Be mindful of Physician Burnout Loretta Samaniego, MD, MPH, FACEP January 2017 Presentation Title - # Presentation Title - #
Burnout • Why does this matter to you? • What are signs of burnout? • What causes burnout? • Strategies to Prevent Burnout Presentation Title - #
Why do WE care? One Team. Multiple Services. • 3,400+ Hospitals in 47 states Patient-Centric Care. • 97% Client retention rate Hospital Medicine • 19,000 Affiliated healthcare professionals OB/GYN Hospitalist Emergency Medicine • 93% Physician retention rate Intensivist Anesthesia • 27+ Million patients cared for annually Acute Care Surgery Orthopedic Hospitalist • 500 Managed care contracts Post-acute Care Ambulatory Care 3 Presentation Title - #
Why should YOU care? Because you are CHIEF OF STAFF and more than ½ of your STAFF is burned out! • More likely to quit • More prone to alcohol abuse and dependence • More likely to commit suicide • Male doctors: 40% higher • Females: 130% higher Presentation Title - #
• More mistakes and malpractice • Unprofessional conduct • Treat patients as objects (depersonalization) • Poor patient compliance and satisfaction Presentation Title - #
Workforce Impact • EE in increasing • Reduced work effort:1000 • Suicides 400 • Early Retirement 47% Presentation Title - #
Source: Medscape Physician Lifestyle Report 2015 by Carol Peckham. January 26, 2015 http://www.medscape.com/features/slideshow/lifestyle/2015/public/overview?src=wnl_edit_specol&uac=94393AR#24 Presentation Title - #
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BURNOUT VS STRESS? • Ability to recover in time off • Leads to: – Exhaustion – Depersonalization – Devaluation Presentation Title - #
How to Identify Burnout • Normally punctual – showing up late • No complaints – repeat issues of rudeness • Increased clinical errors in previously excellent doctor • Substance abuse Presentation Title - #
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Causes of Burnout • Too many bureaucratic tasks • Too many work hours • Cog in a wheel Presentation Title - #
Source: Medscape Physician Lifestyle Report 2015 by Carol Peckham. January 26, 2015 http://www.medscape.com/features/slideshow/lifestyle/2015/public/overview?src=wnl_edit_specol&uac=94393AR#24 Presentation Title - #
Source: Medscape Physician Lifestyle Report 2015 by Carol Peckham. January 26, 2015 http://www.medscape.com/features/slideshow/lifestyle/2015/public/overview?src=wnl_edit_specol&uac=94393AR#24 Presentation Title - #
Source: Medscape Physician Lifestyle Report 2015 by Carol Peckham. January 26, 2015 http://www.medscape.com/features/slideshow/lifestyle/2015/public/overview?src=wnl_edit_specol&uac=94393AR#24 Presentation Title - #
Source: Medscape Physician Lifestyle Report 2015 by Carol Peckham. January 26, 2015 http://www.medscape.com/features/slideshow/lifestyle/2015/public/overview?src=wnl_edit_specol&uac=94393AR#24 Presentation Title - #
Source: Medscape Physician Lifestyle Report 2015 by Carol Peckham. January 26, 2015 http://www.medscape.com/features/slideshow/lifestyle/2015/public/overview?src=wnl_edit_specol&uac=94393AR#24 Presentation Title - #
Source: Medscape Physician Lifestyle Report 2015 by Carol Peckham. January 26, 2015 http://www.medscape.com/features/slideshow/lifestyle/2015/public/overview?src=wnl_edit_specol&uac=94393AR#24 Presentation Title - #
Source: Medscape Physician Lifestyle Report 2015 by Carol Peckham. January 26, 2015 http://www.medscape.com/features/slideshow/lifestyle/2015/public/overview?src=wnl_edit_specol&uac=94393AR#24 Presentation Title - #
Source: Medscape Physician Lifestyle Report 2015 by Carol Peckham. January 26, 2015 http://www.medscape.com/features/slideshow/lifestyle/2015/public/overview?src=wnl_edit_specol&uac=94393AR#24 Presentation Title - #
Source: Medscape Physician Lifestyle Report 2015 by Carol Peckham. January 26, 2015 http://www.medscape.com/features/slideshow/lifestyle/2015/public/overview?src=wnl_edit_specol&uac=94393AR#24 Presentation Title - #
Source: Medscape Physician Lifestyle Report 2015 by Carol Peckham. January 26, 2015 http://www.medscape.com/features/slideshow/lifestyle/2015/public/overview?src=wnl_edit_specol&uac=94393AR#24 Presentation Title - #
2017: Highest rate vs Most Severe • EM 59% • Urology • OBGYN 56% • ENT • FM,IM,ID 55% • Oncology Presentation Title - #
