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It's the Culture!-How systemic and societal constructs impact well-being
Amy E Vinson1, Patricia R Bachiller1
1Department of Anesthesiology, Critical Care and Pain Medicine, Boston Children's Hospital & Harvard Medical School, Boston, MA, USA.
Paediatric Anaesthesia
|October 27, 2020
Summary
Pediatric anesthesiologists face significant challenges impacting their well-being, stemming from medical training, occupational demands, and societal factors. Addressing these systemic issues is crucial for improving physician wellness in pediatric anesthesia.
Area of Science:
- Medical Education and Training
- Occupational Health
- Societal Factors in Healthcare
Background:
- Pediatric anesthesiologists operate within complex cultural, systemic, and societal contexts.
- These external factors significantly influence the well-being and mental health of these medical professionals.
Purpose of the Study:
- To provide an overview of the influences on pediatric anesthesiologists' well-being.
- To highlight key areas for intervention by society, institutions, and field leaders.
Main Methods:
- Review of burnout-promoting aspects in medical education and training.
- Survey of occupational factors affecting pediatric anesthesiologists.
- Description of societal barriers impacting physician wellness.
Main Results:
- Medical education and training contribute to burnout.
- Occupational factors include high-stakes environments, health hazards, time pressure, and reduced autonomy.
- Societal barriers encompass marginalization, malpractice litigation, psychiatric care stigma, and reimbursement issues.
Conclusions:
- Improving physician wellness requires a concerted effort from society, the broader medical system, and leadership within pediatric anesthesia departments.
- Addressing systemic and societal factors is essential for enhancing the well-being of pediatric anesthesiologists.
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