COA/CORA ICL: Practical Strategies to Enhance Diversity and Physician Wellness in Canadian Orthopaedics: Questions & Answers

OrthoMedia ◽  
2021 ◽  
Keyword(s):  
Physician Wellness

Improving physician wellness through electronic health record education

2021 ◽  
pp. 009121742110346
Author(s):  
Elizabette Johnson ◽  
Elizabeth Roth
Keyword(s):  
Electronic Health Record ◽  
Statistical Significance ◽  
Resident Physician ◽  
Health Record ◽  
Physician Burnout ◽  
Paired Data ◽  
Post Intervention ◽  
Physician Wellness ◽  
Resident Wellness ◽  
Electronic Health

Objective Our goal is to improve the wellness of our Family Medicine residents now and in the future by educating them on more efficient use of our electronic health record (EHR). Resident physician burnout is a significant problem and is correlated with time spent using an EHR after work hours. Family physicians have the highest rate of burnout of all specialties, and the EHR is a significant contributor to this burnout. Studies have shown that increased EHR education can improve job satisfaction. Method Over 5 months, we provided weekly brief (15 minute) educational sessions covering 6 topics twice and a one-hour individualized meeting of each resident physician with an EHR trainer. We evaluated our intervention with wellness surveys and objective measures of EHR efficiency both pre and post intervention. We further evaluated efficiency by comparing pre and post-intervention values of the following: average keystrokes, mouseclicks, accelerator use, minutes per encounter and percent closed encounters at month’s end. Results Resident questionnaires showed lessons increased knowledge and intention to use EHR accelerators, but this was not statistically significant. Analysis of objective data showed most efficiency metrics worsened, though most not to a degree that was statistically significant. Residents reported subjective increases in efficiency, and paired data from wellness surveys showed an overall decrease in burnout post-intervention vs. baseline. Conclusions Much of the data in this pilot study does not reach statistical significance, but is highly suggestive that increased EHR training can improve at least perceived efficiency and thereby resident wellness.

Building community during the COVID-19 pandemic: a system level approach to physician well-being

2021 ◽  
Vol 7 (4) ◽  
pp. 166-170
Author(s):  
Serena Siow ◽  
Carmen Gittens
Keyword(s):  
Emotional Health ◽  
Well Being ◽  
Shared Responsibility ◽  
System Level ◽  
Group Discussions ◽  
Physician Wellness ◽  
Physician Leaders ◽  
Building Community ◽  
Support Team ◽  
Emotional Strain

Before the COVID-19 pandemic, physician burnout was identified as reaching crisis proportions, and the pandemic is expected to worsen the already perilous state of physician wellness. It has affected physicians’ emotional health, not only by increasing workload demands, but also by eroding resilience under increasing pressures. The mental health consequences are expected to persist long after the pandemic subsides. With physician wellness increasingly recognized as a shared responsibility between individual physicians and the health care system, system-level approaches have been identified as important interventions for addressing physician well-being. In this article, we describe two evidence-guided initiatives implemented in our hospitalist network during the current pandemic: a trained peer-support team and facilitated physician online group discussions. These initiatives acknowledge the emotional strain of physicians’ work and challenge the “iron doc” culture of medicine. Our efforts build community and shift culture toward improved physician wellness. We suggest that the pandemic might be an opportunity for our profession to strengthen our support networks and for physician leaders to advance physician wellness in their work environments.

scholarly journals SAT-263 Exploring Physician Wellness and Satisfaction at Community-Based Hospital

2019 ◽  
Vol 3 (Supplement_1) ◽  
Author(s):  
Varshini Chakravarthy ◽  
Ekaterina Dianova ◽  
Krishan Kumar ◽  
Sehar Ejaz
Keyword(s):  
Community Based ◽  
Physician Wellness

scholarly journals Wellness Review 2020, Part 2

2020 ◽  
Vol 3 (1) ◽  
Author(s):  
Martin Huecker ◽  
Keyword(s):  
Recent Literature ◽  
Organizational Factors ◽  
Medical Community ◽  
Medical Professionals ◽  
Task Load ◽  
New Science ◽  
Physician Wellness ◽  
Financial Wellness ◽  
Self Compassion ◽  
The Impact

