Career Satisfaction of Psychiatrists

DeMello, Jim; Deshpande, Satish P.

doi:10.1176/appi.ps.62.9.1013

Cited by 6 publications

(9 citation statements)

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“…The shortage of psychiatrists is in sharp contrast to the mounting mental health care demands resulting from population increases, returning war veterans, improved and expanded medication options, direct-to-consumer advertising of psychiatric medications, and reductions in the stigma associated with mental health treatment. 44,45 The most severe shortages traditionally occur in rural and economically disadvantaged communities. 44,46 The 2010 Patient Protection and Affordable Care Act will provide insurance coverage for a large number of additional patients seeking mental health treatment in both primary care and specialty settings, and this increase in the number of patients may further exacerbate physician shortages throughout the United States.…”

Section: Background Unmet Needs Of Patients and Shortage Of Providersmentioning

confidence: 99%

“…44,45 The most severe shortages traditionally occur in rural and economically disadvantaged communities. 44,46 The 2010 Patient Protection and Affordable Care Act will provide insurance coverage for a large number of additional patients seeking mental health treatment in both primary care and specialty settings, and this increase in the number of patients may further exacerbate physician shortages throughout the United States. However, increased costs associated with participating in a psychiatric practice, combined with decreases in payments, increases in administrative time, and restrictive treatment protocols, may reduce psychiatrists' inclination to participate in private or public insurance programs.…”

Section: Background Unmet Needs Of Patients and Shortage Of Providersmentioning

confidence: 99%

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Improving medication-related outcomes for patients with psychiatric and neurologic disorders: Value of psychiatric pharmacists as part of the health care team

Goldstone¹,

DiPaula

Caballero

et al. 2015

Mental Health Clinician

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Psychiatric pharmacists have specialized knowledge, skills, and training or substantial experience working with patients with psychiatric or neurologic disorders. As part of the collaborative team with a physician, psychiatric pharmacists can provide comprehensive medication management (CMM), a direct patient care service, to patients with psychiatric or neurologic disorders. CMM is a standard of care in which all medications for an individual patient are assessed to determine appropriateness, effectiveness, safety, and adherence. Studies have shown that when psychiatric pharmacists are included as part of the collaborative team with a physician, medication-related outcomes for patients with psychiatric or neurologic disorders improve. Despite the evidence supporting the value of psychiatric pharmacists as part of the health care team, the very limited mechanisms for compensation for CMM limit the numbers of patients with psychiatric or neurologic disorders who have access to services provided by a psychiatric pharmacist. We believe that all patients with psychiatric or neurologic disorders should have access to CMM provided by a psychiatric pharmacist.

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Section: Background Unmet Needs Of Patients and Shortage Of Providersmentioning

confidence: 99%

Section: Background Unmet Needs Of Patients and Shortage Of Providersmentioning

confidence: 99%

Improving medication-related outcomes for patients with psychiatric and neurologic disorders: Value of psychiatric pharmacists as part of the health care team

Goldstone¹,

DiPaula

Caballero

et al. 2015

Mental Health Clinician

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“…With this as a background, current trends in outpatient mental health care show the necessity for research from a sustainable point of view. Thus, the demand for psychiatric services is increasing worldwide because of population growth, greater evidence for the treatability of mental illness, more efficacious medications, and greater social acceptability of mental illness ( 7 , 8 ). At the same time, there is less money available for, and spent on, the social sector ( 9 ) and a global decline in staff.…”

Section: Introductionmentioning

confidence: 99%

“… Job satisfaction is an indicator of sustainability because it belongs to basic human needs and is part of one’s quality of life ( 19 ). If poorly developed or absent among mental health care professionals, it can have a substantial impact on quality of care, efficiency of health services, recruitment, and retention of qualified staff ( 7 , 23 , 30 ). Low job satisfaction can lead to a decline in medical graduates ( 31 ), increased absenteeism, and high staff turnover ( 30 ).…”

Section: Introductionmentioning

confidence: 99%

Aspects of Sustainability: Cooperation, Job Satisfaction, and Burnout among Swiss Psychiatrists

Baumgardt

Moock

Rössler

et al. 2015

Front. Public Health

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Purpose: Greater sustainability in mental health services is frequently demanded but seldom analyzed. Levels of cooperation, job satisfaction, and burnout are indicators of social sustainability in this field and are of particular importance to medical staff. Because registered psychiatrists play a central role, we assessed the status quo and interactions between these three factors among registered psychiatrists in Switzerland.Method: A postal survey with three standardized questionnaires about cooperation, job satisfaction, and burnout was conducted among all registered psychiatrists in the German-speaking part of Switzerland (n = 1485). Addresses were provided by the Swiss Medical Association.Results: Response rate was 23.7% (n = 352), yielding a largely male sample (62.8%; n = 218) aged 55.5 ± 8.7 years old. Quantity (47 ± 56.2 contacts over 3 months) and duration (91.1 ± 101.6 min per week) of cooperation was found to be diverse depending on the stakeholder. Quality of cooperation was greatest in general practitioners (81.5%) while it was worst in community mental health providers (54.9%). Overall job satisfaction was assessed rather high (3.7 ± 0.8), and burnout rates were below crucial values (Emotional Exhaustion, 2.9 ± 0.8; Depersonalization, 1.9 ± 0.5). Both were positively influenced by cooperation. The strongest correlation was found between job satisfaction and burnout, and both had significant inverse relationships in all dimensions.Conclusion: To foster sustainability in outpatient mental health care regarding cooperation, job satisfaction, and burnout, personal aspects such and age or years of registration, organizational aspects, such as networking and practice setting, as wells as supportive aspects such as psychotherapy, and self-help groups, must be considered. Quality of cooperation should be reinforced in particular. Because Integrated and Managed Care models cover several of these factors, the models should be more strongly embedded in health care systems.

