Career Fit and Burnout Among Academic Faculty

Shanafelt, Tait D.; West, Colin P.; Sloan, Jeff A.; Novotny, Paul J.; Poland, Gregory A.; Menaker, Ron; Rummans, Teresa A.; Dyrbye, Lotte N.

doi:10.1001/archinternmed.2009.70

Cited by 506 publications

(416 citation statements)

References 26 publications

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“…Many issues have previously been identified that affect primary care clinicians, among them the electronic health record, 11,12 inefficiencies in office practice, lack of teamwork, time pressure during office visits, 6 a lack of control in the workplace, 6 and a lack of career fit for time to do what one is most passionate about. 20 Clinics serving minority patients have especially challenging work conditions, 21 and primary care may be hardest to support where it is needed most.…”

Section: Discussionmentioning

confidence: 99%

A Cluster Randomized Trial of Interventions to Improve Work Conditions and Clinician Burnout in Primary Care: Results from the Healthy Work Place (HWP) Study

et al. 2015

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BACKGROUND: Work conditions in primary care are associated with physician burnout and lower quality of care. OBJECTIVE: We aimed to assess if improvements in work conditions improve clinician stress and burnout. SUBJECTS: Primary care clinicians at 34 clinics in the upper Midwest and New York City participated in the study. STUDY DESIGN: This was a cluster randomized controlled trial. MEASURES: Work conditions, such as time pressure, workplace chaos, and work control, as well as clinician outcomes, were measured at baseline and at 12-18 months. A brief worklife and work conditions summary measure was provided to staff and clinicians at intervention sites. INTERVENTIONS: Diverse interventions were grouped into three categories: 1) improved communication; 2) changes in workflow, and 3) targeted quality improvement (QI) projects. ANALYSIS: Multilevel regressions assessed impact of worklife data and interventions on clinician outcomes. A multilevel analysis then looked at clinicians whose outcome scores improved and determined types of interventions associated with improvement. RESULTS: Of 166 clinicians, 135 (81.3 %) completed the study. While there was no group treatment effect of baseline data on clinician outcomes, more intervention clinicians showed improvements in burnout (21.8 % vs 7.1 % less burned out, p=0.01) and satisfaction (23.1 % vs 10.0 % more satisfied, p=0.04). Burnout was more likely to improve with workflow interventions [Odds Ratio (OR) of improvement in burnout 5.9, p=0.02], and with targeted QI projects than in controls (OR 4.8, p=0.02). Interventions in communication or workflow led to greater improvements in clinician satisfaction (OR 3.1, p=0.04), and showed a trend toward greater improvement in intention to leave (OR 4.2, p=0.06). LIMITATIONS:We used heterogeneous intervention types, and were uncertain how well interventions were instituted. CONCLUSIONS: Organizations may be able to improve burnout, dissatisfaction and retention by addressing communication and workflow, and initiating QI projects targeting clinician concerns.KEY WORDS: burnout; primary care; quality improvement; work conditions.

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Section: Discussionmentioning

confidence: 99%

A Cluster Randomized Trial of Interventions to Improve Work Conditions and Clinician Burnout in Primary Care: Results from the Healthy Work Place (HWP) Study

et al. 2015

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“…Burnout is linked with significant personal distress, including depression, substance abuse, divorce, 30,31 and plans to leave the medical profession, 32 all outcomes that are relevant to the affected physician. What our study's results may suggest is that, from the patient perspective, burned-out residents are not Bbad^doctors.…”

Section: Discussionmentioning

confidence: 99%

Burned Out at the Bedside: Patient Perceptions of Physician Burnout in an Internal Medicine Resident Continuity Clinic

et al. 2015

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“…[4][5][6][7] Academic physicians are especially at high risk for experiencing stress because of multiple demands and expectations. 8 Negative effects of physician distress include decreasing level of satisfaction, attrition from academic practice, loss of empathy, decrease in idealism, poor mental health, and burnout. 7,9 Burnout may affect an estimated 25-60% of physicians.…”

Section: Introductionmentioning

confidence: 99%

Stress Management and Resilience Training Among Department of Medicine Faculty: A Pilot Randomized Clinical Trial

et al. 2011

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Career Fit and Burnout Among Academic Faculty

Cited by 506 publications

References 26 publications

A Cluster Randomized Trial of Interventions to Improve Work Conditions and Clinician Burnout in Primary Care: Results from the Healthy Work Place (HWP) Study

A Cluster Randomized Trial of Interventions to Improve Work Conditions and Clinician Burnout in Primary Care: Results from the Healthy Work Place (HWP) Study

Burned Out at the Bedside: Patient Perceptions of Physician Burnout in an Internal Medicine Resident Continuity Clinic

Stress Management and Resilience Training Among Department of Medicine Faculty: A Pilot Randomized Clinical Trial

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