A qualitative study of strategies to improve occupational well‐being in physical medicine and rehabilitation physicians

Author:

Amano Alexis12ORCID,Makowski Maryam S.1,Trockel Mickey T.1,Menon Nikitha K.1,Wang Hanhan1,Sliwa James345ORCID,Weinstein Stuart67,Kinney Carolyn38ORCID,Paganoni Sabrina910,Verduzco–Gutierrez Monica1011ORCID,Kennedy David J.712,Knowlton Tiffany10,Stautzenbach Thomas7,Shanafelt Tait D.1

Affiliation:

1. Stanford University Stanford California USA

2. Los Angeles Fielding School of Public Health University of California Los Angeles California USA

3. American Board of Physical Medicine and Rehabilitation Rochester Minnesota USA

4. Northwestern University Feinberg School of Medicine Chicago Illinois USA

5. Shirley Ryan Ability Lab Chicago Illinois USA

6. University of Washington Seattle Washington USA

7. American Academy of Physical Medicine and Rehabilitation Rosemont Illinois USA

8. Mayo Clinic Phoenix Arizona USA

9. Spaulding Rehabilitation Hospital Boston Massachusetts USA

10. Association of Academic Physiatrists Baltimore Maryland USA

11. University of Texas Health Science Center at San Antonio San Antonio Texas USA

12. Vanderbilt University Nashville Tennessee USA

Abstract

AbstractBackgroundPhysiatry is a specialty with high rates of burnout. Although organizational strategies to combat burnout are key, it is also important to understand strategies that individual physiatrists can use to address burnout.ObjectiveTo identify changes that resulted in improvement of occupational well‐being of physiatrists over a 6‐ to 9‐month period.DesignWe employed two quantitative surveys spaced 6 to 9 months apart to identify physiatrists who experienced meaningful improvement in occupational burnout and/or professional fulfillment between the two survey timepoints. These physiatrists were subsequently recruited to participate in a qualitative study using semi‐structured interviews to identify changes that respondents felt contributed to improvements in burnout and professional fulfillment.SettingOnline surveys and interviews.ParticipantsPhysiatrists in the American Academy of Physical Medicine and Rehabilitation (AAPM&R) Membership Masterfile.Main Outcome MeasureBurnout and professional fulfillment were assessed using the Stanford Professional Fulfillment Index.ResultsOne hundred twelve physiatrists responded to the baseline and follow‐up surveys. Of these, 35 were eligible for interviews based on improvements in the Stanford Professional Fulfillment Index, and 23 (64%) agreed to participate. Themes from the qualitative interviews highlighted the importance of personal lifestyle choices, approaches to improve professional satisfaction, and strategies to foster work‐life harmony. Personal lifestyle strategies included investing in wellness and mental health. Efforts to improve professional satisfaction included decreasing work intensity, prioritizing meaningful aspects of work, and building relationships with colleagues. Fostering work‐life harmony also included making trade‐offs in both domains, setting boundaries at work, setting expectations at home, and overcoming personal challenges.ConclusionOur findings illustrate that, in addition to organizational strategies demonstrated to be effective, there are actions that individual physiatrists can take to recover from burnout and foster professional fulfillment.

Funder

Association of Academic Physiatrists

American Academy of Physical Medicine and Rehabilitation

Publisher

Wiley

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