Prevalence of burnout among physicians a systematic review

JAMA - Journal of the American Medical Association

Volumn 320, Issue 11, 2018, Pages 1131-1150

  Rotenstein, Lisa S ^a,b,c   Torre, Matthew ^a,b   Ramos, Marco A ^d   Rosales, Rachael C ^a,b   Guille, Constance ^e   Sen, Srijan ^f   Mata, Douglas A ^a,b,c  

^a HARVARD MEDICAL SCHOOL   (United States)

^b BRIGHAM AND WOMEN S HOSPITAL   (United States)

^c Brigham Education Institute   (United States)

^d YALE UNIVERSITY SCHOOL OF MEDICINE   (United States)

^e MEDICAL UNIVERSITY OF SOUTH CAROLINA   (United States)

^f UNIVERSITY OF MICHIGAN   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

AGE; BURNOUT; CONSENSUS DEVELOPMENT; DEPERSONALIZATION; DEPRESSION; DISEASE ASSOCIATION; EMOTIONAL STRESS; GENERAL HEALTH STATUS ASSESSMENT; GEOGRAPHY; HUMAN; PHYSICIAN; PREVALENCE; PRIORITY JOURNAL; QUALITATIVE ANALYSIS; REVIEW; SEX; SOCIAL STATUS; SYSTEMATIC REVIEW; TIME; COMPASSION FATIGUE; JOB SATISFACTION; PSYCHOLOGY; QUESTIONNAIRE;

BURNOUT, PROFESSIONAL; COMPASSION FATIGUE; DEPERSONALIZATION; HUMANS; JOB SATISFACTION; PHYSICIANS; PREVALENCE; SURVEYS AND QUESTIONNAIRES;

EID: 85053547489     PISSN: 00987484     EISSN: 15383598     Source Type: Journal    
DOI: 10.1001/jama.2018.12777     Document Type: Review

References (220)

1. Freudenberger HJ. Staff burn-out. J Soc Issues. 1974;30(1):159-165. Doi:10.1111/j.1540-4560.1974 .tb00706.x
2. Kim MH, Mazenga AC, Simon K, et al. Burnout and self-reported suboptimal patient care amongst health care workers providing HIV care in Malawi. PLoS One. 2018;13(2):e0192983. Doi:10.1371/journal .pone.0192983
3. Saijo Y, Chiba S, Yoshioka E, et al. Job stress and burnout among urban and rural hospital physicians in Japan. Aust J Rural Health. 2013;21(4):225-231. Doi:10.1111/ajr.12040
4. Rotenstein LS, Ramos MA, Torre M, et al. Prevalence of depression, depressive symptoms, and suicidal ideation among medical students: a systematic review and meta-analysis. JAMA. 2016; 316(21):2214-2236. Doi:10.1001/jama.2016.17324
5. Mata DA, Ramos MA, Bansal N, et al. Prevalence of depression and depressive symptoms among resident physicians: a systematic review and meta-analysis. JAMA. 2015;314(22):2373-2383. Doi: 10.1001/jama.2015.15845
6. Maslach C, Jackson SE, Leiter MP. Maslach Burnout Inventory Manual. 4th ed. Menlo Park, CA: Mind Garden Inc; 2016.
7. West CP, Tan AD, Habermann TM, Sloan JA, Shanafelt TD. Association of resident fatigue and distress with perceived medical errors. JAMA. 2009;302(12):1294-1300. Doi:10.1001/jama.2009 .1389
8. Halbesleben JRB, Rathert C. Linking physician burnout and patient outcomes: exploring the dyadic relationship between physicians and patients. Health Care Manage Rev. 2008;33(1):29-39. Doi:10.1097/01.HMR.0000304493.87898.72
9. Shanafelt TD, Mungo M, Schmitgen J, et al. Longitudinal study evaluating the association between physician burnout and changes in professional work effort. Mayo Clin Proc. 2016;91 (4):422-431. Doi:10.1016/j.mayocp.2016.02.001
10. Moher D, Liberati A, Tetzlaff J, Altman DG; PRISMA Group. Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. Open Med. 2009;3(3):e123-e130.
11. Stroup DF, Berlin JA, Morton SC, et al; Meta-analysis of Observational Studies in Epidemiology (MOOSE) Group. Meta-analysis of observational studies in epidemiology: a proposal for reporting. JAMA. 2000;283(15):2008-2012. Doi:10.1001/jama.283.15.2008
12. Stang A. Critical evaluation of the Newcastle-Ottawa scale for the assessment of the quality of nonrandomized studies in meta-analyses. Eur J Epidemiol. 2010;25(9):603-605. Doi:10.1007/s10654-010-9491-z
13. Grassi L, Magnani K. Psychiatric morbidity and burnout in the medical profession: an Italian study of general practitioners and hospital physicians. Psychother Psychosom. 2000;69(6):329-334. Doi:10.1159/000012416
14. Maroco J, Maroco AL, Leite E, Bastos C, Vazao MJ, Campos J. Burnout in Portuguese healthcare professionals: an analysis at the national level [in Portuguese]. Acta Med Port. 2016;29(1):24-30.
15. Puffer JC, Knight HC, O'Neill TR, et al. Prevalence of burnout in board certified family physicians. JAmBoard Fam Med. 2017;30(2):125-126. Doi:10.3122/jabfm.2017.02.160295
16. Riquelme I, Chacon J-I, Gandara A-V, et al; PAINBO Study Group. Prevalence of burnout among pain medicine physicians and its potential effect upon clinical outcomes in patients with oncologic pain or chronic pain of nononcologic origin. Pain Med. 2018. Doi:10.1093/pm/pnx335
17. Twellaar M, Winants Y, Houkes I. How healthy are Dutch general practitioners? Self-reported (mental) health among Dutch general practitioners. Eur J Gen Pract. 2008;14(1):4-9. Doi:10.1080/13814780701814911
18. Upton D, Mason V, Doran B, Solowiej K, Shiralkar U, Shiralkar S. The experience of burnout across different surgical specialties in the United Kingdom: a cross-sectional survey. Surgery. 2012; 151(4):493-501. Doi:10.1016/j.surg.2011.09.035
19. van derWal RAB, Bucx MJL, Hendriks JCM, Scheffer G-J, Prins JB. Psychological distress, burnout and personality traits in Dutch anaesthesiologists: a survey. Eur J Anaesthesiol. 2016;33(3):179-186. Doi:10.1097/EJA .0000000000000375
20. Winefield HR, Anstey TJ. Job stress in general practice: practitioner age, sex and attitudes as predictors. Fam Pract. 1991;8(2):140-144. Doi:10.1093/fampra/8.2.140
21. Al-Dubai SAR, Rampal KG. Prevalence and associated factors of burnout among doctors in Yemen. J Occup Health. 2010;52(1):58-65. Doi:10.1539/joh.O8030
22. Arigoni F, Bovier PA, Mermillod B,Waltz P, Sappino A-P. Prevalence of burnout among Swiss cancer clinicians, paediatricians and general practitioners: who are most at risk? Support Care Cancer. 2009;17(1):75-81. Doi:10.1007/s00520-008-0465-6
23. Asai M, Morita T, Akechi T, et al. Burnout and psychiatric morbidity among physicians engaged in end-of-life care for cancer patients: a cross-sectional nationwide survey in Japan. Psychooncology. 2007;16(5):421-428. Doi:10.1002/pon.1066
24. Brondt A, Sokolowski I, Olesen F, Vedsted P. Continuing medical education and burnout among Danish GPs. Br J Gen Pract. 2008;58(546):15-19. Doi:10.3399/bjgp08X263767
25. Busis NA, Shanafelt TD, Keran CM, et al. Burnout, career satisfaction, and well-being among US neurologists in 2016. Neurology. 2017;88(8): 797-808. Doi:10.1212/WNL.0000000000003640
26. Campbell DA Jr, Sonnad SS, Eckhauser FE, Campbell KK, Greenfield LJ. Burnout among American surgeons. Surgery. 2001;130(4):696-702. Doi:10.1067/msy.2001.116676
27. Chen K-Y, Yang C-M, Lien C-H, et al. Burnout, job satisfaction, and medical malpractice among physicians. Int J Med Sci. 2013;10(11):1471-1478. Doi: 10.7150/ijms.6743
28. Chivato Perez T, Campos Andreu A, Negro Alvarez JM, Caballero Martinez F. Professional burnout and work satisfaction in Spanish allergists: analysis of working conditions in the specialty. J Investig Allergol Clin Immunol. 2011;21(1):13-21.
