Skip to main content
Hauptrubriken
CME Facharzt-Training Webinare Zeitschriften Bücher e.Medpedia Podcast
Service
Jobbörse Info & Hilfe
Fachgebiete
Anästhesiologie Allgemeinmedizin Arbeitsmedizin Augenheilkunde Chirurgie Dermatologie Gynäkologie und Geburtshilfe HNO Innere Medizin Kardiologie Neurologie Onkologie und Hämatologie Orthopädie und Unfallchirurgie Pädiatrie Pathologie Psychiatrie Radiologie Rechtsmedizin Urologie Zahnmedizin
Themen
Typ-2-Diabetes und Adipositas Klimawandel und Gesundheit Neues aus dem Markt COVID-19 Praxis und Beruf Seltene Erkrankungen GOÄ & EBM Panorama
Sammlungen
Kasuistiken Algorithmen & Infografiken Blickdiagnosen Arthropedia FlapFinder (für Dermatochirurgen) Videos Kongressberichterstattung Medizin für Apothekerinnen und Apotheker Für Ärztinnen und Ärzte in Weiterbildung Für Medizinstudierende

Live-Webinar "Urologie und Sexualmedizin in der Praxis"

Häufige urologisch-sexualmedizinische Themen in der Praxis sind das Thema des MMW-Webinars am 5. Juni von 17.30 bis 19 Uhr. Konkret geht es um die Frage, wann bei Harnwegsinfektionen auf Antibiotika verzichtet werden kann, und um ein Update zur Therapie von Libido- und Potenzstörungen des Mannes. Der dritte Vortrag behandelt sexuell übertragbare Krankheiten. Stellen Sie Ihre Fragen an die Experten und sammeln Sie 2 CME-Punkte. Jetzt gleich anmelden!
Erweiterte Suche
Anmelden
nach oben
Current Urology Reports
Erschienen in: Current Urology Reports 10/2019

01.10.2019 | Education (G Badalato, Section Editor)

What Is Underlying Resident Burnout in Urology and What Can Be Done to Address this?

