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Kennard A, Low Dog T, Clinkenbeard J, Pachman D, Iozzi D. Contemplative medicine: A practical approach to "Well-Being 2.0" in medicine. Explore (NY) 2024; 20:439-442. [PMID: 37977922 DOI: 10.1016/j.explore.2023.11.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/07/2023] [Revised: 10/31/2023] [Accepted: 11/08/2023] [Indexed: 11/19/2023]
Abstract
OBJECTIVE To examine the relationship between Contemplative Medicine training and clinician burnout. METHODS Clinicians underwent a 12 month training program in Contemplative Medicine, which addresses several of the "Well-being 2.0" framework elements. An uncontrolled pre and post test study design was used with the validated Maslach Burnout Inventory (MBI) as the study tool to evaluate efficacy of the program. RESULTS Participants demonstrated improvement in burnout levels after the intervention. There were significant differences at the 0.05 significance level or better on all three scales of the MBI instrument when comparing baseline to follow-up responses, including emotional exhaustion, depersonalization, and sense of personal accomplishment. Particular improvement was noted in the "personal accomplishment" domain, with p < 0.01 when comparing baseline and follow-up responses. CONCLUSION The results of this study suggest that Contemplative Medicine training is a viable approach for improving clinician burnout and concretely implementing the "Well-being 2.0" framework.
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Affiliation(s)
- Anne Kennard
- Marian Regional Medical Center, OB/GYN Department, United States
| | - Tieraona Low Dog
- Contemplative Medicine Fellowship, New York Zen Center for Contemplative Medicine, United States
| | - Jennifer Clinkenbeard
- California State University Monterey Bay, Department of Mathematics and Statistics, United States.
| | | | - David Iozzi
- New York Zen Center for Contemplative Care, United States
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Dutta RR, Wu AT, Picton B, Shah S, Chernyak M, Bauer K, Solomon S, Chang J, Nguyen B, Jiang M, Hurria A. Physician marriage survey reveals sex and specialty differences in marital satisfaction factors. Sci Rep 2024; 14:5159. [PMID: 38431706 PMCID: PMC10908782 DOI: 10.1038/s41598-024-55437-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/10/2023] [Accepted: 02/23/2024] [Indexed: 03/05/2024] Open
Abstract
Physician marriage is a valuable indicator of how vocational factors (e.g. work hours, stressors) impact satisfaction in relationships and physician wellness overall. Previous studies suggest that gender and specialty influence marriage satisfaction for physicians, though these often come from limited, local, cohorts. A cross-sectional survey was designed and distributed to publicly available email addresses representing academic and private practice physician organizations across the United States, receiving 321 responses (253 complete). Responses included data on demographics, medical specialty, age at marriage, stage of training at marriage, number of children, and factors leading to marital satisfaction/distress. A multivariable ordinal logistic regression was conducted to find associations between survey variables and marriage satisfaction. Survey results indicated that 86.5% of physicians have been married (average age at first marriage was 27.8 years old), and the rate of first marriages ending is at least 14.7%. Men had significantly more children than women. Physicians married at least once averaged 1.98 children. "Other" specialty physicians had significantly more children on average than psychiatrists. Marrying before medical school predicted practicing in private practice settings. Job stress, work hours, children, and sex were most frequently sources of marital distress, while strong communication, finances, and children were most frequently sources of marital stability. Sex differences were also found in distressing and stabilizing marital factors: Female physicians were more likely to cite their spouse's work hours and job stress as sources of marital distress. Finally, surgery specialty and Judaism were associated with higher marriage satisfaction, whereas possession of an M.D. degree was associated with lower marriage satisfaction. This study elucidated new perspectives on physician marriage and families based on specialty, practice setting, and stage of training at marriage. Future studies may focus on factors mediating specialty and sex's impact on having children and marriage satisfaction. To our knowledge, this study is the first physician marriage survey which integrates multiple factors in the analysis of physician marriages.
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Affiliation(s)
- Rajeev R Dutta
- School of Medicine, University of California, Irvine, 101 The City Drive S, Orange, CA, 92868, USA.
