Special Report: Suicidal Ideation Among American Surgeons
Tait D. Shanafelt,Charles M. Balch,Charles M. Balch,Lotte N. Dyrbye,Gerald Bechamps,Thomas R Russell,Daniel Satele,Teresa A. Rummans,Karen Swartz,Paul J. Novotny,Jeff A. Sloan,Michael R. Oreskovich,Michael R. Oreskovich +12 more
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TLDR
Recent suicidal ideation among surgeons was strongly related to symptoms of depression and a surgeon's degree of burnout, and studies are needed to determine how to reduce SI among surgeons and how to eliminate barriers to their use of mental health resources.Abstract:
Background Suicide is a disproportionate cause of death for US physicians. The prevalence of suicidal ideation (SI) among surgeons and their use of mental health resources are unknown. Study Design Members of the American College of Surgeons were sent an anonymous cross-sectional survey in June 2008. The survey included questions regarding SI and use of mental health resources, a validated depression screening tool, and standardized assessments of burnout and quality of life. Results Of 7905 participating surgeons (response rate, 31.7%), 501 (6.3%) reported SI during the previous 12 months. Among individuals 45 years and older, SI was 1.5 to 3.0 times more common among surgeons than the general population ( P P P Conclusions Although 1 of 16 surgeons reported SI in the previous year, few sought psychiatric or psychologic help. Recent SI among surgeons was strongly related to symptoms of depression and a surgeon's degree of burnout. Studies are needed to determine how to reduce SI among surgeons and how to eliminate barriers to their use of mental health resources.read more
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Burnout and Satisfaction With Work-Life Balance Among US Physicians Relative to the General US Population
Tait D. Shanafelt,Sonja Boone,Litjen Tan,Lotte N. Dyrbye,Wayne Sotile,Daniel Satele,Colin P. West,Jeff A. Sloan,Michael R. Oreskovich +8 more
TL;DR: Burnout is more common among physicians than among other US workers, and Physicians in specialties at the front line of care access seem to be at greatest risk.
Journal ArticleDOI
Changes in Burnout and Satisfaction With Work-Life Balance in Physicians and the General US Working Population Between 2011 and 2014
Tait D. Shanafelt,Omar Hasan,Lotte N. Dyrbye,Christine A. Sinsky,Daniel Satele,Jeff A. Sloan,Colin P. West +6 more
TL;DR: Burnout and satisfaction with work-life balance in US physicians worsened from 2011 to 2014, resulting in an increasing disparity in burn out and satisfaction in physicians relative to the general US working population.
Journal ArticleDOI
Burnout among U.S. medical students, residents, and early career physicians relative to the general U.S. population.
Liselotte N. Dyrbye,Colin P. West,Daniel Satele,Sonja Boone,Litjen Tan,Jeff A. Sloan,Tait D. Shanafelt +6 more
TL;DR: Training appears to be the peak time for distress among physicians, but differences in the prevalence of burnout, depressive symptoms, and recent suicidal ideation are relatively small.
Journal ArticleDOI
Interventions to prevent and reduce physician burnout: a systematic review and meta-analysis
TL;DR: The literature indicates that both individual-focused and structural or organisational strategies can result in clinically meaningful reductions in burnout among physicians, and further research is needed to establish which interventions are most effective in specific populations.
Journal ArticleDOI
Physician burnout: contributors, consequences and solutions
TL;DR: All stakeholders in healthcare delivery must work together to develop and implement effective remedies for physician burnout, and organizational efforts such as locally developed practice modifications and increased support for clinical work have demonstrated benefits in reducing burnout.
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TL;DR: An easily interpretable index of predictive discrimination as well as methods for assessing calibration of predicted survival probabilities are discussed, applicable to all regression models, but are particularly needed for binary, ordinal, and time-to-event outcomes.
Tutorial in biostatistics multivariable prognostic models: issues in developing models, evaluating assumptions and adequacy, and measuring and reducing errors
Kerry L. Lee,Daniel B. Mark +1 more
TL;DR: An easily interpretable index of predictive discrimination as well as methods for assessing calibration of predicted survival probabilities are discussed, which are applicable to all regression models, but are particularly needed for binary, ordinal, and time-to-event outcomes.