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[PMID]: | 28931640 |
[Au] Autor: | Miyasaki JM; Rheaume C; Gulya L; Ellenstein A; Schwarz HB; Vidic TR; Shanafelt TD; Cascino TL; Keran CM; Busis NA |
[Ad] Endereço: | From the Department of Medicine, Division of Neurology (J.M.M.), University of Alberta, Edmonton, Canada; Member Insights Department (C.R., L.G., C.M.K.), American Academy of Neurology, Minneapolis, MN; Department of Neurology (A.E.), George Washington University, Washington, DC; Department of Neuro |
[Ti] Título: | Qualitative study of burnout, career satisfaction, and well-being among US neurologists in 2016. |
[So] Source: | Neurology;89(16):1730-1738, 2017 Oct 17. | [Is] ISSN: | 1526-632X |
[Cp] País de publicação: | United States |
[La] Idioma: | eng |
[Ab] Resumo: | OBJECTIVE: To understand the experience and identify drivers and mitigating factors of burnout and well-being among US neurologists. METHODS: Inductive data analysis was applied to free text comments (n = 676) from the 2016 American Academy of Neurology survey of burnout, career satisfaction, and well-being. RESULTS: Respondents providing comments were significantly more likely to be older, owners/partners of their practice, solo practitioners, and compensated by production than those not commenting. The 4 identified themes were (1) policies and people affecting neurologists (government and insurance mandates, remuneration, recertification, leadership); (2) workload and work-life balance (workload, electronic health record [EHR], work-life balance); (3) engagement, professionalism, work domains specific to neurology; and (4) solutions (systemic and individual), advocacy, other. Neurologists mentioned workload > professional identity > time spent on insurance and government mandates when describing burnout. Neurologists' patient and clerical workload increased work hours or work brought home, resulting in poor work-life balance. EHR and expectations of high patient volumes by administrators impeded quality of patient care. As a result, many neurologists reduced work hours and call provision and considered early retirement. CONCLUSIONS: Our results further characterize burnout among US neurologists through respondents' own voices. They clarify the meaning respondents attributed to ambiguous survey questions and highlight the barriers neurologists must overcome to practice their chosen specialty, including multiple regulatory hassles and increased work hours. Erosion of professionalism by external factors was a common issue. Our findings can provide strategic direction for advocacy and programs to prevent and mitigate neurologist burnout and promote well-being and engagement. |
[Mh] Termos MeSH primário: |
Esgotamento Profissional/epidemiologia Satisfação no Emprego Neurologistas/psicologia Neurologistas/estatística & dados numéricos
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[Mh] Termos MeSH secundário: |
Adulto Esgotamento Profissional/psicologia Despersonalização/epidemiologia Feminino Seres Humanos Masculino Meia-Idade Formulação de Políticas Prevalência Remuneração Fatores de Risco Estados Unidos/epidemiologia Equilíbrio Trabalho-Vida Carga de Trabalho/psicologia
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[Pt] Tipo de publicação: | JOURNAL ARTICLE |
[Em] Mês de entrada: | 1710 |
[Cu] Atualização por classe: | 171024 |
[Lr] Data última revisão:
| 171024 |
[Sb] Subgrupo de revista: | AIM; IM |
[Da] Data de entrada para processamento: | 170922 |
[St] Status: | MEDLINE |
[do] DOI: | 10.1212/WNL.0000000000004526 |
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