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In a recent CMA survey of 2251 physicians, over 45% were found to be in an advanced state of burnout. If this reflects the seriousness of the problem in the general population of physicians in Canada, then it can safely be said that the healthcare system is at serious risk of collapse. In this article we outline our understanding of the reasons for this situation and propose a new approach to helping empower physicians. Additionally, we believe our model will empower their patients thereby reducing the burden on the healthcare system.
Our approach to physician empowerment and wellbeing considers the following issues:
a) Increasing expectations on physicians from their environment (both external and internal)
b) Physicians' conditioned responses to expectations posed by their environment
c) How these conditioned responses severely limit choices that physicians feel they have and the consequences of these limitations
d) A new definition of empowerment
e) A means by which empowerment can be achieved
f) The benefits of this approach for physicians Montez Sweat Redskins Jersey , their families, their patients, and the health of the healthcare system as a whole.
We start by addressing the Medical Environment. This includes both the external as well as internal expectations impacting on physicians' stress levels.
The external expectations are self evident:
a) dealing with an aging population with unremitting chronic conditions taxing resources, energy and time
b) enduring an increasingly litigious environment
c) treating an increasing patient load due to higher physician turnover Dwayne Haskins Redskins Jersey , lower medical school enrollment and physician exodus,
d) making due with aging equipment
e) enduring serious public illnesses which impede normal operating practices
f) addressing needs for stricter recording practices and evidence based procedures
g) adapting to rapidly changing technological advances
h) keeping up with the research and internet driven information overflow
i) enduring the threat of record audits that often entail the return of large sums of money
j) an increasing strain on personal and family relationships, either to be more available or to keep working in order to remain an adequate provider
k) to take less personal time out for oneself to revitalize themselves