Addressing Physician Burnout in Pulmonology and Critical Care

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Addressing Physician Burnout in Pulmonology and Critical Care in Pulmonology and Critical Care
References
  1. Moss M et al. Crit Care Med. 2016;44(7):1414-1421. doi:10.1097/CCM.000000000000188
  2. Medscape National Physician Burnout, Depression & Suicide Report 2019. Medscape. January 16, 2019. Accessed June 22, 2023. https://www.medscape.com/slideshow/2019-lifestyle-burnout-depression-6011056#1
  3. Medscape National Physician Burnout & Suicide Report 2020: The Generational Divide. Medscape. January 15, 2020. Accessed June 22, 2023. https://www.medscape.com/slideshow/2020-lifestyle-burnout-6012460#1
  4. ‘Death by 1000 Cuts’: Medscape National Physician Burnout & Suicide Report 2021. Medscape. January 22, 2021. Accessed June 22, 2023. https://www.medscape.com/slideshow/2021-lifestyle-burnout-6013456#2
  5. Physician Burnout Report 2022: Stress, Anxiety, and Anger. Medscape. January 21, 2022. Accessed June 22, 2023. https://www.medscape.com/slideshow/2022-lifestyle-burnout-6014664#1
  6. ‘I Cry but No One Cares’: Physician Burnout & Depression Report 2023. Medscape. January 27, 2023. Accessed June 22, 2023. https://www.medscape.com/slideshow/2023-lifestyle-burnout-6016058#1
  7. Murthy VH. N Engl J Med. 2022;387(7):577-579. doi:10.1056/NEJMp2207252
  8. Vranas KC et al. Chest. 2021;160(5):1714-1728. doi:10.1016/j.chest.2021.05.041
  9. Kerlin MP et al. Ann Am Thorac Soc. 2022;19(2):329-331. doi:10.1513/AnnalsATS.202105-567RL
  10. Dean W et al. Fed Pract. 2019;36(9):400-402. PMID: 31571807
  11. Association of American Medical Colleges. The Complexities of Physician Supply and Demand: Projections from 2019 to 2034. June 2021. https://www.aamc.org/media/54681/download?attachment
  12. Medscape Pulmonologist Lifestyle, Happiness & Burnout Report 2023: Contentment Amid Stress. February 24, 2023. Accessed June 28, 2023. https://www.medscape.com/slideshow/2023-lifestyle-pulmonologist-6016092#1
  13. Medscape Intensivist Lifestyle, Happiness & Burnout Report 2023: Contentment Amid Stress. February 24, 2023. Accessed June 28, 2023. https://www.medscape.com/slideshow/2023-lifestyle-intensivist-6016072#1
Author and Disclosure Information

Kelly Vranas, MD, MCR
Assistant Professor of Medicine
Division of Pulmonary, Allergy, and Critical Care Medicine
Oregon Health & Science University;
Critical Care Health Services Researcher
Portland VA Medical Center
Portland, OR

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Author and Disclosure Information

Kelly Vranas, MD, MCR
Assistant Professor of Medicine
Division of Pulmonary, Allergy, and Critical Care Medicine
Oregon Health & Science University;
Critical Care Health Services Researcher
Portland VA Medical Center
Portland, OR

Author and Disclosure Information

Kelly Vranas, MD, MCR
Assistant Professor of Medicine
Division of Pulmonary, Allergy, and Critical Care Medicine
Oregon Health & Science University;
Critical Care Health Services Researcher
Portland VA Medical Center
Portland, OR