verfasst von: Jonathan Fainberg, Richard K. Lee

Erschienen in: Current Urology Reports | Ausgabe 10/2019

Einloggen, um Zugang zu erhalten

Abstract

Physician burnout—a constellation of depersonalization, emotional exhaustion, reduced feelings of personal attachment, and a low sense of accomplishment—is a term that has been around since the 1980s. Burnout rates among residents and fellows are higher than medical students, attending physicians, and age-matched college graduates, with rates ranging from 40–80% of trainees across subspecialties. Unfortunately, burnout among residents and trainees has been linked to lower scores on in-service examinations for internal medicine residents as well as poorer overall health and exercise habits. The purpose of this review is to quantify the extent of burnout among urology residents and examine effective techniques and measures to prevent burnout and practically what can be done to combat this growing epidemic.
Literatur
1.
Maslach C, Jackson SE, Leiter MP, Schaufeli WB, Maslach SRL. Burnout inventory. Palo Alto, CA: Consulting Psychologists Press; 1986.
2.
Tawfik DS, Profit J, Morgenthaler TI, Satele DV, Sinsky CA, Dyrbye LN, et al. Physician burnout, wellbeing, and work unit safety grades in relationship to reported medical errors. Mayo Clin Proc. 2018;93:1571–80.CrossRef
3.
Shanafelt TD, Balch CM, Bechamps G, Russell T, Dyrbye L, Satele D, et al. Burnout and medical errors among American surgeons. Ann Surg. 2010;251:995–1000.CrossRef
4.
Wurm W, Vogel K, Holl A, Ebner C, Bayer D, Mörkl S, et al. Depression-burnout overlap in physicians. PLoS One. 2016;11:e0149913.CrossRef
5.
•• Panagioti M, Geraghty K, Johnson J, et al. Association between physician burnout and patient safety, professionalism, and patient satisfaction: a systematic review and meta-analysis. JAMA Intern Med. 2018;178:1317–30 Well done review of the literature as burnout relates to errors, professionalism and patient satisfaction. CrossRef
6.
Campbell J, Prochazka AV, Yamashita T, Gopal R. Predictors of persistent burnout in internal medicine residents: a prospective cohort study. Acad Med. 2010;85(10):1630–4.CrossRef
7.
Shanafelt TD, Bradley KA, Wipf JE, Back AL. Burnout and self-reported patient care in an internal medicine residency program. Ann Intern Med. 2002;136(5):358–67.CrossRef
8.
Shanafelt TD, Boone S, Tan L, Dyrbye LN, Sotile W, Satele D, et al. Burnout and satisfaction with work-life balance among US physicians relative to the general US population. Arch Intern Med. 2012;172(18):1377–85.CrossRef
9.
Dyrbye LN, West CP, Satele D, Boone S, Tan L, Sloan J, et al. Burnout among US medical students, residents, and early career physicians relative to the general US population. Acad Med. 2014;89(3):443–51.CrossRef
10.
West CP, Shanafelt TD, Kolars JC. Quality of life, burnout, educational debt, and medical knowledge among internal medicine residents. JAMA. 2011;306(9):952–60.CrossRef
11.
Hull SK, DiLalla LF, Dorsey JK. Prevalence of health-related behaviors among physicians and medical trainees. Acad Psychiatry. 2008;32(1):31–8.CrossRef
12.
Shanafelt TD, Hasan O, Dyrbye LN, Sinsky C, Satele D, Sloan J, et al. Changes in burnout and satisfaction with work-life balance in physicians and the general US working population between 2011 and 2014. Mayo Clin Proc. 2015;90:1600–13.CrossRef
13.
•• North AC, McKenna PH, Sener A, et al. Burnout in urology-findings from the 2016 AUA Annual Census. Urol Pract. 2018;5:489–94 Important data on burnout from a large 2016 survey.CrossRef
14.
• Dyrbye LN, Burke SE, Hardeman RR, Herrin J, Wittlin NM, Yeazel M, et al. Association of clinical specialty with symptoms of burnout and career choice regret among US resident physicians. JAMA. 2018;320:1114–30 Interesting analysis of burnout symptoms by specialty.CrossRef
15.
•• Marchalik Daniel, Goldman Charlotte C., Carvalho Filipe F. L. et al. Resident burnout in USA and European urology residents: an international concern. BJU Int 2019 (1-8). Important data regarding both US and European residents in Urology. Very interesting.
16.
•• Daniel Marchalik MD, MA, Jacob Brems MD, Ariel Rodriguez MS,John H. Lynch MD, Jamie Padmore DM, Lambros Stamatakis MD, Ross Krasnow MD, MPH, The impact of institutional factors on physician burnout: a national study of urology trainees. Urology (2019). Increasingly recognized are institutional factors that affect burnout rates. This paper dives into the details of this issue.
17.
Laskowski ER, Lexell J. Exercise and sports for health promotion, disease, and disability. PM R. 2012;4(11):795–6.CrossRef
18.
Weight CJ, Sellon JL, Lessard-Anderson CR, Shanafelt TD, Olsen KD, Laskowski ER. Physical activity, quality of life, and burnout among physician trainees: the effect of a team-based, incentivized exercise program. Mayo Clin Proc. 2013;88(12):1435–42.CrossRef
