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Research on Physician Burnout and Wellbeing: A Solution-Oriented Perspective

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Transforming the Heart of Practice

Abstract

If we believe that healthcare and our health systems are important, then we need to pay attention to the wellbeing and engagement of healthcare professionals. The work of health professionals drives all the clinical- and health-related processes in our health systems. If our healthcare professionals cannot consistently perform well, organizational leadership is not paying enough attention to the human factors in productivity, safety, and quality.

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References

  • Accreditation Council for Graduate Medical Education. (2018, September). ACGME tools and resources for resident and faculty member wellbeing. Pub. 17-M018-1-EF Retrieved from https://www.acgme.org/What-We-Do/Initiatives/Physician-Wellbeing/Resources

  • Agency for Healthcare Research and Quality. (2017, July). Physician burnout. Retrieved from https://www.ahrq.gov/professionals/cliniciansproviders/ahrq-works/burnout/index.html.

  • AHRQ, Agency for Healthcare Research & Quality. (2018). Retrieved at https://innovations.ahrq.gov/qualitytools/plan-do-study-act-pdsa-cycle

  • Alsuwaida, A., Alsharidi, A., Alanazi, N., Alghamdi, M., Almeshal, M., Aljaser, R., AlAnazi, R., & Alkhalaf, A. (2013). Health and well-being among physicians. Internal Medicine Journal, 43(12), 1310–1315.

    Article  CAS  PubMed  Google Scholar 

  • American Foundation for Suicide Prevention. (2015). Healthcare professional burnout, depression and suicide prevention. Retrieved at https://afsp.org/our-work/education/healthcare-professional-burnout-depression-suicide-prevention/

  • American Medical Association. (2018 September). Professional wellbeing online education modules. Retrieved from https://www.stepsforward.org/modules?sort=recent&category=wellbeing

  • American Nurses Association. (2019). Healthy nurse, healthy nation. Retrieved from https://www.nursingworld.org/practice-policy/work-environment/health-safety/healthy-nurse-healthy-nation/.

  • American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author.

    Book  Google Scholar 

  • Andión, Ó., Cañellas, M., & Baños, J. E. (2014). Physical well-being in postoperative period: A survey in patients, nurses and physicians. Journal of Clinical Nursing, 23(9–10), 1421–1429.

    Article  PubMed  Google Scholar 

  • Andrew, L. B., & Brenner, B. E. (2016, October 3). Physician suicide. Medscape.

    Google Scholar 

  • Arora, V., Dunphy, C., Chang, V. Y., Ahmad, F., Humphrey, H. J., & Meltzer, D. (2006). The effects of on-duty napping on intern sleep time and fatigue. Annals of Internal Medicine, 144(11), 792–798.

    Article  PubMed  Google Scholar 

  • Balch, C. M., Oreskovich, M. R., Dyrbye, L. N., Colaiano, J. M., Satele, D. V., Sloan, J. A., & Shanafelt, T. D. (2011). Personal consequences of malpractice lawsuits on American surgeons. Journal of the American College of Surgeons, 213(5), 657–667.

    Article  PubMed  Google Scholar 

  • Barger, L. K., Cade, B. E., Ayas, N. T., Cronin, J. W., Rosner, B., Speizer, F. E., & Czeisler, C. A. (2005). Extended work shifts and the risk of motor vehicle crashes among interns. New England Journal of Medicine, 352(2), 125–134.

    Article  CAS  PubMed  Google Scholar 

  • Barton, S. (2000). Which clinical studies provide the best evidence?: The best RCT still trumps the best observational study. BMJ: British Medical Journal, 321(7256), 255.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Beckman, T. J., Reed, D. A., Shanafelt, T. D., & West, C. P. (2010). Impact of resident wellbeing and empathy on assessments of faculty physicians. Journal of General Internal Medicine, 25(1), 52–56.

    Article  PubMed  Google Scholar 

  • Beckman, T. J., Reed, D. A., Shanafelt, T. D., & West, C. P. (2012). Resident physician wellbeing and assessments of their knowledge and clinical performance. Journal of General Internal Medicine, 27(3), 325–330.

    Article  PubMed  Google Scholar 

  • Berger, E. (2013). Physician burnout: Emergency physicians see triple risk of career affliction. Annals of Emergency Medicine, 61(3), A17–A19.

    Article  Google Scholar 

  • Bianchi, R., & Schonfeld, I. S. (2016). Burnout is associated with a depressive cognitive style. Personality and Individual Differences, 100, 1–5.

    Article  Google Scholar 

  • Bianchi, R., Lavaux, M., & Brisson, R. (2015a). Using liberal criteria to identify burnout poses the risk of pathologizing normal adaptive states. Academic Medicine, 90(12), 1584.

    Article  PubMed  Google Scholar 

  • Bianchi, R., Schonfeld, I. S., & Laurent, E. (2015b). Burnout–depression overlap: A review. Clinical Psychology Review, 36, 28–41.

    Article  PubMed  Google Scholar 

  • Bianchi, R., Schonfeld, I. S., & Laurent, E. (2015c). Is it time to consider the “burnout syndrome” a distinct illness? Frontiers in Public Health, 3, 158.

    Article  PubMed  PubMed Central  Google Scholar 

  • Bianchi, R., Schonfeld, I. S., & Laurent, E. (2017a). Burnout or depression: Both individual and social issue. The Lancet, 390(10091), 230.

    Article  Google Scholar 

  • Bianchi, R., Schonfeld, I. S., & Laurent, E. (2017b). Physician burnout is better conceptualised as depression. The Lancet, 389(10077), 1397–1398.

    Article  Google Scholar 

  • Bianchi, R., Schonfeld, I. S., Vandel, P., & Laurent, E. (2017c). On the depressive nature of the “burnout syndrome”: A clarification. European Psychiatry, 41, 109–110.

    Article  CAS  PubMed  Google Scholar 

  • Blechter, B., Jiang, N., Cleland, C., Berry, C., Ogedegbe, O., & Shelley, D. (2018). Correlates of burnout in small independent primary care practices in an urban setting. The Journal of the American Board of Family Medicine, 31(4), 529–536.

    Google Scholar 

  • Blumenthal, D., & McGinnis, J. M. (2015). Measuring Vital Signs: An IOM report on core metrics for health and health care progress. Journal of the American Medical Association, 313(19), 1901–1902.

    Article  PubMed  Google Scholar 

  • Bodenheimer, T., & Sinsky, C. (2014). From triple to quadruple aim: Care of the patient requires care of the provider. The Annals of Family Medicine, 12(6), 573–576.

    Article  PubMed  Google Scholar 

  • Bogue, R. J. (2012, May 29). Nurses: Key to making or breaking your future margin. H&HN.

    Google Scholar 

  • Bogue, R. J., & Conley, V. (2015). Teaching by example: The voice and the body don’t lie. Narratives. Medical Encounter, 29(5), 1–6.

    Google Scholar 

  • Bogue, R. J., Guarneri, J. G., Reed, M., Bradley, K., & Hughes, J. (2006). Secrets of physician satisfaction. Physician Executive, 32(6), 30.

    PubMed  Google Scholar 

  • Bogue, R. J., Fisak, B., & Lukman, R. (2012). Becoming, being and excelling as a physician: Physician motivation, satisfaction, wellness and effectiveness. In B. Kirkcaldy (Ed.), The art and science of health care: Guidelines for the human physician. Boston: Hogrefe.

    Google Scholar 

  • Bria, M., Spânu, F., Băban, A., & Dumitraşcu, D. L. (2014). Maslach burnout inventory–general survey: Factorial validity and invariance among Romanian healthcare professionals. Burnout Research, 1(3), 103–111.

    Article  Google Scholar 

  • Briki, W. (2017). Passion, trait self-control, and wellbeing: Comparing two mediation models predicting wellbeing. Frontiers in Psychology, 8, 841.

    Article  PubMed  PubMed Central  Google Scholar 

  • Brown, R. L., & Schneidman, B. S. (2004). Physicians’ health programs—what’s happening in the USA? The Medical Journal of Australia, 181(7), 390–391.

    PubMed  Google Scholar 

  • Buber, M. (1958). The I-thou theme, contemporary psychotherapy, and psychodrama. Pastoral Psychology, 9(5), 57–58.

    Article  Google Scholar 

  • Bui, J., Hodge, A., Shackelford, A., & Acsell, J. (2011). Factors contributing to burnout among perfusionists in the United States. Perfusion, 26(6), 461–466.

    Article  CAS  PubMed  Google Scholar 

  • Buunk, B. P., & Verhoeven, K. (1991). Companionship and support at work: A microanalysis of the stress-reducing features of social interaction. Basic and Applied Social Psychology, 12(3), 243–258.

