagen Burnout Inventory (CBI) and Stress Overload Scale-Short Form (SOS-S).Results: The survey had a response rate of 86.7% (n=116). The prevalence rate was 81.0% for personal burnout (M: 63.0, SD: 22.4; CI: 67.0% - 83.3%), 69.8% for work-related burnout (M: 60.3, SD: 21.6; CI: 60.6%- 78.0%), and 40.5% for patient-related burnout (M: 43.1, SD: 25.4; CI: 31.5% - 50.0%). Approximately 23.9% EPs were at high risk for illness. The CBI and SOS-S subscales had statistically significant correlations, illustrating that higher personal, work-related, and patient-related burnout was associated with higher personal vulnerability, event load, and stress overload. Being female, Bahraini, Chief Resident or Consultant, working >50 hours per week, taking at least one sick leave in the last year, and experiencing sleep disturbances and workplace violence were all contributing factors to higher burnout and stress levels. Conclusion: The prevalence of burnout and stress among the EPs in Bahrain is high and reflects a significant problem. Several demographic and occupational factors are closely related to burnout and stress, and need to be addressed to higher authorities in order to implement protective measures.

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Section: Demographic and Occupational Variablesmentioning

confidence: 99%

Burnout and Stress Among Emergency Physicians in the Kingdom of Bahrain Using the Copenhagen Burnout Inventory (CBI) and Short Form-stress Overload Scale (SOS-S)

Abuzeyad

Bashmi

Das

et al. 2020

Preprint

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“… 13 In addition, MBI only focuses on work-related exhaustion, without considering legitimate factors outside of work such as family responsibilities and health issues. 14 A more recent definition expands on the traditional definition so that aspects not directly related to work are also measured: burnout is a condition that results from severe stress relative to one’s own emotional and cognitive reserves . 14 These endpoints of fatigue and exhaustion are captured in the Copenhagen Burnout Inventory (CBI) that was introduced in 2005.…”

Section: Introductionmentioning

confidence: 99%

Prevalence and severity of burnout in Hong Kong doctors up to 20 years post-graduation: a cross-sectional study

Chin

Wan

et al. 2020

BMJ Open

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ObjectiveTo estimate the prevalence and severity of burnout and explore the factors associated with burnout among Hong Kong medical graduates up to 20 years post-graduation.DesignCross-sectional survey.SettingHong Kong.ParticipantsDoctors who graduated from the University of Hong Kong between 1995 and 2014.Primary and secondary outcome measuresBurnout as measured by the Copenhagen Burnout Inventory (CBI), alcohol consumption as measured by the Alcohol Use Disorders Identification Test Version C, lifestyle behaviours (hours of sleep and work, exercise, smoking, substance use), career satisfaction and sociodemographic characteristics were obtained using paper or online questionnaires.ResultsResponse rate was 30.9% (496/1607). Prevalence of CBI burnout was 63.1% (personal), 55.9% (work-related) and 35.4% (patient-related). The mean CBI subscale scores were 57.4±21.4 (personal), 48.9±7.4 (work-related) and 41.5±21.8 (client-related). Factors associated with personal and patient-related burnout included age (coeff −0.437, 95% CI −0.779 to −0.095 and coeff −0.596, 95% CI −0.965 to −0.228, respectively), practice setting (coeff −5.759, 95% CI −10.665 to −0.853 and coeff −5.317, 95% CI −10.602 to −0.032, respectively) and regular exercise (coeff −6.855, 95% CI −11.102 to −2.608 and coeff −6.769, 95% CI −11.333 to −2.205, respectively). Gender (coeff 5.1, 95% CI 1.382 to 8.818), average hours of sleep per night (coeff −5.200, 95% CI −7.139 to −3.262) and work hours per week (coeff 0.226, 95% CI 0.099 to 0.353) were associated with personal burnout only. No factors were significantly associated with work-related burnout.ConclusionBurnout is highly prevalent among Hong Kong medical graduates. Younger doctors, women and those working in the public sector appear to be at higher risk for burnout and may benefit from targeted interventions. Policymakers and healthcare authorities should consider measures to help reduce burnout by enabling adequate sleep, reducing work hours and encouraging exercise.

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“…In physicians, this phenomenon is associated with increased medical errors, depression, substance abuse, mental health issues, early retirement, and an alarming rate of suicide (Drummond 2015;Williams et al 2007). The current estimate of burnout among United States physicians is estimated at a staggering 50% (Lall et al 2019;Rothenberger 2017).…”

Section: Introductionmentioning

confidence: 99%

Objective Measurement of Physician Stress in the Emergency Department Using a Wearable Sensor

Kaczor¹,

Carreiro²,

Stapp³

et al. 2020

Proceedings of the Annual Hawaii International Conference on System Sciences

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Physician stress, and resultant consequences such as burnout, have become increasingly recognized pervasive problems, particularly within the specialty of Emergency Medicine. Stress is difficult to measure objectively, and research predominantly relies on selfreported measures. The present study aims to characterize digital biomarkers of stress as detected by a wearable sensor among Emergency Medicine physicians. Physiologic data were continuously collected using a wearable sensor during clinical work in the emergency department, and participants were asked to self-identify episodes of stress. Machine learning algorithms were used to classify self-reported episodes of stress. Comparing baseline sensor data to data in the 20-minute period preceding self-reported stress episodes demonstrated the highest prediction accuracy for stress. With further study, detection of stress via wearable sensors could be used to facilitate evidence-based stress research and just-in-time interventions for emergency physicians and other highstress professionals.

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Assessment of Physician Well-being, Part One: Burnout and Other Negative States

Cited by 34 publications

References 83 publications

Burnout and Stress Among Emergency Physicians in the Kingdom of Bahrain Using the Copenhagen Burnout Inventory (CBI) and Short Form-stress Overload Scale (SOS-S)

Burnout and Stress Among Emergency Physicians in the Kingdom of Bahrain Using the Copenhagen Burnout Inventory (CBI) and Short Form-stress Overload Scale (SOS-S)

Prevalence and severity of burnout in Hong Kong doctors up to 20 years post-graduation: a cross-sectional study

Objective Measurement of Physician Stress in the Emergency Department Using a Wearable Sensor

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