Physician burnout, physician-patient communication and marketing advice your allergy practice - Twitter summary from #ACAAI16 meeting

Dr. Mark O'Hollaren spoke on: Reinvention of the Doctor-Patient relationship is key to physician-led healthcare transformation.

25% of employers in the US offer only high-deductible plans (i.e. $1200 USD). For patients on high deductible plans - 40% will choose not to get the tests recommended by their physicians. High deductible plans lead people to skip recommended testing. 40% will forego them.

A recent study asked if "my work schedule leaves me enough time for my personal/family life" - 63% of general population said yes, but only 36% of doctors.

What is burnout? "A progressive loss of idealism, energy and purpose" - involves emotional exhaustion, cynicism, ineffectiveness. 50-60% of physicians show evidence of burnout. Docs with stress burnout are increasing, it detrimentally impacts patient care.

Approximately 400 physicians per year in the US commit suicide. That's more than most graduating classes from medical school. Physician suicide rate higher than age matched controls. Men 40% above national rate. Women 130%!

Healthcare changes have caused a marked increase in physician burnout. The more burned out MDs are, the worse care they can provide. ICU outcomes worse where MDs score higher on testing for burnout.

Most doctors blame EMR for increased stress in practice. 73% of time on EHR only 27% with the patient! 73% of physician time spent on administrative tasks.

"Pajama time" is when physicians complete their documentation and other work at home in front of the computer. And the # 1 reason for physician stress is.....the electronic medical record. Docs spend on average 1-2 hrs at home/night with documentation.

The percentage of US physicians who have elected to work part time rather than full time increased from 13% to 17% from 2008-2014 (20,000 MDs).

Medical students start medical school with stronger mental health profiles than peers, but this reverses after 2 years of medical education.

@drstanfineman: Dr O'Hollaren shows Doctor-Patient relationship is still key even with healthcare delivery changes:

Professional Happiness is an antidote to Burnout. Needs to come from within. Internal change is the solution. External change is unfortunately not optional, but internal change certainly is.

"External change is the cause, internal change is the solution." Dr O'Hollaren speaking on physician burnout.

Incremental process improvement will not be effective in a response to a non-linear disruptive change, it must be transformative. A sustainable health care system results in healthy patients and healthy providers. "Physician quality of life" is as important as "patient quality of life".

A burnout immunization program: Learn to say “No”, prioritize what you value, actually take vacations, acknowledge your good work. Look at what is right, look out for your team. Use your team to decrease administrative burdens. Remember to care for your 'work family' as well; craft your team to focus on wellbeing, work to connect personally with each patient.

Next step? Become aware of your local, regional & national healthcare environments, see how you as an MD can engage to steer change. We should be a student of change. Work where you can influence change.

Evidence-based recommendations on patient greeting by health care providers in this slide:

Great talk on marketing for your allergy practice by @DrStanFineman:

A/I compensation by geography from MGMA data:

Salary discrepancy among female and male allergists:

This is a Twitter summary from #ACAAI16 meeting. The post is a part of series. See the rest here:

Several allergists did a great job posting updates on Twitter from the 2016 meeting of ACAAI, the hashtag was #ACAAI16. I used the website Symplur to review the tweets:

@docalergias @dranneellis @drsilge @davidshulanmd @dryesimdem @allergykidsdoc @mrathkopf

Presentation handouts are available from the ACAAI website:

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