Becker's ASC Review

50 Life-Saving Equipment, Medications & Training Since 1970 888-STAT KIT StatKit.com/StatKit750 or contact your dealer • Complete set of medications • Designed to help meet accreditation standards • Always up to date* Banyan also sells INDIVIDUAL medications 9439 v.1 08/2015 STAT KIT ® 750 * Medications are tracked for expiration and automatically replaced to maximize shelf-life and ensure readiness. The only Emergency Medical Kit designed for Ambulatory Surgical Facilities Faced with seemingly endless administrative tasks, physicians experience burn-out more than any other specialty in the United States. Here are 10 things to know about physician burnout. 1. Burn-out among all U.S. physicians is reaching 46 percent, which is 10 percent more than the general population. is is a substantial increase from 40 percent of physicians reporting burn-out in 2013. 1 2. e highest burn-out rates are found in critical care (53 percent) and emer- gency medicine (52 percent). Almost half of all family physicians, internists and general surgeons reported burn-out. 2 3. Medical errors are oen linked to physician burnout. A study examined the correlation between physician burn-out and medical errors using a self- assessment of major medical errors, a validated depression screening tool and standardized assessments of burnout and quality of life. e study found of 7,905 participating surgeons, 8.9 percent reported concern they made a medi- cal error in the last three months, with 70 percent of those surgeons claiming the error was due to individual error rather than systematic factors. Research- ers found surgeons reporting an error had a significant adverse relationship with mental QOL, all three domains of burnout (emotional exhaustion, de- personalization and personal accomplishment) and symptoms of depression. 3 4. Leadership has been directly tied to physician burn-out rates. Mayo Clinic surveyed 3,000 physicians and scientists about their well-being at work. Re- spondents evaluated themselves as well as their immediate supervisors, com- prised of physicians and scientists, in 12 specific dimensions of leadership. e survey found 40 percent of respondents reported burnout and found there was a direct link between burnout rates and leadership rates. 4 5. Various factors contribute to the high rates of physician burn-out. Physi- cians oen cite "too many bureaucratic tasks, spending too many hours at work and income not being high enough" as causes for stress. Other common causes include the computerization of practice, the impact of the Affordable Care Act and too many patient appointments in one day. 2 6. Of physicians aged between 46 and 55 years old, 53 percent of physicians reported burn-out. Physicians between 36 and 45 years old reported a burn- out rate of 51 percent. Older physicians reported the lowest burn-out rate with physicians 66 years old and older reporting a burn-out rate of only 22 percent. 2 7. Medical residents are experiencing burn-out at high rates with 28 percent to 45 percent of medical students reporting burn-out. Depending on spe- cialty, a reported 27 percent to 75 percent of residents reported burn-out. A resident's burn-out can result from a range of factors including time de- mands, work planning, difficult job situations, interpersonal relations and work organization. 5 8. e American Medical Association launched STEPS Forward in an ef- fort to combat physician burn-out. STEPS Forward aims at helping medical providers redesign their medical practices to reduce stress and find satisfac- tion in their careers. e program consists of 16 modules including steps for implementation, case studies, downloadable videos, tools and resources. e modules address practice efficiency and patient care, patient health, physi- cian health as well as technology and innovation. 1 9. A study found American physicians experienced lower levels of emotional exhaustion than physicians in Europe when safety and quality culture and career development opportunities were strong and when physicians utilized problem-focusing coping. However, U.S. physicians reported higher emo- tional exhaustion than European physicians when work-life conflict was strong and they did not cope effectively. 6 10. Many physicians are planning to retire earlier than planned with experts projecting the nation will face a shortage of between 46,000 to 90,000 physi- cians by 2025. Six in 10 physicians stated it is likely many physicians will retire earlier than planned in the next one to three years, and more than 60 percent of physicians stated they would not recommend medicine as a career to their own children. n References 1. e American Medical Association. 2. Medscape Physician Lifestyle Report 2015. 3. Burnout and medical errors among American surgeons. T.D. Shanafelt, C.M. Balch, G. Bechamps, T. Russell, L. Dyrbye, D. Satele, et al. 4. Mayo Clinic. 5. Burnout During Residency Training: A Literature Review. Journal of Gradu- ate Medical Education. Waguih William IsHak, Sara Lederer, Carla Mandili, Rose Nikravesh, Laurie Seligman, Monisha Vasa, Dotun Ogunyemi, and Carol A. Bernstein 6. Correlates of physician burnout across regions and specialties: a meta-anal- ysis. Raymond T Lee1*, Bosu Seo2, Steven Hladkyj3, Brenda L Lovell4 and Laura Schwartzmann. Feeling Tired? Stressed? You're Not Alone — 10 Key Thoughts on Physician Burnout By Mary Rechtoris

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