scholarly journals Feasibility of a “Network of Champions” in implementing a program to address physician well-being

2021 ◽  
Vol 3 (3) ◽  
Author(s):  
Kerri Palamara ◽  
Keyword(s):  
Well Being ◽  
Direct Costs ◽  
Evidence Based ◽  
Burnout Prevention ◽  
Physician Burnout ◽  
Professional Groups ◽  
Professional Societies ◽  
Using Data ◽  
Professional Fulfillment ◽  
Key Aspects

Introduction: Healthcare leaders have been challenged to mitigate burnout and foster well-being among physicians. Professional societies are beginning to address this in a systematic manner. Methods: In 2014, the American College of Physicians (ACP) endeavored to improve well-being for its 160,000 members of internists and trainees through a Well-being Champion (WBC) program based in the majority of its 85 national and international chapters. The program was supported by an evidence-based curriculum, chapter volunteers who served as champions, and in-person and virtual trainings. Training included a 1-2 day program in 2018 and 2019, focused on educating champions on causes of burnout, means of systematically collecting well-being data, and methods for using data for system change to reduce burnout and improve well-being. Results: Training included 158 WBCs in 8 countries. After training, over 90% of champions in both years of the program felt able to articulate the evidence for burnout prevention and suggest interventions, access resources, and administer well-being surveys. While 58% of champions noted high interest in wellness, only 26% had a budget allocated for this, and most budgets were small. Ninety-one percent in both years felt able to analyze survey data and 90% in both years felt able to enhance their own well-being. Eighty-eight to 90% felt able to foster a well-being community and importantly, 85% felt comfortable engaging leadership in this topic. Since 2017, 639 activities were recorded, accounting for 87/158 Champions in 69 Chapters. Annual direct costs varied each year but remained <1% of aggregate member dues. Conclusion: This report describes a model for building regional networks to address physician burnout while promoting well-being and professional fulfillment. After training, champions felt capable of performing key aspects of burnout reduction, including survey administration, data analysis and engaging leadership in systems change. To our knowledge, this is the first model to scale burnout prevention throughout an entire professional society. Using the included program descriptions and curricula, this program may be generalizable for other large professional groups wishing to measure and enhance well-being among their membership.

Conceptual models for understanding physician burnout, professional fulfillment, and well-being

2019 ◽  
Vol 49 (11) ◽  
pp. 100658 ◽  
Author(s):  
Miriam T. Stewart ◽  
Suzanne Reed ◽  
Jennifer Reese ◽  
Meghan M. Galligan ◽  
John D. Mahan
Keyword(s):  
Conceptual Models ◽  
Well Being ◽  
Physician Burnout ◽  
Professional Fulfillment

Are we making a difference?

2007 ◽  
Vol 30 (1) ◽  
pp. 3.1-3.14 ◽  
Author(s):  
Michael Clyne
Keyword(s):  
Language Contact ◽  
Linguistic Diversity ◽  
Well Being ◽  
Indigenous Languages ◽  
Linguistic Knowledge ◽  
Professional Groups ◽  
Professional Societies ◽  
The World ◽  
Making A Difference ◽  
Special Responsibilities

Language is crucial in our lives and to all disciplines. It affects our well-being individually and collectively and touches important sociopolitical issues. Linguists/applied linguists have exciting opportunities for interdisciplinary research and to work in contexts personally meaningful to them. While language is the concern of all people, professionals have special responsibilities to provide leadership in understanding how it works and responsible insights into the uses and abuses of language in society.Australian language specialists can offer the rest of the world experience with language policy, typological and language contact studies, and bilingual language acquisition. Some Australians have advanced linguistic knowledge through studies of indigenous languages. Many have worked with indigenous, ethnic and other communities and professional groups, providing evidence in court or advice to teachers and families. Some broadcast regularly or occasionally. But have we succeeded in contesting the monolingual mindset of the mainstream? The Australian authors represented in language sections of most general bookshops are not linguists.Far more collaboration and coordination of initiatives through the professional societies is needed to put languages back on the national agenda and make Australia more language-aware. This should lead to recognizing, valuing, fostering and transmitting, supporting and sharing our linguistic diversity. Australia’s rich language potential has only been partly realized.

