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Chapter 2 - The Burned-Out Physician

Published online by Cambridge University Press:  08 July 2022

John E. Kello
Affiliation:
Davidson College, North Carolina
Joseph A. Allen
Affiliation:
University of Utah
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Summary

The prevalence of burnout among physicians and other healthcare providers is at distressingly high, record levels, such that burnout among practitioners may be fairly characterized as a crisis. While the medical career has many benefits and is widely respected, many of the requirements of the job, especially the growing workload, make it especially stressful. Plus, they have all the life-stressors outside work that others face. And, while burnout is identified as a workplace syndrome, stress is cumulative, adding up from any and all sources. Burned-out physicians will experience dysfunctional physical, psychological, and behavioral symptoms. Of the many troubling manifestations of burnout, medical error is an especially high-profile one that is receiving more and more attention, and which we will highlight in this book. While the focus of our book is mainly on physicians in the United States, the data are similar for nurses, medical students, physician assistants, pharmacists, and others in the healthcare enterprise, and the data are similar for healthcare providers outside the United States. The crisis of burnout among healthcare providers has been greatly intensified by the global pandemic.

Type
Chapter
Information
The Burned Out Physician
Managing the Stress and Reducing the Errors
, pp. 28 - 44
Publisher: Cambridge University Press
Print publication year: 2022

