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Research ArticleOriginal Research

Protecting Family Physicians from Burnout: Meaningful Patient-Physician Relationships Are “More than Just Medicine”

Angela R. Hiefner, Petra Constable, Kristin Ross, Dan Sepdham and Joseph B. Ventimiglia
The Journal of the American Board of Family Medicine July 2022, 35 (4) 716-723; DOI: https://doi.org/10.3122/jabfm.2022.04.210441
Angela R. Hiefner
From Family and Community Medicine, University of Texas Southwestern Medical Center, Dallas, TX (ARH, PC, KR, DS, JBV).
PhD
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Petra Constable
From Family and Community Medicine, University of Texas Southwestern Medical Center, Dallas, TX (ARH, PC, KR, DS, JBV).
MD
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Kristin Ross
From Family and Community Medicine, University of Texas Southwestern Medical Center, Dallas, TX (ARH, PC, KR, DS, JBV).
PhD
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Dan Sepdham
From Family and Community Medicine, University of Texas Southwestern Medical Center, Dallas, TX (ARH, PC, KR, DS, JBV).
MD
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Joseph B. Ventimiglia
From Family and Community Medicine, University of Texas Southwestern Medical Center, Dallas, TX (ARH, PC, KR, DS, JBV).
MD, PhD
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    Figure 1.

    Components of meaningful relationships with patients.

Tables

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    Table 1.

    Interview Guide

    1. Can you share an example of a meaningful relationship you've had with a patient?
    2. In your clinical practice, what is it that makes your relationships with your patients most meaningful?
    3. In your career as a PCP, have you experienced burnout? If so, can you share about that experience?
    4. In what ways, if any, do you think meaningful relationships with patients impact your experiences of burnout or risk of burnout?
    • Abbreviation: PCP, primary care physician.

    • View popup
    Table 2.

    Participant Demographics (n = 20)

    Demographicn (%)
    Age
        25 to 34 years6 (30%)
        35 to 44 years7 (35%)
        45 to 54 years4 (20%)
        55 to 64 years2 (10%)
        65 + years1 (5%)
    Gender
        Male8 (40%)
        Female12 (60%)
    Race/Ethnicity
        African American/African/Black1 (5%)
        Asian/Pacific Islander8 (40%)
        Caucasian8 (40%)
        Hispanic/Latino1 (5%)
        Other2 (10%)
    Marital Status
        Married14 (60%)
        Single4 (20%)
        Living with a Partner1 (5%)
        In Relationship, Not Living with Partner0
        Divorced0
        Widowed0
        Missing Data1 (5%)
    Stage of Career
        Resident4 (20%)
        In Practice 1 to 10 years10 (50%)
        In Practice 11–19 years0
        In Practice 20 to 29 years4 (20%)
        In Practice 30 + years2 (10%)
    Practice Location
        Urban11 (55%)
        Suburban3 (15%)
        Rural4 (20%)
        Combination2 (10%)
    Work Setting
        Academic9 (45%)
        Non-Academic11 (55%)
    Hours Worked per Week
        Less than 40 hours2 (10%)
        40 to 49 hours8 (40%)
        50 to 59 hours3 (15%)
        60 + hours7 (35%)
    • Note: Demographics were completed via closed-ended questions, and data is presented verbatim per participant selection.

    • View popup
    Table 3.

    Summary of Themes and Sub-Themes

    RQ1: Elements of Meaningful Relationships with Patients
        Person-Centered Care
            In-Depth Knowledge of Patient
            Care Tailored to Patient
            Partnership with Patient
        Effective Care
            Problem Solving Facilitated by Connection
            Patient Engagement in Health Behaviors
            Patient Openness and Vulnerability
        Continuity
            Over Time
            Across Care Contexts
        Trust
        Purpose/Mission
            Connect
            Make a Difference
    RQ2: Impact of Meaningful Patient-Physician Relationships on Burnout
        Protective Against Burnout
            Sense of Purpose and Significance
            Continuity Eases Workload
        Contributing Factor to Burnout
            Striving for Excellence in a Broken System
            See Beloved Patients Suffer
    • Abbreviation: RQ, research question.

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The Journal of the American Board of Family     Medicine: 35 (4)
The Journal of the American Board of Family Medicine
Vol. 35, Issue 4
July/August 2022
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Protecting Family Physicians from Burnout: Meaningful Patient-Physician Relationships Are “More than Just Medicine”
Angela R. Hiefner, Petra Constable, Kristin Ross, Dan Sepdham, Joseph B. Ventimiglia
The Journal of the American Board of Family Medicine Jul 2022, 35 (4) 716-723; DOI: 10.3122/jabfm.2022.04.210441

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Protecting Family Physicians from Burnout: Meaningful Patient-Physician Relationships Are “More than Just Medicine”
Angela R. Hiefner, Petra Constable, Kristin Ross, Dan Sepdham, Joseph B. Ventimiglia
The Journal of the American Board of Family Medicine Jul 2022, 35 (4) 716-723; DOI: 10.3122/jabfm.2022.04.210441
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Keywords

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