Burnout in physicians: a case for peer‐support

Bruce, Shelley M.; Conaglen, Helen M.; Conaglen, John V.

doi:10.1111/j.1445-5994.2005.00782.x

Cited by 99 publications

(76 citation statements)

References 15 publications

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“…Such faculty would also embody how maintaining meaningful relationships with patients is one of the critical routes to career satisfaction spanning a life in medicine, [26][27][28] in contrast to the depersonalization associated with burnout. [29][30] Discussing their experiences with faculty who love to teach and whose values reflect compassion and respect for patients, students are reminded that what they observed might or might not be "the appropriate way to behave and that their impulses to protect and respect their patients are valid" 31 (p. 9). Sharing their experiences with such faculty is also an opportunity to discuss their perceived powerlessness when confronted with behaviors and attitudes that fly in the face of their own sensibilities or that contradict what they have been taught elsewhere.…”

Section: Discussion and Recommendationsmentioning

confidence: 99%

Can Compassion be Taught? Let’s Ask Our Students

2008

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BACKGROUND: Medical educators act on the belief that students benefit from formal and informal educational experiences that foster virtues such as compassion, altruism, and respect for patients. OBJECTIVE:The purpose of this study is to examine fourth year medical students' perspectives on how, where, and by whom they believe the virtues associated with good physicianhood have been taught to them.DESIGN: Fourth year students were assigned a two-to three-page essay that asked them to reflect on how their medical education had "fostered and hindered" their conceptions of compassion, altruism, and respect for patients.PARTICIPANTS: All 112 students completed this assignment, and 52 (46%) gave us permission to use their essays for this study.APPROACH: An inductive, qualitative approach was used to develop themes derived from students' essays.RESULTS: Students' thoughts were organized around the idea of influences in three areas to which they consistently referred. Foundational influences included parents and "formative years," religious faith, and other experiences preceding medical school. Preclinical education influences comprised formal classroom experiences (both positive and negative effects). Clinical education influences included role modeling (both positive and negative) and the clinical environment (notable for emphasis on efficiency and conflicting cues). Students' essays drew most heavily on the effects of role modeling.DISCUSSION: Medical students arrive at our doors as thoughtful, compassionate people. Positive role models and activities to promote critical self-reflection may help nurture these attitudes.

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Section: Discussion and Recommendationsmentioning

confidence: 99%

Can Compassion be Taught? Let’s Ask Our Students

2008

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“…2 Doctors in South African hospitals with limited resources and large numbers of patients are often subjected to adverse factors contributing to system, equipment and human errors, which may cause stress and burnout and increase errors in the administration of anaesthesia medication. [7][8][9] We investigated the occurrence of such events in public sector hospitals in the Free State province, that included full-time practising anaesthetists and many doctors who occasionally administer anaesthesia.…”

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confidence: 99%

Errors in drug administration by anaesthetists in public hospitals in the Free State

et al. 2011

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“…Physicians in hospitals work 60 hours a week, which is far more than 48 hours recommended by the Directive on the Working Time of the European Union and the Croatian Law of Health Care (12,40,41).…”

Section: Discussionmentioning

confidence: 99%

Influence of Urbanization Level and Gross Domestic Product of Counties in Croatia on Access to Health Care

et al. 2008

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Aim To examine the association of counties' urbanization level and gross domestic product (GDP) per capita on the access to health care.Methods Counties were divided in two groups according to the urbanization level and GDP per capita in purchasing power standards. The number of physicians per 100 000 inhabitants, the number of physicians in hospitals in four basic specialties, physicians' workload, average duration of working week, the average number of insurants per general practice (GP) team, and the number of inhabitants covered by one internal medicine outpatient clinic were compared between predominantly urban and predominantly rural counties and between richer and poorer counties. Our study included only GP teams and outpatient clinics under the contract with the Croatian Institute for Health Insurance. Data on physicians were collected from the Ministry of Health and Social Welfare, the Croatian Institute for Health Insurance, the Croatian Institute for Public Health, and the Croatian Medical Chamber. Data on the contracts with the Croatian Institute for Health Insurance and health care services provided under these contracts were obtained from the database of the Institute, while population and gross domestic product data were obtained from the Database of the Croatian Institute for Statistics. World Health Organization Health for All Database was used for the international comparison of physician's data.Results There was no significant difference in the total number of physicians per 100 000 inhabitants between predominantly urban and predominantly rural counties (206.9 ± 41.0 vs 175.4 ± 30.3; P = 0.067, t test) nor between richer and poorer counties (194.5 ± 49.8 vs 187.7 ± 25.3; P = 0.703, t test). However, there were significantly fewer GPs per 100 000 inhabitants in rural than urban counties (49.0 ± 5.5 vs 56.7 ± 4.6; P = 0.003, t test). GPs in rural counties had more insurants than those working in urban counties (1.749.8 ± 172.8 vs 1.540.7 ± 106.3; P = 0.004, t test). The working week of specialists in the four observed specialties in hospitals was longer than the recommended 48 hours a week. ConclusionThe lack of physicians, especially in primary health care can lead to a reduced access to health care and increased workload of physicians, predominantly in rural counties, regardless of the counties' GDP. 385Access to health care is achieved by even distribution of health care institutions and health workers across the country (1). Many countries encounter the problem of uneven regional distribution of physicians. In England and Wales, uneven distribution of general practitioners (GP) was found, with minimum changes over the twenty-year period of observation (2). In the USA, almost 20% of population that lives in rural regions is covered by only 9% of physicians, which presents a serious long-lasting problem (3-5). Many other countries have the same problem, such as France, Greece, Australia, Japan, and Chile (6-11). Uneven distribution is mostly a result of migration of physicians (11).In Croati...

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Burnout in physicians: a case for peer‐support

Abstract: This study highlights the presence of significant workplace difficulties for physicians and the need to develop a preventative support system for the protection of physicians and the patients in their care.

Cited by 99 publications

References 15 publications

Can Compassion be Taught? Let’s Ask Our Students

Can Compassion be Taught? Let’s Ask Our Students

Errors in drug administration by anaesthetists in public hospitals in the Free State

Influence of Urbanization Level and Gross Domestic Product of Counties in Croatia on Access to Health Care

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