Introduction: This article comprises Part 2 of the Journal of Wellness review of 2020 wellness literature (July – December). In this review, JWellness editors continue the goal of offering a cohesive summary of recent publications within the wellness domain. We summarize new science and resilience initiatives published outside of JWellness that seek understanding of either burnout and its prevention or thriving in the medical community. Methods: From the interval of 01 July – 31 Dec 2020, PubMed was queried for empirical research studies, review articles, and editorials in accordance with the following algorithm: an article was required to have two delineating keywords, each from a separate grouping. The first identified medical professionals in either the title or the abstract: (“clinical professionals,” “physicians,” or “caregivers”), and the other identified a wellness-related keyword in the title: (“wellness,” “burnout,” “resilience,” or “resiliency”). Literature in Review: A total of 234 articles resulted. The list for inclusion was then narrowed to sixty-three articles plus one that was hand-picked. Recent literature into physician wellness, burnout and resilience continues to focus heavily on COVID-19. Well-researched topics include burnout surveillance, proposals for and small investigations into resilience, multiple studies attempting to differentiate characteristics that predispose to burnout, and the impact of the pandemic. Less has been written on leadership, financial wellness, and sustainable resilience-building initiatives. We note relatively few control-measured interventional studies—the majority of which remain small in endeavor and short in duration, limiting generalizability. Conclusion: Recent literature into physician wellness, burnout and resilience focuses heavily on COVID-19. Many workplace / organizational factors negatively influence wellness: cumbersome EHRs, cultures not focused on socialization and self-compassion, and high physician task load. We express optimism regarding future interventional studies of burnout mitigation and resilience enhancement.

What Do We Mean by Physician Wellness? A Systematic Review of Its Definition and Measurement

2017 ◽  
Vol 42 (1) ◽  
pp. 94-108 ◽  
Author(s):  
Keri J. S. Brady ◽  
Mickey T. Trockel ◽  
Christina T. Khan ◽  
Kristin S. Raj ◽  
Mary Lou Murphy ◽  
...  
Keyword(s):  
Systematic Review ◽  
Physician Wellness

Staying Well in a Sea of Harm

2018 ◽  
Vol 158 (6) ◽  
pp. 983-984
Author(s):  
Ellen S. Deutsch
Keyword(s):  
Patient Safety ◽  
Positive Impact ◽  
Dynamic Interactions ◽  
Psychological Wellness ◽  
Physician Wellness ◽  
Complementary Approach ◽  
Human Creativity

Physician psychological wellness is an emergent outcome resulting from dynamic interactions among complex conditions. We may enhance opportunities for physician wellness by applying principles developed to improve another emergent outcome: patient safety. The Safety I approach to patient safety focuses on “what went wrong” and considers humans a liability. Safety II is a powerful complementary approach that focuses on “what went right” and values human creativity. These contrasting perspectives are described in the context of patient safety, but the underlying principles have relevance for physician psychological wellness. We can create conditions that interfere with wellness and conditions that support wellness. We can learn from exploring and reinforcing successes and improving routine processes; together, these approaches may have a greater cumulative positive impact than just addressing problems. In addition to learning from failures, there is much we can learn from success.

Physician Wellness Is an Ethical and Public Health Issue

2018 ◽  
Vol 158 (6) ◽  
pp. 970-971 ◽  
Author(s):  
Rosandra Walker ◽  
Harold Pine
Keyword(s):  
Public Health ◽  
Well Being ◽  
Public Health Issue ◽  
Health And Wellness ◽  
Physician Burnout ◽  
Sustainable Change ◽  
Ethical Implications ◽  
Physician Wellness ◽  
Hospital Systems ◽  
The Impact

Attention to physician well-being has traditionally focused on substance abuse, usually with disciplinary implications. But, in recent years, greater notice has been granted toward physician burnout and overall wellness. Burnout and its sequelae not only affect physicians and physicians-in-training as individuals, but the impact then multiplies as it affects these physicians’ patients, colleagues, and hospital systems. In addition, the American Medical Association Code of Medical Ethics charges physicians with a responsibility to maintain their own health and wellness as well as promote that of their colleagues. Therefore, the question of physician wellness has both public health and ethical implications. The causes of burnout are multifactorial, and the solutions to sustainable change are multitiered.

scholarly journals Research Priorities for Physician Wellness in Academic Emergency Medicine: Consensus from the Society of Academic Emergency Medicine Wellness Committee

2018 ◽  
Vol 2 ◽  
pp. S40-S47 ◽  
Author(s):  
Arlene S. Chung ◽  
Matthew L. Wong ◽  
Leon D. Sanchez ◽  
Dave W. Lu ◽  
Rita A. Manfredi ◽  
...  
Keyword(s):  
Emergency Medicine ◽  
Research Priorities ◽  
Physician Wellness
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