Agana Denny Fe, Porter Maribeth, Hatch Robert, Rubin Daniel, Carek Peter
Department of Community Health and Family Medicine, University of Florida.
Fam Med. 2017 Sep;49(8):622-625.
Family physicians report some of the highest rates of burnout among their physician peers. Over the past few years, this rate has increased and work-life balance has decreased. In academic medicine, many report lack of career satisfaction and have considered leaving academia. Our aim was to explore the factors that contribute to job satisfaction and burnout in faculty members in a family medicine department.
Six academic family medicine clinics were invited to participate in this qualitative study. Focus groups were conducted to allow for free-flowing, rich dialogue between the moderator and the physician participants. Transcripts were analyzed in a systematic manner by independent investigators trained in grounded theory. The constant comparison method was used to code and synthesize the qualitative data.
Six main themes emerged: time (62%), benefits (9%), resources (8%), undervalue (8%), physician well-being (7%), and practice demand (6%). Within the main theme of time, four subthemes emerged: administrative tasks/emails (61%), teaching (17%), electronic medical records (EMR) requirements (13%), and patient care (9%).
Academic family physicians believe that a main contributor to job satisfaction is time. They desire more resources, like staff, to assist with increasing work demands. Overall, they enjoy the academic primary care environment. Future directions would include identifying the specific time restraints that prevent them from completing tasks, the type of staff that would assist with the work demands, and the life stressors the physicians are experiencing.
家庭医生在同行中报告的职业倦怠率较高。在过去几年中,这一比率有所上升,工作与生活的平衡有所下降。在学术医学领域,许多人报告职业满意度低,并考虑离开学术界。我们的目的是探讨影响家庭医学系教员工作满意度和职业倦怠的因素。
邀请六个学术性家庭医学诊所参与这项定性研究。进行焦点小组讨论,以便主持人与参与的医生之间进行自由流畅、丰富的对话。由接受过扎根理论培训的独立研究人员对访谈记录进行系统分析。采用持续比较法对定性数据进行编码和综合。
出现了六个主要主题:时间(62%)、福利(9%)、资源(8%)、低估(8%)、医生幸福感(7%)和业务需求(6%)。在时间这一主要主题中,出现了四个子主题:行政任务/电子邮件(61%)、教学(17%)、电子病历(EMR)要求(13%)和患者护理(9%)。
学术性家庭医生认为工作满意度的一个主要因素是时间。他们希望获得更多资源,如工作人员,以应对不断增加的工作需求。总体而言,他们喜欢学术性初级保健环境。未来的方向将包括确定阻碍他们完成任务的具体时间限制、有助于满足工作需求的工作人员类型以及医生正在经历的生活压力源。