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  • Print publication year: 2018
  • Online publication date: February 2018

44 - Physician Health

from Section 6 - General Considerations

Summary

Introduction

Physician Health is also characterized as physician well-being and relates to physician satisfaction. Becoming a physician is an exciting but arduous process. It requires many years of delayed gratification and hard work with intense situations, long hours, and interactions with many different type of people in a variety of high stress situations. Maintaining enthusiasm and personal spirit can be a challenge at any point in the process, but physicians are typically taught to “grin and bear” because stress is a professional expectation. The old idiom of physician learning “see one, do one, teach one” set the profession up for the trickle down learning and practice pattern of “I did this; now you do this.” Somewhere in the process, physicians learned how to be resilient, maintain empathetic nature, continue to learn and develop skill sets, and manage professional and personal lives.

Physicians are not as good at this balance and maintaining resilience as was once thought. Recent reports from many different agencies and polls report that physicians at all points of their careers are feeling increasingly dissatisfied with the profession, burned out with their day-to-day function, and are unhappy at home. The numbers are staggering over 50 percent. In fact, many resources report an epidemic of physician suicide (over 400 annually) occurring in the United States; this is thought to be grossly underreported and tracked. Physician wellness has obvious effects on personal well-being, the care of patients, and the management of practices, not to mention the potential devastating impact on families and loved ones.

The first step in dealing with this issue is to recognize and address the problem. The fact that a chapter in this book is being dedicated to this subject is an important step into helping to regain control of physicians’ professional and personal lives. Physician reinvigoration and the creation of balance that leads to improved satisfaction, overall positive effects on well-being, and the development of strategies to maintain one's own physician health are important. This chapter will review current evidence on the situation, help to define terms and terminology, and provide suggestions for the improvement of the situation for one's self and one's colleagues.

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1. Shanafelt, TD, Hasan, O, Dyrbye, LN et al., Changes in burnout and satisfaction with work-life balance in physicians and the general US working population between 2011 and 2014. Mayo Clin Proc. 015;90:1600–1613.
2. Peckham, C, Bias and burnout: evil twins, www.medscape.com, January 12, 2016.
3. Sanafelt, TD, Boone, S, Tan, L et al., Burnout and Satisfaction with Work-Life Balance among Us Physicians Relative to the General Us Population. Arch Intern Med, 2012 Oct 8;172(18):1377–1385.
4. O'Dea, B, O'Connor, P, Lydon, S, Murphy, AW, Prevalence of burnout among Irish general practitioners: a cross-sectional study, Ir J Med Sci. 201 7 May;186(2):447–453.
5. Woodland, MB, Winkle, A, Nguyen, A, Morgan, H, CREOG resident and program directors wellness survey 2015, San Antonio, TX, 2015.
6. Woodland, MB, Defrancesco, M, Zahn, C, Bernstein, P, AOCG fellow wellness survey 2015. 2015
7. Cass, I, Duska, LR, Why are OBGYN burning out?, Cont OBGYN. Mar 2016 61(3):6–8.
8. World Health Organization. The ICD-10 Classification of Mental and Behavioural Disorders: Clinical Descriptions and Diagnostic Guidelines. Geneva: World Health Organization; 1992.
9. Bianchi, R, Schonfeld, IS, Laurent, E. Burnout-depression overlap: a review. Clin Psychol Rev. 2015;36:28–41 (abstract).
10. Bianchi, R, Schonfeld, IS, Laurent, E. Is it time to consider the “burnout syndrome” a distinct illness? Front Public Health. 2015;3:158.
11. Dyrbye, LN, Satele, D, Sloan, J, Shanafel, TD Utility of a brief screening tool to identify physicians in distress, Obstet Gynecol. 2011 Mar;117(3):756–761.
12. ACOG Committee Opinion No. 480, Empathy in women's health care, March 2011
13. Sansone, RA, Sansone, LA, Physician suicide: a fleeting moment of despair, Psychiatry (Edgemont) 2009;6(1):18–22.
14. Dewa, CS, Loong, D, Bonato, S, Thanh, NX, Jacobs, P, How does burnout affect physician productivity? A systematic literature review, BMC Health Serv Res, 2014 July 28:14:325 doi: 101186/1472-6963-14-325
15. Winkle, A, Nguye, A, Woodland, MB, CREOG Program Director and Resident Survey and Retreat Presentation, Detroit, MI 2015.
16. Maslach, C, Leiter, MP, Reversing burnout: rekindle your passion for your work, Stanford Social Innovation Review, www.sisreview.com
17. Dyrbye, L, Soltile, W, Boone, S et al., A survey of physicians and their partners regarding impact of work-home conflict, J Gen Intern Med 2014 29(1):155–161.
18. Studer, Q, Ford, G, Healing physician burnout; diagnosing, preventing, and treating, Studor Group LLC 2015;3–4 : 73–101.
19. Lemaire, JB, Wallace, JE, Not all coping strategies are created equal: a mixed methods study exploring physicians’ self-reported coping strategies, BMC Health Serv Res 2010, 10:208 www.biomedcentral.com/1472–6963/10/208
20. Torppa, MA, Makkonen, E, Mårtenson, C, Pitkälä, KH, A qualitative analysis of student Balint groups in medical education: contexts and triggers of case presentations and discussion themes, Patient Educ Couns. 2008 Jul;72(1):5–11. doi: 10.1016/j.pec.2008.01.012. (Epub March 4, 2008)
21. Shanafelt, TD, West, C, Zhao, X et al., Relationship between increased personal well-being and enhanced empathy among internal medicine residents, J Gen Intern Med. 2005 Jul;20(7):559–564.
22. Lee, KJ, Forbes, ML, Lukasiewicz, GJ et al., Promoting staff resilience in the pediatric intensive care unit, Am J Crit Care. 2015 Sep;24(5):422–430. doi: 10.4037/ajcc2015720.