Do No Harm, Except Unto Thyself

Meese, Katherine A.; Borkowski, Nancy

doi:10.1213/ane.0000000000002517

Cited by 2 publications

(2 citation statements)

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“…14,15 Factors such as these lead to increased financial and emotional stress, especially among early-career physicians who are often subject to multiple simultaneous demands, for example, working long hours, establishing their practice (or continuing their training), caring for young children, affording housing for a family, helping elderly parents, repaying educational loans, and saving for retirement. 16 It is understandable that while dealing with all of this, physicians often neglect to consider where they are on the burnout cascade. Therefore, a priority goal of a wellness program in pediatric anesthesia must be to change as many local factors as possible in order to ameliorate the existential struggle of its pediatric anesthesiologists (both in-training and fully trained).…”

Section: The G Oal Of a Wellne Ss Initiativementioning

confidence: 99%

“…Some examples of issues requiring national attention are malpractice litigation, 12,13 the high cost of medical school, and the interplay between reimbursement models, physician work paradigms, and resident work hours 14,15 . Factors such as these lead to increased financial and emotional stress, especially among early‐career physicians who are often subject to multiple simultaneous demands, for example, working long hours, establishing their practice (or continuing their training), caring for young children, affording housing for a family, helping elderly parents, repaying educational loans, and saving for retirement 16 . It is understandable that while dealing with all of this, physicians often neglect to consider where they are on the burnout cascade.…”

Section: The Goal Of a Wellness Initiativementioning

confidence: 99%

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It’s the Culture!—How systemic and societal constructs impact well‐being

Vinson

Bachiller

2020

Pediatric Anesthesia

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Pediatric anesthesiologists practice within a culture, a system, and a society. In this article, we provide an overview of the influence these have on the well-being or the unwellness of pediatric anesthesiologists. The scope of these issues is broad and farreaching; thus, our goal has been to highlight those areas which would be likely to have the largest impact on well-being if addressed fully by society, institutions, and leaders in our field. We discuss the burnout-promoting aspects of medical education and training. We survey occupational factors, such as the high-stake pediatric anesthesia environment, occupational health hazards, time pressure, and the reduction in physician autonomy. We then describe societal barriers, such as the marginalization of certain populations, the US system of malpractice litigation, the stigma surrounding psychiatric care, and some of the issues related to physician reimbursement in the United States. We conclude that in order to move forward, improving physician wellness must be a focus of society, of the medical system as a whole, and of individual departments and leaders in pediatric anesthesia.

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Section: The G Oal Of a Wellne Ss Initiativementioning

confidence: 99%