    Article  Google Scholar 

  • Caruana, E. J., Roman, M., Hernández-Sánchez, J., & Solli, P. (2015). Longitudinal studies. Journal of Thoracic Disease, 7(11), E537.

    PubMed  PubMed Central  Google Scholar 

  • Chan, A. O., & Huak, C. Y. (2004). Influence of work environment on emotional health in a health care setting. Occupational Medicine, 54(3), 207–212.

    Article  PubMed  Google Scholar 

  • Chan, A. O., Huak, C. Y., Curtin, S. C., Warner, M., & Hedegaard, H. (2004). Increase in suicide in the United States, 1999–2014. Occupational Medicine (London), 54(3), 207–212.

    Article  Google Scholar 

  • Chan, A. O., Chan, Y. H., Chuang, K. P., Ng, J. S., & Neo, P. S. (2015). Addressing physician quality of life: understanding the relationship between burnout, work engagement, compassion fatigue and satisfaction. Journal of Hospital Administration, 4(6), 46.

    Article  Google Scholar 

  • Chandra, A., Miller, C. E., Acosta, J. D., Weilant, S., Trujillo, M., & Plough, A. (2016). Drivers of health as a shared value: Mindset, expectations, sense of community, and civic engagement. Health Affairs, 35(11), 1959–1963.

    Article  PubMed  Google Scholar 

  • Chirico, F. (2015). Adjustment Disorders in DSM-5: implications for occupational health surveillance. Acta Psychopathologica, 1–14.

    Google Scholar 

  • Cimiotti, J. P., Aiken, L. H., Sloane, D. M., & Wu, E. S. (2012). Nurse staffing, burnout, and health care–associated infection. American Journal of Infection Control, 40(6), 486–490.

    Article  PubMed  PubMed Central  Google Scholar 

  • Cohn, F. (2001). Existential medicine: Martin buber and physician-patient relationships. Journal of Continuing Education in the Health Professions, 21(3), 170–181.

    Article  CAS  PubMed  Google Scholar 

  • Curtin, S. C., Warner, M., & Hedegaard, H. (2016, April). NCHS Data Brief No. 241.

    Google Scholar 

  • DasGupta, S., & Charon, R. (2004). Personal illness narratives: Using reflective writing to teach empathy. Academic Medicine, 79(4), 351–356.

    Article  PubMed  Google Scholar 

  • Deckard, G., Meterko, M., & Field, D. (1994). Physician burnout: An examination of personal, professional, and organizational relationships. Medical Care, 32, 745–754.

    Article  CAS  PubMed  Google Scholar 

  • Decker, S. L., Jamoom, E. W., & Sisk, J. E. (2012). Physicians in nonprimary care and small practices and those age 55 and older lag in adopting electronic health record systems. Health Affairs, 31(5), 1108–1114.

    Article  PubMed  Google Scholar 

  • Delistamati, E., Samakouri, M. A., Davis, E. A., Vorvolakos, T., Xenitidis, K., & Livaditis, M. (2006). Interpersonal Support Evaluation List (ISEL)-college version: Validation and application in a greek sample. International Journal of Social Psychiatry, 52(6), 552–560.

    Article  PubMed  Google Scholar 

  • Demerouti, E., Bakker, A. B., Nachreiner, F., & Schaufeli, W. B. (2001). The job demands-resources model of burnout. Journal of Applied Psychology, 86(3), 499.

    Article  CAS  PubMed  Google Scholar 

  • DiMatteo, M. R., Sherbourne, C. D., Hays, R. D., Ordway, L., Kravitz, R. L., McGlynn, E. A., Kaplan, S., & Rogers, W. H. (1993). Physicians’ characteristics influence patients’ adherence to medical treatment: Results from the Medical Outcomes Study. Health Psychology, 12(2), 93.

    Article  CAS  PubMed  Google Scholar 

  • Dobkin, P. L., & Hutchinson, T. A. (2010). Primary prevention for future doctors: Promoting well-being in trainees. Medical Education, 44(3), 224–226.

    Article  PubMed  Google Scholar 

  • Dorevitch, S., & Forst, L. (2000). The occupational hazards of emergency physicians. The American Journal of Emergency Medicine, 18(3), 300–311.

    Article  CAS  PubMed  Google Scholar 

  • Dunn, P. M., Arnetz, B. B., Christensen, J. F., & Homer, L. (2007). Meeting the imperative to improve physician wellbeing: Assessment of an innovative program. Journal of General Internal Medicine, 22(11), 1544–1552.

    Article  PubMed  PubMed Central  Google Scholar 

  • Durand, M. (2015). The OECD better life initiative: How’s life? And the measurement of well-being. Review of Income and Wealth, 61(1), 4–17.

    Article  Google Scholar 

  • Dyrbye, L. N., & Shanafelt, T. D. (2011). Physician burnout: a potential threat to successful health care reform. Journal of the American Medical Association, 305(19), 2009–2010.

    CAS  PubMed  Google Scholar 

  • Dyrbye, L., & Shanafelt, T. (2012). Nurturing resiliency in medical trainees. Medical Education, 46(4), 343.

    Article  PubMed  Google Scholar 

  • Dyrbye, L. N., Thomas, M. R., & Shanafelt, T. D. (2005). Medical student distress: causes, consequences, and proposed solutions. In Mayo Clinic proceedings (Vol. 80, No. 12, pp. 1613–1622).

    Google Scholar 

  • Dyrbye, L. N., Thomas, M. R., Huntington, J. L., Lawson, K. L., Novotny, P. J., Sloan, J. A., & Shanafelt, T. D. (2006a). Personal life events and medical student burnout: A multicenter study. Academic Medicine, 81(4), 374–384.

    Article  PubMed  Google Scholar 

  • Dyrbye, L. N., Thomas, M. R., & Shanafelt, T. D. (2006b). Systematic review of depression, anxiety, and other indicators of psychological distress among US and Canadian medical students. Academic Medicine, 81(4), 354–373.

    Article  PubMed  Google Scholar 

  • Dyrbye, L. N., Thomas, M. R., Massie, F. S., Power, D. V., Eacker, A., Harper, W., Durning, S., Moutier, C., Szydlo, D. W., Novotny, P. J., & Sloan, J. A. (2008). Burnout and suicidal ideation among US medical students. Annals of Internal Medicine, 149(5), 334–341.

    Article  PubMed  Google Scholar 

  • Dyrbye, L. N., Shanafelt, T. D., Thomas, M. R., & Durning, S. J. (2009a). Brief observation: A national study of burnout among internal medicine clerkship directors. The American Journal of Medicine, 122(3), 310–312.

    Article  PubMed  Google Scholar 

  • Dyrbye, L. N., Thomas, M. R., Harper, W., Massie, F. S., Jr., Power, D. V., Eacker, A., Szydlo, D. W., Novotny, P. J., Sloan, J. A., & Shanafelt, T. D. (2009b). The learning environment and medical student burnout: A multicentre study. Medical Education, 43(3), 274–282.

    Article  PubMed  Google Scholar 

  • Dyrbye, L. N., Massie, F. S., Eacker, A., Harper, W., Power, D., Durning, S. J., Thomas, M. R., Moutier, C., Satele, D., Sloan, J., & Shanafelt, T. D. (2010a). Relationship between burnout and professional conduct and attitudes among US medical students. Journal of the American Medical Association, 304(11), 1173–1180.

    Article  CAS  PubMed  Google Scholar 

  • Dyrbye, L. N., Power, D. V., Massie, F. S., Eacker, A., Harper, W., Thomas, M. R., Szydlo, D. W., Sloan, J. A., & Shanafelt, T. D. (2010b). Factors associated with resilience to and recovery from burnout: A prospective, multi-institutional study of US medical students. Medical Education, 44(10), 1016–1026.

    Article  PubMed  Google Scholar 

  • Dyrbye, L. N., Harper, W., Durning, S. J., Moutier, C., Thomas, M. R., Massie, F. S., Jr., Eacker, A., Power, D. V., Szydlo, D. W., Sloan, J. A., & Shanafelt, T. D. (2011a). Patterns of distress in US medical students. Medical Teacher, 33(10), 834–839.

    Article  PubMed  Google Scholar 

  • Dyrbye, L. N., Moutier, C., Durning, S. J., Massie, F. S., Jr., Power, D. V., Eacker, A., Harper, W., Thomas, M. R., Satele, D., Sloan, J. A., & Shanafelt, T. D. (2011b). The problems program directors inherit: Medical student distress at the time of graduation. Medical Teacher, 33(9), 756–758.

    Article  PubMed  Google Scholar 

  • Dyrbye, L. N., Eacker, A. M., Harper, W., Power, D. V., Massie, F. S., Jr., Satele, D., Thomas, M. R., Sloan, J. A., & Shanafelt, T. D. (2012a). Distress and empathy do not drive changes in specialty preference among US medical students. Medical Teacher, 34(2), e116–e122.

