2019 HSC Section 2 - Practice Management

II. Professionalism

A. Physician burnout & wellness Klevos GA, Ezuddin NS. Burning brightly, not burning out. Physician Leadersh J . 2018; May/June:45-51. EBM level 5..................................................................................................55-61 Summary : This article discusses both individual and organizational interventions to combat burnout. Additionally, it provides suggestions for physician leaders to identify and address burnout among their physician colleagues. Panagioti M, Panagopoulou E, Bower P, et al. Controlled interventions to reduce burnout in physicians: a systematic review and meta-analysis. JAMA Intern Med . 2017; 177(2):195-205. EBM level 3...............................................................................................................................62-72 Summary : This article summarizes the effectiveness of various types of controlled interventions on burnout. Organization-directed interventions were more effective than physician-directed interventions. While interventions tended to be more effective in physicians with more experience, this was not statistically significant, nor was work setting noted to be a factor.

Shanafelt T, Goh J, Sinsky C. The business case for investing in physician well-being. JAMA Intern Med . 2017; 177(12):1826-1832. EBM level N/A.........................................................73-79

Summary : This article focuses on the cost of replacing physicians in organizations due to burnout and suggests organizational strategies to deal with burnout. It describes the different tiers in improving physician well-being. B. Emotional intelligence Johnson DR. Emotional intelligence as a crucial component to medical education. Int J Med Educ . 2015; 6:179-183. EBM level 4......................................................................................80-84

Summary : This article provides a review of the principles of emotional intelligence and how it should be integrated into medical education.

McKinley SK, Petrusa ER, Fiedeldey-Van Dijk C, et al. A multi-institutional study of the emotional intelligence of resident physicians. Am J Surg . 2015; 209(1):26-33. EBM level 4........................................................................................................................................85-92 Summary : This article evaluates emotional intelligence across different specialties using the Trait Emotional Questionnaire. The implication from the study is that different specialties can benefit from focused emotional intelligence training.

McKinley SK, Phitayakorn R. Emotional intelligence and simulation. Surg Clin North Am . 2015; 95(4):855-867. EBM level 4.........................................................................................93-105

Summary : The authors provide a review of the emotional intelligence literature and the use of simulation to help develop emotional intelligence during training.