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“…(1) Yüksek stres ve tükenmişlik sendromu, anestezistler ve diğer hekimler arasında mesleki tatminsizliği anlamlı şekilde arttırmaktadır. (2,3) Mesleklerinden memnun olan hekimlerin daha iyi sağlık hizmeti verdiği ve dolayısıyla hastalarının memnuniyetinin de arttığı görülmüştür. (3) Anestezi asistanları, anestezi uygulamalarının en önemli parçalarından biridir.…”

Section: Introductionunclassified

Tek Merkezli̇ Anket Çalişmasi: Anestezi̇ Asi̇stanlari Arasinda Mesleki̇ Değerlendi̇rme

Büget¹,

Aksoy²,

Achmet³

et al. 2015

İst Tıp Fak D

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Anesteziyoloji kurum içinde farklı uygulama mekânları, çeşitli ekiplerle işbirliği gereksinimi, sıklıkla ivedi ve doğru kararların alınmasını gerektiren özellikli bir branştır. Bu açıdan stres sıklıkla yaşanmaktadır. Yönetilemeyen stresin anestezistler için dünya çapında bir sorun olabileceği bildirilmiştir. Bu çalışmada eğitim sürecinde anestezi asistanlarında mesleki tatmin ve stres nedenlerini araştırırken, "iyi" bir anestezistin sahip olması gereken nitelikleri sıralamayı hedefledik. Gereç ve yöntem: Etik kurul onayı alındıktan sonra, değerlendirme 17 soru içeren bir anket hazırlandı. Açık uçlu sorularda işle ilgili başarı ve endişeyi sorgulamaya yönelikti. Sorunlara çözüm üretilmesi, "takım" hissine ilişkin sorularda Likert skalalı olarak düzenlendi. Bu ankete İstanbul Tıp Fakültesi Anesteziyoloji bölümünde çalışan tüm asistanlar katıldı (13.11.2012). Bulgular: Anket çalışmamıza 41 kişi katıldı. Katılımcıların 28'i (%68) 2 yılın üzerinde, 13'ü (%32) 2 yılın altındaydı. Mesleki tatminde sırasıyla uygulama başarısı (%65), zor olguların yönetimi (%12), yoğun bakım çalışmaları (%10) dile getirildi. Ekibin bir parçası olma hissi genellikle paylaşılıyordu (%55). İşle ilgili zorluk belirgin şekilde nöbet ertesi çalışma (%43) olarak söylendi. Endişe kaynakları yetersizlik hissi (%17) ve gelecek kaygısı (%17) ile birlikte zor entübasyon olguları (%14) yer aldı. İdeal anestezistin özellikleri soğukkanlılık (%18), pratiklik (% 16), mesleki bilgi açısından yeterlilik (%15) olarak tanımlandı. Mesleki önceliklerde hasta güvenliği ve eğitim ilk sırayı paylaştı (% 35 ve 33). Sonuç: Anestezistler çalışma koşulları itibariyle stres yaşamaktadır. Stresi yönetebilmek ve çözüm üretilebilmek için nedenlerin belirlenmesi şarttır. Öte yandan, "İdeal" anestezist kavramının eğitim sürecinde hedeflerin belirlenmesinde önemli gibi gözükmektedir. Yine anestezinin eğitiminde stres yönetiminin öğrenilmesi, stres ile başa çıkma yöntemleri mutlaka yer almalıdır. Anahtar Kelimeler: Anket; anestezi asistanları; stres ABSTRACT Objective: Anesthesiology is a special branch which requires different practice places, necessity for collaboration with various teams and frequently taking fast and right decisions. In this respect, stress is frequently experienced. It has been reported that unmanaged stress has become a worldwide concern for the anesthesiologists. In this study, we aimed to investigate the reasons for anesthesiology residents' professional satisfaction and stress during their training period and we have tried to identify the qualifications which a good anesthesiologist should have. Materials and methods: After obtaining the Ethical Committee's approval, we prepared a survey containing 17 questions. Open ended questions aim to inquire the success and anxiety regarding the work. Finding solutions for problems has been made under "team" feeling related questions on the basis of Likert scale. All residents working at Anesthesiology and Intensive Care Department, Istanbul University Faculty of Medicine participated in this survey (13.11.20...

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Career Satisfaction of Psychiatrists

Abstract: The results of this study highlight the need for policy makers and health care administrators to develop specific strategies to increase career satisfaction, which in return may help alleviate the shortage of psychiatrists.

Cited by 6 publications

References 0 publications

Improving medication-related outcomes for patients with psychiatric and neurologic disorders: Value of psychiatric pharmacists as part of the health care team

Improving medication-related outcomes for patients with psychiatric and neurologic disorders: Value of psychiatric pharmacists as part of the health care team

Aspects of Sustainability: Cooperation, Job Satisfaction, and Burnout among Swiss Psychiatrists

Tek Merkezli̇ Anket Çalişmasi: Anestezi̇ Asi̇stanlari Arasinda Mesleki̇ Değerlendi̇rme

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