    Article  PubMed  Google Scholar 

  • Dyrbye, L. N., Harper, W., Moutier, C., Durning, S. J., Power, D. V., Massie, F. S., Eacker, A., Thomas, M. R., Satele, D., Sloan, J. A., & Shanafelt, T. D. (2012b). A multi-institutional study exploring the impact of positive mental health on medical students’ professionalism in an era of high burnout. Academic Medicine, 87(8), 1024–1031.

    Article  PubMed  Google Scholar 

  • Dyrbye, L. N., Varkey, P., Boone, S. L., Satele, D. V., Sloan, J. A., & Shanafelt, T. D. (2013a). Physician satisfaction and burnout at different career stages. In Mayo Clinic proceedings (Vol. 88, No. 12, p. 1358–1367).

    Google Scholar 

  • Dyrbye, L. N., Satele, D., Sloan, J., & Shanafelt, T. D. (2013b). Utility of a brief screening tool to identify physicians in distress. Journal of General Internal Medicine, 28(3), 421.

    Article  PubMed  Google Scholar 

  • Dyrbye, L. N., Sotile, W., Boone, S., West, C. P., Tan, L., Satele, D., Sloan, J., Oreskovich, M., & Shanafelt, T. (2014a). A survey of US physicians and their partners regarding the impact of work–home conflict. Journal of General Internal Medicine, 29(1), 155–161.

    Article  PubMed  Google Scholar 

  • Dyrbye, L. N., West, C. P., Satele, D., Boone, S., Tan, L., Sloan, J., & Shanafelt, T. D. (2014b). Burnout among US medical students, residents, and early career physicians relative to the general US population. Academic Medicine, 89(3), 443–451.

    Article  PubMed  Google Scholar 

  • Dyrbye, L. N., Eacker, A., Durning, S. J., Brazeau, C., Moutier, C., Massie, F. S., Satele, D., Sloan, J. A., & Shanafelt, T. D. (2015). The impact of stigma and personal experiences on the help-seeking behaviors of medical students with burnout. Academic Medicine, 90(7), 961–969.

    Article  PubMed  Google Scholar 

  • Dyrbye, L. N., West, C. P., Richards, M. L., Ross, H. J., Satele, D., & Shanafelt, T. D. (2016). A randomized, controlled study of an online intervention to promote job satisfaction and wellbeing among physicians. Burnout Research, 3(3), 69–75.

    Google Scholar 

  • Dyrbye, L. N., Shanafelt, T. D., Sinsky, C. A., Cipriano, P. F., Bhatt, J., Ommaya, A., West, C. P., & Meyers, D. (2017, July 5). Burnout among health care professionals: A call to explore and address this underrecognized threat to safe, high-quality care. NAM (National Academy of Medicine) Perspective. Retrieved from https://nam.edu/burnout-among-health-care-professionals-a-call-to-explore-and-address-this-underrecognizedthreat-to-safe-high-quality-care/.

  • Eckleberry-Hunt, J., Kirkpatrick, H., Taku, K., & Hunt, R. (2017). Self-report study of predictors of physician wellness, burnout, and quality of patient care. Southern Medical Journal, 110(4), 244–248.

    Article  PubMed  Google Scholar 

  • Eckleberry-Hunt, J., Kirkpatrick, H., & Barbera, T. (2018). The problems with burnout research. Academic Medicine, 93(3), 367–370.

    Article  PubMed  Google Scholar 

  • Eisenach, J. H., Sprung, J., Clark, M. M., Shanafelt, T. D., Johnson, B. D., Kruse, T. N., Chantigian, D. P., Carter, J. R., & Long, T. R. (2014). The psychological and physiological effects of acute occupational stress in new anesthesiology residents: A pilot trial. The Journal of the American Society of Anesthesiologists, 121(4), 878–893.

    Google Scholar 

  • Epstein, R. M. (2003). Mindful practice in action (II): Cultivating habits of mind. Families, Systems, & Health, 21(1), 11.

    Article  Google Scholar 

  • Erwin, K., & Krishnan, J. A. (2016). Redesigning healthcare to fit with people. BMJ, 354, i4536.

    Article  PubMed  Google Scholar 

  • Etymonline: Online Etymology Dictionary. (2018). Retrieved at https://www.etymonline.com/

  • Feldman, R., & Greco, R. S. (2015). Why the toxic treatment of doctors needs to change. Time Magazine.

    Google Scholar 

  • Ferren Carter, K., Bogue, R. J., & Conway, R. (2017, October). Nurse socio-relational wellbeing and depersonalization of patients: Extracting statistical and qualitative evidence to shape recommendations for nurse communication training. Conference presentation. International conference on communication in healthcare, Baltimore.

    Google Scholar 

  • Ford, G. A., 3rd. (2013). Physician burnout: “the call” derailed? Southern Medical Journal, 106(5), 295.

    Article  PubMed  Google Scholar 

  • Fralick, M., & Flegel, K. (2014). Physician burnout: Who will protect us from ourselves? CMAJ, 186(10), 731.

    Article  PubMed  PubMed Central  Google Scholar 

  • Frank, E. (2004). Physician health and patient care. Journal of the American Medical Association, 291(5), 637.

    Article  CAS  PubMed  Google Scholar 

  • Frank, E., & Dingle, A. D. (1999). Self-reported depression and suicide attempts among US women physicians. American Journal of Psychiatry, 156(12), 1887–1894.

    CAS  PubMed  Google Scholar 

  • Frellick, M. (2018, June 9). Most clinicians know a doctor who has tried or completed suicide. Medscape.

    Google Scholar 

  • Freudenberger, H. J. (1974). Staff burn-out. Journal of Social Issues, 30(1), 159–165.

    Article  Google Scholar 

  • Freudenberger, H. J., & Marrero, F. (1973). A therapeutic marathon with Vietnam veteran addicts at SERA. Voices: The Art and Science of Psychotherapy, 4, 34–41.

    Google Scholar 

  • Fromme, E. K., Hebert, R. S., & Carrese, J. A. (2004). Self-doctoring: A qualitative study of physicians with cancer. Journal of Family Practice, 53(4), 299–306.

    PubMed  Google Scholar 

  • Gagnon, M., Durand-Bush, N., & Young, B. W. (2016). Self-regulation capacity enhances wellbeing and reduces burnout in physicians and medical students: Implications for nurturing self-help skills. International Journal of WellBeing, 6(1), 101.

    Article  Google Scholar 

  • Gale, C. R., Booth, T., Mõttus, R., Kuh, D., & Deary, I. J. (2013). Neuroticism and Extraversion in youth predict mental wellbeing and life satisfaction 40 years later. Journal of Research in Personality, 47(6), 687–697.

    Article  PubMed  PubMed Central  Google Scholar 

  • Gazelle, G., Liebschutz, J. M., & Riess, H. (2015). Physician burnout: Coaching a way out. Journal of General Internal Medicine, 30(4), 508–513.

    Article  PubMed  Google Scholar 

  • Glasgow, R. E., Vogt, T. M., & Boles, S. M. (1999). Evaluating the public health impact of health promotion interventions: The RE-AIM framework. American Journal of Public Health, 89(9), 1322–1327.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Goitein, L., Shanafelt, T. D., Wipf, J. E., Slatore, C. G., & Back, A. L. (2005). The effects of work-hour limitations on resident wellbeing, patient care, and education in an internal medicine residency program. Archives of Internal Medicine, 165(22), 2601–2606.

    Article  PubMed  Google Scholar 

  • Gold, K. J., Sen, A., & Schwenk, T. L. (2013). Details on suicide among US physicians: Data from the National Violent Death Reporting System. General hospital psychiatry, 35(1), 45–49.

    Article  PubMed  Google Scholar 

  • Goldman, M. L., Shah, R. N., & Bernstein, C. A. (2015). Depression and suicide among physician trainees: Recommendations for a national response. JAMA Psychiatry, 72(5), 411–412.

    Article  PubMed  Google Scholar 

  • Gopal, R., Glasheen, J. J., Miyoshi, T. J., & Prochazka, A. V. (2005). Burnout and internal medicine resident work-hour restrictions. Archives of Internal Medicine, 165(22), 2595–2600.

    Article  PubMed  Google Scholar 

  • Graske, J. (2003). Improving the mental health of doctors. British Medical Journal (Clinical Research Education), 327(7428), s188.

    Article  Google Scholar 

  • Grassi, L., & Magnani, K. (2000). Psychiatric morbidity and burnout in the medical profession: An Italian study of general practitioners and hospital physicians. Psychotherapy and Psychosomatics, 69(6), 329–334.

