21 Matching Annotations
  1. Sep 2021
    1. Discovering insights that prevent burnout and promote engagement will be valuable not only for health care teams but also for society’s overall health.

      Hopefully, this topic will be researched further in the future, and we will learn more about the causes of burnout. It would also be good if we could develop a strategy to prevent or reduce burnout in medical professionals so that workers are less affected. I hope that the solution to burnout is realistic and within many people's reach, so that more people can take the necessary steps to avoid burnout.

    2. PAs working in high burnout specialties—such as emergency medicine, primary care, hospice and palliative care, and oncology—appear to develop burnout at levels similar to their physician colleagues [10,11,35,36,40].

      In other circumstances, it is the task that people must do inside the professions that creates burnout, not the career itself. Because they work in the same fields, physicians and PAs experience similar levels of burnout. Some specialty may be more physically and emotionally demanding than others.

    3. All of these protective factors can potentially serve as resources that may buffer against occupational challenges unique to PAs and the development of professional burnout.

      It's wonderful that the medical industry is attempting to assist its employees and reduce emotional distress. This is helpful not just to PAs, but to everyone because when PAs are not burnt out and are satisfied with their jobs, work quality improves, keeping more patients safe and the hospital running smoothly. Although none of these measures may completely eliminate or prevent burnout, they can assist to reduce the likelihood of it occurring.

    4. Additionally, in fields where physician shortages are expected—such as primary care, orthopedics, and oncology—PAs are increasingly viewed as part of the health care workforce solution and may become even more susceptible to burnout over time [36,53,54].

      PAs are more prone to burnout in instances when particular fields have a lack of PAs and PAs are seen as part of the solution. This could be related to the fact that there are fewer PAs in the field, thus there is more work for the ones who are there. They are required to accomplish a lot of work due to the restricted number of PAs, and they are expected to do it without making any mistakes. They may feel helpless, trapped, burdened, and a range of other negative emotions.

    5. he influence of scope of practice, team-based dynamics, and career flexibility on symptoms of burnout and career and job satisfaction warrants further evaluation.

      Teamwork reduces the risk of burnout because you feel less pressure when you work with others since you know you can call on others for aid if you need it. Because multiple individuals share ideas and collaborate to achieve a task, teamwork helps work get done faster and more efficiently. Flexibility in one's job can benefit because it provides more than one alternative, so if someone is unhappy with their present speciality, they can always switch to one that better suits their interests.

    6. whereas general misunderstanding of the PA role (role ambiguity) resulted in dissatisfaction.

      Before high school, I did not know that the PA profession even existed. The job is not that well known and people can often mistake PAs with other professions such as nurses or doctors. This can aggravate a person because they can feel like their profession is being unappreciated. They might feel disrespected because they do all this work for others to mistake them and give credit to someone else's profession.

    7. In addition, lower career satisfaction was associated with insufficient resources for managing patients with complex clinical conditions [12].

      Not being able to help someone when your job entails helping people and saving lives can be very difficult for many who work in the medical field. This can make a person feel helpless and insufficient because they virtually can't do much to help people with their problems. They can feel as if they aren't working to the best of their abilities or that they are inadequate because they are unable to help their patients.

    8. found a positive correlation between self-reported measures of EE and DP and accrued leave days (e.g., not taking time off) among active duty army clinicians [40].

      It is very dangerous to not take time off for your mental health since it can overwhelm a person. People must take pauses since humans are not designed to work continuously and without rest. Working without taking breaks can lead to physical and mental exhaustion, as well as potential burnout.

    9. Positively associated factors included not feeling valued by their SPs, not feeling encouraged professionally, and not receiving recognition for their contributions [36]. Despite the prevalence of burnout,

      Is it common for PAs to be underappreciated at work? I can see how a lack of appreciation might lead to burnout; if you put in a lot of effort and no one notices or acknowledges it, you may feel like you aren't doing enough. Since no one tells them that they're doing a good job or that their labor is appreciated, a person might start doubt themselves and their talents.

    10. Reports of symptoms of burnout were also positively associated with reports of dissatisfaction with supervising physicians (SPs), insomnia, and regular alcohol and tobacco use [35].

      What is the cause and effect relationship? Did PAs begin to drink and smoke as a result of the stress they faced at work, or did they already drink and smoke and began to do so excessively? I believe that a PA's displeasure with their supervising physicians may contribute to burnout because if you don't get along with your boss, work becomes a chore and you begin to dread going to work.

    11. ) symptoms of burnout, and “burnout” is defined as emotional exhaustion (EE), depersonalization (DP), and a reduced sense of personal accomplishment;

      I agree, however I believe that PAs can burn out before they even start working as PAs. I believe that the application procedure for becoming a PA is difficult and emotionally draining. I've seen a lot of tiktoks about aspiring PAs informing people how much they have to study for their careers and how it affects their lives negatively. Some people may begin to doubt whether studying for hours on end is worthwhile or if the workload is too much for them to handle.

