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Acad Pediatr. 2020 Feb 22. pii: S1876-2859(20)30075-9. doi: 10.1016/j.acap.2020.02.018. [Epub ahead of print]

Exploring academic pediatrician perspectives of factors impacting physician well-being.

Author information

1
Department of Pediatrics, University of Wisconsin School of Medicine and Public Health, 600 Highland Ave, Madison, WI 53792. Electronic address: sawebber@wisc.edu.
2
Department of Pediatrics, University of Wisconsin School of Medicine and Public Health, 600 Highland Ave, Madison, WI 53792.

Abstract

PURPOSE:

Promotion of physician well-being has emerged as a national priority, yet meaningful interventions depend on further understanding the factors that promote and detract from physician well-being. The aim of this study was to better understand the perspectives of academic pediatricians regarding the factors influencing their wellbeing.

METHODS:

We conducted a qualitative study using grounded theory methodology. In June 2018, we performed facilitated focus groups with academic pediatric faculty at our institution. Focus groups were audio-recorded, transcribed, and analyzed using the constant comparative method to identify key themes.

RESULTS:

Fiftyfour pediatricians participated in the focus groups. Key themes included (1) pediatricians feel inundated by collective professional and personal pressures, (2) pediatricians feel they have lost control over how time at work is spent, and (3) obscured professional-personal boundaries can cause erosion of personal life.

CONCLUSION:

Pediatricians identified three key barriers to well-being: collective pressures, including increasing and competing academic and clinical responsibilities; low value tasks that consume their time; and erosion of personal life. This study adds to the growing literature describing physician well-being as strongly influenced by workplace factors, and offers examples of modifiable factors for further investigation.

KEYWORDS:

Burnout; Physician Well-being

PMID:
32097783
DOI:
10.1016/j.acap.2020.02.018

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