Physician, Humble Thyself – Humility In Medicine
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Physician humility is crucial for tackling modern healthcare challenges, building patient trust, and fostering collaboration in medical environments. However, significant challenges exist in cultivating humility and require substantial individual and collective actions to ensure the integrity of the medical profession, enhance patient care, and support healthcare providers’ well-being.
Source
Physician Humility: A Review and Call to Revive Virtue in Medicine. Ann Intern Med. 2024 Jul 30. doi: 10.7326/M24-0842. Online ahead of print. PMID: 39074373.
The Scribe Effect – When Help Turns into Hindrance
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The MISSION Act Scribes Trial evaluated the implementation of medical scribes in Veterans Health Administration (VHA) EDs. Contrary to expectations, scribes decreased provider productivity and increased patient throughput times.
Source
Effect of the Maintaining Internal Systems and Strengthening Integrated Outside Networks (MISSION) Act Scribes Trial on Emergency Department Provider Productivity and Patient Throughput Times. J Emerg Med. 2024 Jul;67(1):e89-e98. doi: 10.1016/j.jemermed.2024.03.036. Epub 2024 Mar 30.
How Badly Do We Function After a String of Nights?
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Residents working in the emergency department were found to do significantly worse on cognitive tests and moral performance after working 5 consecutive night shifts compared to 5 day shifts.
Source
Effect of serial night shifts on the cognitive, psychomotor, and moral performance of residents in the department of Emergency Medicine. Acad Emerg Med. 2024 Jul 15. doi: 10.1111/acem.14980. Online ahead of print. PMID: 39007435
Administering Harm – A Deep Dive into Hospital Headaches
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There are significant administrative burdens faced by hospitalists and administrative leaders, which negatively impact efficiency, well-being, and job satisfaction. The findings highlight the importance of systematically identifying and measuring administrative burdens as a critical step towards creating healthier work environments, thereby optimizing healthcare delivery.
A Solution to Burnout – More Vacation?
Exciting news! JournalFeed and Dr. Amal Mattu's Top Picks Video Series is set to GO LIVE this week! It's free for Gold Spoon members or you can just get the video series. Watch this trailer and get excited!
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This survey of US physicians found taking more than 3 weeks of vacation per year was associated with lower rates of burnout, while spending 30 minutes or more per vacation day on patient-related work was associated with increased burnout.
Source
Vacation Days Taken, Work During Vacation, and Burnout Among US Physicians. JAMA Netw Open. 2024 Jan 2;7(1):e2351635. doi: 10.1001/jamanetworkopen.2023.51635.
For Christmas – Can You Have Your Cake and Eat It Too?
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In this spoof BMJ article, some of the delightful Christmas desserts on the Great British Baking show actually have ingredients that might be good for you. The authors' conclusion: "This Christmas, if concerns about the limitations of observational nutrition research are set aside, you can have your cake and eat it too." We wish you a Merry Christmas!
Source
Association of health benefits and harms of Christmas dessert ingredients in recipes from The Great British Bake Off: umbrella review of umbrella reviews of meta-analyses of observational studies. BMJ. 2023 Dec 20:383:e077166. doi: 10.1136/bmj-2023-077166.
How to Help Hurting Colleagues – Suicide Risk in Healthcare Workers
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This cohort study of 1.8 million US healthcare workers (HCWs) found that registered nurses, health technicians, and health care support workers in the US were at increased risk of suicide relative to non-HCWs.
Source
Suicide Risks of Health Care Workers in the US. JAMA vol. 330,12 (2023): 1161-1166. doi:10.1001/jama.2023.15787
How to Lower Your Mortality (And Your Patients) – One Step at a Time
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There is a nonlinear inverse dose-response trend between daily step count and all-cause death and cardiovascular disease, with progressive risk reductions starting at as few as 2500 to 2700 steps/day, independent of sex. Walking faster provided additive health benefits.
Source
Relationship of Daily Step Counts to All-Cause Mortality and Cardiovascular Events. J Am Coll Cardiol. 2023 Oct 10;82(15):1483-1494. doi: 10.1016/j.jacc.2023.07.029. Epub 2023 Sep 6.
Regret, Strain, Infertility – Building Families as Physicians and Medical Students
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Growing a family while also navigating medical training is associated with delayed childbearing, and many physicians on this path experience regret, infertility, relational strain, and specific stresses associated with the use of assisted reproductive technology (ART).
Source
Psychosocial Burdens Associated With Family Building Among Physicians and Medical Students. JAMA Intern Med. 2023 Jul 24:e232570. doi: 10.1001/jamainternmed.2023.2570. Epub ahead of print. PMID: 37486671.
Leaving So Soon? Why Women Are Retiring from EM Early
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On average, female EM physicians leave clinical practice 12 years younger than their male counterparts, after fewer years of practice, and the amount of time spent in the workforce is decreasing over time. We need to identify and implement systemic fixes to stop this.
Source
Emergency medicine physician workforce attrition differences by age and gender. Acad Emerg Med. 2023 Jun 14. doi: 10.1111/acem.14764. Online ahead of print.