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References

Anderson, P. (2018, May 8). Doctors’ suicide rate highest of any profession. WebMD. Retrieved from www.webmd.com/mental-health/news/20180508/doctors-suicide-rate-highest-of-any-profession#1.Google Scholar
Androus, A. B. (2020, December 15). Nurse suicides: Unveiling the shrouds of silence. Registered Nursing.org. Retrieved March 2, 2021, from www.registerednursing.org/articles/nurse-suicides/.Google Scholar
Barker, A. (2018). Pharmacist suicide risk: What we know and don’t know. The Happy PharmD. Retrieved from www.thehappypharmd.com/pharmacist-suicide-risk-what-we-know-and-dont-know/.Google Scholar
Brusie, C. (2019). Study reveals alarming statistics on nurse burnout. Nurse.org. Retrieved from https://nurse.org/articles/nurse-burnout-statistics/.Google Scholar
Campbell, D. (2020). Third of UK doctors report burnout and compassion fatigue. The Guardian. Retrieved September 28, 2020, from www.theguardian.com/society/2020/jan/27/third-of-uk-doctors-report-burnout-and-compassion-fatigue.Google Scholar
Christianson, M. K., Sutcliffe, K. M., Miller, M. A., & Iwashyna, T. J. (2011). Becoming a high reliability organization. Critical Care, 15(6), 314. doi: 10.1186/cc10360.Google Scholar
Cimiotti, J. P., Aiken, L. H., Sloane, D. M., & Wu, E. S. (2012). Nurse staffing, burnout, and health care–associated infection. American Journal of Infection Control, 40(6), 486490.Google Scholar
Clark, M. (2021). 50+ shocking physician burnout statistics you’ll never believe. Etactics. Retrieved from https://etactics.com/blog/physician-burnout-statistics.Google Scholar
Cook, J. (2019). Majority of UK doctors are burnt out, study shows. GP Magazine. Retrieved September 28, 2020, from www.gponline.com/majority-uk-doctors-burnt-out-study-shows/article/1584800.Google Scholar
Dyrbye, L. N., West, C. P., Sinsky, C. A., Goeders, L. E., Satele, D. V., & Shanafelt, T. D. (2017). Medical licensure questions and physician reluctance to seek care for mental health conditions. Mayo Clinic Proceedings, 92(10), 14861493. https://doi.org/10.1016/j.mayocp.2017.06.020.Google Scholar
Firth, S. (2019). Suicide risk in nurses higher than general population. MedpageToday. Retrieved from www.medpagetoday.com/nursing/nursing/81003.Google Scholar
Gaines, K. (2019). Joint Commission tackles nurse burnout in new report. Nurse.org. Retrieved from https://nurse.org/articles/joint-commission-tackles-nurse-burnout/.Google Scholar
Gerada, C. (2018). Doctors and suicide. British Journal of General Practice, 68(669), 168169.CrossRefGoogle ScholarPubMed
Gold, K. J., Andrew, L. B., Goldman, E. B., & Schwenk, T. L. (2016). “I would never want to have a mental health diagnosis on my record”: A survey of female physicians on mental health diagnosis, treatment, and reporting. General Hospital Psychiatry, 43, 5157. https://doi.org/10.1016/10.1016/j.genhosppsych.2016.09.004.Google Scholar
Hackman, J. R., & Oldham, G. R. (1976). Motivation through the design of work: Test of a theory. Organizational Behavior and Human Performance, 16(2), 250279.Google Scholar
Hill, R. G., Jr., Sears, L. M., & Melanson, S. W. (2013). 4000 clicks: A productivity analysis of electronic medical records in a community hospital ED. The American Journal of Emergency Medicine, 31(11), 15911594.Google Scholar
Jones, G. M., Roe, N. A., Louden, L., & Tubbs, C. R. (2017). Factors associated with burnout among US hospital clinical pharmacy practitioners: Results of a nationwide pilot survey. Hospital Pharmacy, 52(11), 742751. https://doi.org/10.1177/0018578717732339.Google Scholar
Kane, L. (2019). Medscape National Physician Burnout, Depression & Suicide Report 2019. Medscape. Retrieved from www.medscape.com/slideshow/2019-lifestyle-burnout-depression-6011056#2.Google Scholar
King, C., & Bradley, L. A. (2019). Trends & implications with nursing engagement. PRC Custom Research. Retrieved from https://prccustomresearch.com/wp-content/uploads/2019/PRC_Nursing_Engagement_Report/PRC-NurseReport-Final-031819-Secure.pdf.Google Scholar
Locke, T. (2018). Medscape UK Doctors’ Burnout & Lifestyle Survey 2018. Medscape. Retrieved from www.medscape.com/slideshow/uk-burnout-report-6011058#:~:text=Burnout%20continues%20to%20be%20a,to%20be%20most%20at%20risk.Google Scholar
Locke, T. (2019). Medscape global physicians’ burnout and lifestyle comparisons. Medscape. Retrieved from www.medscape.com/slideshow/2019-global-burnout-comparison-6011180#5.Google Scholar
Physician burnout: A global crisis. (2019). The Lancet, 394(10192), 93. doi: https://doi.org/10.1016/S0140-6736(19)31573-9.Google Scholar
Physicians Foundation. (2018). 2018 Survey of America’s Physicians Practice Patterns & Perspectives. Retrieved from https://physiciansfoundation.org/wp-content/uploads/2018/09/physicians-survey-results-final-2018.pdf.Google Scholar
Reinhart, R. (2021, January 14). Nurses continue to rate highest in honesty, ethics. Gallup. Retrieved March 2, 2021, from https://news.gallup.com/poll/274673/nurses-continue-rate-highest-honesty-ethics.aspx.Google Scholar
Rizzo, L. H. (2018). Suicide among nurses: What we don’t know might hurt us. American Nurse. Retrieved from www.myamericannurse.com/suicide-among-nurses-might-hurt-us/.Google Scholar
Shukla, V. (2019). Top 10 most respected professions in the world. Value Walk. Retrieved from www.valuewalk.com/2019/03/top-10-most-respected-professions/.Google Scholar
Sutherland, S. (2017). Survey finds nearly half of nurses considering leaving the profession. RN Network. Retrieved from https://rnnetwork.com/blog/rnnetwork-nurse-survey/.Google Scholar
Traynor, K. (2019, January 31). Pharmacists examine risks, remedies for burnout. ASHP.org. Retrieved March 2, 2021, from www.ashp.org/news/2019/01/30/pharmacists-examine-risks-remedies-for-burnout?loginreturnUrl=SSOCheckOnly.Google Scholar
World Health Organization (WHO). (2021). Health and care worker deaths during COVID-19. Retrieved from www.who.int/news/item/20-10-2021-health-and-care-worker-deaths-during-covid-19.Google Scholar

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