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Category: Professional Wellbeing

Work stress is an integral part of anesthetic practice and has been a subject of many studies. Persistent stress can lead to burnout. There is limited published literature from lower- and middle-income countries where job stressors may be different from high-income countries. The aim of this study was to find out the level of burnout in a cohort of anesthesiologists working in academic institutions in 2 major cities of Pakistan, a low middle income country.

On the pretext that they could be the best experts for their own medical follow-up, doctors prefer self-diagnosis and self-medication or, too often, seek a quick advice, “between two doors” … : Alas, sometimes, it’s too late ! This alarming fact led the SMART Commission of the CFAR (French College of Anesthetists and Intensivists ) to initiate a sustainable awareness campaign with all the Doctors practicing in France. The Campaign is also possible in Europe and elsewhere in the World. This unprecedented initiative brings together more than 33 institutional partners. In their own media, through social networks or through local initiatives, all have committed themselves to the sustainable dissemination of incentive messages carried by 12 campaign visuals. These visuals are representative of the diversity of professional paths and modes of exercise, private or public sectors.

Substance use disorder (SUD) among anesthesiologists and other physicians poses serious risks to both physicians and patients. Formulation of policy and individual treatment plans is hampered by lack of data regarding the epidemiology and outcomes of physician SUD.

There is a culture within medicine that doctors do not expect themselves or their colleagues to be sick. Thus, the associated complexities of self-diagnosis, self-referral and self-treatment among physicians are significant and may have repercussions for both their own health and, by implication, for the quality of care delivered to patients.

The link between health care worker fatigue and adverse events is well documented, with a substantial number of studies indicating that the practice of extended work hours contributes to high levels of worker fatigue and reduced productivity. These studies and others show that fatigue increases the risk of adverse events, compromises patient safety, and increases risk to personal safety and well-being. While it is acknowledged that many factors contribute to fatigue, including but not limited to insufficient staffing and excessive workloads, the purpose of this Sentinel Event Alert is to address the effects and risks of an extended work day and of cumulative days of extended work hours.

Posted in: Other > Professional Wellbeing 2019 Language: english

Burnout has become a critical and global issue facing medical practitioners today - anaesthesiologists are no exception. A national survey published in the Archives of Internal Medicine in 2012 reported that US physicians suffer more burnout than other American workers. 45.8% of physicians were experiencing at least 1 symptom of burnout: loss of enthusiasm for work, feelings of cynicism, and a low sense of personal accomplishment. In a recent survey, when anaesthesiologists were given the same criteria, 42% responded that they were burned out and 58% said that they were not. They were tied for fourth place in burnout rate with internists, general surgeons, and obstetricians/ gynaecologists (Peckham, 2013). WFSA has started an important study in this area with the aim of identifying work that can be developed at a global level and to help us to write guidelines to support anaesthesiologists living with or at risk of burnout. This tool, a short questionnaire, can help you check yourself for burnout. It helps you look at the way you feel about your job and your experiences at work, so that you can get a feel for whether you are at risk.

Posted in: Other > Professional Wellbeing 2019 Language: portuguese

This project concerns the occupational health of anaesthesiologists, including the publication and promotion of the book "Occupational Well-Being of Anaesthesiologists". Edited by Dr Gastao Duval Neto, Chair of the WFSA's Professional Wellbeing Committee, and published by the Brazilian Society of Anaesthetists, the book brings together academics and practitioners concerned with the very real issues facing the health of anaesthesiologists around the world. The publication aims to stimulate the development of effective action on the part of world entities involved with anaesthesiology, in favour of the occupational health of anaesthesiologists and safety of their patients. For anaesthesiologists themselves it aims to promote awareness, conscious that awareness of any problem is the first step towards its solution. Available in English, Spanish, Chinese and Portuguese this is a "must read" for anaesthesiologists and those with whom they live and work.

Posted in: Other > Professional Wellbeing 2019 Language: chinese

This project concerns the occupational health of anaesthesiologists, including the publication and promotion of the book "Occupational Well-Being of Anaesthesiologists". Edited by Dr Gastao Duval Neto, Chair of the WFSA's Professional Wellbeing Committee, and published by the Brazilian Society of Anaesthetists, the book brings together academics and practitioners concerned with the very real issues facing the health of anaesthesiologists around the world. The publication aims to stimulate the development of effective action on the part of world entities involved with anaesthesiology, in favour of the occupational health of anaesthesiologists and safety of their patients. For anaesthesiologists themselves it aims to promote awareness, conscious that awareness of any problem is the first step towards its solution. Available in English, Spanish, Chinese and Portuguese this is a "must read" for anaesthesiologists and those with whom they live and work.

