Unbalanced but Satisfied?

نویسنده

  • Asha N. Shenoi
چکیده

During my fellowship training in critical care, my then 4-year-old daughter drew my picture in shabby scrubs with two dark circles around my eyes, and named it " mommy panda " depicting my sleep deprived and exhausted existence. At that time, I was spending about two and a half hours commuting, braving Atlanta traffic, while my husband pursued his PhD training in New York. My situation as an anchor parent of a young child with no family around and the demands of an emotionally and physically challenging fellowship training generated lots of sympathy and concerns from well-wishers and colleagues. They saw my life as unbalanced, at risk of burnout, and it is true that they had some reasons to worry since the odds were not in my favor. Physicians in general and particularly those exposed to unremitting high level of stress in specialties such as critical care are at high risk of burnout (1), a condition resulting from cumulative stress at work characterized by emotional exhaustion, depersonalization, and lack of personal accomplishment (2, 3). Emotional exhaustion is a key component in physician burnout (2), and the reported incidence in the US ranges from 25 to 60% (4, 5). To avoid becoming yet another victim, I tried to learn what we already know about the risk and protective factors associated with physician burnout. Available evidence describes a number of work and personal factors often associated with physician burnout. Work characteristics such as heavy workload, poor work organization, conflicts with coworkers, patients and their families, and perceived lack of control of work hours and schedule, specialty choice and practice settings are reported as risk factors in both sexes (6–9). Parenting responsibilities, career and work schedule of a significant other, and the strength of social support are some of the factors identified in studies that have examined life style factors (10). As I understood, rather than individual factors, the interplay between these factors forming tension between personal and professional responsibilities, labeled as " work home interference " appears to be at the heart of burnout (11). During my training and the first few years of practice, I often found solace in the belief that " things get better with time. Evidence suggests that this may be true as younger physicians have twice the incidence of burn out as older colleagues, and onset may be as early as during training (4). Younger physicians, those …

برای دانلود رایگان متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Increased satisfaction after total knee replacement using sensor-guided technology.

The aim of this prospective multicentre study was to report the patient satisfaction after total knee replacement (TKR), undertaken with the aid of intra-operative sensors, and to compare these results with previous studies. A total of 135 patients undergoing TKR were included in the study. The soft-tissue balance of each TKR was quantified intra-operatively by the sensor, and 18 (13%) were fou...

متن کامل

Sliding-Mode-based Improved Direct Active and Reactive Power Control of Doubly Fed Induction Generator under Unbalanced Grid Voltage Condition

This paper proposes an improved direct active and reactive power control (DPC) strategy for a grid-connected doubly fed induction generator (DFIG) based wind-turbine system under unbalanced grid voltage condition. The method produces required rotor voltage references based on the sliding mode control (SMC) approach in stationary reference frame, without the requirement of synchronous coordinate...

متن کامل

A New Dead Time Compensation method for Stand - alone Inverter under Unbalanced Loads

phase stand-alone inverter is caused by unbalanced load and a dead time distorts inverter output voltage more unsymmetrically. When the inverter supplies unbalanced load, three phase output voltages include unbalanced odd harmonics but dq-axis voltages at synchronous reference frame have even harmonics with different magnitude each other. In this paper, a new compensation method is proposed to ...

متن کامل

The mediating role of emotion regulation difficulty in the relationship between balanced and unbalanced family functions with symptoms of eating disorders in adolescents

Eating disorders are among the most harmful psychiatric disorder, associated with important medical and psychological illnesses that cause significant personal, family, and social costs. The aim of the present study was to determine the mediating role of emotion regulation difficulty in the relationship between balanced and unbalanced family functions with eating disorder symptoms in adolescent...

متن کامل

A model-based PDPC method for control of BDFRG under unbalanced grid voltage condition using power compensation strategy

Brushless doubly fed reluctance generator (BDFRG) has been recently suggested as a wind generator. Different control methods are presented in literature for the BDFRG, but there is a gap on control under unbalanced grid voltage condition (UGVC). This paper presents a predictive direct power control (PDPC) method for the BDFRG under UGVC. The proposed PDPC method is based on power compensation s...

متن کامل

Meal patterns in relation to the supply of branched-chain amino acids in pigs.

When a diet deficient in Val with excessive Leu is offered to pigs, feed intake is reduced. The physiological mechanisms underlying the rejection of branched-chain AA (BCAA) unbalance are unknown. A meal pattern analysis was performed to determine how pigs respond to the ingestion of a diet unbalanced in BCAA to identify the mechanisms responsible for the aversive response of such a diet. Eight...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

عنوان ژورنال:

دوره 3  شماره 

صفحات  -

تاریخ انتشار 2015