29. Dreano-Hartz S, RhondaliW, Ledoux M, et al. Burnout among physicians in palliative care: impact of clinical settings. Palliat Support Care. 2016;14 (4):402-410. Doi:10.1017/S1478951515000991
30. Escriba-Aguir V, Perez-Hoyos S. Psychological well-being and psychosocial work environment characteristics among emergency medical and nursing staff. Stress Health. 2007;23(3):153-160. Doi:10.1002/smi.1131
31. Goehring C, Bouvier Gallacchi M, Kunzi B, Bovier P. Psychosocial and professional characteristics of burnout in Swiss primary care practitioners: a cross-sectional survey. Swiss Med Wkly. 2005;135(7-8):101-108.
32. Golub JS, JohnsMMIII,Weiss PS, Ramesh AK, Ossoff RH. Burnout in academic faculty of otolaryngology-head and neck surgery. Laryngoscope. 2008;118(11):1951-1956. Doi:10.1097/MLG .0b013e31818226e9
33. Kamal AH, Bull JH,Wolf SP, et al. Prevalence and predictors of burnout among hospice and palliative care clinicians in the US. J Pain Symptom Manage. 2016;51(4):690-696. Doi:10.1016/j .jpainsymman.2015.10.020
34. Kluger MT, Townend K, Laidlaw T. Job satisfaction, stress and burnout in Australian specialist anaesthetists. Anaesthesia. 2003;58(4): 339-345. Doi:10.1046/j.1365-2044.2003.03085.x
35. Lesage F-X, Berjot S, Altintas E, Paty B. Burnout among occupational physicians: a threat to occupational health systems? A nationwide cross-sectional survey. Ann Occup Hyg. 2013;57(7): 913-919. Doi:10.1093/annhyg/met013
36. Li H, Zuo M, Gelb AW, et al. Chinese anesthesiologists have high burnout and low job satisfaction: a cross-sectional survey. Anesth Analg. 2018;126(3):1004-1012. Doi:10.1213/ANE .0000000000002776
37. Maticorena-Quevedo J, Beas R, Anduaga-Beramendi A, Mayta-Tristan P. Prevalence of burnout syndrome in Peruvian physicians and nurses, ENSUSALUD 2014 [in Spanish]. Rev Peru Med Exp Salud Publica. 2016;33(2):241-247. Doi:10.17843/rpmesp.2016.332.2170
38. Nishimura K, Nakamura F, Takegami M, et al; J-ASPECT Study Group. Cross-sectional survey of workload and burnout among Japanese physicians working in stroke care: the nationwide survey of acute stroke care capacity for proper designation of comprehensive stroke center in Japan (J-ASPECT) study. Circ Cardiovasc Qual Outcomes. 2014;7(3): 414-422. Doi:10.1161/CIRCOUTCOMES.113.000159
39. O'Kelly F, Manecksha RP, Quinlan DM, et al. Rates of self-reported "burnout" and causative factors amongst urologists in Ireland and the UK: a comparative cross-sectional study. BJU Int. 2016; 117(2):363-372. Doi:10.1111/bju.13218
40. Pantenburg B, Luppa M, Konig H-H, Riedel-Heller SG. Burnout among young physicians and its association with physicians' wishes to leave: results of a survey in Saxony, Germany. J Occup Med Toxicol. 2016;11:2. Doi:10.1186/s12995-016-0091-z
41. Pedersen AF, Andersen CM, Olesen F, Vedsted P. Risk of burnout in Danish GPs and exploration of factors associated with development of burnout: a two-wave panel study. Int J Family Med. 2013; 2013:603713. Doi:10.1155/2013/603713
42. Pedersen AF, Ingeman ML, Vedsted P. Empathy, burn-out and the use of gut feeling: a cross-sectional survey of Danish general practitioners. BMJ Open. 2018;8(2):e020007. Doi: 10.1136/bmjopen-2017-020007
43. Pedersen AF, Sorensen JK, Bruun NH, Christensen B, Vedsted P. Risky alcohol use in Danish physicians: associated with alexithymia and burnout? Drug Alcohol Depend. 2016;160:119-126. Doi:10.1016/j.drugalcdep.2015.12.038
44. Qureshi HA, Rawlani R, Mioton LM, Dumanian GA, Kim JYS, Rawlani V. Burnout phenomenon in US plastic surgeons: risk factors and impact on quality of life. Plast Reconstr Surg. 2015;135(2): 619-626. Doi:10.1097/PRS.0000000000000855
45. Rao SK, Kimball AB, Lehrhoff SR, et al. The impact of administrative burden on academic physicians: results of a hospital-wide physician survey. Acad Med. 2017;92(2):237-243. Doi:10.1097/ACM.0000000000001461
46. Saijo Y, Chiba S, Yoshioka E, et al. Effects of work burden, job strain and support on depressive symptoms and burnout among Japanese physicians. Int J Occup Med Environ Health. 2014;27 (6):980-992. Doi:10.2478/s13382-014-0324-2
47. Shanafelt TD, Boone S, Tan L, et al. Burnout and satisfaction with work-life balance among US physicians relative to the general US population. Arch Intern Med. 2012;172(18):1377-1385. Doi:10.1001/archinternmed.2012.3199
48. Shanafelt TD, Balch CM, Bechamps GJ, et al. Burnout and career satisfaction among American surgeons. Ann Surg. 2009;250(3):463-471. Doi:10.1097/SLA.0b013e3181ac4dfd
49. Shanafelt TD, GradisharWJ, Kosty M, et al. Burnout and career satisfaction among US oncologists. J Clin Oncol. 2014;32(7):678-686. Doi: 10.1200/JCO.2013.51.8480
50. 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):1600-1613. Doi:10.1016/j.mayocp.2015 .08.023
51. Shanafelt TD,West CP, Sloan JA, et al. Career fit and burnout among academic faculty. Arch Intern Med. 2009;169(10):990-995. Doi:10.1001/archinternmed.2009.70
52. Taylor C, Graham J, Potts HWW, Richards MA, Ramirez AJ. Changes in mental health of UK hospital consultants since the mid-1990s. Lancet. 2005;366(9487):742-744. Doi:10.1016/S0140-6736 (05)67178-4
53. Vandenbroeck S, Van Gerven E, De Witte H, Vanhaecht K, Godderis L. Burnout in Belgian physicians and nurses. Occup Med (Lond). 2017;67 (7):546-554. Doi:10.1093/occmed/kqx126