| | - Anthony T Wu
- School of Medicine, University of California, Irvine, 101 The City Drive S, Orange, CA, 92868, USA
| | - Bryce Picton
- School of Medicine, University of California, Irvine, 101 The City Drive S, Orange, CA, 92868, USA
| | - Saloni Shah
- School of Medicine, University of California, Irvine, 101 The City Drive S, Orange, CA, 92868, USA
| | - Michelle Chernyak
- School of Medicine, University of California, Irvine, 101 The City Drive S, Orange, CA, 92868, USA
| | - Kelly Bauer
- School of Medicine, University of California, Irvine, 101 The City Drive S, Orange, CA, 92868, USA
| | - Sean Solomon
- School of Medicine, University of California, Irvine, 101 The City Drive S, Orange, CA, 92868, USA
| | - Josephine Chang
- School of Medicine, University of California, Irvine, 101 The City Drive S, Orange, CA, 92868, USA
| | - Britney Nguyen
- School of Medicine, University of California, Irvine, 101 The City Drive S, Orange, CA, 92868, USA
| | - Mio Jiang
- School of Medicine, University of California, Irvine, 101 The City Drive S, Orange, CA, 92868, USA
| | - Anju Hurria
- School of Medicine, University of California, Irvine, 101 The City Drive S, Orange, CA, 92868, USA
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Schmid C. Transitioning towards a culture of healing: embracing non-violent communication and resonance for the holistic well-being of health professionals. JOURNAL OF COMMUNICATION IN HEALTHCARE 2024; 17:4-6. [PMID: 38319082 DOI: 10.1080/17538068.2024.2312720] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 02/07/2024]
Affiliation(s)
- Carina Schmid
- Carina Schmid Consultancy, independent certified resonant healing practitioner and coach, Brooklyn, NY, USA
- Columbia University Mailman School of Public Health, New York, NY, USA
- Hamburger Fern-Hochschule, Hamburg, Germany
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Kennard A. The Gifts of Introversion in Obstetrics and Gynecology. Obstet Gynecol 2023; 142:1252-1254. [PMID: 37562023 DOI: 10.1097/aog.0000000000005311] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/13/2023] [Accepted: 06/15/2023] [Indexed: 08/12/2023]
Affiliation(s)
- Anne Kennard
- Department of Obstetrics and Gynecology, Marian Regional Medical Center, Santa Maria, California
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Belfi LM, Chetlen A, Frigini A, Jay A, Methratta ST, Robbins J, Woods R, Deitte L. Recovering Joy in the Workplace Requires P.R.A.C.T.I.C.E. Acad Radiol 2023; 30:536-540. [PMID: 35654656 PMCID: PMC9151245 DOI: 10.1016/j.acra.2022.05.002] [Citation(s) in RCA: 6] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/04/2022] [Revised: 05/03/2022] [Accepted: 05/04/2022] [Indexed: 01/25/2023]
Affiliation(s)
- Lily M. Belfi
- Department of Radiology, Weill Cornell Medicine, 525 East 68th Street, Room F-054, New York, NY,Address correspondence to: L.M.B
| | - Alison Chetlen
- Department of Radiology, Penn State University, Hershey, Pennsylvania
| | | | - Ann Jay
- Department of Radiology, MedStar Georgetown University Hospital, Washington DC
| | | | - Jessica Robbins
- Department of Radiology, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin
| | - Ryan Woods
- Department of Radiology, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin
| | - Lori Deitte
- Department of Radiology, Vanderbilt University Medical Center, Nashville, Tennessee
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Shreffler J, Shreffler M, Thomas A, Huecker M. Wise Exertion: Associating Stoic Thought with Stress, Well-Being, and Life Satisfaction in Physicians. Am J Lifestyle Med 2022. [DOI: 10.1177/15598276221120785] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
Recognition of how physicians contemplate and approach their activities, positive or negative, may shed light into a more holistic depiction of physician well-being. The purpose of this work was to develop items to measure wise cognitive exertion, constructed with Stoic thought, and determine its association with physician stress, well-being, and life satisfaction. A survey was sent to physicians and university staff members. This pilot investigation found a relationship among focusing on a purposeful life, acknowledging locus of control, avoiding wasteful cognition, and taking (good or bad) life experiences for personal growth and superior life satisfaction, well-being and lower stress. A 13-Item Wise Exertion Scale was developed and had significant associations with stress, well-being, and life satisfaction. Each of the four factors from the 13-Item Wise Exertion Scale were significantly associated with each measure with the exception of Control Consciousness and life satisfaction. Within physicians (N = 59), the 13-Item Wise Exertion Scale was a significant predictor, after adjusting for demographics with stress, well-being, and life satisfaction. Physicians had significantly lower 13-Item Wise Exertion Scale scores compared to non-physicians (N = 126). Future inquiries are required to determine if physicians with a mindset assembled with these beliefs have superior well-being.
