What's new in academic medicine: Can we effectively address the burnout epidemic in healthcare?

Tolentino, Julia C.; Guo, Weidun Alan; Ricca, Robert L.; Vázquez, Daniel; Martins, Noel; Sweeney, Joan; Moalem, Jacob; Derrick, Ellen L. T; Sholevar, Farhad; Marchionni, Christine; Wagner, Virginia; Orlando, James P; Paul, Élisabeth; Psaila, Justin; Papadimos, Thomas J; Stawicki, Stanislaw P.

doi:10.4103/ijam.ijam_47_17

Cited by 13 publications

(2 citation statements)

References 65 publications

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“…Healthcare systems are fundamentally and primarily set up to provide services to our patients, and within such a framework it is easy for the individual provider to "forget" about his or her own well-being. Consequently, it is becoming more appreciated that endless work, without the opportunities to step away from the bedside -again, both emotionally and physically -can lead to burn-out and imbalances in work-life integration [19]. The unhealthy consequences on both the physician and the patient are certainly of big concern, and while the topic is far beyond the scope of the current text, the ability to understand, appreciate, and integrate these concepts will be critical to the longterm professional and personal success and fulfillment that a career in medicine brings.…”

Section: Work-life Integration/balance and Burnoutmentioning

confidence: 99%

Introductory Chapter: Medical Education at the Crossroads - Things Are Not How They Used to Be, Things Are Not as They Seem

Firstenberg¹,

Stawicki²

2022

Medical Education for the 21st Century

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Section: Work-life Integration/balance and Burnoutmentioning

confidence: 99%

Introductory Chapter: Medical Education at the Crossroads - Things Are Not How They Used to Be, Things Are Not as They Seem

Firstenberg¹,

Stawicki²

2022

Medical Education for the 21st Century

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“…Based on the above observations, it follows that mentorship is an emerging tool in combating burnout. In fact, residency training is the stage where physicians are most vulnerable to burnout [23][24][25][26]. The annual cost of burnout-related medical errors and workforce turnover is estimated to be $4.6 billion excluding the emotional cost of these errors to patients, families, and physicians [23,27,28].…”

Section: Mentorship and Burnoutmentioning

confidence: 99%

Mentorship in Postgraduate Medical Education

Deb¹,

Desai²,

McGinley³

et al. 2022

Contemporary Topics in Graduate Medical Education - Volume 2

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Mentorship is critical to the development and professional growth of graduate medical education (GME) trainees. It is a bidirectional relationship between a mentor and a mentee. Mentorship has consistently been shown to be beneficial for both the mentor and mentee, with the mentee gaining valuable skills in education, personal growth, and professional support, and the mentor attaining higher career satisfaction and potentially greater productivity. Yet, there is a lack of research and in-depth analysis of effective mentorship and its role in postgraduate medical education. This chapter outlines different approaches toward mentorship and provides the reader with basic concepts relevant to the effective and competent practice of mentorship. The authors discuss the challenges that physician mentors and mentees face, the organizational models of mentorship, the approaches and techniques for mentorship, and the deleterious effects of mentorship malpractice. Our general discussion touches on best practices for both the mentor and mentee to allow for self-improvement and lifelong learning. The variety of applicable models makes it difficult to measure effectiveness of mentorship in GME, but there is an ongoing need for expanded research on the benefits of mentorship, as greater amount of supporting evidence will likely incentivize organizations to create mentorship-friendly policies and support corresponding institutional changes.

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Abuse, neglect and neurodevelopment across the life course: what can paediatricians and child psychiatrists do about this together? The Illingworth-Rees keynote lecture 2023

Minnis

2023

Arch Dis Child

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Paediatricians and child psychiatrists share complex cases, often associated with abuse, neglect and other ‘Adverse Childhood Experiences (ACEs)’. ACEs are associated in a dose-response relationship with both mental and physical health problems across the life span. We found that 9-year-old children who had been abused and neglected were much more likely to also have symptoms of heritable neurodevelopmental conditions (NDCs) such as ADHD, autism and intellectual disabilities. To our surprise, these were not caused by the abuse and neglect. Instead, both the NDCs and the abuse and neglect were being caused by additional genetic factors. We also found that children who have experienced abuse and neglect, and who also have NDCs, are at twice the risk of developing symptoms of severe mental illness in adolescence. This has caused us to develop our ‘Double Jeopardy’ hypothesis—that experiencing both abuse and neglect and NDCs in childhood might double the risk of a range of physical and mental health problems across the life span.Both paediatricians and child psychiatrists will be faced with children who have complex problems, and they will sometimes need to work together to solve these—whether or not abuse or neglect is in the mix.Dr Corinne Rees’s words were prescient: ‘The truth that psychological issues and behaviour are integral to all illness indicates the necessity for every doctor to feel competent in considering their relevance’. As paediatricians and child psychiatrists, let’s move forward together to overcome the mind-body dichotomy for the benefit of our patients.

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What's new in academic medicine: Can we effectively address the burnout epidemic in healthcare?

Cited by 13 publications

References 65 publications

Introductory Chapter: Medical Education at the Crossroads - Things Are Not How They Used to Be, Things Are Not as They Seem

Introductory Chapter: Medical Education at the Crossroads - Things Are Not How They Used to Be, Things Are Not as They Seem

Mentorship in Postgraduate Medical Education

Abuse, neglect and neurodevelopment across the life course: what can paediatricians and child psychiatrists do about this together? The Illingworth-Rees keynote lecture 2023

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