Posted in: Other > Professional Wellbeing 2019 Language: english

This project concerns the occupational health of anaesthesiologists, including the publication and promotion of the book "Occupational Well-Being of Anaesthesiologists". Edited by Dr Gastao Duval Neto, Chair of the WFSA's Professional Wellbeing Committee, and published by the Brazilian Society of Anaesthetists, the book brings together academics and practitioners concerned with the very real issues facing the health of anaesthesiologists around the world. The publication aims to stimulate the development of effective action on the part of world entities involved with anaesthesiology, in favour of the occupational health of anaesthesiologists and safety of their patients. For anaesthesiologists themselves it aims to promote awareness, conscious that awareness of any problem is the first step towards its solution. Available in English, Spanish, Chinese and Portuguese this is a "must read" for anaesthesiologists and those with whom they live and work.

The Chinese health care system must meet the needs of 19% of the world’s population. Despite recent economic growth, health care resources are unevenly distributed. This creates the potential for job stress and burnout. We therefore conducted a survey among anesthesiologists in the Beijing–Tianjin–Hebei region focusing on job satisfaction and burnout to determine the incidence and associated factors.

Posted in: ATOTW > Patient Safety & Professional Wellbeing 2018 Language: french

Assurer la sécurité en anesthésie est difficile. Les professionnels qui pratiquent l’anesthésie doivent maintenir continuellement une prise en charge efficace et sont soumis à un stress routinier lié à un travail intense. Leurs besoins ne sont souvent pas pris en considération en raison de la nature de leur milieu de travail. Le Code de déontologie stipule que les médecins ont une responsabilité éthique et le devoir de préserver et d’améliorer leur propre santé physique, sociale et mentale. Cet article vise à montrer un aperçu sur la santé au travail et sur le bien-être des professionnels travaillant dans le domaine de l’anesthésie.

Posted in: ATOTW > Patient Safety & Professional Wellbeing 2017 Language: spanish

La salud mental de los anestesiólogos es comúnmente ignorada y desatendida. Garantizar un bienestar profesional favorable requiere conciencia, reconocimiento y dedicación para cultivar una mentalidad saludable. Este tutorial analiza el estrés ocupacional en la anestesia, los factores de riesgo asociados, las capacidades de enfrentamiento, las iniciativas individuales y organizacionales para salvaguardar el bienestar profesional.

Posted in: All > Patient Safety & Professional Wellbeing 2017 Language: chinese

麻醉医生的心理健康被普遍忽视。良好的职业幸福需要应用意识、认识和奉献精神来培养健康的心态。本教程讨论了麻醉职业相关的压力,相关的危险因素、应对能力、个人和组织的举措,以保障麻醉医生的职业健康幸福。

Posted in: ATOTW > Patient Safety & Professional Wellbeing 2017 Language: english

Anaesthesiologists’ mental health is commonly overlooked and disregarded. Ensuring favourable professional well-being requires awareness, recognition and dedication for cultivating a healthy mindset. This tutorial discusses occupational related stress in anaesthesia, associated risk factors, coping capacities, individual and organisational initiatives to safeguard professional well-being.

Many assume that healthcare providers see the effects of substance use disorders (SUD) on individuals as well as society. It is believed that such exposure serves to discourage the use of such drugs. Healthcare providers are in no way protected from such diseases. In fact healthcare providers have about the same incidence as the general population but unlike those outside of medicine, have the lives of members of society in their hands.

Posted in: Other > Professional Wellbeing 2015 Language: english

Journal of Anesthesia and Perioperative Medicine. Gastão F. Duval Neto (Brasil). Both the nature and the workload of anesthesiologists have changed dramatically in recent decades. The advent of new technologies has expanded the surgical horizon significantly by allowing the presentation of intervention in more challenging medical conditions. The pressure of a growing economic competitiveness and the demand to do more by a decreased workforce are associated with the fact of emerging more difficult cases. This big change has impacted the occupational wellbeing of anesthesiologists heavily. Occupational wellbeing is a sign of work satisfaction and leads to the overall improvement of life quality. Finding a healthy solution to integrate the work into their lives and manage their balance and satisfaction well will result in better general wellbeing

Posted in: Other > Professional Wellbeing 2015 Language: english

Pratyush Gupta, Roger Moore, Gastão F. Duval Neto Rev Bras Anestesiol. 2015;65(4):237---239 The time has come! It is time that anaesthesiologists wake up to the pressing need of work satisfaction and positive balance in life. Through various initiatives by WFSA (Professional Wellbeing Committee), ASA (Committee on Occupational Health) and SBA/CLASA, anesthesia societies all over the world are trying to create awareness on the Burning Issue of wellness at work. ‘‘With present interest in Weingology, that is the science of studying well-being, a term coined by the authors in an earlier chapter on Occupational Wellbeing, the present editorial is an attempt by the Professional Wellbeing Committee at WFSA to identify with Occupational Wellbeing. In the second section of this editorial, we discuss the role of educational methodologies in reducing stress and promoting wellness at work

The present study is a 10-year comparison (1997 vs. 2007) of occupational and health aspects before and after the implementation of the European Working Time Directive on German hospital physicians. A major focus is whether the changes in working conditions are accompanied by a lower risk for burnout. Changes in working conditions in accordance with the European Working Time Directive are not accompanied by reduced strain and risk of burnout for physicians. Rather, our data argue for greater intensification in work, especially for senior physicians. Further studies are suggested in order to explore interventions for a sustainable improvement in the working conditions of physicians.

