According to a new survey, burnout exceeds 50% in some specialties



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Answers to a new Medscape An investigation reveals that 44% of physicians meet the criteria of burnout, compared to 42% in last year's report.

In addition, according to Medscape's national report on physician burnout, depression and suicide 2019, 4% are clinically depressed (depressed or depressed) and 4% are clinically depressed.

Responses show that 14% had suicidal ideation but did not attempt it and 6% chose not to respond. The survey authors note that one doctor per day dies by suicide, the highest rate of all occupations. According to this survey, 1% of doctors have already tried it.



Medscape members and non-members were invited to participate in the online survey; 15,069 physicians from 29 specialties completed from July 27 to October 16, 2018.

Most people who are considering suicide talk to someone

Most people who have had suicidal ideation (58%) have talked to someone, and this person is most often a therapist (34%) or a family member (33%), indicating answers.

By specialty, urologists reported the highest percentage of physicians exhausted (54%), followed closely by neurologists (53%). Physicians in public health and preventive medicine registered the least, 28%.

Last year, ICUs and neurologists had the highest rates of burnout, with 48% each.

Urologists also had the second highest percentage (76%) of physicians working more than 51 hours in the survey. Only general surgeons had more, 77%.

More women than men report burnout

Women had a much higher exhaustion rate in the survey (50% versus 39% for their male counterparts). Several things can explain this, said Carol Bernstein, MD, a psychiatrist at Langone Medical Center in New York University. Among them, women are generally more likely to admit the problem and have a disproportionate burden of more family responsibilities and child care.

A female family physician with burnout who responded to the survey said, "I have health problems as a result of recurrent miscarriage."

Others have given examples of other side effects. An anesthetist said that "due to burnout," I drink more and have become less active ".

"My relationship has deteriorated … my family is frustrated," wrote a general surgeon. "We rarely plan to do anything socially as they are likely to be canceled."

Most points to administrative tasks

When asked what led to burnout in their lives, 59% of the doctors indicated that there were too many administrative tasks. The second most common answer was to spend too much time at work (34%) and to further computerize the practice, such as the use of Electronic Health Records (EHR) (32%).

An internist wrote, "Burnout is mainly due to lack of sleep because the EHR takes a lot of time, before I was able to represent a patient in 5 to 10 minutes for patients already established. 40 minutes to register an established patient. "

Burnout rates were similar in all practice settings, whether in health facilities, hospitals, outpatient clinics or academia. The prevalence fell between 42% and 49% in these parameters. The prevalence of burnout among solo practitioners was only slightly lower at 41%.

Deal with burnout

When asked how they managed burnout, the doctors mainly responded to the exercise (48%), followed by discussion with family and friends (43%) and of isolate (41%).

People who reported a depression were asked if it affected the care of their patients and 53% answered yes. More than a quarter (26%) said that it made them less likely to take careful and thorough notes to patients, and 14% said that this led them to make mistakes that they might not have made. not be committed otherwise.

Of those who reported burnout or depression, only 16% indicated that they were looking for help or planning to do so; 64% said they would not ask for help and did not do it in the past.

By specialty, psychiatrists and specialists in public health and preventive medicine were the most likely to seek help (45%).

The author of the study slide shows: "Among those least likely to seek help, there were three of the five longest groups: surgeons [17%], nephrologists [19%] and urologists [20%]. "

Which specialists are the happiest at work?

The survey also asked about the happiest people. Plastic surgeons were at the top (41%), followed by those in the public health / preventive medicine (40%) and ophthalmic (39%) sectors.

The less fortunate were those of Physical Medicine and Rehabilitation (19%) and Emergency Medicine and Internal Medicine (both 21%).

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