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.

scholarly journals THE WORLD'S OLDEST UNIVERSITY AND ITS FINANCING EXPERIENCE: A STUDY ON AL-QARAWIYYIN UNIVERSITY (859-990)

2021 ◽  
Vol 6 (1) ◽  
pp. 24-41
Author(s):  
Muhammad Nazmul Hoque ◽  
Md. Faruk Abdullah
Keyword(s):  
Significant Contribution ◽  
Historical Data ◽  
Relevant Literature ◽  
Influential Factor ◽  
Educational Institutions ◽  
Academic Quality ◽  
New Knowledge ◽  
The Individual ◽  
The University ◽  
Financing Higher Education

Al-Qarawiyyin University's independence in terms of finances had been a significant and influential factor in making it possible for the university to maintain its high quality. Therefore, this paper aims to examine and analyse the financial sources for the development and operation of this university. It reviews and analyses historical data through relevant literature and documents. Waqf played a significant role in providing financial assistance to the university's communities and in strengthening its academic quality. There were four significant types of waqf sources which were the individual fund, the collective waqf fund, the Sultan fund and the alumni fund along with different other types of charities, i.e. sadaqah. This article adds new knowledge by examining the financing experiences of the world's oldest university. It is expected that the instance of Al-Qarawiyyin University may contribute to finding out a solution for the funding crises in contemporary institutions. This review is hoped to constitute a significant contribution to scholarship in general and act as a suggestion for solving the contemporary funding crisis of higher educational institutions.   Keywords: Al-Qarawiyyin University, financing higher education, Morocco, Waqf.   Cite as: Hoque, M. N., & Abdullah, M. F. (2021). The world's oldest university and its financing experience: A study on Al-Qarawiyyin University (859-990).  Journal of Nusantara Studies, 6(1), 24-41. http://dx.doi.org/10.24200/jonus.vol6iss1pp24-41

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.

scholarly journals An exploration of sociological factors that contribute to physician burnout

2020 ◽  
Author(s):  
Jennifer Gray
Keyword(s):  
Medical Profession ◽  
Medical Community ◽  
Sociocultural Factors ◽  
Evidence Based ◽  
Canadian Society ◽  
Physician Burnout ◽  
Individual Level ◽  
Sociological Factors ◽  
The Individual ◽  
Based Medicine

A discussion about mental health and how it relates to the medical profession is incomplete without exploring the concept of burnout.  The implications of physician burnout are profound, and it is plaguing the medical community at epidemic rates.  Current research focuses on which occupational factors may be contributing to this problem.  Other approaches involve investigating the efficacy of building resilience at the individual level as a means of combatting burnout.  Examining this issue through a broader lens and considering sociocultural factors that may be influencing how medicine is experienced by those in the field is remarkably untouched in the literature.  This article will discuss how several changes in contemporary Canadian society may be underlying factors in physician burnout. The increasing penetrance of the internet into patient-physician interactions, the rise of online review platforms and widespread secularization in a domain that continues to face issues that evidence-based medicine fails to explain will all be addressed.  This is merely a preliminary discussion to fortify current initiatives aimed at promoting awareness of and preventing physician burnout. 

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 Sustainable Education in the Context of COVID-19: Study of the Social Perception and Well-Being of Students at the Faculty of Engineering in Sibiu, Romania

2021 ◽  
Vol 13 (22) ◽  
pp. 12805
Author(s):  
Lucian-Ionel Cioca ◽  
Mihaela Laura Bratu
Keyword(s):  
Social Perception ◽  
Relevant Literature ◽  
Well Being ◽  
Face To Face ◽  
Self Image ◽  
The Social ◽  
Human Psyche ◽  
Face To Face Learning ◽  
The Individual ◽  
Relationship Of

The COVID-19 pandemic has had global effects on all industries and on people around the world. The COVID-19 pandemic has had repercussions both politically and economically, as well as on society and the individual, i.e., on the human psyche. Although the effects on the human psyche have been highlighted in research, the well-being of the individual in correlation with social perception have not been addressed in this context but in different situations. The review of the relevant literature has also identified a knowledge gap concerning online vs. face-to-face learning, from the perspective of psychological, pedagogical and managerial factors. The present study aims to address the relationship of well-being—social perception—academic performance during the COVID-19 pandemic on a group of students from the Faculty of Engineering in Sibiu, Romania. Three types of instruments were used to evaluate the studied characteristics: the Warwick Edinburgh Mental Well-being Scale (WEMWBS), the SKS method for generating feedback and the grid for assessing knowledge. The results showed the increase of the three parameters studied, after quarantine. The conclusions of the research are that, despite the greater variation in mood, caused by stress, anxiety and tension, the well-being of the subjects increased and the positive feedback provided increased significantly. The results lead to the formation of a positive self-image of students, which also has an impact on learning outcomes.

scholarly journals A Multimodal Intervention for Improving the Mental Health and Emotional Well-being of College Students

2017 ◽  
Vol 14 (2) ◽  
pp. 216-224 ◽  
Author(s):  
Darren P. Morton ◽  
Jason Hinze ◽  
Bevan Craig ◽  
Wendi Herman ◽  
Lillian Kent ◽  
...  
Keyword(s):  
Mental Health ◽  
College Students ◽  
Positive Psychology ◽  
Well Being ◽  
Evidence Based ◽  
Lifestyle Medicine ◽  
Multimodal Intervention ◽  
Symptoms Of Depression ◽  
Psychology Literature ◽  
The Individual