54. Wang Z, Xie Z, Dai J, Zhang L, Huang Y, Chen B. Physician burnout and its associated factors: a cross-sectional study in Shanghai. J Occup Health. 2014;56(1):73-83. Doi:10.1539/joh.13-0108-OA
55. Wu H, Liu L,Wang Y, Gao F, Zhao X,Wang L. Factors associated with burnout among Chinese hospital doctors: a cross-sectional study. BMC Public Health. 2013;13:786. Doi:10.1186/1471-2458-13-786
56. WurmW, Vogel K, Holl A, et al. Depression-burnout overlap in physicians. PLoS One. 2016;11(3):e0149913. Doi:10.1371/journal.pone .0149913
57. Yoon JD, Rasinski KA, Curlin FA. Conflict and emotional exhaustion in obstetriciangynaecologists: a national survey. J Med Ethics. 2010;36(12):731-735. Doi:10.1136/jme.2010.037762
58. Abdulla L, Al-Qahtani DM, Al-Kuwari MG. Prevalence and determinants of burnout syndrome among primary healthcare physicians in Qatar. S Afr Fam Pract (2004). 2011;53(4):380-383. Doi:10.1080/20786204.2011.10874118
59. Aggarwal S, Kusano AS, Carter JN, Gable L, Thomas CR Jr, Chang DT. Stress and burnout among residency program directors in United States radiation oncology programs. Int J Radiat Oncol Biol Phys. 2015;93(4):746-753. Doi:10.1016/j.ijrobp.2015 .08.019
60. Aguirre Roldan AM, Quijano Barriga AM. Burnout syndrome, family and work related variables on general practitioners in Bogota: a strategy of work quality [in Spanish]. Rev Colomb Psiquiatr. 2015;44(4):198-205. Doi:10.1016/j.rcp .2015.05.017
61. Ahmadpanah M, Torabian S, Dastore K, Jahangard L, Haghighi M. Association of occupational burnout and type of personality in Iranian general practitioners.Work. 2015;51(2): 315-319. Doi:10.3233/WOR-141903
62. Al-Shoraian GMJ, Hussain N, Alajmi MF, Kamel MI, El-Shazly MK. Burnout among family and general practitioners. Alexandria J Med. 2011;47(4): 359-364. Doi:10.1016/j.ajme.2011.10.005
63. Allegra CJ, Hall R, Yothers G. Prevalence of burnout in the US oncology community: results of a 2003 survey. J Oncol Pract. 2005;1(4):140-147. Doi: 10.1200/jop.2005.1.4.140
64. Amanullah S, McNally K, Zelin J, Cole J, Cernovsky Z. Are burnout prevention programs for hospital physicians needed? Asian J Psychiatr. 2017; 26:66-69. Doi:10.1016/j.ajp.2017.01.009
65. Arayago R, Gonzalez A, Limongi M, Guevara H. Sindrome de burnout en residentes y especialistas de anestesiologia. Salus. 2016;20(1):13-21.
66. Atalaya F, Maria I, Diez D, Luis J. Burnout syndrome among gynecologists in the Virgen Macarena University Hospital in Seville [in Spanish]. Prog Obstet Ginecol. 2008:531-540. Doi:10.1016/S0304-5013(08)72327-6.
67. Balch CM, Oreskovich MR, Dyrbye LN, et al. Personal consequences of malpractice lawsuits on American surgeons. J Am Coll Surg. 2011;213(5): 657-667. Doi:10.1016/j.jamcollsurg.2011.08.005
68. Barbosa FT, Eloi RJ, Santos LM, Leao BA, Lima FJ, Sousa-Rodrigues CF. Correlation between weekly working time and burnout syndrome among anesthesiologists of Maceio-AL. Braz J Anesthesiol. 2017;67(2):115-121. Doi:10.1016/j.bjan.2015.06.001
69. Barbosa FT, Leao BA, Tavares GMS, Santos JG. Burnout syndrome and weekly workload of on-call physicians: cross-sectional study. Sao Paulo Med J. 2012;130(5):282-288. Doi:10.1590/S1516-31802012000500003
70. Barros D de S, Tironi MOS, Nascimento Sobrinho CL, et al. Intensive care unit physicians: socio-demographic profile, working conditions and factors associated with burnout syndrome [in Portuguese]. Rev Bras Ter Intensiva. 2008;20(3): 235-240.
71. Bertges YostW, Eshelman A, Raoufi M, Abouljoud MS. A national study of burnout among American transplant surgeons. Transplant Proc. 2005;37(2):1399-1401. Doi:10.1016/j.transproceed .2005.01.055
72. Bohle A, Baumgartel M, Gotz ML, Muller EH, Jocham D. Burn-out of urologists in the county of Schleswig-Holstein, Germany: a comparison of hospital and private practice urologists. J Urol. 2001;165(4):1158-1161. Doi:10.1016/S0022-5347(05) 66454-3
73. Bressi C, Manenti S, Porcellana M, et al. Haemato-oncology and burnout: an Italian survey. Br J Cancer. 2008;98(6):1046-1052. Doi:10.1038/sj .bjc.6604270
74. Bressi C, Porcellana M, Gambini O, et al. Burnout among psychiatrists in Milan: a multicenter survey. Psychiatr Serv. 2009;60(7):985-988. Doi: 10.1176/ps.2009.60.7.985
75. Bruce SM, Conaglen HM, Conaglen JV. Burnout in physicians: a case for peer-support. Intern Med J. 2005;35(5):272-278. Doi:10.1111/j.1445-5994.2005 .00782.x
76. Burghi G, Lambert J, Chaize M, et al. Prevalence, risk factors and consequences of severe burnout syndrome in ICU. Intensive Care Med. 2014;40(11):1785-1786. Doi:10.1007/s00134-014-3454-x
77. Chew FS, Mulcahy MJ, Porrino JA, Mulcahy H, Relyea-Chew A. Prevalence of burnout among musculoskeletal radiologists. Skeletal Radiol. 2017; 46(4):497-506. Doi:10.1007/s00256-017-2578-9
78. Chou L-P, Li C-Y, Hu SC. Job stress and burnout in hospital employees: comparisons of different medical professions in a regional hospital in Taiwan. BMJ Open. 2014;4(2):e004185. Doi:10.1136/bmjopen-2013-004185
79. Coleman M, Dexter D, Nankivil N. Factors affecting physician satisfaction and Wisconsin Medical Society strategies to drive change. WMJ. 2015;114(4):135-142.
