Taking Care of Our Own: A Multispecialty Study of Resident and Program Director Perspectives on Contributors to Burnout and Potential Interventions

Academic Psychiatry

Volumn 41, Issue 2, 2017, Pages 159-166

  Holmes, Emily G ^a   Connolly, Annamarie ^a   Putnam, Karen T ^a   Penaskovic, Kenan M ^a   Denniston, Clark R ^a   Clark, Leslie H ^a   Rubinow, David R ^a   Meltzer Brody, Samantha ^a  

^a UNIVERSITY OF NORTH CAROLINA   (United States)

Author keywords

Burnout; Depression; Medical education; Residency

Indexed keywords

ADULT; BURNOUT; DEPRESSION; FEMALE; HUMAN; MALE; MEDICAL EDUCATION; PHYSICIAN; STATISTICS AND NUMERICAL DATA;

ADULT; BURNOUT, PROFESSIONAL; DEPRESSION; FEMALE; HUMANS; INTERNSHIP AND RESIDENCY; MALE; PHYSICIANS;

EID: 85015889941     PISSN: 10429670     EISSN: 15457230     Source Type: Journal    
DOI: 10.1007/s40596-016-0590-3     Document Type: Article

References (40)

1. Chen PW. The widespread problem of doctor burnout. The New York Times. http://well.blogs.nytimes.com/2012/08/23/the-widespread-problem-of-doctor-burnout/?-r=0. Published 23 Aug 2012.
2. Shanafelt TD, Hasan O, Dyrbye LN, et al. Changes in burnout and satisfaction with work-life balance in physicians and the general us working population between 2011 and 2014. Mayo Clin Proc. 2015;90(12):1600-13.
3. Green DE, Walkey FH, Taylor AJ. The three-factor structure of the Maslach Burnout Inventory: a multicultural, multinational confirmatory study. J Soc Behav Personal. 1991;6(3):453.
4. Dyrbye LN, West CP, Satele D, et al. Burnout among U.S. medical students, residents, and early career physicians relative to the general U.S. population. Acad Med. 2014;89(3):443-51.
5. West CP, Shanafelt TD, Kolars JC. Quality of life, burnout, educational debt, and medical knowledge among internal medicine residents. JAMA. 2011;306(9):952-60.
6. Shanafelt TD, Bradley KA, Wipf JE, Back AL. Burnout and self-reported patient care in an internal medicine residency program. Ann Intern Med. 2002;136(5):358-67.
7. Dyrbye LN, Shanafelt TD. Physician burnout: a potential threat to successful health care reform. JAMA. 2011;305(19):2009-10.
8. Wallace JE, Lemaire JB, Ghali WA. Physician wellness: a missing quality indicator. Lancet. 2009;374(9702):1714-21.
9. Shanafelt TD, Balch CM, Bechamps G, et al. Burnout and medical errors among American surgeons. Ann Surg. 2010;251(6):995-1000.
10. West CP, Tan AD, Habermann TM, Sloan JA, Shanafelt TD. Association of resident fatigue and distress with perceived medical errors. JAMA. 2009;302(12):1294-300.
11. West CP, Tan AD, Shanafelt TD. Association of resident fatigue and distress with occupational blood and body fluid exposures and motor vehicle incidents. Mayo Clin Proc. 2012;87(12):1138-44.
12. Ramirez AJ, Graham J, Richards MA, Cull A, Gregory WM. Mental health of hospital consultants: the effects of stress and satisfaction at work. Lancet. 1996;347(9003):724-8.
13. Shanafelt TD, Balch CM, Dyrbye L, et al. Special report: suicidal ideation among American surgeons. Arch Surg. 2011;146(1):54-62.
14. Dyrbye LN, Massie FS, Eacker A, et al. Relationship between burnout and professional conduct and attitudes among US medical students. JAMA. 2010;304(11):1173-80.
15. Holmboe ES, Edgar L, Hamstra S. Milestones. 2015. http://www.acgme.org/acgmeweb/tabid/430/ProgramandInstitutionalAccreditation/NextAccreditationSystem/Milestones.aspx. Accessed 19 June 2015.
16. Ospina-Kammerer V, Figley CR. An evaluation of the Respiratory One Method (ROM) in reducing emotional exhaustion among family physician residents. Int J Emerg Ment Health. 2003;5(1):29-32.
17. Goitein L, Shanafelt TD, Wipf JE, Slatore CG, Back AL. The effects of work-hour limitations on resident well-being, patient care, and education in an internal medicine residency program. Arch Intern Med. 2005;165(22):2601-6.
18. Gopal R, Glasheen JJ, Miyoshi TJ, Prochazka AV. Burnout and internal medicine resident work-hour restrictions. Arch Intern Med. 2005;165(22):2595-600.