scholarly journals Physician Burnout: A Lifestyle Medicine Perspective

2020 ◽  
pp. 155982762098042
Author(s):  
Gia Merlo ◽  
James Rippe
Keyword(s):  
Risk Factor ◽  
Historical Context ◽  
Well Being ◽  
Evidence Based ◽  
Physician Burnout ◽  
Lifestyle Medicine ◽  
Work Related ◽  
Risk Factor Reduction ◽  
Prevention Model ◽  
Health And Well Being

Physician burnout, as described in North America, is a multidimensional work-related syndrome that includes emotional exhaustion, depersonalization, and a low sense of accomplishment from work. More than 50% of physicians were reporting symptoms of burnout prior to the COVID-19 pandemic. This silent epidemic of burnout is bound to become less silent as the pandemic continues. Lifestyle medicine is an evidence-based discipline that describes how daily habits and health practices can affect overall health and well-being of individuals. Lifestyle Medicine can potentially play a significant role in preventing and ameliorating physician burnout. This article explores the burnout process, including the historical context, international definitions, symptoms, and imprecision of the clinical diagnosis. The systemic etiological issues are discussed, and the psychological underpinnings are explored, including physicians’ personal vulnerabilities contributing to burnout. The stress response and lifestyle medicine’s role in healthy coping are described. A prevention model for risk factor reduction is proposed, focusing on primordial, primary, secondary, and tertiary prevention. Lifestyle medicine clinicians’ role in prevention, treatment, and advocacy to ameliorate the potential for burnout is discussed along with specific recommendations.

scholarly journals Are we making a difference?

2007 ◽  
Vol 30 (1) ◽  
pp. 3.1-3.14 ◽  
Author(s):  
Michael Clyne
Keyword(s):  
Language Contact ◽  
Linguistic Diversity ◽  
Well Being ◽  
Indigenous Languages ◽  
Linguistic Knowledge ◽  
Professional Groups ◽  
Professional Societies ◽  
The World ◽  
Making A Difference ◽  
Special Responsibilities

Language is crucial in our lives and to all disciplines. It affects our well-being individually and collectively and touches important sociopolitical issues. Linguists/applied linguists have exciting opportunities for interdisciplinary research and to work in contexts personally meaningful to them. While language is the concern of all people, professionals have special responsibilities to provide leadership in understanding how it works and responsible insights into the uses and abuses of language in society. Australian language specialists can offer the rest of the world experience with language policy, typological and language contact studies, and bilingual language acquisition. Some Australians have advanced linguistic knowledge through studies of indigenous languages. Many have worked with indigenous, ethnic and other communities and professional groups, providing evidence in court or advice to teachers and families. Some broadcast regularly or occasionally. But have we succeeded in contesting the monolingual mindset of the mainstream? The Australian authors represented in language sections of most general bookshops are not linguists. Far more collaboration and coordination of initiatives through the professional societies is needed to put languages back on the national agenda and make Australia more language-aware. This should lead to recognizing, valuing, fostering and transmitting, supporting and sharing our linguistic diversity. Australia’s rich language potential has only been partly realized.

scholarly journals An Assessment of Physician Well-Being and Burnout Among Army Obstetricians and Gynecologists

2021 ◽  
Author(s):  
Devin M Walther ◽  
Mark E Kraus ◽  
Kelly E Beeken ◽  
Bruce D Pier
Keyword(s):  
Well Being ◽  
Fellowship Training ◽  
Active Duty ◽  
Physician Burnout ◽  
Cross Sectional Survey ◽  
Chi Square ◽  
Cross Sectional ◽  
Institutional Review ◽  
Full Analysis ◽  
Professional Fulfillment