19.
•• Busireddy Kiran R, Ren Vicky, Miller Jonathan A, et al. Efficacy of interventions to reduce resident physician burnout: a systematic review. Journal of Graduate Medical Education, June 2017 (294-301). One of the most important analyses on burnout interventions and efficacy. Fantastic table displaying the interventions and outcomes.
20.
Bragard I, Etienne AM, Merckaert I, Libert Y, Razavi D. Efficacy of a communication and stress management training on medical residents’ self-efficacy, stress to communicate, and burnout: a randomized controlled study. J Health Psychol. 2010;15(7):1075–81.CrossRef
21.
Milstein JM, Raingruber BJ, Bennett SH, et al. Burnout assessment in house officers: evaluation of an intervention to reduce stress. Med Teach. 2009;31(4):375–8.CrossRef
22.
Ospina-Kammerer V, Figley CR. An evaluation of the Respiratory One Method (ROM) in reducing emotional exhaustion among family physician residents. Int J Emerg Ment Health. 2003;5(1):29–32.PubMed
23.
McCue JD, Sachs CL. A stress management workshop improves residents’ coping skills. Arch Intern Med. 1991;151(11):2273–7.CrossRef
24.
•• Daniel M, Goldman CC, Carvalho Filipe FL, et al. Resident burnout in USA and European urology residents: an international concern. BJU Int. 2019(1–8). Recent survey of resident burnout in urology demonstrates it is an international concern.
25.
Bar-Sela G, Lulav-Grinwald D, Mitnik I. “Balint group” meetings for oncology residents as a tool to improve therapeutic communication skills and reduce burnout level. J Cancer Educ. 2012;27(4):786–9.CrossRef
26.
Barrack RL, Miller LS, Sotile WM, Sotile MO, Rubash HE. Effect of duty hour standards on burnout among orthopaedic surgery residents. Clin Orthop Relat Res. 2006;449:134–7.CrossRef
27.
Shea JA, Bellini LM, Dinges DF, Curtis ML, Tao Y, Zhu J, et al. Impact of protected sleep period for internal medicine interns on overnight call on depression, burnout, and empathy. J Grad Med Educ. 2014 Jun;6(2):256–63.CrossRef
28.
Hutter MM, Kellogg KC, Ferguson CM, Abbott WM, Warshaw AL. The impact of the 80-hour resident workweek on surgical residents and attending surgeons. Ann Surg. 2006;243(6):864–71 discussion 871–865.CrossRef
29.
Goitein L, Shanafelt TD, Wipf JE, Slatore CG, Back AL. The effects of work-hour limitations on resident well-being, patient care, and education in an internal medicine residency program. Arch Intern Med. 2005;165(22):2601–6.CrossRef
30.
Gopal R, Glasheen JJ, Miyoshi TJ, et al. Burnout and internal medicine resident work-hour restrictions. Arch Intern Med. 005;165(22):2595–2600.
31.
Ripp JA, Bellini L, Fallar R, Bazari H, Katz JT, Korenstein D. The impact of duty hours restrictions on job burnout in internal medicine residents: a 3-institution comparison study. Acad Med. 2015;90(4):494–9.CrossRef
32.
Lindeman BM, Sacks BC, Hirose K, Lipsett PA. Multifaceted longitudinal study of surgical resident education, quality of life, and patient care before and after July 2011. J Surg Educ. 2013;70(6):769–76.CrossRef
33.
Daniel Marchalik MD, MA , Jacob Brems MD , Ariel Rodriguez MS ,John H. lynch MD , Jamie Padmore DM, Lambros Stamatakis MD, Ross Krasnow MD, MPH, The impact of institutional factors on physician burnout: a national study of urology trainees. Urology (2019).
34.
Daniel M, Goldman CC, Carvalho Filipe FL, et al. Resident burnout in USA and European urology residents: an international concern. BJU Int. 2019(1–8).
35.
• Prins David J, van Vendeloo Stefan N, Brand Paul LP, et al. The relationship between burnout, personality traits, and medical specialty. A national study among Dutch residents. Medical Teacher. 2019;41(5):584–90 Personality traits are inherint to who gets burned out. This paper quantified the personalities that are predisposed to burnout in medical or surgical subspecialties. CrossRef
36.
Alexandrova-Karamanova A, Todorova I, Montgomery A, Panagopoulou E, Costa P, Baban A, et al. Burnout and health behaviors in health professionals from seven European countries. Int Arch Occup Environ Health. 2016;89:1059–75.CrossRef
37.
Elmore LC, Jeffe DB, Jin L, Awad MM, Turnbull IR. National survey of burnout among US general surgery residents. J AmColl Surg. 2016;223:440–51.
38.
Panagioti M, Geraghty K, Johnson J, et al. Association between physician burnout and patient safety, professionalism, and patient satisfaction [published online September 4, 2018]. JAMA Intern Med:E1–E14.
Metadaten
Titel
What Is Underlying Resident Burnout in Urology and What Can Be Done to Address this?
verfasst von
Jonathan Fainberg
Richard K. Lee
Publikationsdatum
01.10.2019
Verlag
Springer US
Erschienen in
Current Urology Reports / Ausgabe 10/2019
Print ISSN: 1527-2737
Elektronische ISSN: 1534-6285
DOI
https://doi.org/10.1007/s11934-019-0925-1

