Physician Burnout: Causes, Consequences, and (?) Cures

Fred, Herbert L.; Scheid, Mark S.

doi:10.14503/thij-18-6842

Cited by 77 publications

(60 citation statements)

References 14 publications

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“…The combination of nurse, clinician and learner burnout, depression and suicide is currently a public health epidemic throughout the world that not only threatens the well‐being of health professionals, but is a major threat to healthcare quality and safety (Dzau, Kirch & Nasca, ). Burnout, which is comprised of emotional exhaustion, depersonalization, and reduced personal accomplishment (Fred & Scheid, ), affects approximately half of all nurses, physicians and other clinicians (Shanafelt et al, ). Healthcare clinicians suffering from burnout tend to experience headaches, insomnia, tension, anger, fatigue, impaired memory, decreased attention, thoughts of quitting work, drug and alcohol use, and suicide.…”

mentioning

confidence: 99%

“…For every newly licensed registered nurse who leaves their job in the first year of practice, it costs the institution up to three times the nurse’s annual salary when factoring in the costs associated with recruitment, training and orientation (Unruh & Zhang, ). For every physician who leaves a practice, lost revenue is estimated to range from $500,000 to $1,000,000 (Fred & Scheid, ).…”

mentioning

confidence: 99%

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Burnout, Depression and Suicide in Nurses/Clinicians and Learners: An Urgent Call for Action to Enhance Professional Well‐being and Healthcare Safety

Melnyk

2020

Worldviews Ev Based Nurs

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confidence: 99%

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confidence: 99%

Burnout, Depression and Suicide in Nurses/Clinicians and Learners: An Urgent Call for Action to Enhance Professional Well‐being and Healthcare Safety

Melnyk

2020

Worldviews Ev Based Nurs

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“…In addition to the deleterious effects on patient care, burnout also affects one's own quality of life and subjective well-being 28 . This is a serious problem leading to job dissatisfaction, quitting intentions and even suicidal thoughts 29,30 . Burnt-out residents may not be able to perform duties to the best of their ability, which might add up to the stress of other colleagues who might eventually be affected due to burnout.…”

Section: Discussionmentioning

confidence: 99%

Orthopaedic Resident Burnout: A Literature Review on Vulnerability, Risk Factors, Consequences and Management Strategies

Wong¹,

Kaliya-Perumal²,

Oh³

2019

Malays Orthop J

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Introduction: Orthopaedic surgery is physically demanding. Surgeons may have to work long unpredictable hours especially during residency training. This arduous task comes with the risk of burnout leading to negative repercussions to the surgeon and the patient. In view of strategising peer support, we intend to review the literature and analyse whether orthopaedic resident burnout is a global issue. We also intend to derive common strategies to tackle burnout at individual and organisational levels. Materials and Methods: A literature search was carried out in the databases including PubMed, Scopus, SciELO, and Google Scholar to shortlist studies dealing with orthopaedic residency and related burnout. Those studies that used the Maslach Burnout Inventory (MBI) for quantifying burnout were collectively interpreted. Other studies were reviewed to analyse the vulnerability, risk factors, consequences and management strategies related to burnout. Results: Among a total of 72 titles shortlisted, eight studies independently reported burnout among orthopaedic surgery residents/trainees and used MBI as a tool for assessing burnout. Based on the three subscales of MBI, 37.2% had high degree of emotional exhaustion (EE), 48% had high degree of depersonalisation (DP) and 33.1% perceived low personal accomplishment. This signifies the high prevalence of burnout among orthopaedic residents/trainees. Conclusion: Burnout among orthopaedic surgery residents seems to be a universal problem. Risk factors could be multifactorial, influenced by clinical competency and work-home environment. This can be tackled at the individual level by being aware of burnout syndrome, involving in adequate physical activity and spending quality social time; and at the organisational level by duty hour limitation, professional appreciation and mentorship programme.

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“…Furthermore, consideration must be taken to avoid introducing technologies that divide physician-patient relationships. The top-down, government-subsidized implementation of healthcare information technologies since the 2009 HITECH act has resulted in unanticipated and unintended consequences for physician burnout and patient "e-iatrogenesis" (121)(122)(123)(124). Prudent AI use cases should be identified, and these should be modest, simple, and fluid with existing physician workflows.…”

Section: Obstaclesmentioning

confidence: 99%

Artificial intelligence in radiation oncology treatment planning: a brief overview

Kiser¹,

Fuller²,

Reed³

2019

J Med Artif Intell

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Among medical specialties, radiation oncology has long been an innovator and early adopter of therapeutic technologies. This specialty is now situated in prime position to be revolutionized by advances in artificial intelligence (AI), especially machine and deep learning. AI has been investigated by radiation oncologists and physicists in both general and niche radiotherapy planning tasks and has often demonstrated performance that is indistinguishable from human experts, while substantially shortening the time required to complete these tasks. We sought to review applications of AI to domains germane to radiation oncology, namely: image segmentation, treatment plan generation and optimization, normal tissue complication probability modeling, quality assurance (QA), and adaptive re-planning. We sought likewise to consider obstacles to AI adoption in the radiotherapy clinic, now primarily political, legal, and ethical rather than technical in nature.

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Physician Burnout: Causes, Consequences, and (?) Cures

Cited by 77 publications

References 14 publications

Burnout, Depression and Suicide in Nurses/Clinicians and Learners: An Urgent Call for Action to Enhance Professional Well‐being and Healthcare Safety

Burnout, Depression and Suicide in Nurses/Clinicians and Learners: An Urgent Call for Action to Enhance Professional Well‐being and Healthcare Safety

Orthopaedic Resident Burnout: A Literature Review on Vulnerability, Risk Factors, Consequences and Management Strategies

Artificial intelligence in radiation oncology treatment planning: a brief overview

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