    Article  CAS  PubMed  Google Scholar 

  • Gross, C. P., Mead, L. A., Ford, D. E., & Klag, M. J. (2000). Physician, heal thyself? regular source of care and use of preventive health services among physicians. Archives of Internal Medicine, 160(21), 3209–3214.

    Article  CAS  PubMed  Google Scholar 

  • Haas, J. S., Cook, E. F., Puopolo, A. L., Burstin, H. R., Cleary, P. D., & Brennan, T. A. (2000). Is the professional satisfaction of general internists associated with patient satisfaction? Journal of General Internal Medicine, 15(2), 122–128.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Halbesleben, J. R., & Buckley, M. R. (2004). Burnout in organizational life. Journal of Management, 30(6), 859–879.

    Article  Google Scholar 

  • Halbesleben, J. R., & Rathert, C. (2008). Linking physician burnout and patient outcomes: Exploring the dyadic relationship between physicians and patients. Health Care Management Review, 33(1), 29–39.

    Article  PubMed  Google Scholar 

  • Hall, L. H., Johnson, J., Watt, I., Tsipa, A., & O’Connor, D. B. (2016). Healthcare staff wellbeing, burnout, and patient safety: A systematic review. PLoS One, 11(7), e0159015.

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  • Hannan, E., Breslin, N., Doherty, E., McGreal, M., Moneley, D., & Offiah, G. (2018). Burnout and stress amongst interns in Irish hospitals: contributing factors and potential solutions. Irish Journal of Medical Science (1971-), 187(2), 301–307.

    Article  CAS  Google Scholar 

  • Hart, P. L., Brannan, J. D., & De Chesnay, M. (2014). Resilience in nurses: An integrative review. Journal of Nursing Management, 22(6), 720–734.

    Article  PubMed  Google Scholar 

  • Heisler, M., Bouknight, R. R., Hayward, R. A., Smith, D. M., & Kerr, E. A. (2002). The relative importance of physician communication, participatory decision making, and patient understanding in diabetes self-management. Journal of General Internal Medicine, 17(4), 243–252.

    Article  PubMed  PubMed Central  Google Scholar 

  • Heponiemi, T., Kuusio, H., Sinervo, T., & Elovainio, M. (2010). Job attitudes and wellbeing among public vs. private physicians: Organizational justice and job control as mediators. The European Journal of Public Health, 21(4), 520–525.

    Article  PubMed  Google Scholar 

  • Heponiemi, T., Puttonen, S., & Elovainio, M. (2014). On-call work and physicians’ wellbeing: Testing the potential mediators. Occupational Medicine, 64(5), 352–357.

    Article  CAS  PubMed  Google Scholar 

  • Hernandez, B. C., & Thomas, T. L. (2015). The development of a physician vitality program: A brief report. Journal of Marital and Family Therapy, 41(4), 443–450.

    Article  PubMed  Google Scholar 

  • Holt, G. R. (2013). Physician burnout: A serious concern for the medical profession. Southern Medical Journal, 106(5), 297.

    Article  PubMed  Google Scholar 

  • Houkes, I., Winants, Y., Twellaar, M., & Verdonk, P. (2011). Development of burnout over time and the causal order of the three dimensions of burnout among male and female GPs. A three-wave panel study. BMC Public Health, 11(1), 240.

    Article  PubMed  PubMed Central  Google Scholar 

  • IsHak, W., Nikravesh, R., Lederer, S., Perry, R., Ogunyemi, D., & Bernstein, C. (2013). Burnout in medical students: A systematic review. The Clinical Teacher, 10(4), 242–245.

    Article  PubMed  Google Scholar 

  • Jennings, B. M. (2009). Work stress and burnout among nurses: Role of the work environment and working conditions. In Barton A. Patient safety and quality: An evidence-based handbook for nurses. AORN Journal, 90(4), 601–602.

    Article  Google Scholar 

  • Joling, K. J., van Marwijk, H. W., Piek, E., van der Horst, H. E., Penninx, B. W., Verhaak, P., & van Hout, H. P. (2011). Do GPs’ medical records demonstrate a good recognition of depression? A new perspective on case extraction. Journal of Affective Disorders, 133(3), 522–527.

    Article  PubMed  Google Scholar 

  • Jones, J. W., Barge, B. N., Steffy, B. D., Fay, L. M., Kunz, L. K., & Wuebker, L. J. (1988). Stress and medical malpractice: Organizational risk assessment and intervention. The Journal of Applied Psychology, 73(4), 727–735.

    Article  CAS  PubMed  Google Scholar 

  • Kahneman, D., & Krueger, A. B. (2006). Developments in the measurement of subjective wellbeing. Journal of Economic perspectives, 20(1), 3–24.

    Article  Google Scholar 

  • Kay, M. P., Mitchell, G. K., & Del Mar, C. B. (2004). Doctors do not adequately look after their own physical health. Medical Journal of Australia, 181(7), 368–370.

    PubMed  Google Scholar 

  • Keeton, K., Fenner, D. E., Johnson, T. R., & Hayward, R. A. (2007). Predictors of physician career satisfaction, work–life balance, and burnout. Obstetrics & Gynecology, 109(4), 949–955.

    Article  Google Scholar 

  • Kennedy, B., Craig, J. B., Wetsel, M., Reimels, E., & Wright, J. (2013). Three nursing interventions’ impact on HCAHPS scores. Journal of Nursing Care Quality, 28(4), 327–334.

    Article  PubMed  Google Scholar 

  • Khan, R., Lin, J. S., & Mata, D. A. (2015). Addressing depression and suicide among physician trainees. JAMA Psychiatry, 72(8), 848.

    Article  PubMed  Google Scholar 

  • Kim, H., Ji, J., & Kao, D. (2011). Burnout and physical health among social workers: A three-year longitudinal study. Social Work, 56(3), 258–268.

    Article  PubMed  Google Scholar 

  • Kirkcaldy, B. D., Trimpop, R., & Cooper, C. L. (1997). Working hours, job stress, work satisfaction, and accident rates among medical practitioners and allied personnel. International Journal of Stress Management, 4(2), 79–87.

    Google Scholar 

  • Kishore, S., Dandurand, D. E., Matthew, A., & Rothenberger, D. (2016). Breaking the culture of silence on physician suicide. National Academy of Medicine. Retrieved from https://nam.edu/breaking-the-culture-of-silence-on-physician-suicide/.

  • Kluger, M. T., Townend, K., & Laidlaw, T. (2003). Job satisfaction, stress and burnout in Australian specialist anaesthetists. Anaesthesia, 58(4), 339–345.

    Article  CAS  PubMed  Google Scholar 

  • Kuusio, H., Heponiemi, T., Aalto, A. M., Sinervo, T., & Elovainio, M. (2012). Differences in well-being between GPs, medical specialists, and private physicians: The role of psychosocial factors. Health Services Research, 47(1pt1), 68–85.

    Article  PubMed  Google Scholar 

  • Lapointe, É., Morin, A. J., Courcy, F., Boilard, A., & Payette, D. (2011). Workplace affective commitment, emotional labor and burnout: A multiple mediator model. International Journal of Business and Management, 7(1), 3.

    Article  Google Scholar 

  • Laschinger, H. K., & Fida, R. (2014). New nurses burnout and workplace wellbeing: The influence of authentic leadership and psychological capital. Burnout Research, 1(1), 19–28.

    Article  Google Scholar 

  • Lathrop, D. (2017). Disenfranchised grief and physician burnout. The Annals of Family Medicine, 15(4), 375–378.

    Article  PubMed  Google Scholar 

  • Lee, R. T., Seo, B., Hladkyj, S., Lovell, B. L., & Schwartzmann, L. (2013a). Correlates of physician burnout across regions and specialties: A meta-analysis. Human Resources for Health, 11(1), 48.

    Article  PubMed  PubMed Central  Google Scholar 

  • Lee, H., Vlaev, I., King, D., Mayer, E., Darzi, A., & Dolan, P. (2013b). Subjective wellbeing and the measurement of quality in healthcare. Social Science & Medicine, 99, 27–34.

    Article  Google Scholar 

  • Leiter, M. P., Harvie, P., & Frizzell, C. (1998). The correspondence of patient satisfaction and nurse burnout. Social Science & Medicine, 47(10), 1611–1617.

    Article  CAS  Google Scholar 

  • Lichtenstein, B. S. (2017). Determining the appropriate mind-body modality for greater clinical outcomes. In Annals of behavioral medicine (Vol. 51, p. S3-S3). New York: Springer.

    Google Scholar 

  • Lindeman, S., Läärä, E., Hakko, H., & Lönnqvist, J. (1996). A systematic review on gender-specific suicide mortality in medical doctors. The British Journal of Psychiatry, 168(3), 274–279.

