On physician well being—You’ll get by with a little help from your friends

Wallace, Jean E.; Lemaire, Jane B

doi:10.1016/j.socscimed.2007.03.016

Cited by 117 publications

(95 citation statements)

References 36 publications

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“…10 Facilitated discussion groups have also been shown to decrease burnout among practicing physicians. 11 We hypothesized that a facilitated discussion group intervention could reduce burnout incidence among first-year internal medicine (IM) residents.…”

Section: Introductionmentioning

confidence: 99%

A Randomized Controlled Trial to Decrease Job Burnout in First-Year Internal Medicine Residents Using a Facilitated Discussion Group Intervention

Ripp

Fallar

Korenstein

2016

Journal of Graduate Medical Education

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Section: Introductionmentioning

confidence: 99%

A Randomized Controlled Trial to Decrease Job Burnout in First-Year Internal Medicine Residents Using a Facilitated Discussion Group Intervention

Ripp

Fallar

Korenstein

2016

Journal of Graduate Medical Education

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“…Although the proportion of females among new cohorts [7] -including female professors-is increasing, they are still under-represented among positions in medical leadership [28] . Physicians who are mothers have more work-to-family conflicts compared to father physicians and to male or female physicians who are not parents [9] . These are critical factors that directly involve female physicians, new cohorts and current practitioners, as well as policy makers, since strategies to eliminate gender inequalities in the well-being of physicians are still required.…”

Section: Discussionmentioning

confidence: 96%

“…Since female physicians report higher percentage of complex patients [25] , less control on daily aspects of practice [26] , extra challenges to achieve work-life balance [5,6,9] and professional development [6,10] , alternative payment schemes should acknowledge these factors, providing the necessary flexibility to enhance their motivation.…”

Section: Figure 1 Error Bars Of the Three Dependent Variables By Paymentioning

confidence: 99%

“…Conflicts between work and home play significant roles in burnout, and the predictors of burnout differ by gender, with the stressors of exhaustion and disengagement stronger among women [8] . A study of physicians in Western Canada examined interactions among work-to-family conflicts by gender and parental status, finding a considerable percentage of physicians who are mothers reporting high levels of work-to-family conflicts [9] .…”

Section: Introductionmentioning

confidence: 99%

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Latent gender inequalities in the well-being of physicians according to payment method for practicing medicine: a cross-sectional study

Peña-Sánchez

Lepnurm

Bermedo-Carrasco

2013

JHA

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Background: Female physicians face extra challenges in their career development and tend to choose salary or other forms of alternative payment plans (APP). Fee-for-service (FFS) and APP may affect the well-being of female and male physicians differently. Three measures of well-being are: levels of career satisfaction, professional equity, and daily distress. The objectives are to identify differences in the levels of career satisfaction, fulfillment-recognition equity, and daily distress of physicians by gender and payment method, and to assess interactions between these two factors. Methods:A cross-sectional study was conducted in 2011 with physicians practicing in the Saskatoon Health Region, Saskatchewan, Canada. Resident physicians were excluded from the study. Eligible physicians completed a survey, assessing levels of daily distress, fulfillment-recognition equity, and career satisfaction as dependent variables. A multivariate analysis of variance (MANOVA), using the Wilks' Lambda criterion, was conducted to study differences among the dependent variables by remuneration method and gender. Multiple comparisons were performed as post-hoc tests.Results: Nearly half (382) of the 794 eligible physicians completed the questionnaire; 37.2% were female. Half were remunerated by FFS, a quarter by APP, and the remainder by blended forms. Career satisfaction and fulfillmentrecognition equity were positively correlated to each other and daily distress was negatively correlated with both. According to the MANOVA results, the dependent variables were affected by gender but not by payment method, and there was no evidence of an interaction effect between payment method and gender. Women reported lower levels of career satisfaction (p=0.01) and fulfillment-recognition equity (p=0.01), and higher levels of daily distress (p=0.03). Conclusion:Female physicians reported poorer well-being than male physicians. In contrast, no differences in the well-being were found among physicians paid by APP, blended methods, and FFS schemes. Further cross-national studies are recommended to study potential effects of APP on the identified gender inequalities.

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“…As exposure to emotional job stressors usually cannot be reduced, the physician's ability to cope with emotional demands is important in order to prevent stress [6,7]. The most common method physicians apply to cope with emotional distress involve turning to others for support [8]. Previous research has confirmed that support from others is a critical resource to foster adjustment to distressing events, and of considerable significance for people's health and wellbeing [9].…”

Section: Introductionmentioning

confidence: 99%

Exploring the subjective burden of confidentiality among physicians in Norway

Tevik¹,

Håkon²

2011

Health

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Background: Concern about protecting patient privacy is proposed to be a barrier for physiccians to talk about emotional distress from their professional experiences. This makes it difficult for many physicians to utilize and fully benefit from different network of social support. The subjective burden of confidentiality is reported to be associated with physician's health and wellbeing. Aims: To gain knowledge about factors in the in personal and professional sphere that can be associated with the subjective burden of confidentiality. Methods: Qualitative semistructured interviews with 14 general practitioners and hospital physicians in Norway. Examination of transcribed verbatim interviews using qualitative content analysis. Results: The subjective burden of confidentiality is likely linked with factors such as perception of professional role, social support from colleagues, partners and friends; size of patient population, organizational factors and work environment, and the overlap between personal and professsional relationships. Conclusions: Addressing the interaction of emotional demands and patient confidentiality is important to study successful coping with distress from physician's professional experiences.

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On physician well being—You’ll get by with a little help from your friends

Cited by 117 publications

References 36 publications

A Randomized Controlled Trial to Decrease Job Burnout in First-Year Internal Medicine Residents Using a Facilitated Discussion Group Intervention

A Randomized Controlled Trial to Decrease Job Burnout in First-Year Internal Medicine Residents Using a Facilitated Discussion Group Intervention

Latent gender inequalities in the well-being of physicians according to payment method for practicing medicine: a cross-sectional study

Exploring the subjective burden of confidentiality among physicians in Norway

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