2017 HSC Section 2 - Practice Management

C. Otolaryngology workforce composition Hughes CA, McMenamin P, Mehta V, et al. Otolaryngology workforce analysis. Laryngoscope . 2016; 126 Suppl 9:S5-S11. EBM level NA.......................................17-23 Summary : This article evaluates several database sources regarding the supply and demand of otolaryngologists in the United States. The article concludes that the available workforce is below the forecasted needs in future years for the U.S. population. The demographics of the workforce and data reporting the most common diagnoses reported during otolaryngology visits are also presented. Fletcher AM, Pagedar N, Smith RJ. Factors correlating with burnout in practicing otolaryngologists. Otolaryngol Head Neck Surg . 2012; 146(2):234-239. EBM level 4...........................................................................................................................24-29 Summary : This is a comprehensive study of burnout among practicing ENTs, and is not just focused on academic ENTs. The study showed that younger age, hours worked per week, and fewer years in practice were the most significant predictors of burnout, whereas length of time in marriage was protective. Similar to other studies, findings indicated having children in the family also contributed to burnout. Shanafelt TD, Kaups KL, Nelson H, et al. An interactive individualized intervention to promote behavioral change to increase personal well-being in US surgeons. Ann Surg . 2014; 259(1):82-88. EBM level 4................................................................................30-36 B. Impaired physician DesRoaches CM, Rao SR, Fromson JA, et al. Physicians’ perceptions, preparedness for reporting, and experiences related to impaired and incompetent colleagues. JAMA . 2010; 304(2):187-193. EBM level 4............................................................................37-43 Summary : Self-policing of physicians is a keystone mechanism for the profession in identifying and managing impaired or incompetent providers. This large survey study found that more than 40% of physicians did not completely agree with the professional responsibility to report. While a majority of respondents (64%) felt well prepared to address an impaired colleague, 17% report having failed to report direct knowledge of an impaired or incompetent physician in the last 3 years. The report indicated the need to better educate physicians on the importance of reporting impaired colleagues as a patient safety issue and to reduce concerns of retribution or personal loss from reporting. This is an older paper, but high quality. Professionalism A. Physician burnout Summary : Surgeons do not self-assess their distress level well. Validated self-assessment tools may help promote changes to improve personal well-being.

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