    Article  CAS  PubMed  Google Scholar 

  • Lindert, J., Bain, P. A., Kubzansky, L. D., & Stein, C. (2015). Wellbeing measurement and the WHO health policy Health 2010: systematic review of measurement scales. The European Journal of Public Health, 25(4), 731–740.

    Article  PubMed  Google Scholar 

  • Linzer, M., & Poplau, S. (2017). New survey contradicts earlier estimates of family physician burnout. Journal of American Board of Family Medicine, 30(2), 127–129.

    Article  Google Scholar 

  • Linzer, M., Poplau, S., Babbott, S., Collins, T., Guzman-Corrales, L., Menk, J., Murphy, M. L., & Ovington, K. (2016). Worklife and wellness in academic general internal medicine: Results from a national survey. Journal of General Internal Medicine, 31(9), 1004–1010.

    Article  PubMed  PubMed Central  Google Scholar 

  • Lobo, V., Patil, A., Phatak, A., & Chandra, N. (2010). Free radicals, antioxidants and functional foods: Impact on human health. Pharmacognosy Reviews, 4(8), 118.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Lovell, B. L., Lee, R. T., & Frank, E. (2009). May I long experience the joy of healing: professional and personal wellbeing among physicians from a Canadian province. BMC Family Practice, 10(1), 18.

    Article  PubMed  PubMed Central  Google Scholar 

  • Lu, D., Dresden, S., McCloskey, C., Branzetti, J., & Gisondi, M. (2014). 120 The impact of burnout on patient care among emergency physicians. Annals of Emergency Medicine, 64(4), S43–S44.

    Article  Google Scholar 

  • Mäkikangas, A., & Kinnunen, U. (2016). The person-oriented approach to burnout: A systematic review. Burnout Research, 3(1), 11–23.

    Article  Google Scholar 

  • Manna, V., & Dicuonzo, F. (2018). Psychiatrist burnout or psychiatric assistance burnout? Rivista di Psichiatria, 53(2), 65–79.

    PubMed  Google Scholar 

  • Marchand, A., Juster, R. P., Durand, P., & Lupien, S. J. (2014). Burnout symptom sub-types and cortisol profiles: What’s burning most? Psychoneuroendocrinology, 40, 27–36.

    Article  CAS  PubMed  Google Scholar 

  • Martini, S., Arfken, C. L., & Balon, R. (2006). Comparison of burnout among medical residents before and after the implementation of work hours limits. Academic Psychiatry, 30(4), 352–355.

    Article  PubMed  Google Scholar 

  • Maslach, C., & Jackson, S. E. (1981). The measurement of experienced burnout. Journal of Organizational Behavior, 2(2), 99–113.

    Article  Google Scholar 

  • Maslach, C., & Leiter, M. P. (2016). Understanding the burnout experience: Recent research and its implications for psychiatry. World Psychiatry, 15(2), 103–111.

    Article  PubMed  PubMed Central  Google Scholar 

  • Maslach, C., Leiter, M. P., & Schaufeli, W. (2009). Measuring burnout. In S. Cartwright & C. L. Cooper (Eds.), The Oxford handbook of organizational well being. https://doi.org/10.1093/oxfordhb/9780199211913.001.0001

    Chapter  Google Scholar 

  • Maslach, C., Leiter, M. P., & Jackson, S. E. (2012). Making a significant difference with burnout interventions: Researcher and practitioner collaboration. Journal of Organizational Behavior, 33(2), 296–300.

    Article  Google Scholar 

  • Maslach, C., Jackson, S. E., Leiter, M. P., Schaufeli, W. B., & Schwab, R. L. (2016). Maslach burnout inventory. Mind Garden. Retrieved from https://www.mindgarden.com/117-maslach-burnout-inventory.

  • Matalon, A., Kotliroff, A., Blumberg, G., Yaphe, J., & Kitai, E. (2011). Non-specific symptoms as clues to changes in emotional wellbeing. BMC Family Practice, 12(1), 77.

    Article  PubMed  PubMed Central  Google Scholar 

  • McDonald, I. M. (2013). The measurement of well-being: introduction. Australian Economic Review, 46(1), 59–61.

    Article  Google Scholar 

  • McKinley, T. F., Boland, K. A., & Mahan, J. D. (2017). Burnout and interventions in pediatric residency: A literature review. Burnout Research, 6, 9–17.

    Article  Google Scholar 

  • Melnick, E. R., & Powsner, S. M. (2016). Empathy in the time of burnout. In Mayo Clinic proceedings (Vol. 91, No. 12, p. 1678). Mayo Foundation for Medical Education and Research.

    Google Scholar 

  • Menachemi, N., Powers, T., Au, D. W., & Brooks, R. G. (2010). Predictors of physician satisfaction among electronic health record system users. Journal for Healthcare Quality, 32(1), 35–41.

    Article  PubMed  Google Scholar 

  • Mery, G., Majumder, S., Brown, A., & Dobrow, M. J. (2017). What do we mean when we talk about the triple aim? A systematic review of evolving definitions and adaptations of the framework at the health system level. Health Policy, 121(6), 629–636.

    Article  PubMed  Google Scholar 

  • Mitchell, A. J., Vaze, A., & Rao, S. (2009). Clinical diagnosis of depression in primary care: A meta-analysis. The Lancet, 374(9690), 609–619.

    Article  Google Scholar 

  • Mitchell, A. J., Rao, S., & Vaze, A. (2011). Can general practitioners identify people with distress and mild depression? A meta-analysis of clinical accuracy. Journal of Affective Disorders, 130(1–2), 26–36.

    Article  PubMed  Google Scholar 

  • Monteleoni, C., & Clark, E. (2004). Using rapid-cycle quality improvement methodology to reduce feeding tubes in patients with advanced dementia: Before and after study. BMJ, 329(7464), 491–494.

    Article  PubMed  PubMed Central  Google Scholar 

  • Montes-Berges, B., & Augusto-Landa, J. M. (2014). Emotional intelligence and affective intensity as life satisfaction and psychological wellbeing predictors on nursing professionals. Journal of Professional Nursing, 30(1), 80–88.

    Article  PubMed  Google Scholar 

  • Muller, D. (2017). Kathryn: Perspective. Journal of the American Medical Association, 376(12), 1101–1103.

    Google Scholar 

  • Murray, D. M. (1998). Design and analysis of group-randomized trials. New York: Oxford University Press.

    Google Scholar 

  • Nadeau, M. M., Balsan, M. J., & Rochlen, A. B. (2016). Men’s depression: Endorsed experiences and expressions. Psychology of Men & Masculinity, 17(4), 328.

    Article  Google Scholar 

  • Nasca, T. J. (2016, August 23). Letter to members of the graduate medical education community. Accreditation Council for Graduate Medical Education. Retrieved from https://www.acgme.org/Portals/0/PDFs/Nasca-Community/NascaLetterToTheCommunity_11-4-16.pdf.

  • National Nurses United. (2019). Nursing health and safety. Retrieved from https://www.nationalnursesunited.org/health-and-safety.

  • O’Grady, E. T., Mason, D. J., Hopkins Outlaw, F., & Gardner, D. R. (2016). Frameworks for action in policy and politics. In D. J. Mason, D. B. Gardner, F. Hopkins Outlaw, & E. T. O’Grady (Eds.), Policy & politics in nursing and health care (7th ed.). St. Louis: Elsevier.

    Google Scholar 

  • Oaklander, M. (2015). Doctors on life support. Time Magazine.

    Google Scholar 

  • Orosz, A., Federspiel, A., Haisch, S., Seeher, C., Dierks, T., & Cattapan, K. (2017). A biological perspective on differences and similarities between burnout and depression. Neuroscience & Biobehavioral Reviews, 73, 112–122.

    Article  Google Scholar 

  • Osler, W. (1909). An address on the treatment of disease. Being the address in medicine before the Ontario Medical Association, Toronto, June 3rd, 1909. British Medical Journal, 2(2534), 185–189.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Panagioti, M., Geraghty, K., Johnson, J., Zhou, A., Panagopoulou, E., Chew-Graham, C., Peters, D., Hodkinson, A., Riley, R., & Esmail, A. (2018). Association between physician burnout and patient safety, professionalism, and patient satisfaction: A systematic review and meta-analysis. JAMA Internal Medicine, 178(10), 1317–1331.

    Article  PubMed  PubMed Central  Google Scholar 

  • Paolini, H. O., Gibney, K. C., & Bogue, R. J. (2014, October 31). Physician burnout and the patient experience: What are we overlooking?. Medscape.

    Google Scholar 

  • Parker, G. B., & Hyett, M. P. (2011). Measurement of wellbeing in the workplace: The development of the Work Wellbeing Questionnaire. The Journal of Nervous and Mental Disease, 199(6), 394–397.