19. Bragard I, Etienne A-M, Merckaert I, Libert Y, Razavi D. Efficacy of a communication and stress management training on medical residents' self-efficacy, stress to communicate and burnout: a randomized controlled study. J Health Psychol. 2010;15(7):1075-81.
20. Ghetti C, Chang J, Gosman G. Burnout, psychological skills, and empathy: Balint training in obstetrics and gynecology residents. J Grad Med Educ. 2009;1(2):231-5.
21. Sikora R, Mongold B, Sedgeman J, Davis SM. Burnout in emergency medicine residents and faculty: an attempt to modify stress response by journaling. Poster presentation presented at the International Conference on Emergency Medicine, San Francisco, CA. April, 2008.
22. Lieberman III J, The SM. BATHE method: incorporating counseling and psychotherapy into the everyday management of patients. Prim Care Companion J Clin Psychiatry. 1999;1(2):35-8.
23. Williams D, Tricomi G, Gupta J, Janise A. Efficacy of burnout interventions in the medical education pipeline. Acad Psychiatry. 2015;39(1):47-54.
24. Moutier C, Norcross W, Jong P, et al. The suicide prevention and depression awareness program at the University of California, San Diego School of Medicine. Acad Med. 2012;87(3):320-6.
25. UNC. The taking care of our own program. 2016. https://www.med.unc.edu/psych/education/taking-care-of-our-own.
26. Stanford. Resident well being. 2016. http://med.stanford.edu/gme/current-residents/resident-wellness.html.
27. Maslach C, Jackson SE, Leither MP, Schaufeli WB, Schwab RL. Maslach burnout inventory manual. 3rd ed. Palo Alto: Consulting Psychologists Pr; 1996.
28. Rafferty JP, Lemkau JP, Purdy RR, Rudisill JR. Validity of the Maslach Burnout Inventory for family practice physicians. J Clin Psychol. 1986;42(3):488-92.
29. Martin A, Rief W, Klaiberg A, Braehler E. Validity of the Brief Patient Health Questionnaire Mood Scale (PHQ-9) in the general population. Gen Hosp Psychiatry. 2006;28(1):71-7.
30. Kroenke K, Spitzer RL, Williams JB. The PHQ-9: validity of a brief depression severity measure. J Gen Intern Med. 2001;16(9):606-13.
31. The Journal of Extension - JOE. http://www.joe.org.libproxy.lib.unc.edu/joe/2012april/tt2.php. Accessed 14 April 2016.
32. Center for Behavioral Health Statistics and Quality. Behavioral health trends in the United States: results from the 2014 National Survey on Drug Use and Health; 2015. http://www.samhsa.gov/data/.
33. Cepoiu M, McCusker J, Cole MG, Sewitch M, Belzile E, Ciampi A. Recognition of depression by non-psychiatric physicians - a systematic literature review and meta-analysis. J Gen Intern Med. 2008;23(1):25-36.
34. Jackson J, Passamonti M, Kroenke K. Outcome and impact of mental disorders in primary care at 5 years. Psychosom Med. 2007;69(3):270-6.
35. Adams E, Lee A, Pritchard C, White R. What stops us from healing the healers: a survey of help-seeking behaviour, stigmatisation and depression within the medical profession. Int J Soc Psychiatry. 2010;56(4):359-70.
36. Accreditation Council for Graduate Medical Education. Duty hours. 2016. http://www.acgme.org/What-We-Do/Accreditation/Duty-Hours/GraduateMedicalEducation/DutyHours.
37. Ahmed N, Devitt KS, Keshet I, et al. A systematic review of the effects of resident duty hour restrictions in surgery: impact on resident wellness, training, and patient outcomes. Ann Surg. 2014;259(6):1041-53.
38. Drolet BC, Christopher DA, Fischer SA. Residents' response to duty-hour regulations - a follow-up national survey. N Engl J Med. 2012;366(24):e35.
39. Desai SV, Feldman L, Brown L, et al. Effect of the 2011 vs 2003 duty hour regulation-compliant models on sleep duration, trainee education, and continuity of patient care among internal medicine house staff: a randomized trial. JAMA Intern Med. 2013;173(8):649-55.
40. Bilimoria KY, Chung JW, Hedges LV, et al. National cluster-randomized trial of duty-hour flexibility in surgical training. N Engl J Med. 2016;374(8):713-27.