Abstract:
BACKGROUND AND OBJECTIVES:Current physician burnout levels are at historically high levels, especially in family medicine, with many factors playing a role. The goal of this study was to understand demographic, psychological, environmental, behavioral, and workplace characteristics that impact physician wellness and burnout, focusing on family medicine physicians and residents. METHODS:Survey respondents were 295 family medicine residents and faculty members across 11 residency programs within the Residency Research Network of Texas (RRNeT). Subjects completed multiple measures to assess resilience, burnout, psychological flexibility, and workplace stress. Respondents also reported personal wellness practices and demographic information. The primary outcome variables were burnout (depersonalization, emotional exhaustion, and personal achievement) and resilience. RESULTS:The predictor variables contributed significant variance (depersonalization=27.1%, emotional exhaustion=39%, accomplishment=37.7%, resilience=37%) and resulted in large effect sizes (depersonalization f²=.371, emotional exhaustion f²=.639, accomplishment f²=.605, resilience f²=.587) among the three burnout models and the resilience model for the sample. Similar variance and effect sizes were present for independent resident and program faculty samples, with resilience being the only outcome variable with significant differences in variance between the samples. CONCLUSIONS:This study demonstrates the roles of both individual and organization change needed to impact provider wellness, with special attention to resilience across faculty and residents. The results of this study may inform workplace policies (ie, organizational practice change) and wellness programming and curricula (ie, individual level) for family medicine residents and program faculty.
journal_name
Fam Medjournal_title
Family medicineauthors
Buck K,Williamson M,Ogbeide S,Norberg Bdoi
10.22454/FamMed.2019.424025subject
Has Abstractpub_date
2019-09-06 00:00:00pages
657-663issue
8eissn
0742-3225issn
1938-3800journal_volume
51pub_type
杂志文章相关文献
FAMILY MEDICINE文献大全abstract:BACKGROUND AND OBJECTIVES:The State Children's Health Insurance Program (SCHIP) has improved insurance coverage rates. However, children's enrollment status in SCHIP frequently changes, which can leave families with uncertainty about their children's coverage status. We examined whether insurance uncertainty was associ...
journal_title:Family medicine
pub_type: 杂志文章
doi:
更新日期:2010-02-01 00:00:00
abstract:BACKGROUND:Poor medication prescribing skills among residents have been widely reported. METHODS:We implemented a three-stage prescribing curriculum with eight interns in an urban family medicine residency. Clinical pharmacy faculty delivered two lectures, attended hospital rounds, and coprecepted in clinic. Evaluatio...
journal_title:Family medicine
pub_type: 杂志文章
doi:
更新日期:2007-11-01 00:00:00
abstract:BACKGROUND AND OBJECTIVES:Despite a growing demand for skilled clinician-educators, residents today rarely receive formal training in clinical teaching, curriculum development, administration, leadership, or educational scholarship. The authors describe the development, implementation, and preliminary evaluation of the...
journal_title:Family medicine
pub_type: 杂志文章
doi:
更新日期:2016-03-01 00:00:00
abstract:BACKGROUND AND OBJECTIVES:Little is known about the reading habits of family practice residents. This study describes the reading practices of family practice residents, including how much time they spend reading and what information sources they use, identifies factors that may be used by educators to stimulate reside...
journal_title:Family medicine
pub_type: 杂志文章
doi:
更新日期:1997-07-01 00:00:00
abstract:BACKGROUND AND OBJECTIVES:Practice management is a required component in family practice residency education. A few studies have reported that recently graduated primary care physicians indicated that their practice management training was inadequate. Our study describes the current nature of practice management educat...
journal_title:Family medicine
pub_type: 杂志文章
doi:
更新日期:1999-02-01 00:00:00
abstract::A pragmatic method for assisting family practice residents in deciding whether or not to counsel patients with psychosocial problems is described. Called "the problem assessment framework," this seven-step method uses a process of sequential analysis to guide the resident through problem identification, goal setting, ...
journal_title:Family medicine
pub_type: 杂志文章
doi:
更新日期:1985-01-01 00:00:00
abstract:BACKGROUND AND OBJECTIVES:Alcohol misuse is associated with poor adherence to recommended self-care behaviors, which are critical for diabetes management. This study investigated whether scores on a validated brief alcohol misuse screen are associated with diabetes self-care. METHODS:Male outpatients (n=3,930) from se...
