Be mindful of Physician Burnout Loretta Samaniego, MD, MPH, FACEP - - PowerPoint PPT Presentation

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Be mindful of Physician Burnout Loretta Samaniego, MD, MPH, FACEP - - PowerPoint PPT Presentation

Dec 04, 2022 211 likes •613 views

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

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Be mindful of Physician Burnout

Loretta Samaniego, MD, MPH, FACEP January 2017

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Burnout

  • Why does this matter to

you?

  • What are signs of burnout?
  • What causes burnout?
  • Strategies to Prevent

Burnout

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One Team. Multiple Services. Patient-Centric Care.

  • 3,400+ Hospitals in 47 states
  • 97% Client retention rate
  • 19,000 Affiliated healthcare professionals
  • 93% Physician retention rate
  • 27+ Million patients cared for annually
  • 500 Managed care contracts

Hospital Medicine OB/GYN Hospitalist Emergency Medicine Intensivist Anesthesia Acute Care Surgery Orthopedic Hospitalist Post-acute Care Ambulatory Care

Why do WE care?

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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
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  • More mistakes and malpractice
  • Unprofessional conduct
  • Treat patients as objects (depersonalization)
  • Poor patient compliance and satisfaction
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Workforce Impact

  • EE in increasing
  • Reduced work effort:1000
  • Suicides 400
  • Early Retirement 47%
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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

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BURNOUT VS STRESS?

  • Ability to recover in time off
  • Leads to:

– Exhaustion – Depersonalization – Devaluation

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How to Identify Burnout

  • Normally punctual –

showing up late

  • No complaints – repeat

issues of rudeness

  • Increased clinical errors in

previously excellent doctor

  • Substance abuse
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Causes of Burnout

  • Too many bureaucratic tasks
  • Too many work hours
  • Cog in a wheel
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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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2017: Highest rate vs Most Severe

  • EM 59%
  • OBGYN 56%
  • FM,IM,ID 55%
  • Urology
  • ENT
  • Oncology
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Strategies to Prevent Burnout

PERSONAL

  • Self Awareness and

mindfulness training

  • Work-life Balance
  • Exercise
  • Hobbies/Philanthropy

ORGANIZATIONAL

  • Physician Wellness Committee

Value, track and support

  • CME on burnout
  • Physician support groups
  • Leadership skills training
  • Flexibility in work hours
  • Programs to support burned
  • ut physicians
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What are physicians looking for

  • Leadership
  • Work/life balance
  • Communication
  • Cultural fit
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The Changing Physician Workforce

  • Large-scale delivery systems carry corresponding

corporate requirements

Job Requirements

  • A new generation prioritizing lifestyle and work-

life balance

Demographics and Priorities

  • Physicians forced to meet emerging and

changing demands on access, cost, and service

Performance Standards

  • Physicians today facing unprecedented pressure,

with many feeling overwhelmed and burned out

New Rules of Engagement

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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

Changing Demographics and Priorities

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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.

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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.

New Rules of Engagement

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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.

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Personal Strategies

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You can change the direction of the train if you concentrate

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1.

Community

  • 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.

2.

Take Breaks

  • 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.

3.

Get Fresh Air and Sunshine

  • 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.

Ten Tips to Prevent Burnout

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4.

Eat Healthy Food

  • Eat your veggies and fresh foods! Avoid processed and packaged

goods and be sure to eat healthy snacks.

5.

Meditate

  • Take 10 minutes every day to meditate. Set a few minutes aside to

focus on peace and quiet no matter how busy you are.

6.

Exercise

  • 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!

Ten Tips to Prevent Burnout

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7.

House Plants

  • House plants are natural air filters and bring relaxing energy to any
  • room. Plus if you have to vent, they are good listeners!

8.

Stretch

  • A good stretch relieves stress, relaxes your mind and body, and

helps you take care of your responsibilities energetically.

9.

Get Enough Sleep

  • Sleep rejuvenates! To ensure a good night’s sleep, enjoy a cup of

chamomile tea, meditate or read for a few minutes.

Ten Tips to Prevent Burnout

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  • 10. Laugh
  • Read something funny. Talk to someone funny. Watch a funny video.

Laughter really is the best medicine!

Ten Tips to Prevent Burnout

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Conclusions

  • Burnout is significant problem
  • We need to save these doctors
  • Burnout cannot be stopped, but it can be managed
  • Mentorship
  • Counseling
  • Organizational Recognition
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Additional Resources

  • TheHappyMD.com..Dr. Dike Drummond
  • Studer: “Healing Pysician Burnout: Diagnosing,

preventing, and Treating”

  • AMA: STEPSForward
  • ACEP: Wellness Book for Emergency Physicians