Evidence map›Paper›PMID 38974531›Full record

ArticleMayo Clinic proceedings. Innovations, quality & outcomes2024

Characteristics and Habits of Psychiatrists and Neurologists With High Occupational Well-Being: A Mixed Methods Study.

Alexis Amano, Nikitha K Menon, Stephanie Bissonnette, Amy B Sullivan, Natasha Frost, Zariah Mekile, Hanhan Wang, Tait D Shanafelt, Mickey T Trockel

Abstract read
In one paragraph

Article in Mayo Clinic proceedings. Innovations, quality & outcomes, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Alexis AmanoDepartment of Health Policy and Management, Jonathan and Karin Fielding School of Public Health, University of California, Los Angeles, CA.
Nikitha K MenonWellMD & WellPhD Center, Stanford University School of Medicine, Stanford, CA.
Stephanie BissonnetteDepartment of Neurology, Virginia Commonwealth University, Richmond, VA.
Amy B SullivanMellen Center for Multiple Sclerosis, Neurological Institute, Cleveland Clinic, Cleveland, OH.
Natasha FrostDepartment of Neurology, University of Wisconsin Hospitals and Clinics, Madison, WI.
Zariah MekilePGSP-Stanford Psy.D. Consortium, Palo Alto University, Stanford University, Palo Alto, CA.
Hanhan WangWellMD & WellPhD Center, Stanford University School of Medicine, Stanford, CA.
Tait D ShanafeltWellMD & WellPhD Center, Stanford University School of Medicine, Stanford, CA.
Mickey T TrockelWellMD & WellPhD Center, Stanford University School of Medicine, Stanford, CA.

Funding

AHRQ HHS T32 HS000046
6 · The paper itself

Abstract

Objective: To identify the characteristics that distinguish occupationally well outliers (OWO), a subset of academic psychiatrists and neurologists with consistently high professional fulfillment and low burnout, from their counterparts with lower levels of occupational well-being. Participants and Methods: Participants included faculty physicians practicing psychiatry and neurology in academic medical centers affiliated with the Professional Well-being Academic Consortium. In this prospective, longitudinal study, a mixed qualitative and quantitative approach was used. Quantitative measures were administered to physicians in a longitudinal occupational well-being survey sponsored by the academic organizations where they work. Four organizations participated in the qualitative study. Psychiatrists and neurologists at these organizations who competed survey measures at 2 consecutive time points between 2019 and 2021 were invited to participate in an interview. Results: Of 410 (213 psychiatrists and 197 neurologists) who completed professional fulfillment and burnout measures at 2 time points, 84 (20.5%) met OWO criteria. Occupationally well outliers psychiatrists and neurologists had more favorable scores on hypothesized determinants of well-being (values alignment, perceived gratitude, supportive leadership, peer support, and control of schedule). Ultimately, 31 psychiatrists (25% of 124 invited) and 33 neurologists (18.5% of 178 invited) agreed to participate in an interview. Qualitatively, OWO physicians differed from all others in 3 thematic domains: development of life grounded in priorities, ability to shape day-to-day work context, and professional relationships that provide joy and support. Conclusion: A multilevel approach is necessary to promote optimal occupational well-being, targeting individual-level factors, organizational-level factors, and broader system-level factors.

Identifiers

PMID38974531
PMCPMC11223072

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.