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Burnout Among Cardiologists

Published:December 17, 2016DOI:https://doi.org/10.1016/j.amjcard.2016.11.052
      Burnout is a loss of enthusiasm for work, cynicism, and a low sense of accomplishment. Loss of autonomy and authority, complex regulatory requirements, report cards, quality metrics, the rise of large integrated health care systems, and the demise of solo practice are just a few realities of medical practice that contribute to physician burnout. Physicians suffering burnout often focus on compensation and perceived status as antidotes, although evidence suggests they play no role. Randomized controlled trials suggest that interventions designed to improve coping and resiliency including cognitive behavioral therapy and physical and mental relaxations to reduce stress can be effective. Reduced work hours have also been shown to mitigate burnout. Successful prevention and management requires adaptations by both physicians and the health care systems in which they work. We believe that burnout also involves a loss of faith in the practice of medicine itself. Advances in cardiovascular medicine have led to large reductions in mortality and morbidity. However, the disruptive changes to health care that accompanied this success have contributed to physician alienation. In conclusion, we believe that to overcome burnout, cardiologists should dedicate themselves to a collective mission of patient care and work to restore faith in their profession.
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      References

        • Osler W.
        The faith that heals.
        BMJ. 1910; 1: 1470-1472
        • Shanafelt T.D.
        • Boone S.
        • Tan L.
        • Dyrbye L.N.
        • Sotile W.
        • Satele D.
        • West C.P.
        • Sloan J.
        • Oreskovich M.R.
        Burnout and satisfaction with work-life balance among US physicians relative to the general US population.
        Arch Intern Med. 2012; 172: 1377
        • Peckham C.
        Physician burnout: it just keeps getting worse.
        (Available at:) (Accessed November 10, 2016)
        • Saad L.
        Americans faith in honesty, ethics and police rebounds.
        (Available at:) (Accessed November 10, 2016)
        • Brooks M.
        Medical school applicants, enrollees reach new highs.
        (Available at:) (Accessed November 10, 2016)
        • Sablik Z.
        • Samborska-Sablik A.
        • Drożdż J.
        Systematic review/meta-analysis universality of physicians' burnout syndrome as a result of experiencing difficulty in relationship with patients.
        Arch Med Sci. 2013; 3: 398-403
        • Freudenberger H.J.
        Staff burn-out.
        J Social Issues. 1974; 30: 159-165
        • Virginia S.G.
        Burnout and depression among Roman Catholic secular, religious, and monastic clergy.
        Pastoral Psychol. 1998; 47: 49
        • Lee R.T.
        • Seo B.
        • Hladkyj S.
        • Lovell B.
        • Schwartzmann L.
        Correlates of physician burnout across regions and specialties: a meta-analysis.
        Hum Resour Health. 2013; 11: 48
        • Osler W.
        Aequanimitas: With Other Addresses to Medical Students, Nurses, and Practitioners of Medicine.
        Blakiston's Son, Philadelphia1925: 329