80. Colville GA, Smith JG, Brierley J, et al. Coping with staff burnout and work-related posttraumatic stress in intensive care. Pediatr Crit Care Med. 2017; 18(7):e267-e273. Doi:10.1097/PCC .0000000000001179
81. Contag SP, Golub JS, Teknos TN, et al. Professional burnout among microvascular and reconstructive free-flap head and neck surgeons in the United States. Arch Otolaryngol Head Neck Surg. 2010;136(10):950-956. Doi:10.1001/archoto.2010.154
82. Cruz OA, Pole CJ, Thomas SM. Burnout in chairs of academic departments of ophthalmology. Ophthalmology. 2007;114(12):2350-2355. Doi:10.1016/j.ophtha.2007.04.058
83. Das S, Barman S, Datta S, et al. Degree of burnout among emergency healthcare workers and factors influencing level of burnout: a pilot study. Delhi Psychiatry J. 2016;19(1):36-47.
84. De Oliveira GS Jr, Almeida MD, Ahmad S, Fitzgerald PC, McCarthy RJ. Anesthesiology residency program director burnout. J Clin Anesth. 2011;23(3):176-182. Doi:10.1016/j.jclinane.2011.02.001
85. De Stefano C, Philippon A-L, Krastinova E, et al. Effect of emergency physician burnout on patient waiting times. Intern Emerg Med. 2018;13(3):421-428. Doi:10.1007/s11739-017-1706-9
86. Deckard GJ, Hicks LL, Hamory BH. The occurrence and distribution of burnout among infectious diseases physicians. J Infect Dis. 1992;165 (2):224-228. Doi:10.1093/infdis/165.2.224
87. Deckard G, Meterko M, Field D. Physician burnout: an examination of personal, professional, and organizational relationships. Med Care. 1994;32 (7):745-754. Doi:10.1097/00005650-199407000-00007
88. Doan-Wiggins L, Zun L, Cooper MA, Meyers DL, Chen EH;Wellness Task Force, Illinois College of Emergency Physicians. Practice satisfaction, occupational stress, and attrition of emergency physicians. Acad Emerg Med. 1995;2(6):556-563. Doi:10.1111/j.1553-2712.1995.tb03261.x
89. Dolan ED, Mohr D, Lempa M, et al. Using a single item to measure burnout in primary care staff: a psychometric evaluation. J Gen Intern Med. 2015;30(5):582-587. Doi:10.1007/s11606-014-3112-6
90. Dunwoodie DA, Auret K. Psychological morbidity and burnout in palliative care doctors in Western Australia. Intern Med J. 2007;37(10): 693-698. Doi:10.1111/j.1445-5994.2007.01384.x
91. Dyrbye LN, Shanafelt TD, Thomas MR, Durning SJ. Brief observation: a national study of burnout among internal medicine clerkship directors. Am J Med. 2009;122(3):310-312. Doi:10.1016/j.amjmed .2008.11.008
92. Eelen S, Bauwens S, Baillon C, DistelmansW, Jacobs E, Verzelen A. The prevalence of burnout among oncology professionals: oncologists are at risk of developing burnout. Psychooncology. 2014; 23(12):1415-1422. Doi:10.1002/pon.3579
93. Elit L, Trim K, Mand-Bains IH, Sussman J, Grunfeld E; Society of Gynecologic Oncology Canada. Job satisfaction, stress, and burnout among Canadian gynecologic oncologists. Gynecol Oncol. 2004;94(1):134-139. Doi:10.1016/j.ygyno .2004.04.014
94. Embriaco N, Azoulay E, Barrau K, et al. High level of burnout in intensivists: prevalence and associated factors. Am J Respir Crit Care Med. 2007; 175(7):686-692. Doi:10.1164/rccm.200608-1184OC
95. Evans RW, Ghosh K. A survey of headache medicine specialists on career satisfaction and burnout. Headache. 2015;55(10):1448-1457. Doi:10.1111/head.12708
96. Fields AI, Cuerdon TT, Brasseux CO, et al. Physician burnout in pediatric critical care medicine. Crit Care Med. 1995;23(8):1425-1429. Doi:10.1097/00003246-199508000-00018
97. Fletcher AM, Pagedar N, Smith RJH. Factors correlating with burnout in practicing otolaryngologists. Otolaryngol Head Neck Surg. 2012;146(2):234-239. Doi:10.1177/0194599811428585
98. Frutos-Llanes R, Jimenez-Blanco S, Blanco-Montagut LE. Burnout syndrome in general practitioners of Avila [in Spanish]. Semergen. 2014;40(7):357-365. Doi:10.1016/j.semerg.2014.02 .008
99. Gabbe SG, Melville J, Mandel L,Walker E. Burnout in chairs of obstetrics and gynecology: diagnosis, treatment, and prevention. Am J Obstet Gynecol. 2002;186(4):601-612. Doi:10.1067/mob .2002.122391
100. Garcia HA, McGeary CA, Finley EP, Ketchum NS, McGeary DD, Peterson AL. Burnout among psychiatrists in the Veterans Health Administration. Burn Res. 2015;2(4):108-114. Doi:10.1016/j.burn .2015.10.001
101. Garcia TT, Garcia PCR, Molon ME, et al. Prevalence of burnout in pediatric intensivists: an observational comparison with general pediatricians. Pediatr Crit Care Med. 2014;15(8): e347-e353. Doi:10.1097/PCC.0000000000000218
102. Gil-Monte PR, Marucco MA. Burnout prevalence in pediatricians of general hospitals [in Spanish]. Rev Saude Publica. 2008;42(3):450-456. Doi:10.1590/S0034-89102008000300009
103. Glasheen JJ, Misky GJ, Reid MB, Harrison RA, Sharpe B, Auerbach A. Career satisfaction and burnout in academic hospital medicine. Arch Intern Med. 2011;171(8):782-785. Doi:10.1001/archinternmed.2011.153
104. Glebocka A. The relationship between burnout syndrome among the medical staff and work conditions in the Polish healthcare system. Adv Exp Med Biol. 2017;968:61-70. Doi:10.1007/5584-2016-179
105. Gorelick MH, Schremmer R, Ruch-Ross H, Radabaugh C, Selbst S. Current workforce characteristics and burnout in pediatric emergency medicine. Acad Emerg Med. 2016;23(1):48-54. Doi: 10.1111/acem.12845
106. Goveia CS, Cruz TTMD, Miranda DB, et al. Association between burnout syndrome and anxiety in residents and anesthesiologists of the Federal District [in Portuguese]. Rev Bras Anestesiol. 2018;68(5):442-446. Doi:10.1016/j.bjan.2018.02.007
107. Guest RS, Baser R, Li Y, Scardino PT, Brown AE, Kissane DW. Cancer surgeons' distress and well-being, I: the tension between a culture of productivity and the need for self-care. Ann Surg Oncol. 2011;18(5):1229-1235. Doi:10.1245/s10434-011-1622-6
108. Guntupalli KK, Fromm RE Jr. Burnout in the internist-intensivist. Intensive Care Med. 1996;22 (7):625-630. Doi:10.1007/BF01709737
109. Hagau N, Pop RS. Prevalence of burnout in Romanian anaesthesia and intensive care physicians and associated factors. J Rom Anest Ter Intensiva. 2012;19:117-124.
