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Physician Burnout and Well-Being: A Systematic Review and Framework for Action.

Abstract Physician burnout in the United States has reached epidemic proportions and is rising rapidly, although burnout in other occupations is stable. Its negative impact is far reaching and includes harm to the burned-out physician, as well as patients, coworkers, family members, close friends, and healthcare organizations.
PMID
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Authors

Mayor MeshTerms
Keywords
Journal Title diseases of the colon and rectum
Publication Year Start




PMID- 28481850
OWN - NLM
STAT- MEDLINE
DA  - 20170508
DCOM- 20170731
LR  - 20170731
IS  - 1530-0358 (Electronic)
IS  - 0012-3706 (Linking)
VI  - 60
IP  - 6
DP  - 2017 Jun
TI  - Physician Burnout and Well-Being: A Systematic Review and Framework for Action.
PG  - 567-576
LID - 10.1097/DCR.0000000000000844 [doi]
AB  - BACKGROUND: Physician burnout in the United States has reached epidemic
      proportions and is rising rapidly, although burnout in other occupations is
      stable. Its negative impact is far reaching and includes harm to the burned-out
      physician, as well as patients, coworkers, family members, close friends, and
      healthcare organizations. OBJECTIVE: The purpose of this review is to provide an 
      accurate, current summary of what is known about physician burnout and to develop
      a framework to reverse its current negative impact, decrease its prevalence, and 
      implement effective organizational and personal interventions. DATA SOURCES: I
      completed a comprehensive MEDLINE search of the medical literature from January
      1, 2000, through December 28, 2016, related to medical student and physician
      burnout, stress, depression, suicide ideation, suicide, resiliency, wellness, and
      well-being. In addition, I selectively reviewed secondary articles, books
      addressing the relevant issues, and oral presentations at national professional
      meetings since 2013. STUDY SELECTION: Healthcare organizations within the United 
      States were studied. RESULTS: The literature review is presented in 5 sections
      covering the basics of defining and measuring burnout; its impact, incidence, and
      causes; and interventions and remediation strategies. CONCLUSIONS: All US medical
      students, physicians in training, and practicing physicians are at significant
      risk of burnout. Its prevalence now exceeds 50%. Burnout is the unintended net
      result of multiple, highly disruptive changes in society at large, the medical
      profession, and the healthcare system. Both individual and organizational
      strategies have been only partially successful in mitigating burnout and in
      developing resiliency and well-being among physicians. Two highly effective
      strategies are aligning personal and organizational values and enabling
      physicians to devote 20% of their work activities to the part of their medical
      practice that is especially meaningful to them. More research is needed.
FAU - Rothenberger, David A
AU  - Rothenberger DA
AD  - Department of Surgery, University of Minnesota, Minneapolis, Minnesota.
LA  - eng
PT  - Journal Article
PT  - Review
PL  - United States
TA  - Dis Colon Rectum
JT  - Diseases of the colon and rectum
JID - 0372764
SB  - IM
MH  - Burnout, Professional/*etiology/prevention & control/*psychology
MH  - Delivery of Health Care/trends
MH  - Humans
MH  - Incidence
MH  - Medical Errors
MH  - Near Miss, Healthcare
MH  - Personnel Turnover
MH  - Physicians/*psychology
MH  - Professional Autonomy
MH  - Stress, Psychological
MH  - Suicide
MH  - United States
MH  - Workload
MH  - Workplace
EDAT- 2017/05/10 06:00
MHDA- 2017/08/02 06:00
CRDT- 2017/05/09 06:00
AID - 10.1097/DCR.0000000000000844 [doi]
AID - 00003453-201706000-00005 [pii]
PST - ppublish
SO  - Dis Colon Rectum. 2017 Jun;60(6):567-576. doi: 10.1097/DCR.0000000000000844.