Factors Associated With Burnout and Stress in Trainee Physicians

Zhou, Anli Yue; Panagioti, Maria; Esmail, Aneez; Agius, Raymond; Tongeren, Martie van; Bower, Peter

doi:10.1001/jamanetworkopen.2020.13761

Cited by 178 publications

(187 citation statements)

References 89 publications

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“…Before COVID-19, trainees were already at training. 76,77 In COVID-19, the disruption to the typical systems of clinical care, supervision, and education has profound impacts. Existing systems to support trainees with traditional trainee experiences of inadequacy and overwhelm may be disrupted by COVID-19.…”

Section: Workplaces Must Be Psychologically Safe For Hcws Including mentioning

confidence: 99%

Witnesses and Victims Both: Healthcare Workers and Grief in the Time of COVID-19

Rabow

Huang

White-Hammond

et al. 2021

Journal of Pain and Symptom Management

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This is a PDF file of an article that has undergone enhancements after acceptance, such as the addition of a cover page and metadata, and formatting for readability, but it is not yet the definitive version of record. This version will undergo additional copyediting, typesetting and review before it is published in its final form, but we are providing this version to give early visibility of the article. Please note that, during the production process, errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain.

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Section: Workplaces Must Be Psychologically Safe For Hcws Including mentioning

confidence: 99%

Witnesses and Victims Both: Healthcare Workers and Grief in the Time of COVID-19

Rabow

Huang

White-Hammond

et al. 2021

Journal of Pain and Symptom Management

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“…Burnout in the current study was higher among younger dermatologists. A large number of burdens including physical stressors, verbal abuse and the big load of administrative work load are responsible for the relatively higher burnout among residents and younger physicians in addition to their lack of experience in handling drastic work situations 26 . Similarly females had a higher rate of emotional exhaustion and burnout rates which could be explained by time and energy restraints placed upon them in their home lives when striving for professional equality 27 …”

Section: Discussionmentioning

confidence: 99%

Therapeutic implications of prevalence and predictor risk factors for burn out syndrome in Egyptian dermatologists: A cross sectional study

Elsaie

Hussein

Zaky

et al. 2020

Dermatologic Therapy

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Burnout among physicians and dermatologists is gaining a wide attention in the recent decade. The aim of this cross sectional study was to assess the prevalence and predicting factors for burnout among Egyptian dermatologists. A cross sectional study was designed and data were collected using structured open access survey. A total of 144 dermatologists completed the full questionnaire. The majority of dermatologists completing the survey 85 (59%) were between 30 and 40 years age group while those above 50 years of age represented a minority 10 (6.9%). The Mean score of emotional exhaustion was 29.24 ± 12.73 (high) while that of personal accomplishment was 29.14 ± 9.24 (moderate) and for depersonalization was 10.07 ± 6.46 (moderate). We demonstrated high burnout prevalence among Egyptian dermatologist that needs to be further verified by other randomized studies. Being a resident dermatologist living in a rural locality and with more than 8 daily working hours were significant predictors of increased burnout rates.

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“…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: 94%

Section: Work Environmentmentioning

confidence: 99%

“…In a 48 study meta-analysis of resident physicians (over 36,000 physicians), trainee work demands were associated with an almost threefold increase in the odds for burnout [51]. Additional factors included concerns about patient care (OR, 2.35), poor work environment (OR, 2.06), and poor work-life balance (OR, 1.93) [51]. This large data set demonstrates that the majority of the most significant factors were institutionally associated (as was the case in other studies [41] implying the need for organizational interventions to mitigate burnout [51].…”

Section: Work Environmentmentioning

confidence: 99%

See 1 more Smart Citation

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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Factors Associated With Burnout and Stress in Trainee Physicians

Cited by 178 publications

References 89 publications

Witnesses and Victims Both: Healthcare Workers and Grief in the Time of COVID-19

Witnesses and Victims Both: Healthcare Workers and Grief in the Time of COVID-19

Therapeutic implications of prevalence and predictor risk factors for burn out syndrome in Egyptian dermatologists: A cross sectional study

Wellness Review 2020, Part 2

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