Practice Management Book

Stress

  • Provider Burnout

http://www.fpnotebook.com/

Provider Burnout

Aka: Provider Burnout
  1. Risk Factors
    1. Emotional and physical exhaustion
      1. High patient morbidity and mortality
      2. Litigation risk
      3. Circadian rhythm disturbance (i.e. night shifts)
    2. Depersonalization (e.g. cynicism)
    3. Decreased personal accomplishment perception
    4. Decreased work-life balance satisfaction (i.e. general surgery, OB/Gyn, surgical specialties)
  2. Risk factors: Specialty
    1. Positive risks (higher burnout rates)
      1. Family Medicine
      2. General Internal Medicine
      3. Emergency Medicine
    2. Negative risks (lower burnout rates)
      1. Dermatology
      2. Pathology
      3. Pediatrics
  3. Complications
    1. Decreased quality of patient care
    2. Decreased professionalism
    3. Increased medical errors
    4. Self-destructive behaviors (e.g. Alcoholism or Drug Abuse)
  4. Prevention
    1. Life balance strategy
      1. Plan pleasurable activities for yourself and with family and friends
      2. Schedule pleasurable activities on your life calendar
      3. Orman, Herbert and Drummond in Herbert (2016) EM:Rap 16(8):8
    2. Coping
      1. Vacation
      2. Stress Reduction
      3. Support groups among colleagues
      4. Socialize with colleagues
      5. Healthy behaviors including regular Exercise
    3. Engage in adjunctive activities that increasejob satisfaction
      1. Leadership roles
      2. Ensure job security and appropriate compensation (e.g. night shifts should receive fair pay)
      3. Encourage a supportive environment
      4. Teaching or consulting
  5. Resources
    1. Shawn Achor: The happy secret to better work | TED Talk
      1. https://www.ted.com/talks/shawn_achor_the_happy_secret_to_better_work?language=en
  6. References
    1. Bright and Shoenberger in Majoewsky (2013) EM:Rap 13(6): 10
    2. Cydulka (2008) Ann Emerg Med 51(6): 714-22 [PubMed]
    3. Shanafelt (2012) Arch Intern Med 172(18):1377-85 [PubMed]

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