Physician Burnout and the Calling to Care for the Dying.
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BACKGROUND: Physician burnout raises concerns over what sustains physicians' career motivations. We assess whether physicians in end-of-life specialties had higher rates of burnout and/or calling to care for the dying. We also examined whether the patient centeredness of the clinical environment was associated with burnout. METHODS: In 2010 to 2011, we conducted a national survey of US physicians from multiple specialties. Primary outcomes were a validated single-item measure of burnout or sense of calling to end-of-life care. Primary predictors of burnout (or calling) included clinical specialty, frequency of encounters with dying patients, and patient centeredness of the clinical environments ("My clinical environment prioritizes the need of the patient over maximizing revenue"). RESULTS: Adjusted response rate among eligible respondents was 62% (1156 of 1878). Nearly a quarter of physicians (23%) experienced burnout, and rates were similar across all specialties. Half of the responding physicians (52%) agreed that they felt called to take care of patients who are dying. Burned-out physicians were more likely to report working in profit-centered clinical environments (multivariate odds ratio [OR] of 1.9; confidence interval [CI]: 1.3-2.8) or experiencing emotional exhaustion when caring for the dying (multivariate OR of 2.1; CI: 1.4-3.0). Physicians who identified their work as a calling were more likely to work in end-of-life specialties, to feel emotionally energized when caring for the dying, and to be religious. CONCLUSION: Physicians from end-of-life specialties not only did not have increased rates of burnout but they were also more likely to report a sense of calling in caring for the dying.
Published Version (Please cite this version)10.1177/1049909116661817
Publication InfoYoon, JD; Hunt, NB; Ravella, KC; Jun, CS; & Curlin, Farr A (2016). Physician Burnout and the Calling to Care for the Dying. Am J Hosp Palliat Care. pp. 1049909116661817. 10.1177/1049909116661817. Retrieved from http://hdl.handle.net/10161/14618.
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Professor of Medicine
Farr A. Curlin, MD, is Josiah C. Trent Professor of Medical Humanities in the Trent Center for Bioethics, Humanities and History of Medicine, and Co-Director of the Theology, Medicine and Culture Initiative at Duke Divinity School. Before moving to Duke in 2014, he founded and was Co-Director of the Program on Medicine and Religion at the University of Chicago. At Duke, Farr practices palliative medicine and works with colleagues in the Trent Center an