Physician Stress and Burnout

Tens (or hundreds) of thousands of Americans die each year as a result of preventable medical errors. Changes in the practice and business of medicine have caused some to question whether burnout among physicians and other healthcare providers may adversely affect patient outcomes. A clear consensus supports the contention that burnout affects patients, albeit with low quality objective data. The psychological and physical impact on physicians and other providers is quite clear however, and the impact on the physician workforce (where large shortages are projected) is yet another cause for concern. We have all heard the airplane safety announcement remind us to "please put on your own oxygen mask first before assisting others." But, like many airline passengers (very few of whom use oxygen masks correctly when they are needed), physicians often do not recognize symptoms of burnout or depression, and even less often do they seek help. We detail causes and consequences of physician burnout and propose solutions to increase physician work satisfaction.

Author/s:

Yates, SW

Motivational Interviewing and Field Instruction: The FRAMES model

Jeffrey Wilson — Mon, 19 Nov 2018 16:38:36 +0000

Date Added:

November 19, 2018

Journal/Publication:

Field Educator

Publisher:

Simmons School of Social Work

Publication Date:

April 1, 2012

Issue:

Volume:

URL:

Motivational Interviewing and Field Instruction: The FRAMES model

Type:

Clinical Decision Aids

Format:

Article

Keywords

motivational interviewing

motivation

burnout, professional

MeSH

burnout, professional

motivation

motivational interviewing

alcoholism

FRAMES is a brief intervention technique found to be effective with patients with unhealthy alcohol use.

Free full text

Motivational interviewing is defined as a “client-centered, directive method for enhancing intrinsic motivation to change by exploring and resolving ambivalence” (Miller & Rollnick, 2002). In supervision of staff, the ultimate goal is to improve an organization’s efficiency by increasing productivity, decreasing employee stress, vicarious trauma and burnout, and reducing clinical negligence and malpractice. In supervision of interns, the major focus is on meeting the intern’s learning needs and on developing competent practitioners. Motivational interviewing in supervision maximizes focus and positive change by developing action plans and addressing ambivalence toward change. Motivational interviewing uses a guide toward change called FRAMES; the acronym stands for Feedback, Responsibility, Advice, Menu Options, Empathy and Self-Efficacy.

Author/s:

Kamya, Hugo