Literature DB >> 23979287

An interactive individualized intervention to promote behavioral change to increase personal well-being in US surgeons.

Tait D Shanafelt1, Krista L Kaups, Heidi Nelson, Daniel V Satele, Jeff A Sloan, Michael R Oreskovich, Lotte N Dyrbye.   

Abstract

OBJECTIVE: Evaluate the utility of a computer-based, interactive, and individualized intervention for promoting well-being in US surgeons.
BACKGROUND: Distress and burnout are common among US surgeons. Surgeons experiencing distress are unlikely to seek help on their own initiative. A belief that distress and burnout are a normal part of being a physician and lack of awareness of distress level relative to colleagues may contribute to this problem.
METHODS: Surgeons who were members of the American College of Surgeons were invited to participate in an intervention study. Participating surgeons completed a 3-step, interactive, electronic intervention. First, surgeons subjectively assessed their well-being relative to colleagues. Second, surgeons completed the 7-item Mayo Clinic Physician Well-Being Index and received objective, individualized feedback about their well-being relative to national physician norms. Third, surgeons evaluated the usefulness of the feedback and whether they intended to make specific changes as a result.
RESULTS: A total of 1150 US surgeons volunteered to participate in the study. Surgeons' subjective assessment of their well-being relative to colleagues was poor. A majority of surgeons (89.2%) believed that their well-being was at or above average, including 70.5% with scores in the bottom 30% relative to national norms. After receiving objective, individualized feedback based on the Mayo Clinic Physician Well-Being Index score, 46.6% of surgeons indicated that they intended to make specific changes as a result. Surgeons with lower well-being scores were more likely to make changes in each dimension assessed (all Ps<0.001).
CONCLUSIONS: US surgeons do not reliably calibrate their level of distress. After self-assessment and individualized feedback using the Mayo Clinic Physician Well-Being Index, half of participating surgeons reported that they were contemplating behavioral changes to improve personal well-being.

Entities:  

Mesh:

Year:  2014        PMID: 23979287      PMCID: PMC4333681          DOI: 10.1097/SLA.0b013e3182a58fa4

Source DB:  PubMed          Journal:  Ann Surg        ISSN: 0003-4932            Impact factor:   12.969


  39 in total

1.  Avoiding burnout: the personal health habits and wellness practices of US surgeons.

Authors:  Tait D Shanafelt; Michael R Oreskovich; Lotte N Dyrbye; Daniel V Satele; John B Hanks; Jeff A Sloan; Charles M Balch
Journal:  Ann Surg       Date:  2012-04       Impact factor: 12.969

2.  Distress and career satisfaction among 14 surgical specialties, comparing academic and private practice settings.

Authors:  Charles M Balch; Tait D Shanafelt; Jeffrey A Sloan; Daniel V Satele; Julie A Freischlag
Journal:  Ann Surg       Date:  2011-10       Impact factor: 12.969

3.  A national study of burnout among American transplant surgeons.

Authors:  W Bertges Yost; A Eshelman; M Raoufi; M S Abouljoud
Journal:  Transplant Proc       Date:  2005-03       Impact factor: 1.066

Review 4.  Stress and burnout among surgeons: understanding and managing the syndrome and avoiding the adverse consequences.

Authors:  Charles M Balch; Julie A Freischlag; Tait D Shanafelt
Journal:  Arch Surg       Date:  2009-04

5.  Efficacy of a brief screening tool to identify medical students in distress.

Authors:  Liselotte N Dyrbye; Alan Schwartz; Steven M Downing; Daniel W Szydlo; Jeff A Sloan; Tait D Shanafelt
Journal:  Acad Med       Date:  2011-07       Impact factor: 6.893

6.  Burnout among surgeons: whether specialty makes a difference.

Authors:  Charles M Balch; Tait D Shanafelt
Journal:  Arch Surg       Date:  2011-04

7.  Personal consequences of malpractice lawsuits on American surgeons.

Authors:  Charles M Balch; Michael R Oreskovich; Lotte N Dyrbye; Joseph M Colaiano; Daniel V Satele; Jeff A Sloan; Tait D Shanafelt
Journal:  J Am Coll Surg       Date:  2011-09-03       Impact factor: 6.113

8.  Burnout and satisfaction with work-life balance among US physicians relative to the general US population.

Authors:  Tait D Shanafelt; Sonja Boone; Litjen Tan; Lotte N Dyrbye; Wayne Sotile; Daniel Satele; Colin P West; Jeff Sloan; Michael R Oreskovich
Journal:  Arch Intern Med       Date:  2012-10-08

9.  An expert system intervention for smoking cessation.

Authors:  W F Velicer; J O Prochaska; J M Bellis; C C DiClemente; J S Rossi; J L Fava; J H Steiger
Journal:  Addict Behav       Date:  1993 May-Jun       Impact factor: 3.913

10.  Participation in cancer clinical trials: race-, sex-, and age-based disparities.

Authors:  Vivek H Murthy; Harlan M Krumholz; Cary P Gross
Journal:  JAMA       Date:  2004-06-09       Impact factor: 56.272

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  12 in total

Review 1.  Surgeon Burnout: A Systematic Review.

Authors:  Francesca M Dimou; David Eckelbarger; Taylor S Riall
Journal:  J Am Coll Surg       Date:  2016-03-25       Impact factor: 6.113

2.  Screening for Burnout in Emergency Medicine Residents: Now What?

Authors:  Deepi G Goyal; Liselotte N Dyrbye; Tait D Shanafelt
Journal:  AEM Educ Train       Date:  2017-04-06

3.  Physician health: beyond work-life balance.

Authors:  Joy Albuquerque; Dorian Deshauer
Journal:  CMAJ       Date:  2014-09-02       Impact factor: 8.262

4.  Lets Address Health and Well-Being in Our Profession.

Authors:  Charles N Cornell
Journal:  HSS J       Date:  2015-09-08

Review 5.  Preventing occupational stress in healthcare workers.

Authors:  Jani H Ruotsalainen; Jos H Verbeek; Albert Mariné; Consol Serra
Journal:  Cochrane Database Syst Rev       Date:  2015-04-07

6.  Occupational Stress and Burnout among Surgeons in Fiji.

Authors:  Rajeev Patel; Peter Huggard; Annik van Toledo
Journal:  Front Public Health       Date:  2017-03-09

7.  Prospective study of emergency medicine provider wellness across ten academic and community hospitals during the initial surge of the COVID-19 pandemic.

Authors:  Heather Kelker; Kyle Yoder; Paul Musey; Madison Harris; Olivia Johnson; Elisa Sarmiento; Punit Vyas; Brooke Henderson; Zachary Adams; Julie Welch
Journal:  BMC Emerg Med       Date:  2021-03-24

8.  Physician wellness in orthopaedic surgery : a multinational survey study.

Authors:  Hassan Mir; Katheryne Downes; Antonia F Chen; Ruby Grewal; Derek M Kelly; Michael J Lee; Philipp Leucht; Sukhdeep K Dulai
Journal:  Bone Jt Open       Date:  2021-11

9.  Surgeons' Emotional Experience of Their Everyday Practice - A Qualitative Study.

Authors:  Massimiliano Orri; Anne Revah-Lévy; Olivier Farges
Journal:  PLoS One       Date:  2015-11-24       Impact factor: 3.240

10.  Experiences of Public Doctors on Managing Work Difficulties and Maintaining Professional Enthusiasm in Acute General Hospitals: A Qualitative Study.

Authors:  Andrew Leung Luk; Adrian Fai To Yau
Journal:  Front Public Health       Date:  2018-03-02
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