Evaluation of Work Satisfaction, Stress, and Burnout Among US Internal Medicine Physicians and Trainees

Linzer, Mark; Smith, Cynthia D.; Hingle, Susan; Poplau, Sara; Miranda, Richard h.; Freese, Rebecca; Palamara, Kerri

doi:10.1001/jamanetworkopen.2020.18758

Cited by 54 publications

(40 citation statements)

References 7 publications

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“…In recent years, increased administrative burden, productivity metrics and work-life imbalance have caused a high burnout rate amongst healthcare workers (HCW) [1]. A survey of 7500 physicians from 8 countries during the COVID-19 pandemic reveals that this burnout has reached an alarmingly high-rate [2].…”

mentioning

confidence: 99%

COVID-19 and health care workers burnout: A call for global action

Kaushik¹

2021

EClinicalMedicine

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mentioning

confidence: 99%

COVID-19 and health care workers burnout: A call for global action

Kaushik¹

2021

EClinicalMedicine

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“…In the aforementioned survey of 1,305 internists, the odds of burnout in women were 56% higher compared than in men [52]. Women also had 61% lower odds of having a joyful workplace, 61% less chance of having a manageable work pace (including EMR-related stress), and 39% lower odds for experiencing a supportive work environment [52]. In the previously mentioned meta-analysis of over 36,000 resident physicians, multiple personal factors correlated with burnout: poor mental or physical health, female sex, financial worries, and low self-efficacy [51].…”

Section: Gendermentioning

confidence: 96%

Section: Gendermentioning

confidence: 99%

“…In a survey of 1,305 internal medicine physicians and residents, burnout correlated with lack of work control (p < .001) and documentation time pressure (p = .002). Alternatively, job satisfaction was associated with professional values aligning with those of clinical leaders, and efficient teamwork [52]. Among US general surgery residents, burnout rates by hours worked indicated that a stark 100% of those working ≥ 80 hours per week experienced burnout [47].…”

Section: Work Environmentmentioning

confidence: 99%

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Wellness Review 2020, Part 2

Ferguson¹,

Huecker²

2020

JWellness

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Introduction: This article comprises Part 2 of the Journal of Wellness review of 2020 wellness literature (July – December). In this review, JWellness editors continue the goal of offering a cohesive summary of recent publications within the wellness domain. We summarize new science and resilience initiatives published outside of JWellness that seek understanding of either burnout and its prevention or thriving in the medical community. Methods: From the interval of 01 July – 31 Dec 2020, PubMed was queried for empirical research studies, review articles, and editorials in accordance with the following algorithm: an article was required to have two delineating keywords, each from a separate grouping. The first identified medical professionals in either the title or the abstract: (“clinical professionals,” “physicians,” or “caregivers”), and the other identified a wellness-related keyword in the title: (“wellness,” “burnout,” “resilience,” or “resiliency”). Literature in Review: A total of 234 articles resulted. The list for inclusion was then narrowed to sixty-three articles plus one that was hand-picked. Recent literature into physician wellness, burnout and resilience continues to focus heavily on COVID-19. Well-researched topics include burnout surveillance, proposals for and small investigations into resilience, multiple studies attempting to differentiate characteristics that predispose to burnout, and the impact of the pandemic. Less has been written on leadership, financial wellness, and sustainable resilience-building initiatives. We note relatively few control-measured interventional studies—the majority of which remain small in endeavor and short in duration, limiting generalizability. Conclusion: Recent literature into physician wellness, burnout and resilience focuses heavily on COVID-19. Many workplace / organizational factors negatively influence wellness: cumbersome EHRs, cultures not focused on socialization and self-compassion, and high physician task load. We express optimism regarding future interventional studies of burnout mitigation and resilience enhancement.

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“…Because this work is often invisible and does not count toward promotion, it can lead to feeling undervalued and burned-out. 8,28,29 Recognizing that inclusion activities have tangible organizational value and addressing invisible work as a component of service requirements for promotion will support the wellbeing of women and all faculty who participate in these efforts. 29 Finally, organizations that are serious about women physicians' well-being must understand that diversity efforts and particularly inclusion efforts are overlapping and intertwined with overall well-being.…”

Section: Model 3: Recruit Promote Measure and Improve Diversity Equity And Inclusionmentioning

confidence: 99%

Innovative Wellness Models to Support Advancement and Retention Among Women Physicians

et al. 2021

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Despite improvements in representation of women in academic medicine, the rate of promotion and career advancement remains unequal. Compared with their male colleagues, women report lower rates of personal-organizational value alignment and higher rates of burnout. Particular challenges further exist for Black women, Indigenous women, women of color, and third gender or gender nonbinary faculty. Promoting the well-being of women physicians requires innovative approaches beyond the traditional scope of physician well-being efforts and careful attention to the unique barriers women face. Three wellness-oriented models are presented to promote the professional fulfillment and well-being of women physicians: (1) redefine productivity and create innovative work models, (2) promote equity through workplace redesign and burnout reduction, and (3) promote, measure, and improve diversity, equity, and inclusion. By engaging in innovative models for equitable advancement and retention, it is anticipated that diverse groups of women faculty will be better represented at higher levels of leadership and thus contribute to the creation of more equitable work climates, fostering well-being for women physicians.

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Evaluation of Work Satisfaction, Stress, and Burnout Among US Internal Medicine Physicians and Trainees

Abstract: Dr Linzer and Ms Frees had full access to all of the data in the study and take responsibility for the integrity of the data and the accuracy of the data analysis.

Cited by 54 publications

References 7 publications

COVID-19 and health care workers burnout: A call for global action

COVID-19 and health care workers burnout: A call for global action

Wellness Review 2020, Part 2

Innovative Wellness Models to Support Advancement and Retention Among Women Physicians

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