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Research ArticleOriginal Research

Indicators of Workplace Burnout Among Physicians, Advanced Practice Clinicians, and Staff in Small to Medium-Sized Primary Care Practices

Debora Goetz Goldberg, Tulay G. Soylu, Victoria M. Grady, Panagiota Kitsantas, James D. Grady and Len M. Nichols
The Journal of the American Board of Family Medicine May 2020, 33 (3) 378-385; DOI: https://doi.org/10.3122/jabfm.2020.03.190260
Debora Goetz Goldberg
George Mason University, Department of Health Administration and Policy, Fairfax, VA (DG, TGS, PK); George Mason University, School of Business, Fairfax, VA (VMG); Pivot Point Business Solutions (JDG); George Mason University, Center for Health Policy Research and Ethics, Fairfax, VA (LMN).
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Tulay G. Soylu
George Mason University, Department of Health Administration and Policy, Fairfax, VA (DG, TGS, PK); George Mason University, School of Business, Fairfax, VA (VMG); Pivot Point Business Solutions (JDG); George Mason University, Center for Health Policy Research and Ethics, Fairfax, VA (LMN).
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Victoria M. Grady
George Mason University, Department of Health Administration and Policy, Fairfax, VA (DG, TGS, PK); George Mason University, School of Business, Fairfax, VA (VMG); Pivot Point Business Solutions (JDG); George Mason University, Center for Health Policy Research and Ethics, Fairfax, VA (LMN).
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Panagiota Kitsantas
George Mason University, Department of Health Administration and Policy, Fairfax, VA (DG, TGS, PK); George Mason University, School of Business, Fairfax, VA (VMG); Pivot Point Business Solutions (JDG); George Mason University, Center for Health Policy Research and Ethics, Fairfax, VA (LMN).
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James D. Grady
George Mason University, Department of Health Administration and Policy, Fairfax, VA (DG, TGS, PK); George Mason University, School of Business, Fairfax, VA (VMG); Pivot Point Business Solutions (JDG); George Mason University, Center for Health Policy Research and Ethics, Fairfax, VA (LMN).
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Len M. Nichols
George Mason University, Department of Health Administration and Policy, Fairfax, VA (DG, TGS, PK); George Mason University, School of Business, Fairfax, VA (VMG); Pivot Point Business Solutions (JDG); George Mason University, Center for Health Policy Research and Ethics, Fairfax, VA (LMN).
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References

  1. 1.↵
    American Academy of Family Physicians (AAFP). Family physician burnout, well-being, and professional satisfaction. Available from: https://www.aafp.org/about/policies/all/physician-burnout.html. Accessed September 26, 2018.
  2. 2.↵
    1. Shanafelt TD,
    2. Sloan JA,
    3. Habermann TM
    . The well-being of physicians. Am J Med 2003;114:513–9.
    OpenUrlCrossRefPubMedWeb of Science
  3. 3.↵
    1. Miller KI,
    2. Zook EG,
    3. Beth HE
    . Occupational differences in the influence of communication on stress and burnout in the workplace. Manag Commun Q 1989;3:166–90.
    OpenUrl
  4. 4.↵
    1. Hernandez W,
    2. Yanchus NJ,
    3. Osatuke K
    . Evolving the JD-R model: the moderating effects of job resources and burnout taxonomies. Organ Dev J 2018;36:31–53.
    OpenUrl
  5. 5.↵
    1. Munnangi S,
    2. Dupiton L,
    3. Boutin A,
    4. Angus L
    . Burnout, perceived stress, and job satisfaction among trauma nurses at a level I safety-net trauma center. J Trauma Nurs 2018;25:4–13.
    OpenUrl
  6. 6.↵
    1. Shanafelt TD,
    2. Boone S,
    3. Tan L,
    4. et al
    . Burnout and satisfaction with work‐life balance among US physicians relative to the general US population. Arch Intern Med 2012;172:1377–85.
    OpenUrlCrossRefPubMedWeb of Science
  7. 7.↵
    1. Peckham C
    . Physician lifestyles—linking to burnout: a Medscape survey. Available from: https://www.medscape.com/features/slideshow/lifestyle/2013/public#6. Published 2013. Accessed January 31, 2019.
  8. 8.↵
    1. Shanafelt TD,
    2. Noseworthy JH
    . Executive leadership and physician well-being: Nine organizational strategies to promote engagement and reduce burnout. Mayo Clin Proc 2017;92:129–46.
