Burnout
Changes in Burnout and Satisfaction With Work-Life Integration in Physicians and the General US Working Population Between 2011 and 2020
To evaluate the prevalence of burnout and satisfaction with work-life integration (WLI) among physicians and US workers in 2020 relative to 2011, 2014, and 2017.Health Care Expenditures Attributable to Primary Care Physician Overall and Burnout-Related Turnover: A Cross-sectional Analysis
To estimate the excess health care expenditures due to US primary care physician (PCP) turnover, both overall and specific to burnout.Four Key Questions Leaders Can Ask to Support Clinicians During the COVID-19 Pandemic Recovery Phase
Individual clinicians are typically able to step up for a temporary crisis, but when crisis becomes steady-state, the stress can be unsustainable. As a nation, the levels of concern about clinician burnout resulting from the stresses of the coronavirus disease 2019 (COVID-19) pandemic are rising. There is an increased focus on supporting clinicians during the pandemic recovery phase and beyond. This requires health care leaders to authentically and effectively develop strategies to address these stressors and support their clinicians.Physician Well-being 2.0: Where Are We and Where Are We Going?
Although awareness of the importance of physician well-being has increased in recent years, the research that defined this issue, identified the contributing factors, and provided evidence on effective individual and system-level solutions has been maturing for several decades. During this interval, the field has evolved through several phases, each influenced not only by an expanding research base but also by changes in the demographic characteristics of the physician workforce and the evolution of the health care delivery system.Physicians’ Ratings of their Supervisor’s Leadership Behaviors and Their Subsequent Burnout and Satisfaction: A Longitudinal Study
To evaluate the relationships between immediate supervisors’ leadership qualities and the subsequent levels and changes in burnout and satisfaction of supervised physicians 2 years later.How Feedback Is Given Matters: A Cross-Sectional Survey of Patient Satisfaction Feedback Delivery and Physician Well-being
To evaluate how variation in the way patient satisfaction feedback is delivered relates to physician well-being and perceptions of its impact on patient care, job satisfaction, and clinical decision making.Colleagues Meeting to Promote and Sustain Satisfaction (COMPASS) Groups for Physician Well-Being: A Randomized Clinical Trial
To evaluate physician small groups to promote physician well-being in a scenario with provided discussion topics but without trained facilitators, and for which protected time was not provided but meal expenses were compensated.Foster Well-being Throughout the Career Trajectory: A Developmental Model of Physician Resilience Training
Physician burnout is common across specialties and largely driven by demands of the current health care industry. However, the obvious need for systems change does not address the unavoidable impact of providing care to those who suffer. An intentional, developmental, longitudinal approach to resiliency training would not distract from fixing a broken system or blame physicians for their distress. Existing models and approaches to resilience training are promising but limited in duration, scope, and depth.Association of Occupational Distress and Sleep-Related Impairment in Physicians With Unsolicited Patient Complaints
To study the relationship between occupational distress and sleep-related impairment in physicians and unsolicited patient complaints.Relationship Between Organizational Leadership and Health Care Employee Burnout and Satisfaction
To explore the relationship between immediate supervisor leadership behaviors and burnout and professional satisfaction of health care employees.The Association Between Perceived Electronic Health Record Usability and Professional Burnout Among US Physicians
To describe and benchmark physician-perceived electronic health record (EHR) usability as defined by a standardized metric of technology usability and evaluate the association with professional burnout among physicians.Healing the Professional Culture of Medicine
The past decade has been a time of great change for US physicians. Many physicians feel that the care delivery system has become a barrier to providing high-quality care rather than facilitating it. Although physician distress and some of the contributing factors are now widely recognized, much of the distress physicians are experiencing is related to insidious issues affecting the cultures of our profession, our health care organizations, and the health care delivery system. Culture refers to the shared and fundamental beliefs of a group that are so widely accepted that they are implicit and often no longer recognized.Optimization Sprints: Improving Clinician Satisfaction and Teamwork by Rapidly Reducing Electronic Health Record Burden