journal_title:Family medicine
pub_type: 杂志文章,随机对照试验
doi:
更新日期:2012-09-01 00:00:00
abstract::Data regarding waiting times and times with nurses and physicians were recorded for 656 patients visiting a large family practice unit. Patients also provided estimates of their own waiting times and ratings of the acceptability of these waits. The data were analyzed to assess whether any differences exist in terms of...
journal_title:Family medicine
pub_type: 杂志文章
doi:
更新日期:1988-01-01 00:00:00
abstract:BACKGROUND:Today's family medicine educator occupies a position of increasing stature in medical education. The recognition of education as scholarship creates a framework for the evaluation of clinician-educators for promotion. A system is needed to document educational excellence, peer review, and public disseminatio...
journal_title:Family medicine
pub_type: 杂志文章
doi:
更新日期:1995-05-01 00:00:00
abstract:BACKGROUND AND OBJECTIVES:Family physicians are expected to provide culturally sensitive care. However, teaching about cultural diversity and measuring educational outcomes can be challenging. We describe a diversity curriculum based on the concept of cultural humility, which includes participatory didactic and structu...
journal_title:Family medicine
pub_type: 杂志文章
doi:
更新日期:2006-02-01 00:00:00
abstract::After 3 decades in private practice, I joined the faculty of a nearby residency program. Like most family medicine residencies, it follows a curriculum that my physician father would have recognized: heavy emphasis on inpatient medicine; short shrift to continuity care. Despite a changing marketplace, there is still a...
journal_title:Family medicine
pub_type: 杂志文章
doi:10.22454/FamMed.2019.633317
更新日期:2019-07-01 00:00:00
abstract::The maturation process of family practice intensifies the need for our educators to unify their material into concepts specific to our specialty. A method of teaching clinical topics is described in which integrative goals are combined with knowledge, skill, and attitudinal goals. The attitudinal goals are designed to...
journal_title:Family medicine
pub_type: 杂志文章
doi:
更新日期:1985-05-01 00:00:00
abstract:BACKGROUND AND OBJECTIVES:The past 20 years have seen a large immigration of Ethiopian Jews to Israel, primarily in 2 airlifts, one in 1984-1985 and one in 1991. Infectious and parasitic diseases were the dominant health problems in the early years. Recently, we noticed changing health patterns in this population, part...
journal_title:Family medicine
pub_type: 杂志文章
doi:
更新日期:1999-04-01 00:00:00
abstract:BACKGROUND AND OBJECTIVES:Despite recent improvements in access to health care, many Americans still lack access to dental care. There has been a national focus on interprofessional education and team-based care to work toward the integration of services including dental care into primary care. The purpose of this syst...
journal_title:Family medicine
pub_type: 杂志文章
doi:10.22454/FamMed.2019.232634
更新日期:2019-03-01 00:00:00
abstract:BACKGROUND AND OBJECTIVES:As the opioid crisis worsens across the United States, the factors that impact physician training in management of substance use disorders become more relevant. A thorough understanding of these factors is necessary for family medicine residency programs to inform their own residency curricula...
journal_title:Family medicine
pub_type: 杂志文章
doi:10.22454/FamMed.2020.373152
更新日期:2020-03-01 00:00:00
abstract:BACKGROUND AND OBJECTIVES:Family practice residency programs graduate about 600 rural physicians each year. Increases in resident positions have not increased the numbers who choose rural practice. This study examines the relationship between program characteristics and the graduation rate of rural physicians. METHODS...
journal_title:Family medicine
pub_type: 杂志文章
doi:
更新日期:1998-04-01 00:00:00
abstract:BACKGROUND:Family-oriented medical care is one of the basic tenets of family practice. However, little is known about the extent to which: 1) resident physicians discuss family issues during outpatient office visits and 2) attending physicians address family issues during teaching consultations. METHODS:Two hundred an...
journal_title:Family medicine
pub_type: 杂志文章
doi:
更新日期:1993-01-01 00:00:00
abstract:BACKGROUND:To judge the effectiveness of a new required third-year family practice (FP) clerkship, we designed a 20-item FP comfort assessment (FPCA) to measure students' self-reported comfort with a wide range of FP skills. This report examines the behavior and characteristics of the FPCA. METHODS:During the 1990-91 ...
journal_title:Family medicine
pub_type: 杂志文章
doi:
更新日期:1994-01-01 00:00:00
abstract::The results of the 1996 National Resident Matching Program (NRMP) set records in the number of positions filled in family practice residencies, with a 10.8% increase over 1995 (2,840 vs 2,563) and a 9.4% increase in positions filled with US seniors (2,276 vs 2,081). This is the largest number of US seniors choosing fa...