    OpenUrlCrossRefPubMed
  9. 9.↵
    1. Peckham C
    . Medscape lifestyle report 2017: race and ethnicity, bias and burnout. Available from: https://www.medscape.com/features/slideshow/lifestyle/2017/overview. Published January 11, 2017. Accessed January 31, 2019.
  10. 10.↵
    1. Shanafelt TD,
    2. Hasan O,
    3. Lotte ND,
    4. et al
    . Changes in burnout and satisfaction with work-life balance in physician and the general US working population between 2011 and 2014. Mayo Clin Proc 2015;90:1600–13.
    OpenUrlCrossRefPubMed
  11. 11.↵
    1. Peckham C
    . Medscape National Physician Burnout & Depression Report 2018. Available from: https://www.medscape.com/slideshow/2018-lifestyle-burnout-depression-6009235?faf=1#1. Published January 17, 2018. Accessed January 31, 2019.
  12. 12.↵
    1. Mundt MP,
    2. Zakletskaia LI
    . Professional communication networks and job satisfaction in primary care clinics. Ann Fam Med 2019;17:428–35.
    OpenUrlAbstract/FREE Full Text
  13. 13.↵
    1. Leiter MP,
    2. Frank E,
    3. Matheson TJ
    . Demands, values, and burnout: relevance for physicians. Can Fam Physician 2009;55:1224–5.
    OpenUrlAbstract/FREE Full Text
  14. 14.↵
    1. Linzer M,
    2. Levine R,
    3. Meltzer D,
    4. Poplau S,
    5. Warde C,
    6. West CP
    . 10 bold steps to prevent burnout in general internal medicine. J Gen Intern Med 2014;29:18–20.
    OpenUrlCrossRefPubMed
  15. 15.↵
    1. Noseworthy J,
    2. Madara J,
    3. Cosgrove D,
    4. et al
    . Physician burnout is a public health crisis: a message to our fellow health care CEOs. Available from: https://www.healthaffairs.org/do/10.1377/hblog20170328.059397/full/. Published 2017. Accessed January 31, 2019.
  16. 16.↵
    The Physicians Foundation. 2018 Survey of America's physicians. Available from: https://physiciansfoundation.org/wp-content/uploads/2018/09/physicians-survey-results-final-2018.pdf. Published 2018. Accessed January 31, 2019.
  17. 17.↵
    1. Linzer M,
    2. Manwell LB,
    3. Williams ES,
    4. et al
    . Working conditions in primary care: physician reactions and care quality. Ann Intern Med 2009;151:28–36.
    OpenUrlCrossRefPubMedWeb of Science
  18. 18.↵
    1. Shanafelt TD,
    2. Balch CM,
    3. Bechamps G,
    4. et al
    . Burnout and medical errors among American surgeons. Ann Surg 2010;251:995–1000.
    OpenUrlCrossRefPubMedWeb of Science
  19. 19.↵
    1. Kumar S
    . Burnout and doctors: prevalence, prevention and intervention. Healthcare (Basel) 2016;4:37.
    OpenUrl
  20. 20.↵
    1. Nash D
    . Physician burnout: what can be done? Available from: https://www.medpagetoday.com/publichealthpolicy/generalprofessionalissues/71204. Published February 16, 2018. Accessed January 31, 2019.
  21. 21.↵
    1. Jabbarpour Y,
    2. Gold K,
    3. Chang D,
    4. Puffer J
    . Moving from burnout to wellness: identifying the problem and working towards solutions. Available from: https://www.graham-center.org/content/dam/rgc/documents/press-events/primary-care-forum/PrimaryCareBurnout.pdf. Published May 7, 2018. Accessed January 31, 2019.
  22. 22.↵
    1. Han S,
    2. Shanafelt TD,
    3. Sinsky CA,
    4. et al
    . Estimating the attributable cost of physician burnout in the United States. Ann Intern Med 2019;170:784–90.
    OpenUrl
  23. 23.↵
    1. Meyers DS,
    2. Clancy CM
    . Primary care: too important to fail. Ann Intern Med 2009;150:272–3.
    OpenUrlCrossRefPubMedWeb of Science
  24. 24.↵
    1. Goldberg DG,
    2. Mick SS,
    3. Kuzel AJ,
    4. Feng LB,
    5. Love LE
    . Why do some primary care practices engage in practice improvement efforts whereas others do not? Health Serv Res 2013;48:398–416.