110. Hamdan M, Hamra AA. Burnout among workers in emergency Departments in Palestinian hospitals: prevalence and associated factors. BMC Health Serv Res. 2017;17(1):407. Doi:10.1186/s12913-017-2356-3
111. Hammig O, Brauchli R, Bauer GF. Effort-reward and work-life imbalance, general stress and burnout among employees of a large public hospital in Switzerland. Swiss Med Wkly. 2012;142:w13577. Doi: 10.4414/smw.2012.13577
112. Helewa RM, Kholdebarin R, Hochman DJ. Attending surgeon burnout and satisfaction with the establishment of a regional acute care surgical service. Can J Surg. 2012;55(5):312-316. Doi:10.1503/cjs.000611
113. Helfrich CD, Dolan ED, Simonetti J, et al. Elements of team-based care in a patient-centered medical home are associated with lower burnout among VA primary care employees. J Gen Intern Med. 2014;29(suppl 2):S659-S666. Doi:10.1007/s11606-013-2702-z
114. Hinami K, Whelan CT, Miller JA,Wolosin RJ, Wetterneck TB; Society of Hospital Medicine Career Satisfaction Task Force. Job characteristics, satisfaction, and burnout across hospitalist practice models. J HospMed. 2012;7(5):402-410. Doi:10.1002/jhm.1907
115. Ifediora CO. Burnout among after-hours home visit doctors in Australia. BMC Fam Pract. 2016;17:2. Doi:10.1186/s12875-016-0400-8
116. Jager AJ, Tutty MA, Kao AC. Association between physician burnout and identification with medicine as a calling. Mayo Clin Proc. 2017;92(3): 415-422. Doi:10.1016/j.mayocp.2016.11.012
117. Jesse MT, Abouljoud M, Eshelman A. Determinants of burnout among transplant surgeons: a national survey in the United States. Am J Transplant. 2015;15(3):772-778. Doi:10.1111/ajt .13056
118. JohnsMMIII, Ossoff RH. Burnout in academic chairs of otolaryngology: head and neck surgery. Laryngoscope. 2005;115(11):2056-2061. Doi:10.1097/01.MLG.0000181492.36179.8B
119. Johnson JT,Wagner RL, Rueger RM, Goepfert H. Professional burnout among head and neck surgeons: results of a survey. Head Neck. 1993;15 (6):557-560. Doi:10.1002/hed.2880150614
120. Kase SM,Waldman ED,Weintraub AS. A cross-sectional pilot study of compassion fatigue, burnout, and compassion satisfaction in pediatric palliative care providers in the United States [published online February 5, 2018]. Palliat Support Care. Doi:10.1017/S1478951517001237
121. Klimo P Jr, DeCuypere M, Ragel BT, McCartney S, CouldwellWT, Boop FA. Career satisfaction and burnout among U.S. Neurosurgeons: a feasibility and pilot study.World Neurosurg. 2013;80(5):e59-e68. Doi:10.1016/j.wneu.2012.09.009
122. Kroll HR, Macaulay T, Jesse M. A preliminary survey examining predictors of burnout in pain medicine physicians in the United States. Pain Physician. 2016;19(5):E689-E696.
123. Kumar S, Fischer J, Robinson E, Hatcher S, Bhagat RN. Burnout and job satisfaction in New Zealand psychiatrists: a national study. Int J Soc Psychiatry. 2007;53(4):306-316. Doi:10.1177/0020764006074534
124. Kushnir T, Greenberg D, Madjar N, Hadari I, Yermiahu Y, Bachner YG. Is burnout associated with referral rates among primary care physicians in community clinics? Fam Pract. 2014;31(1):44-50. Doi:10.1093/fampra/cmt060
125. Lamothe M, Boujut E, Zenasni F, Sultan S. To be or not to be empathic: the combined role of empathic concern and perspective taking in understanding burnout in general practice. BMC Fam Pract. 2014;15:15. Doi:10.1186/1471-2296-15-15
126. Langade D, Modi PD, Sidhwa YF, et al. Burnout syndrome among medical practitioners across India: a questionnaire-based survey. Cureus. 2016;8 (9):e771. Doi:10.7759/cureus.771
127. Lee FJ, Stewart M, Brown JB. Stress, burnout, and strategies for reducing them: what's the situation among Canadian family physicians? Can Fam Physician. 2008;54(2):234-235.
128. Leung J, Rioseco P, Munro P. Stress, satisfaction and burnout amongst Australian and New Zealand radiation oncologists. J Med Imaging Radiat Oncol. 2015;59(1):115-124. Doi:10.1111/1754-9485.12217
129. Lloyd S, Streiner D, Shannon S. Burnout, depression, life and job satisfaction among Canadian emergency physicians. J Emerg Med. 1994;12(4):559-565. Doi:10.1016/0736-4679(94) 90360-3
130. Lu DW, Dresden S, McCloskey C, Branzetti J, Gisondi MA. Impact of burnout on self-reported patient care among emergency physicians. West J Emerg Med. 2015;16(7):996-1001. Doi:10.5811/westjem.2015.9.27945
131. Marcelino G, Cerveira JM, Carvalho I, et al. Burnout levels among Portuguese family doctors: a nationwide survey. BMJ Open. 2012;2(3):e001050. Doi:10.1136/bmjopen-2012-001050
132. Margaryan AG. Burnout in primary health care physicians: a pilot study. New Armen Med J. 2010; 4(2):76-79.
133. Martinez de la Casa Munoz A, del Castillo Comas C, Magana Loarte E, Bru Espino I, Franco Moreno A, Segura Fragoso A. Study of the prevalence of burnout in doctors in the health area of Talavera de la Reina [in Spanish]. Aten Primaria. 2003;32(6):343-348.
