Peer-Reviewed Literature – Clinician Well-Being Knowledge Hub

Metrics for Assessing Physician Activity Using Electronic Health Record Log Data

NAM — Mon, 13 Dec 2021 02:38:11 +0000

This study uses E.H.R. researchers and stakeholders to propose 7 core E.H.R. use measures, identify potential use cases for such measures, and address future directions for research and use.

Establishing Crosswalks Between Common Measures of Burnout in U.S. Physicians

NAM — Mon, 13 Dec 2021 02:33:49 +0000

The findings of this study allow healthcare organizations using the Stanford Professional Fulfillment Index or or Mini Z Single Item Burnout scale to compare group-level scores to historical, regional, or national Maslach Burnout Inventory scores

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

NAM — Mon, 13 Dec 2021 00:59:27 +0000

In this discussion paper, the authors outline organizational approaches that focus on fixing the workplace, rather than “fixing the worker,” and by doing so, advance clinician well-being and the resiliency of the organization.

Age and Sex Differences in Burnout, Career Satisfaction, and Well-Being in US Neurologists

NAM — Thu, 19 Sep 2019 20:43:21 +0000

The following study contains a quantitative/qualitative analysis of survey responses from US neurologists. The purpose of the surveys was to examine age and sex differences in burnout, career satisfaction, and well-being. Questions in the survey covered personal and professional characteristics along with standardized instruments to measure burnout and career satisfaction. Results found higher rates of burnout and lower rates of career satisfaction in women than in men. The relationship of burnout with age combined with demographics of respondents was significant to this result. The differences in burnout, career satisfaction, and well-being by age and between men and women neurologists suggest that efforts to mitigate burnout would be most effective if they are personalized to reflect the physician’s age, career level, sex, and home life.

Prevalence and Factors Associated with Burnout among Frontline Primary Health Care Providers in Low- and Middle-Income Countries: A Systematic Review

NAM — Thu, 19 Sep 2019 20:20:36 +0000

This systematic review analyzes the prevalence and factors associated with provider burnout in low and middle income countries. Articles from three electronic databases (EMBASE, MEDLINE, and CAB) were searched to find information on outpatient provider burnout in LMICs. They were reviewed to identify prevalence of factors associated with provider burnout. Results found heterogeneity in the definition and prevalence of burnout. Prevalence of burnout was found across multiple medical specialties (physicians, nurses, community health workers, etc.) Most studies used the Maslach Burnout Inventory to assess burnout. Further studies are still required to better measure the cause and consequences of burnout in order to guide the development of effective interventions.

Association of Medical Scribes in Primary Care With Physician Workflow and Patient Experience

NAM — Thu, 19 Sep 2019 20:08:43 +0000

This study published in JAMA Internal Medicine investigates whether the use of medical scribes decreases electronic health record documentation burden and improves productivity. Widespread use of EHRs in medical care has resulted in increased physician workload and less patient-doctor interaction. While there has been an increased use of medical scribes for EHR assistance, few studies have examined their use rigorously. This study randomly assigned primary care physicians to start a three month period with and without scribes and alternated their exposure status every three months for a year. A survey was conducted after each study period to measure perceptions of documentation burden and visit interactions. Results showed that scribed periods were associated with less self-reported after hours EHR documentation and a higher likelihood of more patient interaction.

Promoting Wellness and Stress Management in Residents through Emotional Intelligence Training

NAM — Thu, 19 Sep 2019 19:57:36 +0000

Previous literature on Emotional Intelligence (EI) demonstrates that physicians with higher levels of EI are less susceptible to burnout. The purpose of the study examines that theory by assessing the impact of educational intervention in increasing overall EI level in residents; specifically their stress management and wellness scores. Residents students volunteered to complete an online self assessment survey measuring EI before and after an educational intervention session. Results found that there was a significant increase in EI scores after the educational intervention in both stress management and overall wellness. Therefore teaching EI skills is highly efficient in promoting wellness amongst resident physicians.

Association of Clinical Specialty With Symptoms of Burnout and Career Choice Regret Among US Resident Physicians

NAM — Wed, 18 Sep 2019 21:02:10 +0000

This study sought to identify the association between rates of burnout and career choice regret amongst resident physicians and whether this varies by clinical specialty. A prospective cohort study was conducted in which US resident physicians completed baseline questionnaires during their fourth year of medical school and then during their second year of residency. Exposures that were measured through the questionnaires included clinical specialty, demographics, educational debt, US Medical Licensing Examination Step 1 scores, and reported levels of anxiety, empathy, and social support. Results found that symptoms of burnout and career choice regret were prevalent amongst physicians, and were relatively higher within the fields of urology, neurology, emergency medicine, ophthalmology, and general surgery.

The Embedded Counseling Model: An Application for Dental Students

NAM — Wed, 18 Sep 2019 13:36:46 +0000

The aim of this study was to evaluate the impact of a counseling office on dental students at the University of Iowa College of Dentistry & Dental Clinics during their first three academic semesters. A full time psychologist was hired to provide in house counseling sessions to individual students. During clinical assessment, data was gathered on students’ psychological history and high risk behaviors. An outcome rating scale was utilized after each session to assess overall psychotherapy outcome. Results found a positive correlation between the number of counseling appointments and overall functioning. The most significant increase followed after the sessions. This suggests that counseling offices are efficient in promoting well-being of students and further research is needed in this area so that faculty can best meet the needs of their students.

Perceived Stress and Well-Being Among Dental Hygiene and Dental Therapy Students

NAM — Wed, 18 Sep 2019 13:17:57 +0000

This study explores the perception of stress and well-being amongst undergraduate dental hygiene and therapy students at the University of Portsmouth Dental Academy. A questionnaire was given to students measuring their perception of levels of stress and well-being. Results found that a majority of students reported levels of stress, depression, and anxiety that were within normal ranges. All reported having high levels of positive well-being. While previous studies have made the assumption that stress in undergraduate dental training is debilitating, this current study shows that students experiencing stress are reported to be positively-functioning individuals.