Pennsylvania Physician Ebook Continuing Education

________________________________________________________________________ Burnout in Physicians

40. The most commonly reported causes of stress, job dissatisfaction, and burnout, across career stages and specialties, are A) type D personality, depression, and inadequate social supports. B) work overload, inadequate work-life balance, and lack of control over one’s work. C) mandatory participation in work events, alcohol abuse, and low number of patients. D) strong working relationships, reliance on outdated documentation methods, and small practices. 41. According to a survey of physicians, which of the following is the most satisfying factor in medical practice?

45. A high score on which MBI domain is associated with suboptimal patient care in physicians and residents? A) Depersonalization

B) Mental quality of life C) Emotional exhaustion D) Personal accomplishment

46. All of the following statements regarding burnout and suboptimal patient care or medical error are true, EXCEPT: A) Burnout was associated with self-reports of suboptimal care in a study of emergency medicine physicians and residents. B) Reporting a major medical error during the last three months was significantly associated with burnout among surgeons. C) Studies of family physicians and general internists have shown no consistent relationships between burnout, medical errors, and quality of care. D) For each 1-point increase in the score in the emotional exhaustion domain, there was a 44% increase in the likelihood of reporting a medical error. 47. Which of the following statements regarding prevention of stress and burnout in physicians is TRUE? A) Physicians have been shown to accurately define their own well-being. B) No guidelines exist for the incorporation of identifying and managing practitioner health issues. C) Many physicians seek help for stress or burnout because of the belief that these conditions are abnormal for the profession. D) Self-care warrants particular emphasis for physicians, as they have been trained to put the care of others ahead of themselves. 48. Which of the following is an effective organizational- level strategy for managing stress and preventing burnout? A) Discourage strong leadership styles. B) Create a healthy work environment. C) Participate in outside interests and/or volunteer activities. D) Make documentation a personal priority (i.e., do not delegate these tasks).

A) Financial rewards B) Prestige of medicine C) Interaction with colleagues D) Forming relationships with patients

42. Which of the following burnout risk factors is unique to physicians? A) Depression B) Long work hours

C) Erosion of autonomy at work D) History of malpractice lawsuit

43. Which of the following mental health factors is more prevalent in physicians than the general population? A) Depression B) Suicidal ideation C) Alcohol abuse/dependence D) All of the above 44. Which of the following statements regarding burnout and clinical work is TRUE? A) Burnout is associated with decreased productivity. B) In one study, burnout scores correlated with increases in professional effort. C) Research indicates that physicians most likely to leave practice are those in late-career. D) Stress and lack of control over one’s work are the strongest predictors of intent to reduce clinical work hours or leave the current position.

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MDPA2126

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