    12. PAs are unique among health care providers in that they can, and often do, change specialties during their careers. Half of PAs change specialties at least once during the course of their career; 8.3 percent changed their specialties in 2014 [26,27]. Specialty mobility is an appealing feature of the profession, as it eliminates the pressure for PAs to choose a lifelong specialty in their early career and provides the opportunity to react to workforce demand trends and lifestyle changes.

      PAs have the opportunity to switch specializations, which can be immensely liberating for some people because they are no longer bound to a single speciality. What if switching specialty has a negative impact on some people? Changing careers more than once might be stressful because you must adjust to the new speciality and forget about your previous routine in order to become accustomed to your new one. This varies by person, but I believe that is one of the reasons why some PAs become burned out.

    13. Contributing factors to the prevalence of burnout include the strain on the US health care system caused by increased demand for health services, due to expanded health care access; increased workloads; and the administrative burden resulting from the implementation of electronic health records [3,4,5,6].

      This reminds me of the situation we are currently in with the pandemic and Covid-19. Covid-19 has effected many lives negatively but personally I feel like people who work in the medical profession were some of the people who had been impacted the most. When Covid-19 was at its peak, there would be hundreds and sometimes thousands of people being hospitalized on the daily. This put a lot of pressure on doctors, nurses, and PA's because thousands of people's lives depended on them and many people died in their care. It was emotionally taxing because they had to deal with death everyday and some of them felt as if it were their fault. Dealing with a human life is something that is very stressful and having your patients die on you can make a person experience burnout and feel like they are not good enough.

    14. One cross-sectional study suggested that PAs who identified as African American, Native American, and Hispanic/Latino may be less satisfied with the PA profession [50].

      Do BIPOC receive discrimination in their jobs? Do they get paid less than their white coworkers? What can be a solution for low satisfaction in the profession for minorities?

    15. Although men were slightly more satisfied with their careers and specialty choices than women,

      I wonder why that is, do men get paid more than women in this profession? Are men treated with more respect in this field? Is there a universal reason why females are less satisfied with their jobs or do different people have different reasons why?

    16. Compared to male PAs, a higher percentage of female PAs had quit a job due to stress (25.6 percent versus 32.2 percent).

      Is there a reason for this? Do men and women get treated differently in the profession? Is there discrimination towards women in the field? Do women quit because of workload stress or work environment stress?

    17. . Data on debt load have been discussed elsewhere. In family medicine, the median debt load for female PAs is $100,000, compared to $175,000 for female physicians [29].

      Is debt load different for male PAs compared to female PAs? Do male PAs have less or more debt load than female PAs? Why do male and females have different amount debt loads?

    18. In response to generational changes, economic demands, and shifts in societal norms and gender roles, the PA profession has undergone four major trends over the last three decades [16]: growth in the workforce, increased proportion of women in the profession,

      Women currently make up a larger percentage of the medical profession than they did in the past. Medical school was regarded as a more manly career with a male-dominated field. As women gained more rights over time, they began to enter more male-dominated professions such as law and medicine. I found several articles on Google Scholar about the feminization of physician assistants while searching for this topic.

    19. The first three PAs graduated from Duke University in 1967, and the PA profession now graduates approximately 8,000 students annually from 236 accredited programs [17,18]. There were over 123,000 PAs in the workforce in 2017 [19,20]. PAs currently comprise approximately 10 percent of the combined physician assistant/nurse practitioner (NP)/PA workforce [20,21,22].

      Over time, more people began to pursue a career as a physician assistant, resulting in increased competition for positions in the sector. Competition usually causes additional tension since, as more individuals join, you need to stand out in order to be selected. This can produce a hostile or overwhelming environment, leading to discouragement or a desire to work harder, to the point where they study for hours on end in order to get the job. I know it sounds ridiculous because this is a problem that can't truly be fixed, more individuals will inevitably enter the profession, making it more competitive.

    20. Burnout is prevalent among many health care professionals, including doctors, nurses, dentists, pharmacists, and physician assistants (PAs) [2].

      There are a lot of people who have burnout in the medical field due to how taxing the jobs are both emotionally and physically. People who work in the medical field often have poor work-home balances which can cause them to feel overwhelmed and stressed. Jobs in the medical field require people to work for hours and expect their workers to always be on their feet. Even after graduating medical school, doctors, nurses, and pa's continue learning new things everyday.

    21. Burnout is linked to increased health care costs, medical errors, and poor patient outcomes.

      Burnout is emotional exhaustion because a person feels overwhelmed and stressed about certain things. Severe and continuous stress causes burnout, which is a state of emotional, bodily, and mental depletion. Being burnout can have serious side effects on your mental, physical, and emotional health.