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Anderson Spickard, Jr, MD; Steven G. Gabbe, MD; John F. Christensen, PhD

JAMA. 2002;288:1447-1450.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

INTRODUCTION

A study of US physicians showed that physicians in 1997 were less satisfied in every aspect of their professional life than those asked similar questions in 1986. They were dissatisfied with the time they have with individual patients and their lack of incentives for high-quality care.¹ Similarly, a 1998 study revealed that two thirds of Canadian physicians have a workload they consider too heavy, and more than half stated their family and personal lives have suffered because they chose medicine as a profession.² Dissatisfaction has been documented in several diverse physician groups, including primary care,³ surgery,⁴ infectious disease specialists,⁵ and anesthesiologists.⁶ The leaders of medical school departments are exposed to similar pressures.⁷ These recent articles highlight the growing discontent of physicians with the increasing complexities of the practice of medicine. Burnout, a term that has moved from . . . [Full Text of this Article]

Burnout Defined

Child Development Factors

Work Stressors

Personality Factors

Family Stressors

Female Physicians

Preventing Physician Burnout

The Role of Health Care Organizations

The Role of Physicians

Conclusion

Author Affilliations: Vanderbilt University Medical Center, Nashville, Tenn (Drs Spickard and Gabbe); and Legacy Health System, Portland, Ore (Dr Christensen).

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