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Developing a Portfolio to Support Physicians’ Efforts to Promote Well-being: One Piece of the Puzzle

      Professional distress and burnout are major problems for physicians worldwide. Although on matriculation physicians-to-be have better mental health profiles than those of age-matched peers, this advantage rapidly reverses during medical school and residency training.
      • Brazeau C.M.
      • Shanafelt T.
      • Durning S.J.
      • et al.
      Distress among matriculating medical students relative to the general population.
      This change is, in part, fueled by a number of distinct professional challenges, including complex and high-stakes decision making, long work hours, exposure to human suffering, and a set of professional norms that often result in perfectionism and self-criticism.

      Trockel M, Hamidi MS, Menon NK, et al. Self-valuation: attending to the most important instrument in the practice of medicine. Mayo Clin Proc. 2019;94(10):2022-2031.

      Widespread adoption of the electronic health record system has added administrative burden and increased isolation. Physician distress stemming from this array of factors has important personal (depression, suicidal ideation, substance abuse, broken relationships) and professional (reduced clinical hours, turnover, early retirement, lower patient satisfaction, and suboptimal clinical outcomes) repercussions.
      • Hall L.H.
      • Johnson J.
      • Watt I.
      • Tsipa A.
      • O’Connor D.B.
      Healthcare staff wellbeing, burnout, and patient safety: a systematic review.
      Comprehensive solutions are required to address this complex problem.
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      References

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        • Shanafelt T.
        • Durning S.J.
        • et al.
        Distress among matriculating medical students relative to the general population.
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      1. Trockel M, Hamidi MS, Menon NK, et al. Self-valuation: attending to the most important instrument in the practice of medicine. Mayo Clin Proc. 2019;94(10):2022-2031.

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        Healthcare staff wellbeing, burnout, and patient safety: a systematic review.
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