ABSTRACT Introduction Physician burnout is associated with unsafe patient care and poor patient satisfaction. Civilian studies show burnout rates of 46% among obstetricians/gynecologists (OB/GYNs). Army Active Duty (A-AD) physician burnout rates range from 7.7% to 26% across specialties, but no studies have assessed A-AD OB/GYN burnout. The objective of this study was to quantify well-being of A-AD OB/GYNs by determining rates of professional fulfillment (wellness) and burnout and detect factors of potential protective or risk for wellness and burnout. Methods A cross-sectional survey-based study was designed to determine well-being of A-AD OB/GYNs. This Institutional Review Board–approved study used the validated Professional Fulfillment Index. The survey was shared anonymously via email to 197 A-AD OB/GYNs. Additional questions asked as possible risk factors for burnout include location, training status, fellowship training, and remaining active duty service obligation (ADSO). Wellness and burnout rates were determined using published scales. Mean rates of wellness and burnout were reported, and chi-square tests detected associations between wellness/burnout and other variables. Results Eighty-three A-AD OB/GYNs responded to the survey (42%), with 73 available for full analysis. 26.5% had positive wellness, and 50% reported burnout. Completing fellowship training and shorter ADSO (of 0-2 years compared to &gt;5 years) had higher rates of wellness. There were no differences in burnout among groups. Conclusions Burnout rates in A-AD OB/GYNs appear higher than A-AD physicians of other specialties but are similar to civilian OB/GYNs. Fellowship training may confer higher rates of wellness. Further research is needed regarding improvements in A-AD OB/GYN well-being and burnout.

scholarly journals Physician burnout: Quo vadimus?

2020 ◽  
Vol 72 ◽  
pp. 211-216
Author(s):  
Vikas Menon ◽  
Varun Agrawal ◽  
Shashank Joshi ◽  
Amit K. Ghosh
Keyword(s):  
Relevant Literature ◽  
Well Being ◽  
Educational Institutions ◽  
Evidence Based ◽  
Physician Burnout ◽  
Validated Questionnaires ◽  
Environment And Health ◽  
High Quality Medical Care ◽  
The Individual ◽  
Quality Medical Care

Burnout is a syndrome of emotional exhaustion, loss of meaning at work, feeling of ineffectiveness, and a tendency to view people as objects rather than as a human being. Physician burnout leads to dissatisfaction at work and suboptimal patient care. Various causes of burnout at the individual, work environment, and health system levels have been identified. In this review, we initially focus on the burden of burnout. Subsequently, we describe the determinants of this problem in India and the West, while drawing on relevant literature. Finally, we provide evidence based practical suggestions to deal with physician burnout. Strategies suggested to deal with burnout need to be implemented based on locally available resources. Repeated assessment of burnout constructs using validated questionnaires can evaluate the effectiveness of an intervention. Hospitals, educational institutions, and physician societies need to collaborate with practicing physicians to address burnout and invest in physician well-being to continue providing high-quality medical care in the future.

Organizational Evidence-Based and Promising Practices for Improving Clinician Well-Being

2020 ◽  
Author(s):  
Christine A. Sinsky ◽  
Lee Daugherty Biddison ◽  
Aditi Mallick ◽  
Anna Legreid Dopp ◽  
Jessica Perlo ◽  
...  
Keyword(s):  
Well Being ◽  
Evidence Based ◽  
Promising Practices

scholarly journals Evidence-Based Landscape Architecture for Human Health and Well-Being

2020 ◽  
Vol 12 (4) ◽  
pp. 1360 ◽  
Author(s):  
Robert D. Brown ◽  
Robert C. Corry
Keyword(s):  
Human Health ◽  
Architectural Design ◽  
Landscape Architecture ◽  
Well Being ◽  
Evidence Based ◽  
Natural Environments ◽  
The People ◽  
Outdoor Environments ◽  
The Usa ◽  
Health And Well Being

More than 80% of the people in the USA and Canada live in cities. Urban development replaces natural environments with built environments resulting in limited access to outdoor environments which are critical to human health and well-being. In addition, many urban open spaces are unused because of poor design. This paper describes case studies where traditional landscape architectural design approaches would have compromised design success, while evidence-based landscape architecture (EBLA) resulted in a successful product. Examples range from school-yard design that provides safe levels of solar radiation for children, to neighborhood parks and sidewalks that encourage people to walk and enjoy nearby nature. Common characteristics for integrating EBLA into private, public, and academic landscape architecture practice are outlined along with a discussion of some of the opportunities and barriers to implementation.

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