To evaluate a novel clinic-focused Sprint process (an intensive team-based intervention) to optimize electronic health record (EHR) efficiency.Changes in Burnout and Satisfaction With Work-Life Integration in Physicians and the General US Working Population Between 2011 and 2017
To evaluate the prevalence of burnout and satisfaction with work-life integration among physicians and other US workers in 2017 compared with 2011 and 2014.Physician Burnout, Well-being, and Work Unit Safety Grades in Relationship to Reported Medical Errors
To evaluate physician burnout, well-being, and work unit safety grades in relationship to perceived major medical errors.Professional Satisfaction and the Career Plans of US Physicians
To evaluate the relationship between burnout, satisfaction with electronic health records and work-life integration, and the career plans of US physicians.Decreasing Patient Stress and Physician/Medical Workforce Burnout Through Health Care Environments: Uncovering the Serious Leisure Perspective at Mayo Clinic's Campus in Rochester, Minnesota
Health care environments are places of high stress for both patients and medical professionals. Although organizational efforts of workload and efficiency are often implemented to decrease both patient and physician/medical workforce stress, what is often overlooked is how leisure opportunities and programs located in day-to-day experiences and in physically built environments can increase both patient and medical staff enjoyment and pleasure, thus lowering patient stress and physician/medical staff burnout.Association Between Physician Burnout and Identification With Medicine as a Calling
To evaluate the association between degree of professional burnout and physicians’ sense of calling.Empathy in the Time of Burnout
I want to be a doctor so that I can see more patients per hour with higher patient satisfaction scores than any of my peers, said no medical school applicant ever. Yet, these are 2 of the more common metrics used to assess (and incentivize) physicians. Go faster. Be nicer. Unfortunately, American physicians are burning out en masse. Must the beatings continue until morale improves?Potential Impact of Burnout on the US Physician Workforce
The US Department of Health and Human Services projects a shortfall of 45,000 to 90,000 physicians by 2025.1,2 The magnitude of this shortage may be more acute in specialties such as the primary care disciplines and general surgery.1 One underrecognized factor that may influence the supply of physicians is professional burnout. Based on a prospective, longitudinal analysis of burnout and payroll records, we recently reported that higher emotional exhaustion (EE) (a dimension of burnout) is associated with an increased likelihood that physicians will reduce their professional work effort.MACRA Regulatory Burdens and the Threat of Physician Burnout
The research article by Shanafelt et al1 regarding clerical burden and physician burnout is timely and provides much needed objective data in this arena. No doubt, for most physicians, the current electronic environment has greatly increased the clerical burden of physicians without necessarily enhancing the quality of medical care or workflow efficiency. This burden will be especially heavy for small practices that lack the administrative resources found in large health care organizations.Physician Attitudes About Maintenance of Certification: A Cross-Specialty National Survey
To determine physicians' perceptions of current maintenance of certification (MOC) activities and to explore how perceptions vary across specialties, practice characteristics, and physician characteristics, including burnout.Relationship Between Clerical Burden and Characteristics of the Electronic Environment With Physician Burnout and Professional Satisfaction
To evaluate associations between the electronic environment, clerical burden, and burnout in US physicians.Factors Affecting Burnout in Physicians
I appreciated the insightful data presented by Shanafelt et al1 in their article in the December 2015 issue of Mayo Clinic Proceedings, and I share the concerns about burnout rates among physicians in the United States. Although burnout is undoubtedly a multifactorial issue, one wonders about the role of recent federal mandates.Burnout and the Ethos of Medical Practice
The article by Shanafelt et al1 published in the December 2015 issue of Mayo Clinic Proceedings describes the very serious and worsening problem of burnout among American physicians, and the editorial by Ariely and Lanier2 attempts to elucidate the causes, noting asymmetrical awards, loss of autonomy, and cognitive scarcity. I could not agree more on one point that Ariely and Lanier made, that the “micromanaging of physicians' time and decisions” in the name of productivity by their corporate overseers is a major factor in the burnout and that it needs to be addressed.
