Relationship Between Clerical Burden and Characteristics of the Electronic Environment With Physician Burnout and Professional Satisfaction

Shanafelt, Tait D.; Dyrbye, Lotte N.; Sinsky, Christine A.; Hasan, Omar; Satele, Daniel; Sloan, Jeff A.; West, Colin P.

doi:10.1016/j.mayocp.2016.05.007

Cited by 766 publications

(615 citation statements)

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“…19 Only 23.0% of neurologists were satisfied with time spent on clerical tasks directly related to patient care compared to 37.2% of all physicians, a rate lower than every other medical specialty except family practice. 29 Similarly, only 15.9% of neurologists were satisfied with time spent on clerical tasks indirectly related to patient care, compared to 25.6% of all physicians. 29 Neurologists' mean overall QOL score was 6.2 with 34% scoring ,6 compared to a mean of 7.4 with 28% scoring ,6 for all physicians (personal communication, 2016, Tait Shanafelt).…”

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Burnout, career satisfaction, and well-being among US neurologists in 2016

et al. 2017

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Objective: To study prevalence of and factors that contribute to burnout, career satisfaction, and well-being in US neurologists.Methods: A total of 4,127 US American Academy of Neurology member neurologists who had finished training were surveyed using validated measures of burnout, career satisfaction, and well-being from January 19 to March 21, 2016.Results: Response rate was 40.5% (1,671 of 4,127). Average age of participants was 51 years, with 65.3% male and nearly equal representation across US geographic regions. Approximately 60% of respondents had at least one symptom of burnout. Hours worked/week, nights on call/ week, number of outpatients seen/week, and amount of clerical work were associated with greater burnout risk. Effective support staff, job autonomy, meaningful work, age, and subspecializing in epilepsy were associated with lower risk. Academic practice (AP) neurologists had a lower burnout rate and higher rates of career satisfaction and quality of life than clinical practice (CP) neurologists. Some factors contributing to burnout were shared between AP and CP, but some risks were unique to practice setting. Factors independently associated with profession satisfaction included meaningfulness of work, job autonomy, effectiveness of support staff, age, practicing sleep medicine (inverse relationship), and percent time in clinical practice (inverse relationship). Burnout was strongly associated with decreased career satisfaction. Conclusions:Burnout is common in all neurology practice settings and subspecialties. The largest driver of career satisfaction is the meaning neurologists find in their work. The results from this survey will inform approaches needed to reduce burnout and promote career satisfaction and well-being in US neurologists.

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confidence: 96%

Burnout, career satisfaction, and well-being among US neurologists in 2016

et al. 2017

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“…4 Particularly noteworthy causative factors include physician overwork with poor work-life balance 5 and the harmful effects on professional satisfaction when physicians are forced by circumstance or regulation to perform substandard work or to conduct busywork, such as the increasing documentation requirements for electronic health record completion, which diverts time from good patient care. 6 Following reports of a high rate of burnout among neurologists, 3 American Academy of Neurology (AAN) President Terrence Cascino empaneled a work force to study its nature and prevalence. In this issue of Neurology ® , the AAN Burnout Task Force reports the results of their extensive survey of over 4,000 American neurologists.…”

Section: How Can Neurologists Avoid Burnout?mentioning

confidence: 99%

How can neurologists avoid burnout?

Bernat

2017

Neurology

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“…Studied clinical benefits of CPOE include reduced prescribing errors and adverse medication interactions, 6 improved adherence to evidence-based protocols for specific presentations, such as renal colic and acute ischemic stroke, [7][8][9] increased legibility and accessibility of documentation on record, 10 and potential secondary uses of data by health care organizations for outcome tracking and quality assessment. 10 CPOE's benefits, however, may come at the cost of decreased patient and physician satisfaction, 11,12 impaired emergency physician productivity, 13 and increased length of stay (LOS) in the emergency department (ED) for admitted patients. 14 There is no strong evidence to suggest that CPOE improves patient mortality, 15 and the literature has not yet provided consensus evidence in favour of CPOE when weighing its benefits and drawbacks.…”

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confidence: 99%

SGEM Hot Off the Press: Computer provider order entry (CPOE) and emergency department flow

Lin

Chan

Mohindra

et al. 2017

CJEM

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As part of the Canadian Journal of Emergency Medicine (CJEM) developing social media strategy, 1 we are collaborating with the Skeptics' Guide to Emergency Medicine (SGEM) to summarize and critically appraise the current emergency medicine literature using evidence-based medicine principles. In the Hot Off the Press (HOP) series, we select original research manuscripts published in CJEM to be summarized and critically appraised on the SGEM website/podcast 2 and discussed by the study authors and the online EM community. A similar collaboration is underway between the SGEM and Academic Emergency Medicine. What follows is a summary of the selected article and the immediate post-publication critical appraisal from the SGEM podcast, as well as an overview of the subsequent discussion from the SGEM blog and other social media. Through this series, we hope to enhance the value, accessibility, and application of important, clinically relevant EM research. In this, the fourth SGEM HOP hosted collaboratively with CJEM, we discuss Gray et al.'s paper 3 evaluating the impact of computerized provider order entry on patient flow through a quaternary emergency department in London, Ontario.

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Relationship Between Clerical Burden and Characteristics of the Electronic Environment With Physician Burnout and Professional Satisfaction

Cited by 766 publications

References 51 publications

Burnout, career satisfaction, and well-being among US neurologists in 2016

Burnout, career satisfaction, and well-being among US neurologists in 2016

How can neurologists avoid burnout?

SGEM Hot Off the Press: Computer provider order entry (CPOE) and emergency department flow

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