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Affiliation(s)
- Jacob Shreffler
- Department of Emergency Medicine, University of Louisville, Louisville, KY, USA (JS, AT, MH); and Department of Health and Sports Sciences, University of Louisville, Louisville, KY, USA (MS)
| | - Megan Shreffler
- Department of Emergency Medicine, University of Louisville, Louisville, KY, USA (JS, AT, MH); and Department of Health and Sports Sciences, University of Louisville, Louisville, KY, USA (MS)
| | - Alyssa Thomas
- Department of Emergency Medicine, University of Louisville, Louisville, KY, USA (JS, AT, MH); and Department of Health and Sports Sciences, University of Louisville, Louisville, KY, USA (MS)
| | - Martin Huecker
- Department of Emergency Medicine, University of Louisville, Louisville, KY, USA (JS, AT, MH); and Department of Health and Sports Sciences, University of Louisville, Louisville, KY, USA (MS)
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Shanafelt TD. Physician Well-being 2.0: Where Are We and Where Are We Going? Mayo Clin Proc 2021; 96:2682-2693. [PMID: 34607637 DOI: 10.1016/j.mayocp.2021.06.005] [Citation(s) in RCA: 60] [Impact Index Per Article: 20.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/15/2021] [Revised: 06/09/2021] [Accepted: 06/21/2021] [Indexed: 12/13/2022]
Abstract
Although awareness of the importance of physician well-being has increased in recent years, the research that defined this issue, identified the contributing factors, and provided evidence on effective individual and system-level solutions has been maturing for several decades. During this interval, the field has evolved through several phases, each influenced not only by an expanding research base but also by changes in the demographic characteristics of the physician workforce and the evolution of the health care delivery system. This perspective summarizes the historical phase of this journey (the "era of distress"), the current state (Well-being 1.0), and the early contours of the next phase based on recent research and the experience of vanguard institutions (Well-being 2.0). The key characteristics and mindset of each phase are summarized to provide context for the current state, to illustrate how the field has evolved, and to help organizations and leaders advance from Well-being 1.0 to Well-being 2.0 thinking. Now that many of the lessons of the Well-being 1.0 phase have been internalized, the profession, organizations, leaders, and individual physicians should act to accelerate the transition to Well-being 2.0.
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Affiliation(s)
- Tait D Shanafelt
- Department of Medicine, Division of Hematology, Stanford University, Palo Alto, CA.
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Alli A, Lin T, Thorndyke LE, Parekh R, Nunez A. Advancing Women to Leadership Positions Through Individual Actions and Institutional Reform. Pediatrics 2021; 148:e2021051440D. [PMID: 34470879 DOI: 10.1542/peds.2021-051440d] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 06/22/2021] [Indexed: 01/13/2023] Open
Abstract
Women in medicine experience disparities in the workplace and in achieving leadership roles. They face challenges related to climate and culture, equitable compensation, work-life integration, opportunities for professional development and advancement, and occupational and systemic factors that can lead to burnout. Without specific resources to support women's development and advancement and promote conducive workplace climates, efforts to recruit, retain, and promote women physicians into leadership roles may be futile. This article is designed for 2 audiences: women physicians of all career stages, who are exploring factors that may adversely impact their advancement opportunities, and leaders in academic medicine and health care, who seek to achieve inclusive excellence by fully engaging talent. The need for greater representation of women leaders in medicine is both a moral and a business imperative that requires systemic changes. Individuals and institutional leaders can apply the practical strategies and solutions presented to catalyze successful recruitment, retention, and promotion of women leaders and widespread institutional reform.
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Affiliation(s)
| | - Tammy Lin
- Health Sciences, University of California, San Diego, San Diego, California
| | - Luanne E Thorndyke
- Keck School of Medicine, University of Southern California, Los Angeles, California
| | - Ranna Parekh
- American College of Cardiology, Washington, District of Columbia
| | - Ana Nunez
- Medical School, University of Minnesota, Minneapolis, Minnesota
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Disparities in Salary and Work-Life Integration in Internal Medicine Program Directors Are Associated with Gender and Partner Employment Status. Am J Med 2021; 134:285-291.e1. [PMID: 33137322 DOI: 10.1016/j.amjmed.2020.10.004] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/31/2020] [Accepted: 10/27/2020] [Indexed: 11/20/2022]
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Abstract
INTRODUCTION Promoting physician wellness in the current environment of increasing burnout presents a great challenge to the Pediatric Orthopaedic Society and its members. Pediatric Orthopaedic Society of North America (POSNA) has been a leader in recognizing this problem and organizing to combat it. The increasing rates of job dissatisfaction, burnout, depression, and suicide demand comprehensive and focused action to identify and address the drivers of burnout. Continuing to ignore this problem endangers our organization, our members, our families, and our patients. METHODS A review of relevant literature and the work of the POSNA wellness committee was completed. RESULTS Addressing the epidemic of burnout requires a sustained effort to address intrinsic factors such as health, performance, and resilience as well as external factors that affect practice efficiency and environment. DISCUSSION AND CONCLUSIONS The goal of this effort is restoration of joy to the practitioners in medicine and more compassionate care for the patients who seek it.
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Bhardwaj A. What's new in academic International medicine? The evolving terrain of American academic medicine. INTERNATIONAL JOURNAL OF ACADEMIC MEDICINE 2019. [DOI: 10.4103/ijam.ijam_25_19] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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