Posted in: Other > Professional Wellbeing 2014 Language: spanish

El objetivo principal de este trabajo es hacer frente a los trastornos atológicos de la situación de bienestar ocupacional en anestesiólogos (diagnóstico, revalencia,métodos de prevención y terapéuticos) basado en la evidencia epidemiológica publicada en la literatura médica actual que afecta de manera compleja y, a veces, severamente, la salud física y mental, creencias personales y las relaciones sociales del anestesiólogo, además de probar directamente la correlación con la seguridad de los pacientes anestésico-quirúrgicos sometidos a sus cuidados médicos. Fue desarrollado su contenido en tres sesiones básicas: principios y fundamentos de la salud, las responsabilidades ocupacionales en el trabajo para el bienestar de los médicos del trabajo (anestesiólogos), riesgos biológicos y salud ocupacional y aspectos interdisciplinarios en la salud ocupacional.

Posted in: Other > Professional Wellbeing 2014 Language: portuguese

O principal objetivo deste trabalho é abordar os distúrbios patológicos da situação de bem-estar ocupacional em anestesiologistas (diagnóstico, prevalência, profilaxia e abordagens terapêuticas),baseado em evidências epidemiológicas publicadas na literatura atual, as quais afetam de maneira complexa e, por vezes, gravemente, a saúde física e psíquica, as crenças pessoais e as relações sociais do anestesiologista, além de evidenciar direta correlação com a segurança dos pacientes anestésico-cirúrgicos submetidos a seus cuidados clínicos. Seu conteúdo foi desenvolvido em três sessões básicas: princípios e fundamentos em saúde ocupacional, responsabilidades institucionais com o bem-estar ocupacional de médicos (anestesiologistas), riscos biológicos e saúde ocupacional e aspectos interdisciplinares na saúde ocupacional.

Posted in: Other > Professional Wellbeing 2014 Language: english

The main objective of this book is to address the pathological disorders of occupational well being in anesthesiologists (diagnosis, prevalence, prevention and treatment), based on epidemiological evidence, which affect in a complex manner and sometimes seriously the physical and mental health, personal beliefs and social relations of the anesthesiologist, as well as the care of patients under their responsibility. The content has been grouped into three basic sections: (1) principles and fundamentals of occupational health, (2) institutional responsibilities with anesthesiologists’ occupational wellness, and (3) biological hazards and occupational health and interdisciplinary aspects of occupational health.

This paper evaluated the prevalence of burnout and depression in anesthesiology residents by sending a survey to 2773 anesthesiology residents in the United States. There were five parts to the survey: 1) general demographic data, 2) Maslach burnout inventory, 3) Harvard depression scale, 4) 10 questions to evaluate best practice in anesthesiology, and 5) 7 questions to evaluate self reporting of errors. 1508 of the residents responded. There was a high burnout risk in 41% of the respondents and an increased risk was associated with a work week >70 hours, >5 alcohol drinks a week, and female gender. 22% screened positive for depression with the same factors that increased burnout risk but with the additional factor of smoking. 17% of all respondents scored high for both depression and burnout risk. Residents at high risk for burn out and depression had poorer scores for following the best anesthesia practices. In addition, 33% of the high risk group reported making multiple medication errors in the year before the survey, compared to only 0.7% in the low risk responders. The conclusions were that burnout, depression and suicidal ideation were prevalent in anesthesiology residents and that a secondary effect of this condition may adversely affect patient safely and quality of care.

This paper presents the results of a postal survey sent to 1200 American Society of Anesthesiologists members concerning the effect on their emotions and careers of a perioperative catastrophe. 659 anesthesiologists responded and of those 84% had been involved in at least one unanticipated death or serious perioperative injury of a patient during their career. Some 70% of anesthesiologists, having had a perioperative catastrophe, indicated significant emotional responses including guilt, anxiety, and reliving the event, with the majority requiring time to recover emotionally from the event and 19% indicating that they never fully recovered. 5% turned to substance abuse for self-medication of their stress, while as many as 10% considered changing their career. The conclusion was that due to the profound and in some cases lasting impact of a perioperative catastrophe, that protocols and guidelines need to be developed for support of the practitioner following the occurrence of an adverse event.

About the Library

WFSA's virtual library is a resource hub made up of our own publications and other open source material that we recommend for anaesthesia providers around the world. It contains a variety of media and can be searched according to keyword, publication and specialist category ensuring that the user finds the most relevant resource for their needs.

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The WFSA Virtual Library is for use by qualified anaesthesia providers and those pursuing a qualification in anaesthesia. Its content is supplementary to more formal education and is offered for informational purposes only. Whilst the WFSA has taken every care to ensure that content is accurate we can not be held responsible for any loss, damage or inconvenience caused as a result of any error or inaccuracy within the library.

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