Burnout in Physicians

Course #41033 - $35-


Self-Assessment Questions

    1 . The term "burnout" was first applied to humans
    A) by welfare workers in the 1930s.
    B) in the 1970s by psychiatrist Herbert Freudenberger.
    C) by social psychologist Christina Maslach in the 1980s.
    D) by social scientists in the early 2000s.

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    2 . As described by Maslach, the term burnout is now usually limited to mean
    A) loss of idealism in the helping professions.
    B) a mild degree of unhappiness caused by distress.
    C) a problem related to an individual, not the work environment.
    D) a syndrome of emotional exhaustion, depersonalization, and reduced personal accomplishment.

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    3 . Isolation and apathy characterize which stage of burnout?
    A) Stage 1
    B) Stage 2
    C) Stage 3
    D) Stage 4

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    4 . The root of burnout is in
    A) personality traits.
    B) demographic variables.
    C) the work environment.
    D) interpersonal relationships.

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    5 . Which of the following statements regarding personal risk factors for burnout is TRUE?
    A) Burnout is more prevalent among older individuals.
    B) Across most work settings, levels of burnout are greater in men than in women.
    C) The rates of burnout are higher among married workers and those with children.
    D) There are higher levels of burnout among workers with higher levels of education.

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    6 . In measuring burnout, which of the following is the best approach to gain a better understanding of the sources of stress for an individual?
    A) The full Maslach Burnout Inventory alone
    B) Three items from the Maslach Burnout Inventory
    C) The full Maslach Burnout Inventory with the General Health Questionnaire
    D) Two items from the Maslach Burnout Inventory and the Burnout Risk Survey

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    7 . The overall burnout rate among physicians is
    A) 3% to 4%.
    B) 14% to 20%
    C) 27% to 63%
    D) 82% to 90%.

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    8 . Which of the following statements regarding burnout according to physicians' career stage is TRUE?
    A) Burnout rates stay relatively stable through physicians' careers.
    B) The rate of depersonalization is greatest among late-career physicians.
    C) Burnout rates are higher among medical students and residents than among physicians.
    D) Burnout that develops early during medical training generally resolves during residency.

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    9 . Which of the following physician specialties is associated with the highest rate of burnout?
    A) Emergency medicine
    B) Critical care
    C) Dermatology
    D) Diabetes and endocrinology

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    10 . The most commonly reported causes of stress, job dissatisfaction, and burnout, across career stages and specialties, are
    A) type D personality, depression, and inadequate social supports.
    B) work overload, inadequate work-life balance, and lack of control over one's work.
    C) mandatory participation in work events, alcohol abuse, and low number of patients.
    D) strong working relationships, reliance on outdated documentation methods, and small practices.

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    11 . According to a survey of physicians, which of the following is the most satisfying factor in medical practice?
    A) Financial rewards
    B) Prestige of medicine
    C) Interaction with colleagues
    D) Forming relationships with patients

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    12 . Which of the following burnout risk factors is unique to physicians?
    A) Depression
    B) Long work hours
    C) Erosion of autonomy at work
    D) History of malpractice lawsuit

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    13 . Which of the following mental health factors is more prevalent in physicians than the general population?
    A) Depression
    B) Suicidal ideation
    C) Alcohol abuse/dependence
    D) All of the above

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    14 . Which of the following statements regarding burnout and clinical work is TRUE?
    A) Burnout is associated with decreased productivity.
    B) In one study, burnout scores correlated with increases in professional effort.
    C) Research indicates that physicians most likely to leave practice are those in late-career.
    D) Stress and lack of control over one's work are the strongest predictors of intent to reduce clinical work hours or leave the current position.

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    15 . A high score on which MBI domain is associated with suboptimal patient care in physicians and residents?
    A) Depersonalization
    B) Mental quality of life
    C) Emotional exhaustion
    D) Personal accomplishment

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    16 . All of the following statements regarding burnout and suboptimal patient care or medical error are true, EXCEPT:
    A) Burnout was associated with self-reports of suboptimal care in a study of emergency medicine physicians and residents.
    B) Reporting a major medical error during the last three months was significantly associated with burnout among surgeons.
    C) Studies of family physicians and general internists have shown no consistent relationships between burnout, medical errors, and quality of care.
    D) For each 1-point increase in the score in the emotional exhaustion domain, there was a 44% increase in the likelihood of reporting a medical error.

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    17 . Which of the following statements regarding prevention of stress and burnout in physicians is TRUE?
    A) Physicians have been shown to accurately define their own well-being.
    B) No guidelines exist for the incorporation of identifying and managing practitioner health issues.
    C) Many physicians seek help for stress or burnout because of the belief that these conditions are abnormal for the profession.
    D) Self-care warrants particular emphasis for physicians, as they have been trained to put the care of others ahead of themselves.

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    18 . Which of the following is an effective organizational-level strategy for managing stress and preventing burnout?
    A) Discourage strong leadership styles.
    B) Create a healthy work environment.
    C) Participate in outside interests and/or volunteer activities.
    D) Make documentation a personal priority (i.e., do not delegate these tasks).

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    19 . Interventions to enhance mindfulness in physicians have led to
    A) more patient-centered communication.
    B) increases in indicators of stress and depression.
    C) only very short-term improvements in well-being.
    D) lower scores on the personal accomplishment scale of the MBI.

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    20 . Which of the following statements regarding the promotion of a healthy medical work environment is TRUE?
    A) Flexible scheduling is an important element of a healthy work environment.
    B) Physicians can become champions of a healthy work environment by developing or participating in a wellness committee.
    C) Programs offering physicians an opportunity to meet with colleagues in a structured format substantially reduced the rate of burnout.
    D) All of the above

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