This study examined the effectiveness of a 10-week multimodal intervention for improving the mental health and emotional well-being of college students when included as a mandatory component of the students’ course of study. A total of 67 students (20.9 ± 5.4 years, 30 male/37 female) participated in the intervention that introduced a variety of evidence-based strategies for improving mental health and emotional well-being from the Lifestyle Medicine and Positive Psychology literature. Significant reductions were recorded in symptoms of depression (−28%, P < .05), anxiety (−31%, P < .05), and stress (−28%, P < .01), whereas significant improvements were observed in mental health (18%, P < .01), vitality (14%, P < .01) and overall life satisfaction (8%, P < .05). Effect sizes were larger than those reported by studies that have examined the individual effectiveness of the strategies incorporated into the intervention, suggesting a compounding effect. Stratified analyses indicated that participants with the lowest measures of mental health and emotional well-being at baseline experienced the greatest benefits. The findings of the study suggest that meaningful improvements in the mental health and emotional well-being of college students can be achieved, and potentially magnified, by utilizing a multidisciplinary approach involving evidence-based strategies from Lifestyle Medicine and Positive Psychology.

scholarly journals Medical Culture of Volga Protestant Communities (Second Half of 18th – Early 20th Centuries): Religious and Ethical Aspects

2020 ◽  
pp. 172-184
Author(s):  
Olga Kitsenko ◽  
Roman Kitsenko ◽  
Irina Cheremushnikova
Keyword(s):  
Medical Care ◽  
Well Being ◽  
Family Values ◽  
Medical Culture ◽  
Health Maintenance ◽  
High Quality Medical Care ◽  
High Level ◽  
Health And Well Being ◽  
Quality Medical Care

Introduction. The authors proceed from the understanding that medical culture is a complex of factors contributing to the preservation of health, and these positions analyze the culture of the German Protestant communities (Lutherans, Hernguthers, Mennonites) inhabiting the Povolzhye (Volga region) in the second half of 18th – early 20th centuries. The study of cultural contexts of health, including religious ethical norms, is key to analyzing health and well-being of a population. Methods and materials. Materials for the study were statutes of Protestant communities, data of zemstvo medical statistics, publications in central and local periodicals, as well as eyewitness accounts of visitors of German colonies. The comparison of ethical standards contained in the statutes and recorded by witnesses with data on morbidity and mortality allow us to estimate the role of religious and ethical views in the medical culture of Volga Protestants. Analysis and results. The authors have found that the conditions for maintaining health in German colonies, including the availability of high-quality medical care, were directly related to the labour ethics of Protestantism and the high level of dwellers welfare. Labour ethics determined importance to keep fit, influenced nutritional culture and the perception of medical care. The total literacy of colonists contributed to the spread of advanced medical practices among them (for example, vaccination). Protestant virtues of diligence and order became the basis for the development of hygienic skills – an important factor in the prevention of infectious diseases. The ideals of marital fidelity and family values promoted health maintenance. Self-government characteristic of Protestant communities made it possible to quickly respond to the challenges posed by threats to health.

Staying True to Our PBS Roots in a Changing World

2017 ◽  
Vol 20 (1) ◽  
pp. 15-18 ◽  
Author(s):  
Don Kincaid
Keyword(s):  
Problem Behaviors ◽  
Well Being ◽  
Evidence Based ◽  
Behavior Support ◽  
The Past ◽  
Service Programs ◽  
Critical Components ◽  
Definition Of ◽  
The Individual ◽  
Social Service Programs

The field of Positive Behavior Support (PBS) has grown and changed significantly in the past 25 years and should be expected to continue that trend for the next 25 years. These changes cannot always be predicted, but they can be managed by considering some current changes to the definition of PBS (Kincaid et al., 2016). This paper discussed how PBS can remain close to its empirical and philosophical roots by attending to five key features that include (a) research-based assessment, intervention, and data-based decision making; (b) building social and other functional competencies, creating supportive contexts, and preventing the occurrence of problem behaviors; (c) being respectful of a person’s (or group’s) dignity and overall well-being; (d) being open to data from a variety of fields and evidence-based procedures; and (e) application within a multi-tiered framework at the level of the individual and the level of the larger systems (e.g., families, classrooms, schools, social service programs, and facilities). The paper also considers some strategies for keeping the critical components of PBS in the minds of researchers and readers.

Patient Scheduling — (Bibliography)

1977 ◽  
Vol 16 (02) ◽  
pp. 112-115 ◽  
Author(s):  
C. O. Köhler ◽  
G. Wagner ◽  
U. Wolber
Keyword(s):  
Information Processing ◽  
Medical Care ◽  
Medical Informatics ◽  
Relevant Literature ◽  
Patient Scheduling ◽  
Individual Scientist ◽  
Set Up ◽  
The Individual ◽  
New Literature ◽  
Current Systems

The entire field of information processing in medicine is today already spread out and branched to such an extent that it is no longer possible to set up a survey on relevant literature as a whole. But even in narrow parts of medical informatics it is hardly possible for the individual scientist to keep up to date with new literature. Strictly defined special bibliographies on certain topics are most helpful.In our days, problems of optimal patient scheduling and exploitation of resources are gaining more and more importance. Scientists are working on the solution of these problems in many places.The bibliography on »Patient Scheduling« presented here contains but a few basic theoretical papers on the problem of waiting queues which are of importance in the area of medical care. Most of the papers cited are concerned with practical approaches to a solution and describe current systems in medicine.In listing the literature, we were assisted by Mrs. Wieland, Mr. Dusberger and Mr. Henn, in data acquisition and computer handling by Mrs. Gieß and Mr. Schlaefer. We wish to thank all those mentioned for their assistance.

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