Importance of Physician Wellness in Battling Burnout
Purpose of review
Recently, much attention has been given to physician well-being and wellness programs in order to decrease physician burnout. Burnout has been known to emerge during the early years of medical training and has been reported among a large proportion of medical students. Burnout not only affects the well-being of medical providers, but also the delivery of safe and high-quality patient care. The goal of this article is to review the literature and examine the evidence of various studies and physician wellness programs and their effects on physician well-being.
Physician burnout is a pervasive problem and is a cause for concern. Burnout is characterized as emotional exhaustion, depersonalization (treating patients as objects), and low sense of accomplishment. Consequences of physician burnout are poor quality of care delivered to patients, decreased patient satisfaction, increased risk for medical errors, and lawsuits. Physician burnout may also negatively impact the individual’s health, interpersonal relationships with family, and loved ones, and can also lead to substance abuse and mental health challenges.
About one-third to one-half of physicians experience burnout. Burnout can alter the physician-patient relationship and the quality of care physicians provide. The primary purpose of this report is to shift the focus from burnout to physician preventive health and wellness strategies.
KeywordsBurnout Wellness Yoga Mindfulness meditation Holistic practice
Compliance with Ethics Guidelines
Conflict of Interest
The authors declare that they have no conflict of interest.
Human and Animal Rights and Informed Consent
This article does not contain any studies with human or animal subjects performed by any of the authors.
References and Recommended Reading
Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance
- 2.Maslach C, Jackson S. Maslach burnout inventory manual. 2nd ed. Palo Alto, CA: Consulting Psychologist Press; 1986.Google Scholar
- 6.Kravitz RL, Leigh JP, Samuels SJ, Schembri M, Gilbert WM. Tracking career satisfaction and perceptions of quality among US obstetricians and gynecologists. Obstet Gynecol. 2003;102(3):463–70.Google Scholar
- 10.Wilters JH. Stress, burnout and physician productivity. MGMA J. 1998;May/June:32–37.Google Scholar
- 16.Maslach C, Jackson SW, Leiter MP. Maslach burnout inventory. 3rd ed. Mountainview, CA: Consulting Psychologists Press; 1996.Google Scholar
- 17.•• Eckleberry-Hunt J, Van Dyke A, Lick D, Tucciarone J. Changing the conversation from burnout to wellness: physician wellbeing in residency training programs. J Graduate Med Ed. 2009:225–30. This study demonstrated a novel approach within a residency program to increase burnout awareness and help shift from physician burnout to promoting wellness programs within the residency program.Google Scholar
- 20.Weight CJ, Sellon JL, Lessard-Anderson CR, Shanafelt TD, Olsen KD, Laskowski ER. Physical activity, quality of life, and burnout among physician trainees: the effect of a team-based, incentivized exercise program. Mayo Clin Proc.Google Scholar
- 21.Zailinawati AH, Teng CL, Chung YC, Teow TL, Lee PN, Jagmohni KS. Daytime sleepiness and sleep quality among Malaysian medical students. Med J Malaysia. 2009;64(2):108–10.Google Scholar
- 23.National Sleep Foundation, How much sleep do we really need? 2013; http://www.sleepfoundation.org/article/how-sleep-works/how-much-sleep-do-we-really-need. Accessed January 30, 2014.
- 24.Rath T, Harter J. Well being: the five essential elements. New York: Gallup Press; 2010.Google Scholar
- 25.•• Wolf MR, Rosenstock JB. Inadequate sleep and exercise associated with burnout and depression among medical students. Academic Psych. 2017;41(2):174–9 This study conducted at Pittsburgh Medical School demonstrated that poor sleep and exercise habits, and a positive depression screen were associated with burnout risk within the medical student population.CrossRefGoogle Scholar
- 27.Chen YY, Lee WL, Tsai SH, Tsai CW. A study on work stress, stress-coping strategies and well-being among hospital nurses. J Meiho Univ. 2013;32:83–97.Google Scholar
- 28.Chung YC, Lin CC, Huang MY, Sun JL, Chen PY, Chen KH. A study on effectiveness of yoga for insomnia, low back pain, stress and the physical fitness among nurses. J Health Architecture. 2014;1:49–57.Google Scholar
- 29.Chang SL, Lo SF, Wang WH, Lai MM, Chang SS, Lai TS. An exploratory study of job stress, coping and related factors among psychiatric nurses in Eastern Taiwan. Tzu Chi Nurs J. 2003;2:59–69.Google Scholar
- 31.• Shu-Ling Lin SW, Ching-Ya Huang MS, Shau-Ping Shiu SW, Shu-Hui Yeh RN. Effects of yoga on stress, stress adaption and heart rate variability among mental health professionals-a randomized controlled trial. Worldviews Evid Based Nurs. 2015;12(4):236–45 This study demonstrated the benefits of a weekly yoga practice with statistically significant effect of yoga on stress reduction and enhanced stress adaption among mental health care professionals.CrossRefGoogle Scholar
- 33.Guide to Yoga-Meditation, by Shri Yogendra. Yogendra publication fund. 1986.Google Scholar