In April we attended the annual FSMB and FSPHP meetings. We presented three posters at the FSMB meeting. One explored factors important in remediating burnout. We explored the relationship among the level of self-efficacy, motivation, importance of change, personality and burnout in a group of physicians referred for remediation. The data support the importance of personality characteristics to the vulnerability to burnout. Our data also support the importance of self-efficacy and motivation to the remediation of burnout. The results have implications for both the screening and remediation of physicians experiencing burnout.
The second poster explored the relationship between level of insight, self-efficacy and outcome in a group of physicians referred for services secondary to concerns surrounding a lack of professionalism. Referred physicians were identified as having exhibited behavior that was disruptive to the system in which they were functioning (academic or work). Our data support the importance of insight and self-efficacy in the context of outcomes.
The third explored trauma in clients referred for assessment and or remedial services. Physicians were grouped according to reason for referral: substance abuse, disruptive behavior, and boundary violation. All four groups acknowledged experiencing trauma. Half of our sample acknowledged some form of trauma. che records of 104 physicians (88 male, 16 female) who had completed the Adverse Childhood Experiences (ACE) instrument, as a part of being referred for services were reviewed.
We also had a poster at the FSPHP meeting. In that poster, we were interested in gaining a greater understanding of the potential importance of health issues as a possible contributory factor in physicians referred for evaluation as a result of concerns about problematic workplace behavior (disruptive behavior, boundary violations, and professionalism). We hypothesized that referred physicians would have poorer health that the general population of physicians. As anticipated, the referred group had a high number of health problems. Comparison of their overall level of health relative to reported health levels of a large sample of practicing physicians suggested that the referred group were in poorer health. The data also suggested that there was no effect on age in global health measures. The study replicates finding from an earlier study that indicates that health independent of age, appears to be an important contributing factor to the performance of physicians.