    Article  PubMed  Google Scholar 

  • Pathak, S. (2009). Clinical diagnosis of depression in primary care. Lancet (London, England), 374(9704), 1817.

    Article  Google Scholar 

  • Pavlica, P., & Barozzi, L. (2003). Medical professionalism in the new millenium: A physicians charter. La Radiologia medica, 105(4), 263.

    PubMed  Google Scholar 

  • Penson, D. F. (2016). Re: Changes in burnout and satisfaction with work-life balance in physicians and the general US working population between 2011 and 2014. The Journal of Urology, 195(5), 1568.

    Article  PubMed  Google Scholar 

  • Penwell-Waines, L., Bogue, R. J., & Gates, R. (2017, October). Provider communication assets and burnout: Predicting burnout using socio-relational and patient-specific measures and exploring the lived experience of high asset versus low asset groups. Conference presentation. International conference on communication in healthcare, Baltimore.

    Google Scholar 

  • Peterson, L. (2014). The measurement of non-economic inequality in wellbeing indices. Social Indicators Research, 119(2), 581–598.

    Article  Google Scholar 

  • Portnoy, D. (2011). Burnout and compassion fatigue: watch for the signs. Health Progress (Saint Louis, Mo.), 92(4), 46–50.

    Google Scholar 

  • Pouw, N., & McGregor, A. (2014). An economics of wellbeing: what would economics look like if it were focused on human wellbeing? IDS Working Papers, 2014(436), 1–27.

    Article  Google Scholar 

  • PricewaterhouseCoopers, L. L. (2007). What works: Healing the healthcare staffing shortage. American Federation of State, County and Municipal Employees. PricewaterhouseCoopers. Retrieved from http://www.afscmeinfocenter.org/blog/2007/08/what-works-healing-thehealthc.htm#.XLVWZndFxhE.

  • Puffer, J. C., Knight, H. C., O’neill, T. R., Rassolian, M., Bazemore, A. W., Peterson, L. E., & Baxley, E. G. (2017). Prevalence of burnout in board certified family physicians. The Journal of the American Board of Family Medicine, 30(2), 125–126.

    Article  PubMed  Google Scholar 

  • Rabatin, J., Williams, E., Baier Manwell, L., Schwartz, M. D., Brown, R. L., & Linzer, M. (2016). Predictors and outcomes of burnout in primary care physicians. Journal of Primary Care & Community Health, 7(1), 41–43.

    Article  Google Scholar 

  • Ramirez, A. J., Graham, J., Richards, M. A., Gregory, W. M., & Cull, A. (1996). Mental health of hospital consultants: the effects of stress and satisfaction at work. The Lancet, 347(9003), 724–728.

    Article  CAS  Google Scholar 

  • Reed, D. A., Shanafelt, T. D., Satele, D. W., Power, D. V., Eacker, A., Harper, W., Moutier, C., Durning, S., Massie, F. S., Jr., Thomas, M. R., & Sloan, J. A. (2011). Relationship of pass/fail grading and curriculum structure with wellbeing among preclinical medical students: A multi-institutional study. Academic Medicine, 86(11), 1367–1373.

    Article  PubMed  Google Scholar 

  • Renzi, C., Di Pietro, C., & Tabolli, S. (2012). Psychiatric morbidity and emotional exhaustion among hospital physicians and nurses: Association with perceived job-related factors. Archives of Environmental & Occupational Health, 67(2), 117–123.

    Article  Google Scholar 

  • Rhoda, D. A., Murray, D. M., Andridge, R. R., Pennell, M. L., & Hade, E. M. (2011). Studies with staggered starts: Multiple baseline designs and group-randomized trials. American Journal of Public Health, 101(11), 2164–2169.

    Article  PubMed  PubMed Central  Google Scholar 

  • Riley, M. R., Mohr, D. C., & Waddimba, A. C. (2018). The reliability and validity of three-item screening measures for burnout: Evidence from group-employed health care practitioners in upstate New York. Stress and Health, 34(1), 187–193.

    Article  PubMed  Google Scholar 

  • Rø, K. I. (2010). Emotional exhaustion and distress after a counselling intervention for physicians: A three-year prospective longitudinal cohort study. Dissertation submitted to the Faculty of Medicine, University of Oslo. No. 972.

    Google Scholar 

  • Roberts, D. L., Shanafelt, T. D., Dyrbye, L. N., & West, C. P. (2014). A national comparison of burnout and work-life balance among internal medicine hospitalists and outpatient general internists. Journal of Hospital Medicine, 9(3), 176–181.

    Article  PubMed  Google Scholar 

  • Rosenstein, A. H. (2012). Physician stress and burnout: What can we do? Physician Executive, 38(6), 22.

    PubMed  Google Scholar 

  • Rosenstein, A. H., & Mudge-Riley, M. (2010). The impact of stress and burnout on physician satisfaction and behaviors. Physician Executive, 36(6), 16–18.

    PubMed  Google Scholar 

  • Rosin, T. (2017, Mar 27). Hospitals are getting physician burnout and engagement all wrong – Here’s why. Becker’s Hospital Review. Available at https://www.beckershospitalreview.com/hospital-physician-relationships/hospitals-are-getting-burnout-and-physician-engagement-all-wrong-here-s-why.html

  • Rothenberger, D. A. (2017). Physician burnout and wellbeing: A systematic review and framework for action. Diseases of the Colon & Rectum, 60(6), 567–576.

    Article  Google Scholar 

  • Rugulies, R. (2014, May 26–28). Wellbeing and psychosocial work environment. Presentation at 3rd international wellbeing at work conference. Copenhagen.

    Google Scholar 

  • Runyan, C. N., & Serrano, N. (2017). President’s column: collaborative family healthcare association: An Interview with Neftali Serrano, PsyD: Collaborative Family Healthcare Association’s New Executive Director. Families, Systems & Health, 35(3), 392–395.

    Article  Google Scholar 

  • Rushton, C. H., Kaszniak, A. W., & Halifax, J. S. (2013). Addressing moral distress: Application of a framework to palliative care practice. Journal of Palliative Medicine, 16(9), 1080–1088.

    Article  PubMed  Google Scholar 

  • Sakallaris, B. R., Miller, W. L., Saper, R., Jo Kreitzer, M., & Jonas, W. (2016). Meeting the challenge of a more person-centered future for US healthcare. Global Advances in Health and Medicine, 5(1), 51–60.

    Article  PubMed  PubMed Central  Google Scholar 

  • Sample, S. (2011). Virtual mentor. Medicine and society: Vulnerability in physicians’ narratives. American Medical Association Journal of Ethics, 13(7), 494–498.

    PubMed  Google Scholar 

  • Saunders, P. (2015). Social inclusion, exclusion, and well-being in Australia: Meaning and measurement. Australian Journal of Social Issues, 50(2), 139–157.

    Article  Google Scholar 

  • Schaufeli, W. B., Bakker, A. B., Van der Heijden, F. M., & Prins, J. T. (2009a). Workaholism, burnout and wellbeing among junior doctors: The mediating role of role conflict. Work & Stress, 23(2), 155–172.

    Article  Google Scholar 

  • Schaufeli, W. B., Leiter, M. P., & Maslach, C. (2009b). Burnout: 35 years of research and practice. Career Development International, 14(3), 204–220.

    Article  Google Scholar 

  • Schernhammer, E. S., & Colditz, G. A. (2004). Suicide rates among physicians: a quantitative and gender assessment (meta-analysis). American Journal of Psychiatry, 161(12), 2295–2302.

    Article  PubMed  Google Scholar 

  • Schmitz, G. R., Clark, M., Heron, S., Sanson, T., Kuhn, G., Bourne, C., Guth, T., Cordover, M., & Coomes, J. (2012). Strategies for coping with stress in emergency medicine: Early education is vital. Journal of Emergencies, Trauma, and Shock, 5(1), 64.

    Article  PubMed  PubMed Central  Google Scholar 

  • Schonfeld, I. S., Bianchi, R., & Palazzi, S. (2011). What is the difference between depression and burnout? An ongoing debate. Rivista di Psichiatria, 53(4), 218–219.

    Google Scholar 

  • Schonfeld, I. S., Bianchi, R., & Palazzi, S. (2018). What is the difference between depression and burnout? An ongoing debate. Rivista di Psichiatria, 53(4), 218–219.

    PubMed  Google Scholar 

  • Selye, H. (1973). The Evolution of the Stress Concept: The originator of the concept traces its development from the discovery in 1936 of the alarm reaction to modern therapeutic applications of syntoxic and catatoxic hormones. American Scientist, 61(6), 692–699.

    CAS  PubMed  Google Scholar 

  • Shanafelt, T. D. (2005). Finding meaning, balance, and personal satisfaction in the practice of oncology. The Journal of Supportive Oncology, 3(2), 157–162.

