Skip to main content

ED burnout

Hey all
Found an interesting article on Healthecareers.com by Emily O'Brien. On Doctor Burnout and what it means

Burnout is tough on anyone. It disrupts happiness levels, relationships to those closest to us, and even our careers. 

The Maslach Burnout Inventory (MBI) tool is used to measure emotional exhaustion, depersonalization, and dissatisfaction with work accomplishments and measures job fatigue as defined by the World Health Organization. MBI is recognized as the leading measure of burnout and authenticated by decades of extensive research. 

A 2017 Mayo Clinic study declared that almost half of the United States doctors—an astounding 44 percent—report some degree of burnout. But for physicians, this exhaustion cuts even deeper. 

There's a ripple effect: decreased patient care and an impact on the healthcare system.

One key factor contributing to discontent is electronic health record systems. In fact, one study that found that for every hour physicians spend with patients, two hours are spent on documentation

Mayo Clinic refers to job burnout as a "special type of work-related stress—a state of physical or emotional exhaustion that also involves a sense of reduced accomplishment and loss of personal identity." While it might not be a medical diagnosis, some experts believe other physical and mental conditions, such as depression, headaches, insomnia, and stomach aches, play important roles, and burnout can cause marital strains, substance abuse, and other mental and physical troubles as well. Physician fatigue not only contributes negatively to a doctor's well-being but also to patient care and the healthcare system as a whole. Medical errors, decreased work productivity, and poor quality of patient care are all consistent negative impacts.

Burnout is a lose-lose situation

When physicians experience extreme career fatigue, medical errors are more likely to occur, along with malpractice suits. Patients also report decreased satisfaction and the quality of there's affected. Doctors suffering from burnout are less productive and may even quit, causing more burden on the healthcare system.

What can we do?

-Establish a reporting requirement for electronic health record adverse events "just as the (U.S.) Food and Drug Administration requires adverse event reporting with respect to devices it regulates."

-Require healthcare employers to measure physician wellness.

-Update laws to offer incentives that encourage employers to address burnout

-Invest in research on clinician well-being

Have anymore ideas? Let us know.

So far so much!

Comments

Popular posts from this blog

Experience Based Co Design : BCT Series XXIX

  "Experience-Based Co-Design" we have all witnessed its essence unknowingly . My family home is the example I can reflect on .Growing up I didn't like how my house was designed. We (the whole extended family) wanted my dad to sell the house . Dad let his architect friend design our house and would not sell his house (for obvious reasons!). Mum had to balance out the situation so she decided to make small changes. So, it was one change idea each year .She would talk to us individually and listen to our perspective and review her sphere of influence and the impact /utility the idea had.For my siblings the colors were not welcoming while I pointed the flooring. Mum wanted the stairs to be personalised. My grandparents wanted certain conveniences around the toilets. It took her about 4-5 years to make the house a home that was acceptable . From color preferences to spatial arrangements, each family member contributed insights. The lovely thing about it was , the keystakehold...

Parallel Universe : BCT Series XXX

  Two moments in the ED this week made me realize that I come from a parallel universe. One involved a teenage patient who had applied bronzer that I found while cleaning her skin for a IV cannula which left me surprised as I come from a part of the world where teenagers paint their skin with whitening agents to look more attractive. The second moment was during my teaching session on Organophosphorous poisoning, where I wondered if my accent was causing disengagement . However, I learned that it was simply a rare presentation of organophosphorous poisoning in this part of the world. It felt like I was narrating my adventures from a tropical trek! Have you ever had a moment where your cultural background clashed with your environment ?

Lifesupport Courses : BCT Series XXXI

   I  struggled to a complete my ALS bit more than ACLS. ALS and ACLS are advanced lifesupport courses. "ACLS was a cakewalk , why are you struggling here? "Voice in my head kept playing.My mind was a bit more confused . I wondered why my flow was not smooth. We were allotted mentors during the session , they took some time out to practice with me separately where I realised I was mixing subtle things from ACLS with ALS. The defibrillation steps, some of the management. The defibrillator we used back in India was different and the safety issues there were different. Despite having cleared MRCEM OSCE where you do ALS , this was different.Probably because it was appropriate in that setting and the machinery there was familiar. Reflecting from it I realised that my mind was UNLEARNING and RELEARNING. There were times where there was a shortcircuit and fireworks. There is no perfect way of doing things, its what works as per your situation and setting.