journal_title:Family medicine
pub_type: 杂志文章
doi:
更新日期:1996-09-01 00:00:00
abstract:BACKGROUND AND OBJECTIVES:Surgeons General, the Institute of Medicine, and others have called for physicians to be role models for meeting the obesity epidemic. There are few published reports describing undergraduate medical education obesity curriculum elements. Physician experiences, knowledge, and attitudes have be...
journal_title:Family medicine
pub_type: 杂志文章
doi:
更新日期:2013-09-01 00:00:00
abstract:BACKGROUND:Many military physicians interrupt their training to serve in the position of general medical officer (GMO) after completing their first year of postgraduate medical education. This study compares American Board of Family Practice In-training Examination (ITE) scores of military family practice residents who...
journal_title:Family medicine
pub_type: 杂志文章
doi:
更新日期:1997-03-01 00:00:00
abstract::A survey of members of the Society of Teachers of Family Medicine provided information about roles, relationships, and rewards for teachers involved in family medicine residency behavioral science education. Family physicians and behavioral scientists perceive their own roles in behavioral teaching and patient care as...
journal_title:Family medicine
pub_type: 杂志文章
doi:
更新日期:1985-03-01 00:00:00
abstract::What role, if any, should race play in clinical presentations? While race is widely used as a way of identifying patients, this practice has been challenged as conceptually flawed, potentially misleading, and possibly prejudicial to the patient. There are, however; important reasons for not excluding information about...
journal_title:Family medicine
pub_type: 杂志文章
doi:
更新日期:2001-06-01 00:00:00
abstract:BACKGROUND AND OBJECTIVES:One-third of all medical students attend a community college (CC) on their path to medical school. The objective of this study was to examine the association between CC participation and initial specialty of interest among US allopathic medical students. METHODS:We performed a national cross-...
journal_title:Family medicine
pub_type: 杂志文章
doi:
更新日期:2017-11-01 00:00:00
abstract::We monitored physician performance of stool occult blood testing and breast exams during health maintenance visits of patients aged 50 or greater, to assess the impact of a physician education program and the use of a health screening flow sheet on performance of these health screening procedures. During the baseline ...
journal_title:Family medicine
pub_type: 杂志文章
doi:
更新日期:1986-09-01 00:00:00
abstract:BACKGROUND AND OBJECTIVES:Obstetrical practice by family physicians has been declining rapidly for many reasons over the past number of decades. One reason for this trend is family medicine residents not considering intrapartum care as part of their future careers. Decisions such as this may be related to experiences d...
journal_title:Family medicine
pub_type: 杂志文章
doi:
更新日期:2012-03-01 00:00:00
abstract::Pregnancy, childbirth, postpartum, and infant care are a continuum in the family life cycle for which the family physician is especially qualified to provide primary, comprehensive care. The purpose of this paper is to document and share the controversies, wisdom, and knowledge about caring for women and their familie...
journal_title:Family medicine
pub_type: 杂志文章,评审
doi:
更新日期:1992-05-01 00:00:00
abstract:BACKGROUND AND OBJECTIVES:This study evaluated the effectiveness of a clinical interviewing training program for third-year family practice trainees and determined which other factors influence residents' training in clinical communication. METHODS:This was a randomized, multicenter, educational trial involving 193 th...
journal_title:Family medicine
pub_type: 临床试验,杂志文章,多中心研究,随机对照试验
doi:
更新日期:2003-07-01 00:00:00
abstract:BACKGROUND AND OBJECTIVES:Primary care physicians (PCPs) can play a critical role in addressing unintended pregnancy through high-quality options counseling and referrals. METHODS:We surveyed a nationally representative sample of 3,000 PCPs in general, family, and internal medicine on practices and opinions related to...
journal_title:Family medicine
pub_type: 杂志文章
doi:
更新日期:2017-07-01 00:00:00
abstract:BACKGROUND AND OBJECTIVES:A model rural clinic was established by the Quincy Family Practice Residency Program with the financial support of sponsoring local hospitals. The purpose of the study was 1) to determine the financial viability of such a model practice and 2) to determine the practice's financial effect on th...
journal_title:Family medicine
pub_type: 杂志文章
doi:
更新日期:1995-03-01 00:00:00