Reflections About “Burn‐out”

Chisholm, Carey D.; Heyborne, Ryan; Short, Thomas H.; Leap, Edwin; Crowe, Donald W.

doi:10.1111/j.1553-2712.2009.00425.x

Cited by 4 publications

(3 citation statements)

References 2 publications

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“…24 The term Compassion describes the "co-suffering" which also animates to provide emotional help. "Compassion fatigue" is usually considered a sign of exhaustion 25 and may be similar to what is considered a "burn out" syndrome, 26 which is an ambiguous and multi-contextual term which many be traced to Graham Greene's book "A burnt out case". 27 Original contribution Placebo, Nocebo and no treatment 10 Other terms, which have closely related meanings, such as sympathy, an emotional reaction towards the misfortune of others, especially those who may suffer "unfairly", 28 and "passion" 29 are used to describe attitudes and relations with patients.…”

Section: Empathy and "Compassion"mentioning

confidence: 99%

Placebo, Nocebo and no treatment

Grisold¹,

Grisold²

2018

RMN

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The far-reaching meaning of placebo and nocebo are often undervalued or ignored in clinical practice. Presently the term placebo is either used: (1) in the context of randomized controlled trials, (2) to describe a sham treatment in various nuances, (3) to describe effects often attributed to healers.This diverges from "no treatment" which has entirely different implications. Even less accepted is the term nocebo, which literally means "will harm". As placebo this term can be ambiguous and can appear in many concealed ways. Research in the past years has been based on experiments and elaborated studies and on imaging studies. This both placebo and nocebo also have an empirical and scientific background. Also, ethical aspects concern placebo and nocebo issues, in particular in regard to changing relations of the physician-patient relationship, which affects both terms. Based on this knowledge, increasingly physicians and patients are aware of these phenomena, and it will be important to raise awareness not only in physicians, but also the health care personal involved in the treatment of patients.

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Section: Empathy and "Compassion"mentioning

confidence: 99%

Placebo, Nocebo and no treatment

Grisold¹,

Grisold²

2018

RMN

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“…Providers seeing patients in chronically crowded EDs may experience empathy fatigue. This erosion of empathy may disproportionally affect vulnerable population groups 47,48 …”

Section: How Would Crowding Worsen Care Inequity? Evidence Mechanismmentioning

confidence: 99%

A Research Agenda to Assure Equity During Periods of Emergency Department Crowding

Hwang

Weber

Richardson

et al. 2011

Academic Emergency Medicine

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The effect of emergency department (ED) crowding on equitable care is the least studied of the domains of quality as defined by the Institute of Medicine (IOM). Inequities in access and treatment throughout the health care system are well documented in all fields of medicine. While there is little evidence demonstrating that inequity is worsened by crowding, theory and evidence from social science disciplines, as well as known barriers to care for vulnerable populations, would suggest that crowding will worsen inequities. To design successful interventions, however, it is important to first understand how crowding can result in disparities and base interventions on these mechanisms. A research agenda is proposed to understand mechanisms that may threaten equity during periods of crowding and design and test potential interventions that may ensure the equitable aspect of quality of care.

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“…[15][16][17][18] Although there is mixed evidence and opinion regarding the degree of burnout experienced by emergency physicians compared to other medical professionals, there seems to be a general consensus that EM is perceived as a career with high burnout potential. This study looked specifically at differences in perceived burnout between graduates of the two EM programs.…”

Section: Perceptions Of Postgraduate Work Lifementioning

confidence: 99%

Emergency medicine training in Canada: a survey of medical students' knowledge, attitudes, and preferences

Hillier

McLeod

Mendelsohn³

et al. 2011

CJEM

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Objectives: The objective of this study was to assess medical students' knowledge of and attitudes toward the two Canadian emergency medicine (EM) residency programs (Fellow of the Royal College of Physicians of Canada [FRCPC] The majority of respondents (54.1%) interested in EM believed that there should be two streams to EM certification, whereas 18.0% disagreed. Family life and control over work schedule appeared to be common priorities seen as benefits of any career in EM. Other high-ranking factors influencing career choice differed between the groups interested in CCFP-EM and FRCPC. The majority of students interested in the CCFP-EM residency program (78%) reported that they intend to blend their EM with their family medicine practice. Only 2% of students planned to practice only EM with no family medicine. Conclusions: This is the first survey of Canadian medical students to describe disparities in factors influencing choice of EM residency stream, perceptions of postgraduate work life, and anticipated practice environment. La plupart des ré pondants (54,1 %) inté ressé s par la MU estiment qu'il devrait y avoir deux cheminements menant à la certification en MU, tandis que 18,0 % des ré pondants é taient en dé saccord. La vie de famille et le contrô le des horaires de travail semblaient ê tre des priorité s communes et constituer des avantages connus et recherché s dans toute carriè re en MU. Une diffé rence a é té observé e relativement aux autres facteurs ayant une trè s grande influence sur le choix de carriè re entre les groupes inté ressé s par le CCMF-MU et le FRCPC. La plupart des é tudiants inté ressé s par le

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Reflections About “Burn‐out”

Cited by 4 publications

References 2 publications

Placebo, Nocebo and no treatment

Placebo, Nocebo and no treatment

A Research Agenda to Assure Equity During Periods of Emergency Department Crowding

Emergency medicine training in Canada: a survey of medical students' knowledge, attitudes, and preferences

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