134. Massou S, Doghmi N, Belhaj A, et al. Enquete sur le syndrome d'epuisement professionnel chez les personnels d'anesthesie reanimation de quatre hopitaux universitaires marocains. Ann Medicopsychol Rev Psychiatr. 2013;171(8):538-542. Doi:10.1016/j.amp.2012.02.024
135. Mattei A, Fiasca F, Mazzei M, Necozione S, Bianchini V. Stress and burnout in health-care workers after the 2009 L'Aquila earthquake: a cross-sectional observational study. Front Psychiatry. 2017;8:98. Doi:10.3389/fpsyt.2017 .00098
136. McPhillips HA, Stanton B, Zuckerman B, Stapleton FB. Role of a pediatric department chair: factors leading to satisfaction and burnout. J Pediatr. 2007;151(4):425-430. Doi:10.1016/j.jpeds.2007.03 .016
137. Merlani P, Verdon M, Businger A, Domenighetti G, Pargger H, Ricou B; STRESI+ Group. Burnout in ICU caregivers: a multicenter study of factors associated to centers. Am J Respir Crit Care Med. 2011;184(10):1140-1146. Doi:10.1164/rccm.201101-0068OC
138. Meynaar IA, van Saase J, Feberwee T, Aerts TM, Bakker J, ThijsseW. Burnout among Dutch intensivists-a nationwide survey. Neth J Crit Care. 2016;24(1):12-17.
139. Mikalauskas A, Benetis R, Širvinskas E, et al. Burnout among anesthetists and intensive care physicians. Open Med (Wars). 2018;13:105-112. Doi: 10.1515/med-2018-0017
140. Mikalauskas A, ?irvinskas E, Marchertiene I, et al. Burnout among Lithuanian cardiac surgeons and cardiac anesthesiologists. Medicina (Kaunas). 2012;48(9):478-484.
141. Milenovic M, Matejic B, Vasic V, Frost E, Petrovic N, Simic D. High rate of burnout among anaesthesiologists in Belgrade teaching hospitals: results of a cross-sectional survey. Eur J Anaesthesiol. 2016;33(3):187-194. Doi:10.1097/EJA .0000000000000383
142. Orton P, Orton C, Pereira Gray D. Depersonalised doctors: a cross-sectional study of 564 doctors, 760 consultations and 1876 patient reports in UK general practice. BMJ Open. 2012;2: e000274. Doi:10.1136/bmjopen-2011-000274
143. Ožvacic Adžic Z, Katic M, Kern J, Soler JK, Cerovecki V, Polašek O. Is burnout in family physicians in Croatia related to interpersonal quality of care? Arh Hig Rada Toksikol. 2013;64(2):69-78. Doi:10.2478/10004-1254-64-2013-2307
144. Panagopoulou E, Montgomery A, Benos A. Burnout in internal medicine physicians: differences between residents and specialists. Eur J Intern Med. 2006;17(3):195-200. Doi:10.1016/j.ejim.2005.11.013
145. Pit SW, Hansen V. Factors influencing early retirement intentions in Australian rural general practitioners. Occup Med (Lond). 2014;64(4): 297-304. Doi:10.1093/occmed/kqu028
146. Pozdnyakova A, Laiteerapong N, Volerman A, et al. Impact of medical scribes on physician and patient satisfaction in primary care. J Gen Intern Med. 2018;33(7):1109-1115. Doi:10.1007/s11606-018-4434-6
147. Pranckeviciene A, Tamasauskas A, Deltuva VP, Bunevicius A. Professional burnout and its correlates in Lithuanian neurosurgeons. Acta Neurochir (Wien). 2016;158(8):1437-1445. Doi:10.1007/s00701-016-2869-2
148. Putnik K, Houkes I.Work related characteristics, work-home and home-work interference and burnout among primary healthcare physicians: a gender perspective in a Serbian context. BMC Public Health. 2011;11:716. Doi: 10.1186/1471-2458-11-716
149. Raggio B, Malacarne P. Burnout in intensive care unit. Minerva Anestesiol. 2007;73(4):195-200.
150. Rath KS, Huffman LB, Phillips GS, Carpenter KM, Fowler JM. Burnout and associated factors among members of the Society of Gynecologic Oncology. Am J Obstet Gynecol. 2015;213(6): 824.e1-824.e9. Doi:10.1016/j.ajog.2015.07.036
151. Richter A, Kostova P, Harth V,Wegner R. Children, care, career-a cross-sectional study on the risk of burnout among German hospital physicians at different career stages. J Occup Med Toxicol. 2014;9(1):41. Doi:10.1186/s12995-014-0041-6
152. Rohland BM, Kruse GR, Rohrer JE. Validation of a single-item measure of burnout against the Maslach Burnout Inventory among physicians. Stress Health. 2004;20(2):75-79. Doi:10.1002/smi .1002
153. Ruitenburg MM, Frings-DresenMHW, Sluiter JK. The prevalence of common mental disorders among hospital physicians and their association with self-reported work ability: a cross-sectional study. BMC Health Serv Res. 2012;12:292-298. Doi:10.1186/1472-6963-12-292
154. Sadat-Ali M, Al-Habdan IM, Al-Dakheel DA, Shriyan D. Are orthopedic surgeons prone to burnout? Saudi Med J. 2005;26(8):1180-1182.
155. Saleh KJ, Quick JC, Conaway M, et al. The prevalence and severity of burnout among academic orthopaedic departmental leaders. J Bone Joint Surg Am. 2007;89(4):896-903. Doi:10.2106/JBJS.F.00987
156. Saleh KJ, Quick JC, Sime WE, Novicoff WM, Einhorn TA. Recognizing and preventing burnout among orthopaedic leaders. Clin Orthop Relat Res. 2009;467(2):558-565. Doi:10.1007/s11999-008-0622-8
157. Salmoirago-Blotcher E, Fitchett G, Leung K, et al. An exploration of the role of religion/spirituality in the promotion of physicians' wellbeing in emergency medicine. Prev Med Rep. 2016;3:189-195. Doi:10.1016/j.pmedr.2016.01.009
158. Schooley B, Hikmet N, Tarcan M, Yorgancioglu G. Comparing burnout across emergency physicians, nurses, technicians, and health information technicians working for the same organization. Medicine (Baltimore). 2016;95(10): e2856. Doi:10.1097/MD.0000000000002856
159. See KC, Lim TK, Kua EH, Phua J, Chua GS, Ho KY. Stress and burnout among physicians: prevalence and risk factors in a Singaporean internal medicine programme. Ann Acad Med Singapore. 2016;45(10):471-474.
160. Selmanovic S, Ramic E, Pranjic N, Brekalo-Lazarevic S, Pasic Z, Alic A. Stress at work and burnout syndrome in hospital doctors. Med Arh. 2011;65(4):221-224. Doi:10.5455/medarh.2011.65.221-224
161. Sharma A, Sharp DM,Walker LG, Monson JRT. Stress and burnout in colorectal and vascular surgical consultants working in the UK National Health Service. Psychooncology. 2008;17(6):570-576. Doi:10.1002/pon.1269
162. Shenoi AN, Kalyanaraman M, Pillai A, Raghava PS, Day S. Burnout and psychological distress among pediatric critical care physicians in the United States. Crit Care Med. 2018;46(1):116-122. Doi:10.1097/CCM.0000000000002751
163. Silver JK, Bhatnagar S. Physician burnout in physical medicine and rehabilitation (PM&R): should we focus more on physiatrists' mission? Am J Phys Med Rehabil. 2017;96(8):e159-e161. Doi:10.1097/PHM.0000000000000674
164. Simons BS, Foltz PA, Chalupa RL, Hylden CM, Dowd TC, Johnson AE. Burnout in US military orthopaedic residents and staff physicians. Mil Med. 2016;181(8):835-839. Doi:10.7205/MILMED-D-15-00325
165. Siu C, Yuen SK, Cheung A. Burnout among public doctors in Hong Kong: cross-sectional survey. Hong Kong Med J. 2012;18(3):186-192.