Strategies to Prevent Burnout PERSONAL ORGANIZATIONAL • Self Awareness and • Physician Wellness Committee mindfulness training Value, track and support • Work-life Balance • CME on burnout • Exercise • Physician support groups • Hobbies/Philanthropy • Leadership skills training • Flexibility in work hours • Programs to support burned out physicians Presentation Title - #
What are physicians looking for • Leadership • Work/life balance • Communication • Cultural fit Presentation Title - #
The Changing Physician Workforce Demographics and • A new generation prioritizing lifestyle and work- Priorities life balance • Large-scale delivery systems carry corresponding Job Requirements corporate requirements • Physicians forced to meet emerging and Performance Standards changing demands on access, cost, and service New Rules of • Physicians today facing unprecedented pressure, with many feeling overwhelmed and burned out Engagement 26 Presentation Title - #
Changing Demographics and Priorities Physicians are increasingly young and female. This new generation prioritizes lifestyle and work-life balance over compensation, and they are increasingly seeking employment over owning their own practices 27 Presentation Title - #
Performance Standards Patients are more demanding on access, cost, and service. Physicians must meet these new standards in order to attract and retain patients. At the same time, new quality reporting requirements are putting an incredible burden on physician practices at a significant cost. Presentation Title - #
New Rules of Engagement Together, these changes place unprecedented pressure on today’s physicians. Overwhelmed and burned out, they are eager for tools and techniques to help them adapt. To succeed in this new clinical environment, suppliers and services firms must re-align their offerings and commercial strategies with the realities of today’s physician workforce. 29 Presentation Title - #
Job Requirements Most physicians are now part of large care delivery enterprises, with corresponding corporate requirements. They oversee diverse and growing care teams, requiring new communication and management skills, and they must now learn to function in a fully digital world. Presentation Title - #
Personal Strategies Presentation Title - #
You can change the direction of the train if you concentrate Presentation Title - #
Ten Tips to Prevent Burnout Community 1. • Hanging out with friends will help you feel better. Being around others will boost your mood and energize you, sometimes even if it’s people you don’t know well. Take Breaks 2. • Don’t sit in front of your computer for hours on end, so take a 5- minute break every hour. Walk to the break room, walk outside or talk to a friend on the phone. Get Fresh Air and Sunshine 3. • Walk or bike to work if you can. Go for a walk during your meal break. If you have to drive to work, park a few blocks away and walk to the office. 33 Presentation Title - #
Ten Tips to Prevent Burnout Eat Healthy Food 4. • Eat your veggies and fresh foods! Avoid processed and packaged goods and be sure to eat healthy snacks. Meditate 5. • Take 10 minutes every day to meditate. Set a few minutes aside to focus on peace and quiet no matter how busy you are. Exercise 6. • This should be an important part of your routine and is important to your physical and emotional health on many levels! Get your heart pumping! 34 Presentation Title - #
Ten Tips to Prevent Burnout House Plants 7. • House plants are natural air filters and bring relaxing energy to any room. Plus if you have to vent, they are good listeners! Stretch 8. • A good stretch relieves stress, relaxes your mind and body, and helps you take care of your responsibilities energetically. Get Enough Sleep 9. • Sleep rejuvenates! To ensure a good night’s sleep, enjoy a cup of chamomile tea, meditate or read for a few minutes. 35 Presentation Title - #
Ten Tips to Prevent Burnout 10. Laugh • Read something funny. Talk to someone funny. Watch a funny video. Laughter really is the best medicine! 36 Presentation Title - #
Conclusions • Burnout is significant problem • We need to save these doctors • Burnout cannot be stopped, but it can be managed • Mentorship • Counseling • Organizational Recognition Presentation Title - #
Additional Resources • TheHappyMD.com..Dr. Dike Drummond • Studer: “Healing Pysician Burnout: Diagnosing, preventing, and Treating” • AMA: STEPSForward • ACEP: Wellness Book for Emergency Physicians Presentation Title - #
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