Supporting Physicians Who Work in Challenging Contexts: A Role for the Academic Health Center

Morley, Christopher P.

doi:10.3122/jabfm.2012.06.120250

Cited by 10 publications

(9 citation statements)

References 20 publications

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“…The covariates were gender (male, and female); age (39 or younger, 40-49, 50-59, and 60 or older); medical specialty (Internal Medicine, Family Medicine, Psychiatry/psychology, and Other); years of practice after residency (\5, 5-10, and [10). The null hypothesis for the question was that there is no significant association between the type of support sought, and characteristics of the asylum evaluators: the gender, age, medical specialty, and years of practice after residency.…”

Section: Discussionmentioning

confidence: 99%

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Self-reported Vicarious Trauma in Asylum Evaluators: A Preliminary Survey

Mishori

Mujawar

Ravi

2013

J Immigrant Minority Health

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Hundreds of clinicians in the US conduct asylum evaluations, to document evidence of torture and persecution of people fleeing their home countries. Participating in these encounters puts clinicians at risk for vicarious trauma (VT). Little research addressed VT in physicians. Even less is known about VT among asylum evaluators. A survey was distributed to members of the asylum network of Physicians for Human Rights in Spring 2012. The majority (65%) of survey participants denied having experienced VT. However, being female, being a mental health professional and having performed a greater number of evaluations was associated with a higher likelihood of reporting VT. We present preliminary data about VT in asylum evaluators. Recruiters and trainers should make every effort to address the issue and educate their volunteers about means of identifying and managing symptoms. Formal and informal support services and resources should be developed and shared with volunteers.

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Section: Discussionmentioning

confidence: 99%

“…Very little research has addressed VT in physicians [10,11] in general. In one study of inner-city family physicians caring for women using illicit drugs, Woolhouse et al [11] found emotional stress, isolation and characteristics of VT among participants.…”

Section: Introductionmentioning

confidence: 98%

Self-reported Vicarious Trauma in Asylum Evaluators: A Preliminary Survey

Mishori

Mujawar

Ravi

2013

J Immigrant Minority Health

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“…; Stevenson, Phillips, and Anderson ; Longenecker, Zink, and Florence ). Building resilience among rural practitioners enhances their well‐being (Longenecker, Zink, and Florence ; Morley ), thereby promoting workforce retention and access to care among nonmetropolitan populations (Haggerty et al. ).…”

Section: Conceptual Frameworkmentioning

confidence: 99%

Resilience among Employed Physicians and Mid‐Level Practitioners in Upstate New York

Waddimba

Scribani

Hasbrouck

et al. 2016

Health Services Research

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Objective. To investigate the factors associated with resilience among medical professionals. Data Sources/Study Setting. Administrative information from a rural health care network (1 academic medical center, 6 hospitals, 31 clinics, and 20 school health centers) was triangulated with self-report data from 308 respondents (response rate = 65.1 percent) to a 9/2013-1/2014 survey among practitioners serving a nine-county 5,600-square-mile area. Study Design. A cross-sectional questionnaire survey comprising valid measures of resilience, practice meaningfulness, satisfaction, and risk/uncertainty intolerance, nested within a prospective, community-based project. Data Collection/Extraction Methods. The sampling frame included practitioners on institutional payroll, excluding voluntary/involuntary attritions and advisory board/research team members. In multivariable mixed-effects models, we regressed full-range and high-/low-resilience scores on demographics, professional satisfaction, workplace needs, risk/uncertainty intolerance, and service unit characteristics. Principal Findings. Relational needs, uncertainty intolerance, satisfaction ≥75 percent of the time, number of practitioners on a unit, and workload were significantly associated with resilience. Higher scores were most strongly associated with uncertainty tolerance, satisfaction, and practitioner numbers. Practitioner/unit demographics were mostly nonsignificant. Conclusions. More resilient practitioners experienced frequent satisfaction, relational needs gratification, better uncertainty tolerance, lighter workloads, and practiced on units with more colleagues. Further studies should investigate well-being interventions based on these mutable factors.

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“…Practitioner burnout threatens health reforms by undermining patient‐care quality, safety, cost, and continuity (Bodenheimer & Sinsky, ; Dyrbye & Shanafelt, ; Spinelli, ). Unique challenges of patient care in rural, underserved settings could put practitioners at heightened risk for burnout (Morley, ; Stevenson, Phillips, & Anderson, ). Brief, accurate measures of burnout are needed so that etiologic factors can be thoroughly investigated while placing the least demand on time‐pressured clinicians.…”

Section: Introductionmentioning

confidence: 99%

The reliability and validity of three‐item screening measures for burnout: Evidence from group‐employed health care practitioners in upstate New York

2017

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We investigate the psychometric validity and reliability of three-item screening measures for emotional exhaustion, depersonalization, and personal achievement comprising an abbreviated version of the Maslach Burnout Inventory®. Despite its utilization in multiple studies, the shortened instrument has not been sufficiently validated in diverse settings, populations, and organizational contexts. We examine its ability to assess burnout accruing from patient care practice in a rural, underserved area. Utilizing data from a cross-sectional survey of 308 rural-based medical professionals, we investigate how the three short-form subscales of the nine-item abbreviated inventory compare with their gold-standard parent subscales from the original 22-item human services scale in measuring corresponding dimensions of burnout. The findings provide significant evidence that the three-item measures are valid and reliable proxies for the long-form subscales.The short-form measures are highly correlated with the original subscales and display high convergent and discriminant validity. Each of the abbreviated subscales manifests the kind of high sensitivity with adequate specificity that one would expect to see in a good screening instrument.We conclude that the short-form measures can be utilized to rapidly screen human service professionals such as rural health care practitioners for symptoms of each of the three dimensions of burnout. KEYWORDSabbreviated Maslach burnout inventory, health care workforce, quality of work-life, short-form scales, stress resilience, validation studies

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Supporting Physicians Who Work in Challenging Contexts: A Role for the Academic Health Center

Cited by 10 publications

References 20 publications

Self-reported Vicarious Trauma in Asylum Evaluators: A Preliminary Survey

Self-reported Vicarious Trauma in Asylum Evaluators: A Preliminary Survey

Resilience among Employed Physicians and Mid‐Level Practitioners in Upstate New York

The reliability and validity of three‐item screening measures for burnout: Evidence from group‐employed health care practitioners in upstate New York

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