    PubMed  Google Scholar 

  • Shanafelt, T. (2008). A career in surgical oncology: Finding meaning, balance, and personal satisfaction. Annals of Surgical Oncology, 15(2), 400–406.

    Article  PubMed  Google Scholar 

  • Shanafelt, T., & Dyrbye, L. (2012). Oncologist burnout: Causes, consequences, and responses. Journal of Clinical Oncology, 30(11), 1235–1241.

    Article  PubMed  Google Scholar 

  • Shanafelt, T. D, & Noseworthy, J. H. (2017). Executive leadership and physician wellbeing: nine organizational strategies to promote engagement and reduce burnout. In Mayo Clinic proceedings (Vol. 92, No. 1, pp. 129–146).

    Google Scholar 

  • Shanafelt, T. D., Sloan, J. A., & Habermann, T. M. (2003). The wellbeing of physicians. The American Journal of Medicine, 114(6), 513.

    Article  PubMed  Google Scholar 

  • Shanafelt, T. D., Novotny, P., Johnson, M. E., Zhao, X., Steensma, D. P., Lacy, M. Q., Rubin, J., & Sloan, J. (2005a). The wellbeing and personal wellness promotion strategies of medical oncologists in the North Central Cancer Treatment Group. Oncology, 68(1), 23–32.

    Article  PubMed  Google Scholar 

  • Shanafelt, T. D., West, C., Zhao, X., Novotny, P., Kolars, J., Habermann, T., & Sloan, J. (2005b). Relationship between increased personal wellbeing and enhanced empathy among. Journal of General Internal Medicine, 20(7), 559–564.

    Article  PubMed  PubMed Central  Google Scholar 

  • Shanafelt, T., Chung, H., White, H., & Lyckholm, L. J. (2006). Shaping your career to maximize personal satisfaction in the practice of oncology. Journal of Clinical Oncology, 24(24), 4020–4026.

    Article  PubMed  Google Scholar 

  • Shanafelt, T. D., West, C. P., Poland, G. A., LaRusso, N. F., Menaker, R., & Bahn, R. S. (2008). Principles to promote physician satisfaction and work-life balance. Minnesota Medicine, 91(12), 41–43.

    PubMed  Google Scholar 

  • Shanafelt, T. D., Balch, C. M., Bechamps, G. J., Russell, T., Dyrbye, L., Satele, D., Collicott, P., Novotny, P. J., Sloan, J., & Freischlag, J. A. (2009a). Burnout and career satisfaction among American surgeons. Annals of Surgery, 250(3), 463–471.

    PubMed  Google Scholar 

  • Shanafelt, T. D., Bowen, D. A., Venkat, C., Slager, S. L., Zent, C. S., Kay, N. E., Reinalda, M., Tun, H., Sloan, J. A., & Call, T. G. (2009b). The physician–patient relationship and quality of life: Lessons from chronic lymphocytic leukemia. Leukemia Research, 33(2), 263–270.

    Article  PubMed  Google Scholar 

  • Shanafelt, T. D., Balch, C. M., Bechamps, G., Russell, T., Dyrbye, L., Satele, D., Collicott, P., Novotny, P. J., Sloan, J., & Freischlag, J. (2010). Burnout and medical errors among American surgeons. Annals of Surgery, 251(6), 995–1000.

    Article  PubMed  Google Scholar 

  • Shanafelt, T. D., Balch, C. M., Dyrbye, L., Bechamps, G., Russell, T., Satele, D., Rummans, T., Swartz, K., Novotny, P. J., Sloan, J., & Oreskovich, M. R. (2011). Special report: suicidal ideation among American surgeons. Archives of Surgery, 146(1), 54–62.

    Article  PubMed  Google Scholar 

  • Shanafelt, T. D., Boone, S., Tan, L., Dyrbye, L. N., Sotile, W., Satele, D., West, C. P., Sloan, J., & Oreskovich, M. R. (2012a). Burnout and satisfaction with work-life balance among US physicians relative to the general US population. Archives of Internal Medicine, 172(18), 1377–1385.

    Article  PubMed  Google Scholar 

  • Shanafelt, T. D., Oreskovich, M. R., Dyrbye, L. N., Satele, D. V., Hanks, J. B., Sloan, J. A., & Balch, C. M. (2012b). Avoiding burnout: The personal health habits and wellness practices of US surgeons. Annals of Surgery, 255(4), 625–633.

    Article  PubMed  Google Scholar 

  • Shanafelt, T. D., Boone, S. L., Dyrbye, L. N., Oreskovich, M. R., Tan, L., West, C. P., Satele, D. V., Sloan, J. A., & Sotile, W. M. (2013). The medical marriage: A national survey of the spouses/partners of US physicians. In Mayo Clinic proceedings (Vol. 88, No. 3, pp. 216–225).

    Google Scholar 

  • Shanafelt, T. D., Gradishar, W. J., Kosty, M., Satele, D., Chew, H., Horn, L., Clark, B., Hanley, A. E., Chu, Q., Pippen, J., & Sloan, J. (2014a). Burnout and career satisfaction among US oncologists. Journal of Clinical Oncology, 32(7), 678.

    Article  PubMed  PubMed Central  Google Scholar 

  • Shanafelt, T. D., Kaups, K. L., Nelson, H., Satele, D. V., Sloan, J. A., Oreskovich, M. R., & Dyrbye, L. N. (2014b). An interactive individualized intervention to promote behavioral change to increase personal wellbeing in US surgeons. Annals of Surgery, 259(1), 82.

    Article  PubMed  Google Scholar 

  • Shanafelt, T. D., Hasan, O., Dyrbye, L. N., Sinsky, C., Satele, D., Sloan, J., & West, C. P. (2015). Changes in burnout and satisfaction with work-life balance in physicians and the general US working population between 2011 and 2014. In Mayo Clinic proceedings (Vol. 90, No. 12, pp. 1600–1613).

    Google Scholar 

  • Shanafelt, T. D., Omar, H., Hayes, S., Sinsky, C. A., Satele, D., Jeff Sloan, J., West, C. P., & Dyrbye, L. N. (2016). Parental satisfaction of U.S. physicians: Associated factors and comparison with the general U.S. working population. BMC Medical Education, 16(1), 228.

    Article  PubMed  PubMed Central  Google Scholar 

  • Shannon, D. (2013). Physician wellbeing: A powerful way to improve the patient experience. Physician Executive, 39(4), 6–8.

    PubMed  Google Scholar 

  • Sheldon, K. M., Cummins, R., & Kamble, S. (2010). Life balance and well-being: Testing a novel conceptual and measurement approach. Journal of Personality, 78(4), 1093–1134.

    PubMed  Google Scholar 

  • Sifferlin, A. (2014). Burnout in the hospital: Why doctors are set up for stress. Time Magazine.

    Google Scholar 

  • Sikka, R., Morath, J. M., & Leape, L. (2015). The Quadruple Aim: Care, health, cost and meaning in work. BMJ Quality & Safety, 24, 608–610.

    Article  Google Scholar 

  • Singh, S., & Sharma, N. R. (2018). Self-regulation as a correlate of psychological wellbeing. Indian Journal of Health and Wellbeing, 9(3), 441–444.

    Google Scholar 

  • Sirigatti, S., Penzo, I., Iani, L., Mazzeschi, A., Hatalskaja, H., Giannetti, E., & Stefanile, C. (2013). Measurement invariance of Ryff’s psychological wellbeing scales across Italian and Belarusian students. Social Indicators Research, 113(1), 67–80.

    Article  Google Scholar 

  • Smith, K. M., Renshaw, P. F., & Bilello, J. (2013). The diagnosis of depression: Current and emerging methods. Comprehensive Psychiatry, 54(1), 1–6.

    Article  PubMed  Google Scholar 

  • Snyder, J. L. (2012). Extending the empathic communication model of burnout: Incorporating individual differences to learn more about workplace emotion, communicative responsiveness, and burnout. Communication Quarterly, 60(1), 122–142.

    Article  Google Scholar 

  • Squiers, J. J., Lobdell, K. W., Fann, J. I., & DiMaio, J. M. (2017). Physician burnout: Are we treating the symptoms instead of the disease? The Annals of Thoracic Surgery, 104(4), 1117–1122.

    Article  PubMed  Google Scholar 

  • Studer, R., & Winkelmann, R. (2017). Econometric analysis of ratings—with an application to health and wellbeing. Swiss Journal of Economics and Statistics, 153(1), 1–3.

    Article  Google Scholar 

  • Sulaiman, C. F., Henn, P., Smith, S., & O’tuathaigh, C. M. (2017). Burnout syndrome among non-consultant hospital doctors in Ireland: Relationship with self-reported patient care. International Journal for Quality in Health Care, 29(5), 679–684.

