What is Physician Burnout?
It is the beginning of a new year and a new decade. Most of this month's work will address physician wellness, which very much affects every patient. Patients have become aware of physician burnout. Burnout is characterized by three components: (1) emotional exhaustion or loss of passion for one’s work, (2) depersonalization or treating patients as objects, and (3) the sense that your work is no longer meaningful; caused by the rapid influx of technology, increased patient volume, a new payment method based upon the value, rather than the volume of patient visits. Physicians and patients usually have their forums and spaces. It used to be the 'doctor's lounge' or the doctor's dining room. This has become much less true in recent years. While the administrative suites have grown larger, the spaces set aside for physicians has decreased and perhaps has contributed to a loss of self-esteem.
Many physicians now blog in public blog spaces, have their facebook pages and Instagram page While web pages are static social media offers an almost synchronous platform for doctors and patients to communicate. Add to that secure messaging and telemedicine, the internet provides an almost spider web for communications, physician-patient-patient-physician.
This conceptual model was developed by the National Academy of Medicine Action Collaborative on Clinician Well-Being.
What is Clinician Burnout?
This conceptual model depicts the factors associated with clinician well-being and resilience; applies these factors across all health care professions, specialties, settings, and career stages; and emphasizes the link between clinician well-being and outcomes for clinicians, patients, and the health system. The model should be used to understand well-being, rather than as a diagnostic or assessment tool. The model will be revised as the field develops and more information becomes available.
The external and individual factors of the conceptual model are hyperlinked to corresponding landing pages on the Knowledge Hub, allowing users to navigate seamlessly between the two resources. By viewing the Conceptual Model on your computer, you will find that each factor is linked to a landing page within the Knowledge Hub. Each landing page provides additional information and resources.
The body of medical literature on burnout has demonstrated significant professional repercussions including decreased patient satisfaction, increased medical errors and litigation, and the personal consequences of substance abuse and depression [5–7]. One proposed solution to physician burnout is to address physician wellness [8, 9]
Numerous study groups have evaluated this subject and published their results and recommendations.
Transforming Clinical Documentation in EHRs for 2020: Recommendations from the University of Minnesota's Big Data Conference Working Group
Physicians have in the past been at the top of the hierarchy of responsibility. Leadership is a lonely place, and the inability to share responsibility and authority comes with a price. Today's brand of medicine is a team approach. This is demonstrated by a number of reports
Factors Affecting Clinician Well-Being and Resilience – Conceptual Model – Clinician Well-Being Knowledge Hub: Factors Affecting Clinician Well-Being and Resilience – Conceptual Model
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