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Importance of Physician Wellness in Battling Burnout

  • Physician Wellness and Burnout (J Hackworth and K Jerardi, Section Editors)
  • Published:
Current Treatment Options in Pediatrics Aims and scope Submit manuscript

Abstract

Purpose of review

Recently, much attention has been given to physician well-being and wellness programs in order to decrease physician burnout. Burnout has been known to emerge during the early years of medical training and has been reported among a large proportion of medical students. Burnout not only affects the well-being of medical providers, but also the delivery of safe and high-quality patient care. The goal of this article is to review the literature and examine the evidence of various studies and physician wellness programs and their effects on physician well-being.

Recent findings

Physician burnout is a pervasive problem and is a cause for concern. Burnout is characterized as emotional exhaustion, depersonalization (treating patients as objects), and low sense of accomplishment. Consequences of physician burnout are poor quality of care delivered to patients, decreased patient satisfaction, increased risk for medical errors, and lawsuits. Physician burnout may also negatively impact the individual’s health, interpersonal relationships with family, and loved ones, and can also lead to substance abuse and mental health challenges.

Summary

About one-third to one-half of physicians experience burnout. Burnout can alter the physician-patient relationship and the quality of care physicians provide. The primary purpose of this report is to shift the focus from burnout to physician preventive health and wellness strategies.

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References and Recommended Reading

Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance

  1. Shanfelt T, Sloan J, Habermann T. The wellbeing of physicians. Am J Med. 2003;114(6):513–7.

    Article  Google Scholar 

  2. Maslach C, Jackson S. Maslach burnout inventory manual. 2nd ed. Palo Alto, CA: Consulting Psychologist Press; 1986.

    Google Scholar 

  3. Longo Y, Coyne I, Joseph S. The scales of general well-being. Personal Individ Differ. 2017;109:148–59.

    Article  Google Scholar 

  4. Zuger A. Dissatisfaction with medical practice. N Engl J Med. 2004;350:69–75.

    Article  PubMed  CAS  Google Scholar 

  5. Bettes BA, Chalas E, Goleman VH, Schulkin J. Heavier workload, less personal control: impact of delivery on obstetrician/gynecologists’ career satisfaction. Am J Obstet Gynecol. 2004;190:851–7.

    Article  PubMed  Google Scholar 

  6. Kravitz RL, Leigh JP, Samuels SJ, Schembri M, Gilbert WM. Tracking career satisfaction and perceptions of quality among US obstetricians and gynecologists. Obstet Gynecol. 2003;102(3):463–70.

    PubMed  Google Scholar 

  7. Leigh JP, Kravitz RL, Schembri M, Samuels SJ, Mobley S. Physician career satisfaction across specialties. Arch Intern Med. 2002;162:1577–84.

    Article  PubMed  Google Scholar 

  8. Wetterneck TB, Linzer M, McMurray JE, Douglas J, Schwartz MD, Bigby J, et al. Worklife and satisfaction of general internists. Arch Intern Med. 2002;162:649–56.

    Article  PubMed  Google Scholar 

  9. IsHak WW, Lederer S, Mandili C, Nikravesh R, Seligman L, Vasa M, et al. Burnout during residency training: a literature review. Grad Med Educ. 2009;1(2):236–42.

    Article  Google Scholar 

  10. Wilters JH. Stress, burnout and physician productivity. MGMA J. 1998;May/June:32–37.

  11. Epstein RM, Krasner MS. Physician resilience: what it means, why it matters, and how to promote it. Acad Med. 2013;88(3):301–3. https://doi.org/10.1097/ACM.0b013e318280cff0.

    Article  PubMed  Google Scholar 

  12. Moutier C, Norcross W, Jong P, et al. The suicide prevention and depression awareness program at the University of Calfornia, San Diego School of Medicine. Acad Med. 2012;87(3):320–6.

    Article  PubMed  Google Scholar 

  13. Schernhammer ES, Coldlitz GA. Suicide rates among physicians a quantitative and gender assessment (meta-analysis). Am J Psychiatry. 2004;161(12):2295–302.

    Article  PubMed  Google Scholar 

  14. Schernhammer ES. Taking their own lives-the high rate of physician suicide. N Engl J Med. 2005;352(24):2473–6.

    Article  PubMed  CAS  Google Scholar 

  15. Gross CP, Mead L, Ford D. Physician, heal thyself? Regular source of care and use of preventive health services among physicians. Arch Intern Med. 2000;160:3209–14.

    Article  PubMed  CAS  Google Scholar 

  16. Maslach C, Jackson SW, Leiter MP. Maslach burnout inventory. 3rd ed. Mountainview, CA: Consulting Psychologists Press; 1996.

    Google Scholar 

  17. •• Eckleberry-Hunt J, Van Dyke A, Lick D, Tucciarone J. Changing the conversation from burnout to wellness: physician wellbeing in residency training programs. J Graduate Med Ed. 2009:225–30. This study demonstrated a novel approach within a residency program to increase burnout awareness and help shift from physician burnout to promoting wellness programs within the residency program.

  18. Dishman RK, Berthoud HR, Booth FW, Cotman CW, Edgerton R, Fleshner MR, et al. Neurobiology of exercise. Obesity. 2006;14(3):345–56.

    Article  PubMed  CAS  Google Scholar 

  19. Landmann N, Kuhn M, Piosczyk H, Feige B, Baglioni C, Spiegelhalder K, et al. The reorganisation of memory during sleep. Sleep Med Rev. 2014;18(6):531–41.

