Should we be optimistic about the future of physician burnout ?
Although the risk of physician burnout, depersonalization and depression when compared to other professionals continues to remain high, the good news is that according to new survey physician burnout seems to be improving. Those are the updated findings from Mayo Clinic researchers and their collaborators that are published in Mayo Clinic Proceedings.
“This is good news. It shows that physician burnout is being addressed nationally and programs are having some impact,” says Lotte Dyrbye, M.D., Mayo Clinic researcher and senior author of the paper. “Clearly more organizational change and more research is needed to sustain this trajectory.”
Researchers from Mayo Clinic, the American Medical Association and Stanford University collaborated in the national survey of physicians across more than 20 specialties to assess any changes between the previous study in 2014 and the original survey in 2011. While physician burnout varies by specialist, overall reported levels of physician burnout and satisfaction with work-life integration improved between 2014 and 2017 — but only to 2011 levels. The researchers say individual and organizational efforts have improved the situation, but more work needs to be done.
Physician burnout encompasses many aspects but includes the areas of emotional exhaustion, depersonalization, distress and depression. Extreme cases of burnout can lead to medical errors affecting patients, job loss and suicide. Survey responders say the demands of updating electronic health records are a major factor in physician burnout. These demands limit the time physicians can spend with patients, and that affects career satisfaction.
More than 30,000 physicians were invited to participate in the electronic survey. Roughly 17 percent (5,197) responded, and a second attempt to reach nonrespondents gained 248 more participants. Questions mirrored those on the previous surveys.
Researchers say the reason for the change may be due to physicians adapting to the new work environments over the three-year period. Also, much progress may be attributed to interventional programs to stem burnout in hospitals and other facilities. Conversely, they say the indicators may have improved because many distressed physicians have left the profession.
Additional co-authors of the article from Stanford University are Tait Shanafelt, M.D., and Mickey Trockel, M.D., Ph.D. From Mayo Clinic are Colin West, M.D., Ph.D., and Daniel Satele. And from the American Medical Association are Christine Sinsky, M.D.; Michael Tutty, Ph.D.; and Lindsey Carlasare. The research was funded by Stanford Medicine WellMD Center, the American Medical Association, and the Mayo Clinic Department of Medicine Program and Physician Well-Being.