BookCynthia M. Stonnington, Julia A. Files, editors.
Summary: This book is the first to dissect the factors contributing to burnout that impact women physicians and seeks to appropriately address these issues. The book begins by establishing the differences in epidemiology between female physicians and their male counterparts, including rates of burnout, depression and suicide, chosen fields, caregiving responsibilities at home, career tradeoffs in dual physician marriages, patient satisfaction and outcomes, academic rank, leadership positions, salary, and turnover. The second part of the book explores the drivers of physician burnout that disproportionately affect women, each chapter beginning with a case vignette. This section covers many issues that often go unrecognized including unconscious bias, sexual harassment, gender role conflicts, domestic responsibilities, depression, addiction, financial stress, and the impact related to reproductive health such as pregnancy and breastfeeding. The book concludes by focusing on strategies to prevent and/or mitigate burnout among individual women physicians across the career lifespan. This section also includes recommendations to change the culture of medicine and the systems that contribute to burnout. Burnout in Women Physicians is an excellent resource for physicians across all specialties who are concerned with physician wellness and burnout, including students, residents, fellows, and attending physicians.
Contents:
Intro
Foreword
Sex as a Biological Variable
Preface
A Commentary on Gender and Nomenclature
Contents
Contributors
Introduction
Editors' Commentary: Future Directions and Opportunities for Further Research
References
Part I: How Do Women Physicians Differ from Their Male Counterparts?
1: Sex, Gender, and Medicine
References
2: Patient Satisfaction and Outcomes
Patient Satisfaction Scores, Patient Outcomes, and Burnout
Patient Satisfaction Scores
Physician-Patient Communication
Gender Concordance and Patient Satisfaction Scores
Outcomes of Female Physicians
References
3: Rates of Burnout, Depression, Suicide, and Substance Use Disorders
Vignette
Introduction
Definition
Importance of Epidemiological Data
Correlations of Burnout with Depression, Substance Use Disorders, and Suicide
Epidemiology of Burnout in Women Physicians
Understanding Variability in the Data
The Maslach Burnout Inventory
Systems of Care and Personal Factors That Contribute to Burnout
Physicians Versus Other Professionals
Risk Factors for Physician Burnout
Roles and Responsibilities
Learner and Early Career Physicians
Work Satisfaction
Epidemiology of Depression in Women Physicians
Relationship of Burnout and Depression
Rates of Physician Depression
Epidemiology of Suicide in Women Physicians
Physician Death via Suicide
Suicide Rates Among Physicians
Suicide Rates Among Medical Trainees
Suicide Rates Among Women Physicians
Epidemiology of Substance Use Disorders in Women Physicians
Relationship of Burnout, to Substance Use and Suicide
Rates of Substance Use Disorders
Barriers to Care
References
4: Domestic Responsibilities and Career Advancement
An Exploration of the Influence of Gender and Domestic Responsibilities on the Trajectory of One's Career
Why the Gender Disparity?
Future Direction
References
Part II: Drivers of Burnout That Disproportionately Affect Women and Their Potential Solutions
5: Gender Stereotypes
Bias at the Table: Trapped Between a Sticky Floor and a Glass Ceiling
Bias at the Bedside: "Lady Doctors" Face Gendered Expectations with Staff and Patients
Panel Composition
Gender Bias and Satisfaction Surveys
Gender Bias, Occupational Segregation, and Stereotype Threat
Bias at Home: Parental Leave Is Leaving Both Men and Women Behind
Bias and Burnout: Putting It Together
References
6: Sexual Harassment
Introduction
How Common Is Sexual Harassment Toward Women Physicians?
When Patients Sexually Harass Their Physician
Sexual Harassment as It Relates to Trainees
How Do Women Physicians Respond to Sexual Harassment?
How Does Sexual Harassment Affect Women Physicians?
Legal Aspects of Sexual Harassment in Medicine
Solutions to Sexual Harassment in Medicine
References