A qualitative study of strategies to improve occupational well-being in physical medicine and rehabilitation physicians

被引：0

作者：

Amano, Alexis ^{[1
,2
]}

Makowski, Maryam S. ^{[1
]}

Trockel, Mickey T. ^{[1
]}

Menon, Nikitha K. ^{[1
]}

Wang, Hanhan ^{[1
]}

Sliwa, James ^{[3
,4
,5
]}

Weinstein, Stuart ^{[6
,7
]}

Kinney, Carolyn ^{[3
,8
]}

Paganoni, Sabrina ^{[9
,10
]}

Verduzco-Gutierrez, Monica ^{[10
,11
]}

Kennedy, David J. ^{[7
,12
]}

Knowlton, Tiffany ^{[10
]}

Stautzenbach, Thomas ^{[7
]}

Shanafelt, Tait D. ^{[1
,13
]}

机构：

[1] Stanford Univ, Stanford, CA USA

[2] Univ Calif Los Angeles, Los Angeles Fielding Sch Publ Hlth, Los Angeles, CA USA

[3] Amer Board Phys Med & Rehabil, Rochester, MN USA

[4] Northwestern Univ, Feinberg Sch Med, Chicago, IL USA

[5] Shirley Ryan Abil Lab, Chicago, IL USA

[6] Univ Washington, Seattle, WA USA

[7] Amer Acad Phys Med & Rehabil, Rosemont, IL USA

[8] Mayo Clin, Phoenix, AZ USA

[9] Spaulding Rehabil Hosp, Boston, MA USA

[10] Assoc Acad Physiat, Baltimore, MD USA

[11] Univ Texas Hlth Sci Ctr San Antonio, San Antonio, TX USA

[12] Vanderbilt Univ, Nashville, TN USA

[13] Dept Internal Med, 300 Pasteur Dr, Stanford, CA 94304 USA

来源：

PM&R | 2024年 / 16卷 / 07期

关键词：

WORK-LIFE BALANCE; CLINICIAN-BURNOUT; CARE; INTERVENTIONS; HEALTH; SATISFACTION; SUPPORT; ERRORS; MODEL;

D O I：

10.1002/pmrj.13189

中图分类号：

R49 [康复医学];

学科分类号：

100215 ;

摘要：

BackgroundPhysiatry is a specialty with high rates of burnout. Although organizational strategies to combat burnout are key, it is also important to understand strategies that individual physiatrists can use to address burnout.ObjectiveTo identify changes that resulted in improvement of occupational well-being of physiatrists over a 6- to 9-month period.DesignWe employed two quantitative surveys spaced 6 to 9 months apart to identify physiatrists who experienced meaningful improvement in occupational burnout and/or professional fulfillment between the two survey timepoints. These physiatrists were subsequently recruited to participate in a qualitative study using semi-structured interviews to identify changes that respondents felt contributed to improvements in burnout and professional fulfillment.SettingOnline surveys and interviews.ParticipantsPhysiatrists in the American Academy of Physical Medicine and Rehabilitation (AAPM&R) Membership Masterfile.Main Outcome MeasureBurnout and professional fulfillment were assessed using the Stanford Professional Fulfillment Index.ResultsOne hundred twelve physiatrists responded to the baseline and follow-up surveys. Of these, 35 were eligible for interviews based on improvements in the Stanford Professional Fulfillment Index, and 23 (64%) agreed to participate. Themes from the qualitative interviews highlighted the importance of personal lifestyle choices, approaches to improve professional satisfaction, and strategies to foster work-life harmony. Personal lifestyle strategies included investing in wellness and mental health. Efforts to improve professional satisfaction included decreasing work intensity, prioritizing meaningful aspects of work, and building relationships with colleagues. Fostering work-life harmony also included making trade-offs in both domains, setting boundaries at work, setting expectations at home, and overcoming personal challenges.ConclusionOur findings illustrate that, in addition to organizational strategies demonstrated to be effective, there are actions that individual physiatrists can take to recover from burnout and foster professional fulfillment.

引用

页码：687 / 699

页数：13

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