The Association Between a Sense of Calling and Physician Well-Being: A National Study of Primary Care Physicians and Psychiatrists

Yoon, John D.; Daley, Brendan M.; Curlin, Farr A.

doi:10.1007/s40596-016-0487-1

Cited by 72 publications

(70 citation statements)

References 35 publications

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“…47,48 For example, a study among PCPs and psychiatrists found that those with a sense of calling appear to be more resistant to burnout. 36 However, it is noteworthy that career and life satisfaction did not increase even further once a person reported ≥7.5 personally rewarding hours per day. This finding implies that excessive work hours may have a negative association with well-being, even when those hours are perceived as personally rewarding.…”

Section: Discussionmentioning

confidence: 93%

“…However, very few empirical studies have examined intrinsic factors, though more recent studies have begun to focus on a sense of calling. 31,36 For example, one study has found that sense of calling is associated with PCPs' satisfaction in treating certain conditions such as smoking, alcoholism, and obesity. 31 Our study suggests that focusing only on extrinsic motivators neglects other determinants of physician wellbeing.…”

Section: Discussionmentioning

confidence: 99%

“…A sense of calling was assessed using a single-item measure utilized in previous studies: 31,36 "For me, the practice of medicine is a calling." Responses were recoded into three categories: disagree strongly and disagree somewhat, agree somewhat, and agree strongly.…”

Section: Data Elementsmentioning

confidence: 99%

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Association of Intrinsic Motivating Factors and Markers of Physician Well-Being: A National Physician Survey

2017

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BACKGROUND: Although intrinsic motivating factors play important roles in physician well-being and productivity, most studies have focused on extrinsic motivating factors such as salary and work environment. OBJECTIVE: To examine the association of intrinsic motivators with physicians' career satisfaction, life satisfaction, and clinical commitment, while accounting for established extrinsic motivators as well. DESIGN AND PARTICIPANTS: A nationally representative survey of 2000 US physicians, fielded October to December 2011. MAIN MEASURES: Outcome variables were five measures of physician well-being: career satisfaction, life satisfaction, high life meaning, commitment to direct patient care, and commitment to clinical practice. Primary explanatory variables were sense of calling, personally rewarding hours per day, meaningful, long-term relationships with patients, and burnout. Multivariate logit models with survey design provided nationally representative individual-level estimates. KEY RESULTS: Among 1289 respondents, 85.8% and 86.5% were satisfied with their career and life, respectively; 88.6% had high life meaning; 54.5% and 79.5% intended to retain time in direct patient care and continue clinical practice, respectively. Sense of calling was strongly positively associated with high life meaning (odds ratio [OR] 5.14, 95% confidence interval [95% CI] 2.87-9.19) and commitment to direct patient care (OR 2.50, 95% CI 1.53-4.07). Personally rewarding hours per day were most strongly associated with career satisfaction (OR 5.28, 95% CI 2.72-10.2), life satisfaction (OR 4.46, 95% CI 2.34-8.48), and commitment to clinical practice (OR 3.46, 95% CI 1.87-6.39). Long-term relationships with patients were positively associated with career and life satisfaction and high life meaning. Burnout was strongly negatively associated with all measures of physician wellbeing. CONCLUSIONS: Intrinsic motivators (e.g., calling) were associated with each measure of physician well-being (satisfaction, meaning, and commitment), but extrinsic motivators (e.g., annual income) were not associated with meaning or commitment. Understanding the effects of intrinsic motivators may help inform efforts to support physician well-being.

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Section: Discussionmentioning

confidence: 93%

Section: Discussionmentioning

confidence: 99%

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Association of Intrinsic Motivating Factors and Markers of Physician Well-Being: A National Physician Survey

2017

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“…Because physicians are more than technicians, 15 their role as healers partly relies on their moral and spiritual development and character. 16,17 Thus, physicians’ R/S are associated with risk of burnout, 18 moral distress, and compassion fatigue. 19–21 Practices of self-care, including self-awareness of the physician’s own needs in conjunction with patient needs, support physicians’ well-being.…”

Section: Introductionmentioning

confidence: 99%

Developing a Medical School Curriculum for Psychological, Moral, and Spiritual Wellness: Student and Faculty Perspectives

Mitchell

Epstein‐Peterson²,

Bandini

et al. 2016

Journal of Pain and Symptom Management

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Context Although many studies have addressed the integration of a religion and/or spirituality curriculum into medical school training, few describe the process of curriculum development based on qualitative data from students and faculty. Objectives The aim of this study is to explore the perspectives of medical students and chaplaincy trainees regarding the development of a curriculum to facilitate reflection on moral and spiritual dimensions of caring for the critically ill and to train students in self-care practices that promote professionalism. Methods Research staff conducted semiscripted and one-on-one interviews and focus groups. Respondents also completed a short and self-reported demographic questionnaire. Participants included 44 students and faculty members from Harvard Medical School and Harvard Divinity School, specifically senior medical students and divinity school students who have undergone chaplaincy training. Results Two major qualitative themes emerged: curriculum format and curriculum content. Inter-rater reliability was high (kappa = 0.75). With regard to curriculum format, most participants supported the curriculum being longitudinal, elective, and experiential. With regard to curriculum content, five subthemes emerged: personal religious and/or spiritual (R/S) growth, professional integration of R/S values, addressing patient needs, structural and/or institutional dynamics within the health care system, and controversial social issues. Conclusion Qualitative findings of this study suggest that development of a future medical school curriculum on R/S and wellness should be elective, longitudinal, and experiential and should focus on the impact and integration of R/S values and self-care practices within self, care for patients, and the medical team. Future research is necessary to study the efficacy of these curricula once implemented.

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“…Yoon et al surveyed by mail a national sample of approximately 1500 primary care physicians and 512 psychiatrists, with a response rate of 63-64% [6]. The primary finding was that a "sense of calling" tended to correlate with "well-being."…”

mentioning

confidence: 99%

“Physician Wellness” as Published in Academic Psychiatry

et al. 2017

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The Association Between a Sense of Calling and Physician Well-Being: A National Study of Primary Care Physicians and Psychiatrists

Cited by 72 publications

References 35 publications

Association of Intrinsic Motivating Factors and Markers of Physician Well-Being: A National Physician Survey

Association of Intrinsic Motivating Factors and Markers of Physician Well-Being: A National Physician Survey

Developing a Medical School Curriculum for Psychological, Moral, and Spiritual Wellness: Student and Faculty Perspectives

“Physician Wellness” as Published in Academic Psychiatry

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