Weitere Artikel der Ausgabe 10/2019

Current Urology Reports 10/2019 Zur Ausgabe

New Imaging Techniques (S Rais-Bahrami and K Porter, Section Editors)

Role of Positron Emission Tomography Imaging in Metabolically Active Renal Cell Carcinoma

Education (G Badalato, Section Editor)

Contemporary Assessment of Match Violations within Urology: an Opportunity for Ethical Leadership

Prostate Cancer (S Prasad, Section Editor)

The Use of Multiparametric Magnetic Resonance Imaging (mpMRI) in the Detection, Evaluation, and Surveillance of Clinically Significant Prostate Cancer (csPCa)

New Imaging Techniques (S Rais-Bahrami and K Porter, Section Editors)

Irreversible Electroporation for the Ablation of Prostate Cancer

Prostate Cancer (S Prasad, Section Editor)

Quality of Life–Focused Decision-Making for Prostate Cancer

New Imaging Techniques (S Rais-Bahrami and K Porter, Section Editors)

Developing a National Center of Excellence for Prostate Imaging

Neu im Fachgebiet Urologie

15% bedauern gewählte Blasenkrebs-Therapie

29.05.2024 Urothelkarzinom Nachrichten

Ob Patienten und Patientinnen mit neu diagnostiziertem Blasenkrebs ein Jahr später Bedauern über die Therapieentscheidung empfinden, wird einer Studie aus England zufolge von der Radikalität und dem Erfolg des Eingriffs beeinflusst.

Costims – das nächste heiße Ding in der Krebstherapie?

28.05.2024 Onkologische Immuntherapie Nachrichten

„Kalte“ Tumoren werden heiß – CD28-kostimulatorische Antikörper sollen dies ermöglichen. Am besten könnten diese in Kombination mit BiTEs und Checkpointhemmern wirken. Erste klinische Studien laufen bereits.

Fehlerkultur in der Medizin – Offenheit zählt!

28.05.2024 Fehlerkultur Podcast

Darüber reden und aus Fehlern lernen, sollte das Motto in der Medizin lauten. Und zwar nicht nur im Sinne der Patientensicherheit. Eine negative Fehlerkultur kann auch die Behandelnden ernsthaft krank machen, warnt Prof. Dr. Reinhard Strametz. Ein Plädoyer und ein Leitfaden für den offenen Umgang mit kritischen Ereignissen in Medizin und Pflege.

ADT zur Radiatio nach Prostatektomie: Wenn, dann wohl länger

24.05.2024 Prostatakarzinom Nachrichten

Welchen Nutzen es trägt, wenn die Strahlentherapie nach radikaler Prostatektomie um eine Androgendeprivation ergänzt wird, hat die RADICALS-HD-Studie untersucht. Nun liegen die Ergebnisse vor. Sie sprechen für länger dauernden Hormonentzug.

Update Urologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

Newsletter bestellen
Bildnachweise