    Article  PubMed  Google Scholar 

  20. Weight CJ, Sellon JL, Lessard-Anderson CR, Shanafelt TD, Olsen KD, Laskowski ER. Physical activity, quality of life, and burnout among physician trainees: the effect of a team-based, incentivized exercise program. Mayo Clin Proc.

  21. Zailinawati AH, Teng CL, Chung YC, Teow TL, Lee PN, Jagmohni KS. Daytime sleepiness and sleep quality among Malaysian medical students. Med J Malaysia. 2009;64(2):108–10.

    PubMed  CAS  Google Scholar 

  22. Greenwood BN, Fleshner M. Exercise, learned helplessness, and the stress-resistant brain. NeuroMolecular Med. 2008;10(2):81–98.

    Article  PubMed  CAS  Google Scholar 

  23. National Sleep Foundation, How much sleep do we really need? 2013; http://www.sleepfoundation.org/article/how-sleep-works/how-much-sleep-do-we-really-need. Accessed January 30, 2014.

  24. Rath T, Harter J. Well being: the five essential elements. New York: Gallup Press; 2010.

    Google Scholar 

  25. •• Wolf MR, Rosenstock JB. Inadequate sleep and exercise associated with burnout and depression among medical students. Academic Psych. 2017;41(2):174–9 This study conducted at Pittsburgh Medical School demonstrated that poor sleep and exercise habits, and a positive depression screen were associated with burnout risk within the medical student population.

    Article  Google Scholar 

  26. Collins C. Yoga: intuition, preventive medicine, and treatment. J Obstet Gynecol Neonatal Nurs. 1998;27:563–8.

    Article  PubMed  CAS  Google Scholar 

  27. Chen YY, Lee WL, Tsai SH, Tsai CW. A study on work stress, stress-coping strategies and well-being among hospital nurses. J Meiho Univ. 2013;32:83–97.

    Google Scholar 

  28. Chung YC, Lin CC, Huang MY, Sun JL, Chen PY, Chen KH. A study on effectiveness of yoga for insomnia, low back pain, stress and the physical fitness among nurses. J Health Architecture. 2014;1:49–57.

    Google Scholar 

  29. Chang SL, Lo SF, Wang WH, Lai MM, Chang SS, Lai TS. An exploratory study of job stress, coping and related factors among psychiatric nurses in Eastern Taiwan. Tzu Chi Nurs J. 2003;2:59–69.

    Google Scholar 

  30. Shen HC, Cheng Y, Tsai PJ, Lee SS, Guo YL. Occupational stress in nurses in psychiatric institutions in Taiwan. J Occup Health. 2005;47:218–25.

    Article  PubMed  Google Scholar 

  31. • Shu-Ling Lin SW, Ching-Ya Huang MS, Shau-Ping Shiu SW, Shu-Hui Yeh RN. Effects of yoga on stress, stress adaption and heart rate variability among mental health professionals-a randomized controlled trial. Worldviews Evid Based Nurs. 2015;12(4):236–45 This study demonstrated the benefits of a weekly yoga practice with statistically significant effect of yoga on stress reduction and enhanced stress adaption among mental health care professionals.

    Article  PubMed  Google Scholar 

  32. Jones JW, Barge BN, Fay LM, Kunz LK, Wuebker LJ. Stress and medical malpractice: organizational risk assessment and intervention. J Appl Psychol. 1988;73(4):727–35.

    Article  PubMed  CAS  Google Scholar 

  33. Guide to Yoga-Meditation, by Shri Yogendra. Yogendra publication fund. 1986.

  34. Epstein RM. Mindful practice. JAMA. 1999;282(9):833–9.

    Article  PubMed  CAS  Google Scholar 

  35. Dunn P, Arnetz B, Christensen J, Homer L. Meeting the imperative to improve physician wellbeing: assessment of an innovative program. J Gen Intern Med. 2007;22(11):1544–52.

    Article  PubMed  PubMed Central  Google Scholar 

  36. Horowitz C, Sachman A, Branch W, Frankel R. What do doctors find meaningful about their work? Ann Intern Med. 1995;138(9):772–6.

    Article  Google Scholar 

  37. Krasner M, Epstein R, Beckman H, Suchman A, Chapman B, Mooney C, et al. Association of an educational program in mindful communication with burnout, empathy, and attitude among primary care physicians. JAMA. 2009;12(302):1284–93.

    Article  Google Scholar 

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Author information

Authors and Affiliations

  1. Department of Pediatrics, Division of Neonatology, St. Christopher’s Hospital for Children, 160 East Erie, Philadelphia, 19134, USA

    Roschanak Mossabeb MD

  2. Drexel University College of Medicine, Philadelphia, PA, USA

    Roschanak Mossabeb MD

  3. Temple University Hospital, 3401 North Broad Street, Philadelphia, 19140, USA

    Roschanak Mossabeb MD

  4. Penn Medicine, Section of Hospital Medicine, Chester County Hospital, West Chester, PA, 19380, USA

    Kevin Sowti MD

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  1. Roschanak Mossabeb MD
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  2. Kevin Sowti MD
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Correspondence to Roschanak Mossabeb MD.

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This article is part of the Topical Collection on Physician Wellness and Burnout

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Mossabeb, R., Sowti, K. Importance of Physician Wellness in Battling Burnout. Curr Treat Options Peds 5, 37–43 (2019). https://doi.org/10.1007/s40746-019-00149-4

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  • DOI: https://doi.org/10.1007/s40746-019-00149-4

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