166. Soltanifar A, Pishbin E, Attaran Mashhadi N, Najaf Najafi M, Siahtir M. Burnout among female emergency medicine physicians: a nationwide study. Emerg Med Australas. 2018. Doi:10.1111/1742-6723.12941
167. Stafford L, Judd F. Mental health and occupational wellbeing of Australian gynaecologic oncologists. Gynecol Oncol. 2010;116(3):526-532. Doi:10.1016/j.ygyno.2009.10.080
168. Stanetic K, Tesanovic G. Influence of age and length of service on the level of stress and burnout syndrome. Med Pregl. 2013;66(3-4):153-162. Doi:10.2298/MPNS1304153S
169. Starmer AJ, Frintner MP, Freed GL.Work-life balance, burnout, and satisfaction of early career pediatricians. Pediatrics. 2016;137(4):e20153183. Doi:10.1542/peds.2015-3183
170. Stojanovic-Tasic M, Latas M, Milosevic N, et al. Is Balint training associated with the reduced burnout among primary health care doctors? Libyan J Med. 2018;13(1):1440123. Doi:10.1080/19932820 .2018.1440123
171. Streu R, Hansen J, Abrahamse P, Alderman AK. Professional burnout among US plastic surgeons: results of a national survey. Ann Plast Surg. 2014;72 (3):346-350. Doi:10.1097/SAP .0000000000000056
172. Surgenor LJ, Spearing RL, Horn J, Beautrais AL, Mulder RT, Chen P. Burnout in hospital-based medical consultants in the New Zealand public health system. N Z Med J. 2009;122(1300):11-18.
173. Tak HJ, Curlin FA, Yoon JD. Association of intrinsic motivating factors and markers of physician well-being: a national physician survey. J Gen Intern Med. 2017;32(7):739-746. Doi:10.1007/s11606-017-3997-y
174. Teixeira C, Ribeiro O, Fonseca AM, Carvalho AS. Burnout in intensive care units-a consideration of the possible prevalence and frequency of new risk factors: a descriptive correlational multicentre study. BMC Anesthesiol. 2013;13(1):38. Doi:10.1186/1471-2253-13-38
175. Tironi MOS, Nascimento Sobrinho CL, Barros D de S, et al. Professional burnout syndrome of intensive care physicians from Salvador, Bahia, Brazil [in Portuguese]. Rev Assoc Med Bras (1992). 2009;55(6):656-662. Doi:10.1590/S0104-42302009000600009
176. Travado L, Grassi L, Gil F, Ventura C, Martins C; Southern European Psycho-Oncology Study Group. Physician-patient communication among Southern European cancer physicians: the influence of psychosocial orientation and burnout. Psychooncology. 2005;14(8):661-670. Doi:10.1002/pon.890
177. van der Ploeg E, Dorresteijn SM, Kleber RJ. Critical incidents and chronic stressors at work: their impact on forensic doctors. J Occup Health Psychol. 2003;8(2):157-166. Doi:10.1037/1076-8998 .8.2.157
178. Vicentic S, Gasic MJ, Milovanovic A, et al. Burnout, quality of life and emotional profile in general practitioners and psychiatrists.Work. 2013; 45(1):129-138. Doi:10.3233/WOR-121484
179. Vila Falgueras M, Cruzate Munoz C, Orfila Pernas F, Creixell Sureda J, Gonzalez Lopez MP, Davins Miralles J. Burnout and teamwork in primary care teams [in Spanish]. Aten Primaria. 2015;47(1): 25-31. Doi:10.1016/j.aprim.2014.01.008
180. Viviers S, Lachance L, Maranda M-F, Menard C. Burnout, psychological distress, and overwork: the case of Quebec's ophthalmologists. Can J Ophthalmol. 2008;43(5):535-546. Doi:10.3129/i08-132
181. Volpe U, Luciano M, Palumbo C, Sampogna G, Del Vecchio V, Fiorillo A. Risk of burnout among early career mental health professionals. J Psychiatr Ment Health Nurs. 2014;21(9):774-781. Doi:10.1111/jpm.12137
182. Weintraub AS, Geithner EM, Stroustrup A, Waldman ED. Compassion fatigue, burnout and compassion satisfaction in neonatologists in the US. J Perinatol. 2016;36(11):1021-1026. Doi:10.1038/jp .2016.121
183. West CP, Dyrbye LN, Rabatin JT, et al. Intervention to promote physician well-being, job satisfaction, and professionalism: a randomized clinical trial. JAMA Intern Med. 2014;174(4):527-533. Doi:10.1001/jamainternmed.2013.14387
184. West CP, Halvorsen AJ, Swenson SL, McDonald FS. Burnout and distress among internal medicine program directors: results of a national survey. J Gen Intern Med. 2013;28(8):1056-1063. Doi:10.1007/s11606-013-2349-9
185. Whippen DA, Canellos GP. Burnout syndrome in the practice of oncology: results of a random survey of 1000 oncologists. J Clin Oncol. 1991;9 (10):1916-1920. Doi:10.1200/JCO.1991.9.10.1916
186. Wright JG, Khetani N, Stephens D. Burnout among faculty physicians in an academic health science centre. Paediatr Child Health. 2011;16(7): 409-413. Doi:10.1093/pch/16.7.409
187. Xiao Y,Wang J, Chen S, et al. Psychological distress, burnout level and job satisfaction in emergency medicine: a cross-sectional study of physicians in China. Emerg Med Australas. 2014;26 (6):538-542. Doi:10.1111/1742-6723.12315
188. Yoon JD, Daley BM, Curlin FA. The association between a sense of calling and physician well-being: a national study of primary care physicians and psychiatrists. Acad Psychiatry. 2017; 41(2):167-173. Doi:10.1007/s40596-016-0487-1
189. Yoon JD, Hunt NB, Ravella KC, Jun CS, Curlin FA. Physician burnout and the calling to care for the dying: a national survey. Am J Hosp Palliat Care. 2017;34(10):931-937. Doi:10.1177/1049909116661817
190. Yuguero O, Forne C, Esquerda M, Pifarre J, Abadias MJ, Vinas J. Empathy and burnout of emergency professionals of a health region: a cross-sectional study. Medicine (Baltimore). 2017; 96(37):e8030. Doi:10.1097/MD .0000000000008030
191. Yuguero O, Ramon Marsal J, Esquerda M, Vivanco L, Soler-Gonzalez J. Association between low empathy and high burnout among primary care physicians and nurses in Lleida, Spain. Eur J Gen Pract. 2017;23(1):4-10. Doi:10.1080/13814788.2016.1233173
192. Yuguero Torres O, Esquerda Areste M, Marsal Mora JR, Soler-Gonzalez J. Association between sick leave prescribing practices and physician burnout and empathy. PLoS One. 2015;10(7): e0133379. Doi:10.1371/journal.pone.0133379
193. ZafarW, Khan UR, Siddiqui SA, Jamali S, Razzak JA.Workplace violence and self-reported psychological health: coping with post-traumatic stress, mental distress, and burnout among physicians working in the emergency departments compared to other in Pakistan. J Emerg Med. 2016;50(1):167-77.e1. Doi:10.1016/j.jemermed.2015 .02.049
194. Zanatta AB, Lucca SR. Prevalence of burnout syndrome in health professionals of an onco-hematological pediatric hospital [in Portuguese]. Rev Esc Enferm USP. 2015;49(2): 253-260. Doi:10.1590/S0080-623420150000200010
195. West CP, Dyrbye LN, Satele DV, Sloan JA, Shanafelt TD. Concurrent validity of single-item measures of emotional exhaustion and depersonalization in burnout assessment. J Gen Intern Med. 2012;27(11):1445-1452. Doi:10.1007/s11606-012-2015-7
196. AstudilloW, Mendinueta C. Exhaustion syndrome in palliative care. Support Care Cancer. 1996;4(6):408-415. Doi:10.1007/BF01880637
197. Kristensen TS, Borritz M, Villadsen E, Christensen KB. The Copenhagen Burnout Inventory: a new tool for the assessment of burnout.Work Stress. 2005;19(3):192-207. Doi:10.1080/02678370500297720
198. Burisch M. Approaches to personality inventory construction: a comparison of merits. Am Psychol. 1984;39(3):214-227. Doi:10.1037/0003-066X.39.3.214