References
  1. Moss M et al. Crit Care Med. 2016;44(7):1414-1421. doi:10.1097/CCM.000000000000188
  2. Medscape National Physician Burnout, Depression & Suicide Report 2019. Medscape. January 16, 2019. Accessed June 22, 2023. https://www.medscape.com/slideshow/2019-lifestyle-burnout-depression-6011056#1
  3. Medscape National Physician Burnout & Suicide Report 2020: The Generational Divide. Medscape. January 15, 2020. Accessed June 22, 2023. https://www.medscape.com/slideshow/2020-lifestyle-burnout-6012460#1
  4. ‘Death by 1000 Cuts’: Medscape National Physician Burnout & Suicide Report 2021. Medscape. January 22, 2021. Accessed June 22, 2023. https://www.medscape.com/slideshow/2021-lifestyle-burnout-6013456#2
  5. Physician Burnout Report 2022: Stress, Anxiety, and Anger. Medscape. January 21, 2022. Accessed June 22, 2023. https://www.medscape.com/slideshow/2022-lifestyle-burnout-6014664#1
  6. ‘I Cry but No One Cares’: Physician Burnout & Depression Report 2023. Medscape. January 27, 2023. Accessed June 22, 2023. https://www.medscape.com/slideshow/2023-lifestyle-burnout-6016058#1
  7. Murthy VH. N Engl J Med. 2022;387(7):577-579. doi:10.1056/NEJMp2207252
  8. Vranas KC et al. Chest. 2021;160(5):1714-1728. doi:10.1016/j.chest.2021.05.041
  9. Kerlin MP et al. Ann Am Thorac Soc. 2022;19(2):329-331. doi:10.1513/AnnalsATS.202105-567RL
  10. Dean W et al. Fed Pract. 2019;36(9):400-402. PMID: 31571807
  11. Association of American Medical Colleges. The Complexities of Physician Supply and Demand: Projections from 2019 to 2034. June 2021. https://www.aamc.org/media/54681/download?attachment
  12. Medscape Pulmonologist Lifestyle, Happiness & Burnout Report 2023: Contentment Amid Stress. February 24, 2023. Accessed June 28, 2023. https://www.medscape.com/slideshow/2023-lifestyle-pulmonologist-6016092#1
  13. Medscape Intensivist Lifestyle, Happiness & Burnout Report 2023: Contentment Amid Stress. February 24, 2023. Accessed June 28, 2023. https://www.medscape.com/slideshow/2023-lifestyle-intensivist-6016072#1
References
  1. Moss M et al. Crit Care Med. 2016;44(7):1414-1421. doi:10.1097/CCM.000000000000188
  2. Medscape National Physician Burnout, Depression & Suicide Report 2019. Medscape. January 16, 2019. Accessed June 22, 2023. https://www.medscape.com/slideshow/2019-lifestyle-burnout-depression-6011056#1
  3. Medscape National Physician Burnout & Suicide Report 2020: The Generational Divide. Medscape. January 15, 2020. Accessed June 22, 2023. https://www.medscape.com/slideshow/2020-lifestyle-burnout-6012460#1
  4. ‘Death by 1000 Cuts’: Medscape National Physician Burnout & Suicide Report 2021. Medscape. January 22, 2021. Accessed June 22, 2023. https://www.medscape.com/slideshow/2021-lifestyle-burnout-6013456#2
  5. Physician Burnout Report 2022: Stress, Anxiety, and Anger. Medscape. January 21, 2022. Accessed June 22, 2023. https://www.medscape.com/slideshow/2022-lifestyle-burnout-6014664#1
  6. ‘I Cry but No One Cares’: Physician Burnout & Depression Report 2023. Medscape. January 27, 2023. Accessed June 22, 2023. https://www.medscape.com/slideshow/2023-lifestyle-burnout-6016058#1
  7. Murthy VH. N Engl J Med. 2022;387(7):577-579. doi:10.1056/NEJMp2207252
  8. Vranas KC et al. Chest. 2021;160(5):1714-1728. doi:10.1016/j.chest.2021.05.041
  9. Kerlin MP et al. Ann Am Thorac Soc. 2022;19(2):329-331. doi:10.1513/AnnalsATS.202105-567RL
  10. Dean W et al. Fed Pract. 2019;36(9):400-402. PMID: 31571807
  11. Association of American Medical Colleges. The Complexities of Physician Supply and Demand: Projections from 2019 to 2034. June 2021. https://www.aamc.org/media/54681/download?attachment
  12. Medscape Pulmonologist Lifestyle, Happiness & Burnout Report 2023: Contentment Amid Stress. February 24, 2023. Accessed June 28, 2023. https://www.medscape.com/slideshow/2023-lifestyle-pulmonologist-6016092#1
  13. Medscape Intensivist Lifestyle, Happiness & Burnout Report 2023: Contentment Amid Stress. February 24, 2023. Accessed June 28, 2023. https://www.medscape.com/slideshow/2023-lifestyle-intensivist-6016072#1
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Work-related stress has long been a concern for those working in the intensive care unit (ICU); even before the COVID-19 pandemic, it was estimated that up to 45% of critical care physicians had at least one symptom of severe burnout.1-6  In 2020 and the years following, the combination of significantly increased patient morbidity and mortality rates, excessive workloads, and resource limitations negatively impacted employee morale, decreased feelings of professional fulfillment, increased moral distress, and most importantly, heightened mental health concerns among critical care physicians.7-10

While most of the post-pandemic world has returned to “normal,” its effect on the health care industry has been slower to wane; in fact, reported rates of physician burnout remain higher today than they were in 2020.2-6 Almost half of physicians (49%) say their depressions affects their patient interactions, while 65% report that their personal relationships are affected.6 In order to course-correct—not only for the sake of our current workforce and patients, but also to ensure better preparation for future public health crises—we must address the more fundamental burnout contributors that the pandemic only amplified.

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