Physician Burnout: Achieving Wellness for Providers and Patients

Niconchuk, Jonathan A; Hyman, Steve Alan

doi:10.1007/s40140-020-00401-w

Cited by 13 publications

(13 citation statements)

References 47 publications

(44 reference statements)

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“…Multiple contributor variables were associated with burnout, including both individual and work system factors. Our data suggest negative consequences of burnout for both patient care and GC retention, mirroring findings in the broader literature on clinician burnout (National Academy of Medicine, 2019 ; Niconchuk & Hyman, 2020 ).…”

Section: Discussionsupporting

confidence: 82%

“…The associations between consequence variables and burnout that we observed mirror prior studies on burnout in other clinicians (National Academy of Medicine, 2019;Niconchuk & Hyman, 2020).…”

Section: Consequencessupporting

confidence: 86%

“…Maslach and colleagues went on to conceptualize burnout as a syndrome comprising three dimensions: emotional exhaustion, cynicism or depersonalization, and reduced sense of accomplishment at work (Maslach, 1998 ; Maslach & Jackson, 1981 ). Burnout is associated with poor mental health and quality of life (National Academy of Medicine, 2019 ; Niconchuk & Hyman, 2020 ). Yet, burnout's impact extends far beyond the suffering of the individual clinician.…”

Section: Introductionmentioning

confidence: 99%

“…Yet, burnout's impact extends far beyond the suffering of the individual clinician. Studies on physicians, nurses, and other non‐genetics clinicians have revealed the negative consequences of burnout on patients and the healthcare system (National Academy of Medicine, 2019 ; Niconchuk & Hyman, 2020 ). These include, but are not limited to, decreased patient satisfaction, increased medical errors and safety issues, and increased patient mortality.…”

Section: Introductionmentioning

confidence: 99%

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Contributors to and consequences of burnout among clinical genetic counselors in the United States

Caleshu

Kim

Silver

et al. 2021

Journal of Genetic Counseling

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Prior research has found that many genetic counselors (GCs) experience burnout.Studies of other clinicians have demonstrated that burnout can have significant detrimental consequences for clinicians, patients, and the healthcare system. We sought to explore the prevalence of, contributors to, and consequences of burnout among GCs. We performed a secondary data analysis of baseline data from Me-GC, a randomized controlled trial of meditation for GCs. We applied a systems model of burnout proposed by the National Academy of Medicine (NAM), which depicts burnout arising from a combination of contributors that include both work system and individual mediating factors, and then leading to consequences. Validated self-report scales were used to measure burnout and most contributors and consequences.Female and white GCs were over-represented in our sample. Over half (57.2%) of the 397 participants had Professional Fulfillment Index scores indicative of burnout.Multiple potential contributors were associated with burnout, consistent with its known multifactorial nature. Among work system factors, higher levels of burnout were associated with insufficient administrative support, lack of autonomy, and not feeling valued by non-GC colleagues. Individual mediating factors associated with greater burnout included higher levels of anxiety, depression, and stress. Participants with lower levels of burnout reported greater mindfulness, resilience, and use of professional self-care behaviors. Among variables categorized as consequences, higher levels of burnout were associated with lower levels of empathy, counseling alliance, and positive unconditional regard, as well as higher reactive distress, and a greater desire to reduce the amount of time spent on clinical care. Given the prevalence and potential consequences of burnout observed here, it is imperative that the field take steps to mitigate burnout risk.

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Section: Discussionsupporting

confidence: 82%

Section: Consequencessupporting

confidence: 86%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Contributors to and consequences of burnout among clinical genetic counselors in the United States

Caleshu

Kim

Silver

et al. 2021

Journal of Genetic Counseling

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“…Burnout is a multifactorial issue and has various occupational, social, and personal aspects. [ 45 ] Therefore, there is a need for multilateral planning to reduce it. Pathologists’ Burnout can be prevented by increasing their wages and strengthening their position and relationship within the medical team.…”

Section: Discussionmentioning

confidence: 99%

Pathologists’ professional lifestyle

Omidifar,

Hafezi bafti,

Shokripour

et al. 2022

Journal of Education and Health Promotion

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For a successful treatment process, the medical team members must be in good physical and mental condition. Pathologists are one of the main modern medicine members that should be consulted in all stages of the treatment procedure. Sixty-six percent of clinical decisions are made based on in vitro diagnosis. Burnout is defined as chronic uncontrolled occupational stress. Burnout has a massive impact on patient safety, quality of treatment, and reduced patient satisfaction. Physician satisfaction with his job affects patient satisfaction and the quality of medical services provided. The most influential factors on quality of life were exercise and physical activity, having leisure time, and not smoking. In different aspects of lifestyle, physicians have scored lower on their physical activity index. One of the most critical pillars of human life is their religiosity. The presence of religious beliefs among physicians is strong. Workload and increased responsibilities are the most effective factors on pathologists’ stress. Pathology creates a bridge between basic sciences and clinical sciences. Therefore, promoting pathology education leads to training better physicians. The purpose of compiling this Narrative review is to clarify the issues raised in various aspects of pathologists’ lives and provide solutions to improve each of them. There are several solutions to the problems raised in this article: Increasing salaries, improving working conditions, creating a better view of pathologists by avoiding isolation and being more active and visible, and paying attention to medical education. We recommend that researchers review issues in other medical specialties to provide accurate and concise information to physicians and policymakers.

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Automated Emails to Improve Evening Staffing for Anesthesiologists

et al. 2023

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Scheduling flexibility and predictability to the end of a clinical workday are strategies aimed at addressing physician burnout. A voluntary relief shift was created to increase the pool of anesthesiologists providing end of the day relief. We hypothesized that an automated email reminder would improve the number of evening relief shifts filled and increase the number of anesthesiologists participating in the program. An automated email reminder was implemented, which selectively emailed anesthesiologists without a clinical assignment one day in advance when the voluntary relief shifts were not filled, and anticipated case volume past 4:00 PM was expected to exceed the capacity of the on-call team. After implementation of the automated email reminder, the median number of providers who worked the relief shift on a typical day was 2.6, compared to 1.75 prior to the intervention. After the initial increase in the number of volunteers post-intervention, the trend in the weekly average number of volunteers tended to decrease but remained higher than before the intervention. A total of 22 unique anesthesiologists chose to participate in this program after the intervention. An automated email reminder increased the number of anesthesiologists volunteering for a relief shift. Leveraging automation to match staffing needs with case volume allows for recruitment of additional personnel on the days when volunteers are most needed. Increasing the pool of anesthesiologists available to provide relief is one strategy to improve end of the day predictability and work-life balance.

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Physician Burnout: Achieving Wellness for Providers and Patients

Cited by 13 publications

References 47 publications

Contributors to and consequences of burnout among clinical genetic counselors in the United States

Contributors to and consequences of burnout among clinical genetic counselors in the United States

Pathologists’ professional lifestyle

Automated Emails to Improve Evening Staffing for Anesthesiologists

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