199. Malakh-Pines A, Aronson E, Kafry D. Burnout: From Tedium to Personal Growth. New York, NY: Free Press; 1981.
200. Gil-Monte P. CESQT: Cuestionario Para La Evaluación Del Síndrome de Quemarse Por El Trabajo: Manual. Madrid, Spain: TEA; 2011. Https://www.academia.edu/30051507/CESQT .-Cuestionario-para-la-Evaluaci%C3%B3n-del-S %C3%ADndrome-de-Quemarse-por-el-Trabajo .-Manual. Accessed August 6, 2018.
201. Shimotsu S, Poplau S, Linzer M. Validation of a brief clinician survey to reduce clinician burnout. In: Abstracts from the 38th Annual Meeting of the Society of General Internal Medicine. J Gen Intern Med. 2015:30(suppl 2):S79-S80. Doi:10.1007/s11606-015-3271-0
202. Larkin M. Physician burnout takes a toll on US patients. Reuters. January 17, 2018. Https://www .reuters.com/article/us-health-physicians-burnout/physician-burnout-takes-a-toll-on-u-s-patients-idUSKBN1F621U. Accessed July 7, 2018.
203. West CP, Dyrbye LN, Erwin PJ, Shanafelt TD. Interventions to prevent and reduce physician burnout: a systematic review and meta-analysis. Lancet. 2016;388(10057):2272-2281. Doi:10.1016/S0140-6736(16)31279-X
204. Shanafelt TD. Enhancing meaning in work: a prescription for preventing physician burnout and promoting patient-centered care. JAMA. 2009; 302(12):1338-1340. Doi:10.1001/jama.2009.1385
205. Thomas LR, Ripp JA,West CP. Charter on physician well-being. JAMA. 2018;319(15):1541-1542. Doi:10.1001/jama.2018.1331
206. Maslach C, Jackson SE, Leiter MP. Maslach Burnout Inventory Manual. 3rd ed. Menlo Park, CA: Mind Garden Inc; 1996.
207. Dyrbye LN,West CP, Shanafelt TD. Defining burnout as a dichotomous variable. J Gen Intern Med. 2009;24(3):440. Doi:10.1007/s11606-008-0876-6
208. Schaufeli WB, Bakker AB, Hoogduin K, Schaap C, Kladler A. On the clinical validity of the Maslach Burnout Inventory and the burnout measure. Psychol Health. 2001;16(5):565-582. Doi:10.1080/08870440108405527
209. Schutte N, Toppinen S, Kalimo R, SchaufeliW. The factorial validity of the Maslach Burnout Inventory-General Survey (MBI-GS) across occupational groups and nations. J Occup Organ Psychol. 2000;73(1):53-66. Doi:10.1348/096317900166877
210. Bianchi R, Schonfeld IS, Laurent E. The dead end of current research on burnout prevalence. J Am Coll Surg. 2016;223(2):424-425. Doi:10.1016/j .jamcollsurg.2016.05.012
211. Schaufeli WB. Past performance and future perspectives of burnout research. S Afr J Ind Psychol. 2003;29(4). Doi:10.4102/sajip.v29i4.127
212. Bianchi R, Truchot D, Laurent E, Brisson R, Schonfeld IS. Is burnout solely job-related? A critical comment. Scand J Psychol. 2014;55(4):357-361. Doi:10.1111/sjop.12119
213. Wenger N, Mean M, Castioni J, Marques-Vidal P,Waeber G, Garnier A. Allocation of internal medicine resident time in a Swiss hospital: a time and motion study of day and evening shifts. Ann Intern Med. 2017;166(8):579-586. Doi:10.7326/M16-2238
214. Mata DA, Ramos MA, Kim MM, Guille C, Sen S. In their own words: an analysis of the experiences of medical interns participating in a prospective cohort study of depression. Acad Med. 2016;91(9): 1244-1250. Doi:10.1097/ACM.0000000000001227
215. Bianchi R, Schonfeld IS, Laurent E. Is burnout separable from depression in cluster analysis? A longitudinal study. Soc Psychiatry Psychiatr Epidemiol. 2015;50(6):1005-1011. Doi:10.1007/s00127-014-0996-8
216. Hallsten L. Burning out: a framework. In: Professional Burnout: Recent Developments in Theory and Research. Philadelphia, PA: Taylor & Francis; 1993. Series in Applied Psychology: Social Issues and Questions.
217. Melnick ER, Powsner SM, Shanafelt TD. Defining physician burnout, and differentiating between burnout and depression [letter reply]. Mayo Clin Proc. 2017;92(9):1456-1458. Doi:10.1016/j .mayocp.2017.07.005
218. Messias E, Flynn V. The tired, retired, and recovered physician: professional burnout versus major depressive disorder. Am J Psychiatry. 2018; 175(8):716-719. Doi:10.1176/appi.ajp.2018.17121325
219. Medscape National Physician Burnout & Depression Report 2018. Https://www.medscape .com/slideshow/2018-lifestyle-burnout-depression-6009235. Accessed March 10, 2018.
220. Golembiewski R, Munzenrider R, Stevenson J. Physical symptoms and burn-out phases. In: Moise LR, ed. Organizational Policy and Development. Louisville, KY: Center for Continuing Education Studies, University of Louisville; 1984:71-86.