    Article  PubMed  Google Scholar 

  • Sulmasy, D. P. (2002). A biopsychosocial-spiritual model for the care of patients at the end of life. The Gerontologist, 42(suppl_3), 24–33.

    Article  PubMed  Google Scholar 

  • Swetz, K. M., Harrington, S. E., Matsuyama, R. K., Shanafelt, T. D., & Lyckholm, L. J. (2009). Strategies for avoiding burnout in hospice and palliative medicine: peer advice for physicians on achieving longevity and fulfillment. Journal of Palliative Medicine, 12(9), 773–777.

    Article  PubMed  Google Scholar 

  • ten Brummelhuis, L. L., ter Hoeven, C. L., Bakker, A. B., & Peper, B. (2011). Breaking through the loss cycle of burnout: The role of motivation. Journal of Occupational and Organizational Psychology, 84(2), 268–287.

    Article  Google Scholar 

  • Thomas, M. R., Dyrbye, L. N., Huntington, J. L., Lawson, K. L., Novotny, P. J., Sloan, J. A., & Shanafelt, T. D. (2007). How do distress and wellbeing relate to medical student empathy? A multicenter study. Journal of General Internal Medicine, 22(2), 177–183.

    Article  PubMed  PubMed Central  Google Scholar 

  • Thomas, L. R., Ripp, J. A., & West, C. P. (2018). Charter on physician wellbeing. Journal of the American Medical Association, 319(15), 1541–1542.

    Article  PubMed  Google Scholar 

  • Torre, D. M., Wang, N. Y., Meoni, L. A., Young, J. H., Klag, M. J., & Ford, D. E. (2005). Suicide compared to other causes of mortality in physicians. Suicide and Life-Threatening Behavior, 35(2), 146–153.

    Article  PubMed  Google Scholar 

  • Tsiga, E., Panagopoulou, E., & Montgomery, A. (2017). Examining the link between burnout and medical error: A checklist approach. Burnout Research, 6, 1–8.

    Article  Google Scholar 

  • Tucker, P., Bejerot, E., Kecklund, G., Aronsson, G., & Åkerstedt, T. (2015). The impact of work time control on physicians’ sleep and wellbeing. Applied Ergonomics, 47, 109–116.

    Article  CAS  PubMed  Google Scholar 

  • Tyrer, P. (2009). Are general practitioners really unable to diagnose depression? The Lancet, 374(9690), 589–590.

    Article  Google Scholar 

  • Van Saane, N., Sluiter, J. K., Verbeek, J. H., & Frings-Dresen, M. H. (2003). Reliability and validity of instruments measuring job satisfaction—A systematic review. Occupational Medicine, 53(3), 191–200.

    Article  PubMed  Google Scholar 

  • Verweij, H., Waumans, R. C., Smeijers, D., Lucassen, P. L., Donders, A. R., van der Horst, H. E., & Speckens, A. E. (2016). Mindfulness-based stress reduction for GPs: Results of a controlled mixed methods pilot study in Dutch primary care. The British Journal of General Practice, 66(643), e99–e105.

    Article  PubMed  PubMed Central  Google Scholar 

  • Wallace, J. E., & Lemaire, J. (2009). Physician wellbeing and quality of patient care: An exploratory study of the missing link. Psychology, Health & Medicine, 14(5), 545–552.

    Article  Google Scholar 

  • Walsh, J. (2013). Gender, the work-life interface and wellbeing: A study of hospital doctors. Gender, Work and Organization, 20(4), 439–453.

    Article  Google Scholar 

  • Welp, A., Meier, L. L., & Manser, T. (2015). Emotional exhaustion and workload predict clinician-rated and objective patient safety. Frontiers in Psychology, 5, 1573.

    Article  PubMed  PubMed Central  Google Scholar 

  • Welp, A., Meier, L. L., & Manser, T. (2016). The interplay between teamwork, clinicians’ emotional exhaustion, and clinician-rated patient safety: A longitudinal study. Critical Care, 20(1), 110.

    Article  PubMed  PubMed Central  Google Scholar 

  • Weng, H. C., Hung, C. M., Liu, Y. T., Cheng, Y. J., Yen, C. Y., Chang, C. C., & Huang, C. K. (2011). Associations between emotional intelligence and doctor burnout, job satisfaction and patient satisfaction. Medical Education, 45(8), 835–842.

    Article  PubMed  Google Scholar 

  • West, C. P. (2016). Physician wellbeing: Expanding the triple aim. Journal of General Internal Medicine, 31(5), 458–459.

    Article  PubMed  PubMed Central  Google Scholar 

  • West, C. P., & Shanafelt, T. D. (2007a). Physician wellbeing and professionalism. Minnesota Medicine, 90(8), 44–46.

    PubMed  Google Scholar 

  • West, C. P., & Shanafelt, T. D. (2007b). The influence of personal and environmental factors on professionalism in medical education. BMC Medical Education, 7(1), 29.

    Article  PubMed  PubMed Central  Google Scholar 

  • West, C. P., Huschka, M. M., Novotny, P. J., Sloan, J. A., Kolars, J. C., Habermann, T. M., & Shanafelt, T. D. (2006). Association of perceived medical errors with resident distress and empathy: A prospective longitudinal study. Journal of the American Medical Association, 296(9), 1071–1078.

    Article  CAS  PubMed  Google Scholar 

  • West, C. P., Dyrbye, L. N., Sloan, J. A., & Shanafelt, T. D. (2009). Single item measures of emotional exhaustion and depersonalization are useful for assessing burnout in medical professionals. Journal of General Internal Medicine, 24(12), 1318.

    Article  PubMed  PubMed Central  Google Scholar 

  • West, C. P., Shanafelt, T. D., & Cook, D. A. (2010). Lack of association between resident doctors’ well-being and medical knowledge. Medical Education, 44(12), 1224–1231.

    Article  PubMed  Google Scholar 

  • West, C. P., Shanafelt, T. D., & Kolars, J. C. (2011). Quality of life, burnout, educational debt, and medical knowledge among internal medicine residents. Journal of the American Medical Association, 306(9), 952–960.

    CAS  PubMed  Google Scholar 

  • West, C. P., Dyrbye, L. N., Satele, D. V., Sloan, J. A., & Shanafelt, T. D. (2012). Concurrent validity of single-item measures of emotional exhaustion and depersonalization in burnout assessment. Journal of General Internal Medicine, 27(11), 1445–1452.

    Article  PubMed  PubMed Central  Google Scholar 

  • West, C. P., Dyrbye, L. N., Rabatin, J. T., Call, T. G., Davidson, J. H., Multari, A., Romanski, S. A., Hellyer, J. M., Sloan, J. A., & Shanafelt, T. D. (2014). Intervention to promote physician wellbeing, job satisfaction, and professionalism: A randomized clinical trial. JAMA Internal Medicine, 174(4), 527–533.

    Article  PubMed  Google Scholar 

  • Wiederhold, B. K., Cipresso, P., Pizzioli, D., Wiederhold, M., & Riva, G. (2018). Intervention for physician burnout: A systematic review. Open Medicine, 13(1), 253–263. https://doi.org/10.1515/med-2018-0039

    Article  PubMed  PubMed Central  Google Scholar 

  • Wilkinson, H., Whittington, R., Perry, L., & Eames, C. (2017). Examining the relationship between burnout and empathy in healthcare professionals: A systematic review. Burnout Research, 6, 18–29.

    Article  PubMed  PubMed Central  Google Scholar 

  • Winkel, A. F., Honart, A. W., Robinson, A., Jones, A. A., & Squires, A. (2018). Thriving in scrubs: a qualitative study of resident resilience. Reproductive Health, 15(1), 53.

    Article  PubMed  PubMed Central  Google Scholar 

  • Woolf, S. H., Kuzel, A. J., Dovey, S. M., & Phillips, R. L., Jr. (2004). A string of mistakes: The importance of cascade analysis in describing, counting, and preventing medical errors. Annals of Family Medicine, 2(4), 317–326.

    Article  PubMed  PubMed Central  Google Scholar 

  • World Health Organization. Preamble to the Constitution of the World Health Organization as adopted by the International Health Conference, New York, 19–22 June, 1946; signed on 22 July 1946 by the representatives of 61 States (Official Records of the World Health Organization, no. 2, p. 100) and entered into force on 7 April 1948. Also available from: URL: http://www.who.int/governance/eb/who_constitution_en.pdf

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Bogue, R.J., Downing, N.R. (2019). Research on Physician Burnout and Wellbeing: A Solution-Oriented Perspective. In: McCallister, D., Hamilton, T. (eds) Transforming the Heart of Practice. Springer, Cham. https://doi.org/10.1007/978-3-030-15250-5_2

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