    OpenUrlCrossRefPubMed
  25. 25.↵
    1. Buck K,
    2. Williamson M,
    3. Ogbeide S,
    4. Norberg B
    . Family physician burnout and resilience: a cross-sectional analysis. Fam Med 2019;51:657–63.
    OpenUrl
  26. 26.↵
    US Department of Health and Human Services, Agency for Healthcare Research and Quality (AHRQ). Evidence Now: advancing heart health in primary care. Available from: https://www.ahrq.gov/evidencenow/index. Accessed June 10, 2017.
  27. 27.↵
    Centers for Disease Control and Prevention (CDC). National Heart Disease & Stroke Prevention Program. Strategies for states to address the “ABCS” of heart disease and stroke prevention. 2010. Available from: https://www.cdc.gov/dhdsp/programs/spha/docs/abcs_guide.pdf. Published 2010. Accessed July 22, 2019.
  28. 28.↵
    1. Rohland BM,
    2. Kruse GR,
    3. Rohrer JE
    . Validation of a single-item measure of burnout against the Maslach Burnout Inventory among physicians. Stress Health 2004;20:75–9.
    OpenUrlCrossRefWeb of Science
  29. 29.↵
    1. Sinsky CA,
    2. Poplau S,
    3. Brown R,
    4. Williams E
    1. Linzer M
    , the Healthy Work Place Investigators, Sinsky CA, Poplau S, Brown R, Williams E. Joy in medical practice: clinician satisfaction in the healthy work place trial. Health Aff 2017;36:1808–14.
    OpenUrlAbstract/FREE Full Text
  30. 30.↵
    1. Cuellar A,
    2. Krist AH,
    3. Nichols LM,
    4. Kuzel AJ
    . Effect of practice ownership on work environment, learning culture, psychological safety, and burnout. Ann Fam Med 2018;16:S44–S51.
    OpenUrlAbstract/FREE Full Text
  31. 31.↵
    1. Grady V,
    2. Grady J
    . The pivot point: success in organizational change. New York (NY): Morgan-James Publishing; 2013.
  32. 32.↵
    1. Grady V,
    2. Grady J
    . The relationship of Bowlby's attachment theory to the persistent failure of organizational change initiatives. J Chang Manag 2013;13:206–22.
    OpenUrl
  33. 33.↵
    1. Bliese PD,
    2. Britt TW
    . Social support, group consensus and stressor-strain relationships: social context matters. J Organiz Behav 2001;22:425–36.
    OpenUrl
  34. 34.↵
    1. Blechter B,
    2. Jiang N,
    3. Cleland C,
    4. Berry C,
    5. Ogedegbe O,
    6. Shelley D
    . Correlates of burnout in small independent primary care practices in an urban setting. J Am Board Fam Med 2018;31:529–36.
    OpenUrlAbstract/FREE Full Text
  35. 35.↵
    1. Alidina S,
    2. Rosenthal MB,
    3. Schneider EC,
    4. Singer SJ,
    5. Friedberg MW
    . Practice environments and job satisfaction in patient-centered medical homes. Ann Fam Med 2014;12:331–7.
    OpenUrlAbstract/FREE Full Text
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The Journal of the American Board of Family     Medicine: 33 (3)
The Journal of the American Board of Family Medicine
Vol. 33, Issue 3
May/June 2020
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Indicators of Workplace Burnout Among Physicians, Advanced Practice Clinicians, and Staff in Small to Medium-Sized Primary Care Practices
Debora Goetz Goldberg, Tulay G. Soylu, Victoria M. Grady, Panagiota Kitsantas, James D. Grady, Len M. Nichols
The Journal of the American Board of Family Medicine May 2020, 33 (3) 378-385; DOI: 10.3122/jabfm.2020.03.190260

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Indicators of Workplace Burnout Among Physicians, Advanced Practice Clinicians, and Staff in Small to Medium-Sized Primary Care Practices
Debora Goetz Goldberg, Tulay G. Soylu, Victoria M. Grady, Panagiota Kitsantas, James D. Grady, Len M. Nichols
The Journal of the American Board of Family Medicine May 2020, 33 (3) 378-385; DOI: 10.3122/jabfm.2020.03.190260
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