Physician health challenges and return to work - insights from a research for physicians by physicians

Abstract

Introduction. High rates of burnout, suicide and hypertension complications among physicians suggest an occupational etiology. Generic assessments of the work environment are insufficient. We examine how physicians? ?participatory action research? with appropriate theoretical underpinnings provides insights. Work Stressor Models with Instruments Created ?for Physicians by Physicians?. Specific instruments based on the Job Demands-Resources model were developed by radiologists and psychosocial oncologists, aimed at ameliorating burnout. Increasing perceived value of work, frank discussions and communication between senior and junior colleagues were key The physician-specific Occupational Stressor Index based on an additive burden model in-formed by cognitive ergonomics was also developed by physicians. Total occupational stressor burden was high among physicians with cardiovascular disease. Long workhours, speed-up and job loss threat were associated with case status. Anesthesiologists and surgeons had the highest stressor burden, with nightshift work targeted for lowering risk. Associations between job stressors and cardiovascular risk were strongest among female physicians. Return to Healthier Work. Intervention studies on return-to-work regarding burnout, cardiovascular disease or malignancy are sparse among physicians. Reduced workhours and paid ?protected? time to discuss shared experience may be helpful. Clinical experience suggests that the physician-specific Occupational Stressor Index facilitates return to healthier work. Conclusions. Occupation-specific instruments developed ?for physicians by physicians? based on work stressor models can improve physicians? work con?ditions and health. Finding the best strategies for return-to-work among physicians with stress-related disorders remains a challenge. Modified work conditions can yield positive results. Return to healthier work enhances physician empowerment and often im?proves general work climate.