physician stress

physician stress

Medical practice The mental stress of medical practice–eg, responsibility for life and health, long working hrs, examination of unclothed Pts–with the potential for boundary violations, threat of malpractice litigation, ready access to psychoactive and addicting drugs, financial concerns, and need to keep current in one's scope of practice
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Interventions for managing physician stress and burnout include cognitive-behavioral therapy (CBT); mindfulness-based stress reduction programs; relaxation/stretching exercises; supportive discussion strategies such as Balint sessions (group therapy for doctors which focuses on patient-physician relationships); changing work settings and reduction of adverse job psychosocial factors; self-care lectures; didactic/interactive sessions; and counseling and psychosocial training.
Physician stress and burnout can lead to increased turnover and recruitment challenges, lower staff morale, reduced work hours and increased medical errors - all issues healthcare organizations under financial pressure can ill afford.
Conclusion: Primary care physicians may be motivated to integrate behavioral health services into their clinics knowing that other physicians believe that it directly and indirectly improves patient care and physician stress.
As a result of these concerns there is understandably a great amount of physician stress.
Practices that provided support for work-life balance, that emphasized quality, and had congruent values among physicians and leadership had less physician stress and burnout.
Modern medicine creates a lot of physician stress, and government is responsible for the vast majority of it.
Increasing complexity, growing external monitoring and intrusions affecting decisions about care delivery, time demands, changing models of care, and significant reductions in reimbursement have all led to increased levels of physician stress, frustration, and career dissatisfaction.
We need to take a proactive supportive approach in dealing with physician stress and burnout and provide support early in the process in a positive, empathetic, supportive, confidential, collegial manner.
The American Academy of Orthopedic Surgeons, for instance, maintains a physician stress project team to provide guidance to academy members.

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