Howard Bauchner, MD; Thomas J. Easley; on behalf of the entire editorial and publishing staff JAMA Network

To evaluate the prevalence of burnout and satisfaction with work-life integration among physicians other US workers in 2017 compared 2011 2014.Between October 12, 2017, March 15, 2018, we surveyed a probability-based sample working population using methods similar to our 2014 studies. A secondary survey intensive follow-up was conducted nonresponders response bias. Burnout were measured standard tools.Of 30,456 who received an invitation participate, 5197 (17.1%) completed surveys. Among 476...

Although physician burnout is associated with negative clinical and organizational outcomes, its economic costs are poorly understood. As a result, leaders in health care cannot properly assess the financial benefits of initiatives to remediate burnout.To estimate burnout-associated related turnover physicians reducing their hours at national (U.S.) levels.Cost-consequence analysis using mathematical model.United States.Simulated population U.S. physicians.Model inputs were estimated by...

Abstract The authors analyzed the effect of several health behaviors and health-related variables on grade point averages a random sample 200 students living in on-campus residence halls at large private university. set included exercise, eating, sleep habits; mood states; perceived stress; time management; social support; spiritual or religious number hours worked per week; gender; age. Of all considered, habits, particularly wake-up times, accounted for largest amount variance averages....

The objective of this study was to evaluate the performance Professional Fulfillment Index (PFI), a 16-item instrument assess physicians’ professional fulfillment and burnout, designed for sensitivity change attributable interventions or other factors affecting physician well-being. A sample 250 physicians completed PFI, measure self-reported medical errors, previously validated measures including Maslach Burnout Inventory (MBI), one-item burnout measure, World Health Organization’s...

<h3>Importance</h3> The prevalence of physician burnout is well documented, and resilience training has been proposed as an option to support well-being. However, the physicians compared with that US working population not established, association between understood. <h3>Objectives</h3> To evaluate among workers, determine physicians. <h3>Design, Setting, Participants</h3> A cross-sectional national survey study 5445 a probability-based sample 5198 individuals in was conducted October 12,...

ObjectiveTo evaluate the prevalence of burnout and satisfaction with work-life integration (WLI) in US physicians at end 2021, roughly 21 months into COVID-19 pandemic, comparison to 2020, 2017, 2014, 2011.MethodsBetween December 9, January 24, 2022, we surveyed using methods similar those our prior studies. Burnout, WLI, depression, professional fulfillment were assessed standard instruments.ResultsThere 2440 who participated 2021 survey. Mean emotional exhaustion depersonalization scores...

ObjectiveTo describe and benchmark physician-perceived electronic health record (EHR) usability as defined by a standardized metric of technology evaluate the association with professional burnout among physicians.Participants MethodsThis cross-sectional survey US physicians from all specialty disciplines was conducted between October 12, 2017, March 15, 2018, using American Medical Association Physician Masterfile. Among 30,456 invited physicians, 5197 (17.1%) completed surveys. A random...

<h3>Importance</h3> Addressing physician suicide requires understanding its association with possible risk factors such as burnout and depression. <h3>Objective</h3> To assess the between suicidal ideation after adjusting for depression of self-reported medical errors. <h3>Design, Setting, Participants</h3> This cross-sectional study was conducted from November 12, 2018, to February 15, 2019. Attending postgraduate trainee physicians randomly sampled American Medical Association Physician...

Awareness of the economic cost physician attrition due to burnout in academic medical centers may help motivate organizational level efforts improve wellbeing and reduce turnover. Our objectives are: 1) use a recent longitudinal data as case example examine associations between self-reported burnout, intent leave (ITL) actual turnover within two years, 2) estimate attributable burnout.We used de-identified from 472 physicians who completed quality improvement survey conducted 2013 at...

To evaluate the prevalence of burnout and satisfaction with work-life integration (WLI) among physicians US workers in 2020 relative to 2011, 2014, 2017.Between November 20, 2020, March 23, 2021, we surveyed a probability-based sample working population using methods similar our prior studies. Burnout WLI were measured standard tools. Information about specific work-related COVID-19 experiences was collected.There 7510 who participated survey. Nonresponder analysis suggested that...

Sleep-related impairment in physicians is an occupational hazard associated with long and sometimes unpredictable work hours may contribute to burnout self-reported clinically significant medical error.To assess the associations between sleep-related wellness indicators practicing at academic-affiliated centers association of errors, before after adjusting for burnout.This cross-sectional study used physician survey data collected from 11 November 2016 October 2018. Analysis was completed...

Physician turnover interrupts care delivery and creates health system financial burden.

Importance Vacation has been shown to be an important restorative activity in the general population; less is known about physicians’ vacation behaviors and their association with burnout professional fulfillment. Objective To examine number of days taken per year magnitude physician work while on fulfillment, by individual organizational characteristics. Design, Setting, Participants This cross-sectional survey US physicians was conducted between November 20, 2020, March 23, 2021. Data...

To examine the effects of cognitive behavioral therapy for insomnia (CBT-I) on suicidal ideation among Veterans with insomnia. Longitudinal data collected in course an uncontrolled evaluation a large-scale CBT-I training program. Outpatient and residential treatment facilities. Four hundred five presenting Cognitive At baseline, 32% patients, compared 21% at final assessment, endorsed some level [χ2(df = 1) 125; P < 0.001]. After adjusting demographic variables baseline severity, each...

Strong evidence supports the efficacy of cognitive behavioral therapy for insomnia (CBTI). A significant barrier to wide dissemination CBTI is lack qualified practitioners. We describe challenges and decisions made when developing a program in Veterans Health Administration (VHA). The targets mental health clinicians from different disciplines (psychiatry, psychology, social work, nursing) with varying familiarity experience general principles therapies (CBT). explain scope training (how...

The current health care practice environment has resulted in a crescendo of burnout among physicians, nurses, and advanced providers. Burnout professionals is primarily caused by organizational factors rather than problems with personal resilience. Four major drivers motivate leaders to build well-being programs: the moral-ethical case (caring for their people), business (cost turnover lower quality), tragic (a physician suicide), regulatory (accreditation requirements). Ultimately, provider...

This paper describes CBT-I Coach, a patient-facing smartphone app designed to enhance cognitive behavioral therapy for insomnia (CBT-I). It presents findings of two surveys U.S. Department Veterans Affairs (VA) trained clinicians regarding their perceptions Coach before it was released (n = 138) and use years after 176).VA-trained completed web-based publicly released.Prior release, reported that moderately very likely the could improve care majority (87.0%) intended if were available....

To evaluate the effects of national training in and implementation Cognitive Behavioral Therapy for Insomnia (CBT-I) U.S. Department Veterans Affairs (VA) health care system on clinicians' competency patients' insomnia severity, symptoms depression, quality life.A prospective cohort 102 VA clinicians (including mental staff various primary settings) participated CBT-I Training Program during 2011 2012. Patients included 182 veterans treated by enrolled training. Clinicians were rated taped...

NICUs vary greatly in patient acuity and volume represent a wide array of organizational structures, but the effect these differences on NICU providers is unknown. This study sought to test relation between provider burnout prevalence factors California NICUs.Provider perceptions were obtained from 1934 nurse practitioners, physicians, registered nurses, respiratory therapists 41 via validated 4-item questionnaire based Maslach Burnout Inventory. The relations each evaluated t-test...