Lotte N. Dyrbye's research while affiliated with University of Colorado and other places

... These microaggressions, harassment, or discrimination against women can be observed in regions with questionable medical professionalism, underestimating their potential and skills in practice. These behaviors can lead to frustration and negative emotions that culminate in psychiatric disorders, suicidal ideation, or suicide (36). Emotional burden and the impostor phenomenon are additional factors that may perpetuate and worsen symptoms over time. ...

... During the COVID-19 pandemic, 65 % of nurses and 62.8 % of physicians (Shanafelt et al., 2022) reported burnout. A common resulting or co-existing effect of burnout is depression (Zisook et al., 2022) and anxiety (Goldberg et al., 2020). ...

... Another important direction for future research is the relationship between LDP participation and physicians' well-being [75,104]. In this review, well-being outcomes were largely absent, which is surprising, given the alarming burnout levels reported among physicians [105]. Professionally fulfilled physicians are needed to navigate challenging healthcare developments, such as aging populations with comorbidities [106]. ...

... The burnout rhetoric is as much the exhausting circumstances physicians work under as disillusionment in the systems for which they work (Ofri, 2019a). The increasing influence and degree of avarice among nonphysician stakeholders in US healthcare (pharmaceutical firms, large health system, and hospital executives, for-profit nursing home and hospice companies, private equity investors in healthcare) (Berwick, 2023) coupled with information-related (EMR/EHR) stress (Friedberg et al., 2014;Woolhandler & Himmelstein, 2014) have led to concerning levels of dissatisfaction and despair among roughly half of all US physicians (Shanafelt et al., 2021). Endless series of pay-for-performance (McWilliams, 2022) and quality assessment and improvement initiatives (Rosenbaum, 2022a) add more administrative work to physicians' workloads and incentivize gaming of the systems (Rosenbaum, 2022b). ...

... The workload issues such as high patient flow, limited staffing, lack of supervision, and inadequate support staff or infrastructure are common in ED. 6 High workload is also linked to burnout, intention to leave, and greater prescribing errors among EPs. 7,8 Work Schedule: Lack of time off, frequent interruptions, and long shifts are also associated with physical and emotional wear out and mental fatigue among EPs. It further complicates decision-making and independent functioning. ...

... Burnout is well-documented and highly prevalent in EHCWs [13][14][15][16][17][18][19][20][21][22][23][24]. Our results demonstrated an average burnout rate of 56.5%, consistent with prior studies [13][14][15][16][17][18][19]. ...

... The literature suggests that physicians with consistent daily self-care routines have better psychological well-being profiles, provide better quality care to patients, and have a larger percentage of patients who adopt healthy lifestyles (Kuhn and Flanagan, 2017;Dyrbye, Shanafelt and West, 2019;Shanafelt et al., 2020;Trockel et al., 2020). Further, research suggests those with established personal self-care habits positively influence their patients to take an active role in healthcare activities and practice self-care (Sanchez-Reilly et al., 2013). ...

... Physicians' well-being has been shown to positively contribute to patient satisfaction and quality of care [1]. In recent years, studies have shown a decrease in physician well-being and career satisfaction, as well as an increase in burnout [2,3]. General internal medicine (GIM) is particularly affected by this trend [4,5]. ...

... Workers in all sectors of the economy are experiencing high levels of burnout (McKinsey & Company, 2022) degraded mental health and general work disengagement (Dyrbye et al., 2017;National Institute for Occupational Safety and Health, 2022). Many workers, especially nurses and other essential workers, are often confronted with difficult trade-offs involving their personal and professional values as they attempt to balance their own safety and well-being with health risks and job requirements. ...

... With recent developments in generative AI and other AI applications in healthcare, we are just at the beginning of the AI revolution and substantial contributions to healthcare are coming. However, the use of AI to reduce cognitive and work 22 and career regret 23 burden must be a priority. To take advantage of AI's full potential and to minimize potential downsides, vendors and users must work together to develop AI functionality that addresses these issues. ...