Surgeon Burnout: Defining, Identifying, and Addressing the New Reality

Clinics in Colon and Rectal Surgery DOI: 10.1055/s-0039-1692709Surgeon wellness is a multidimensional commitment that encompasses occupational, mental, physical, emotional, and social domains. Loss of professional control, autonomy, and flexibility; inefficient processes; disjointed workplace relationships and goals; excessive administrative burdens; poor work–life balance; and frustrations with medical record and order entry systems have all been associated with burnout. Described as a syndrome of emotional exhaustion, depersonalization, and loss of a sense of personal accomplishment, burnout can have myriad untoward consequences. The strong link between surgeons' personal and professional identities can lead to a perfect storm of burnout, depression, compromised patient safety and quality of care, physician job loss and career dissatisfaction, substance abuse, damage to personal relationships, and suicide. The alarming scope of this problem cannot be confined to a single specialty or practice setting and is expected to increase without much needed changes to surgeon work practices and work environments. A heightened focus on wellness in the workplace with attention to improving workflow, scheduling, collaboration, and resource allocation is a welcome step taken by several institutions and championed by professional societies. Much more research is needed to reliably gauge the overall effectiveness of these approaches, further address the nuances of burnout as it appli...
Source: Clinics in Colon and Rectal Surgery - Category: Surgery Authors: Tags: Review Article Source Type: research

Related Links:

CONCLUSION: Emerging evidence positions physicians in PMandR among the most likely to experience burnout. Although there is limited literature regarding PMandR specialists and trainees, the available evidence suggests that more than half of physicians in PMandR experience burnout. PMID: 31608964 [PubMed - as supplied by publisher]
Source: Journal of Rehabilitation Medicine - Category: Rehabilitation Tags: J Rehabil Med Source Type: research
ConclusionsIn this group of veterans with serious mental illnesses, our results suggest that blister packaging all outpatient prescription medications was budget ‐neutral. Blister packaging may be a cost‐effective barrier to intentional overdose with prescribed medications.
Source: Journal of Pharmaceutical Health Services Research - Category: Drugs & Pharmacology Authors: Tags: Research Paper Source Type: research
ConclusionFew studies were found, which limits the possibility of drawing strong conclusions about cost effectiveness. There is some evidence based on decision-analytic modelling that anti-bullying interventions represent value for money. Generally, there is a lack of studies that take into account long-term costs and effects.Systematic Review Registration NumberCRD42019115882.
Source: Applied Health Economics and Health Policy - Category: Health Management Source Type: research
Conclusions: Majority of the articles appeared in the city/region section with neutral/nature. PMID: 31579205 [PubMed]
Source: Indian Journal of Psychiatry - Category: Psychiatry Tags: Indian J Psychiatry Source Type: research
This report summarizes data from CDC's National Violent Death Reporting System (NVDRS) regarding violent deaths from 32 U.S. states for 2016. Results are reported by sex, age group, race/ethnicity, type of location where injured, method of injury, circumstances of injury, and other selected characteristics. PERIOD COVERED: 2016. DESCRIPTION OF SYSTEM: NVDRS collects data regarding violent deaths obtained from death certificates, coroner/medical examiner reports, law enforcement reports, and secondary sources (e.g., child fatality review team data, Supplementary Homicide Reports, hospital data, and crime laborator...
Source: MMWR Surveill Summ - Category: Epidemiology Authors: Tags: MMWR Surveill Summ Source Type: research
Estimates in the United States suggest that 49 percent of children have an unmet mental health need, with disadvantaged children disproportionately affected. Constraints on child mental health (CMH) services are occurring at a time of escalating concerns for youth substance abuse, suicide, and violence. In the United States, the majority of minors attend public school; this positions the school as an ideal site for CMH service provision. Additionally, Burns ’ 1995 landmark finding that the school in the United States is 70–80 percent of students’ only source of CMH treatment supports the placement of clin...
Source: Journal of the American Academy of Child and Adolescent Psychiatry - Category: Psychiatry Authors: Tags: Clinical Perspectives 22 Source Type: research
This study seeks to examine differences in trends in suicide attempts and substance abuse via int entional ingestions in US adolescents and adults from 2007 to 2017.
Source: Journal of the American Academy of Child and Adolescent Psychiatry - Category: Psychiatry Authors: Source Type: research
Adolescent depression affects youths ’ social, emotional, and cognitive development; increases risk for suicide, substance abuse, and serious health risk behaviors; and is associated with decreased school performance. Fewer than one-third of adolescents with depression have access to treatments, with greater unmet need for minority y outh, especially Latinos, making this population especially vulnerable. This presentation will describe the adaptation of the Families OverComing Under Stress (FOCUS) for Depression model, implementation, and outcomes of an RCT with low-income minority adolescents delivered through school-based clin ics.
Source: Journal of the American Academy of Child and Adolescent Psychiatry - Category: Psychiatry Authors: Tags: Clinical Perspectives 8 Source Type: research
Being a survivor of suicide loss is a unique kind of grief. In the realm of mental health stigma, suicide is about as nightmare as you can get.  A survivor of suicide loss endures many days of bewilderment. While the momentum of episodic depression, anxiety, and substance abuse that often precedes suicide comes to a screeching halt for your loved one in their death, the hurricane force winds rage on for the survivor, now compiled with even more pain, confusion, and grief, as you process the sudden loss of your loved one.  In addition to your own sense of loss, you are forced to come up with euphemisms to describe...
Source: World of Psychology - Category: Psychiatry & Psychology Authors: Tags: Grief and Loss Suicide Bereavement grieving National Suicide Prevention Awareness Month Source Type: blogs
Authors: Iqbal Y, Jahan R, Matin MR Abstract Although crisis helplines are an established method of suicide prevention, there is little research on their operation in developing countries. This paper reviews calls (N = 14,344) to the only suicide prevention hotline in Bangladesh during the first five years of the helpline's operation. Call characteristics were recorded on checklists, compiled, and analyzed. Results indicate that callers are about half male, mostly between the ages of twenty and thirty-nine, and mostly not suicidal. Callers display a wide range of reasons for calling, with relationship...
Source: Asian Journal of Psychiatry - Category: Psychiatry Tags: Asian J Psychiatr Source Type: research
More News: Depression | Environmental Health | Men | Occupational Health | Substance Abuse | Substance Abuse Disorders | Suicide | Surgery