Forty-two percent of physicians said they feel burned out, while 15% reported feeling depressed, according to a new Medscape survey. Half of those who reported burnout experienced those feelings on a regular basis. Of the smaller number of physicians who reported depression, 70% called it "colloquial," while 19% said they had clinical depression. Those reporting to be the happiest at work were ophthalmologists, orthopedists, plastic surgeons, and pathologists. Those who were the least happy included clinicians in diabetes and endocrinology; family medicine; critical care; internal medicine; and, at the bottom, cardiology. Some 15,000 physicians from 29 specialties participated in the Medscape survey. Burnout was reported at the highest rates by critical care physicians (48%), neurologists (48%), and family medicine doctors (47%). In a large number of specialties, 40% or more of the respondents said they felt burned out. Among oncologists, 39% reported burnout. Lower numbers — but still somewhat large — of orthopedic physicians (34%), ophthalmologists (33%), pathologists (32%), and dermatologists (32%) said they were burned out. The smallest number of clinicians who said they were burned out were plastic surgeons, with just 23% reporting that feeling. Medscape also asked whether physicians felt both burnout and depression. Ob/gyns were the leaders, with 20% saying they felt both. Specialists in public health and preventive medicine, urology, neurology, and family medicine followed. At the bottom, just 8% of psychiatrists said they were both burned out and depressed. Women tended to report feeling burned out more than men. Mid-career physicians also seemed to be hit the hardest, with half of those aged 45 to 54 reporting burnout. For those who said they felt depressed, the job was the biggest contributing factor, approaching a 6 on a 7-point scale used by Medscape. Finances followed, at around 4, with health considered the least important factor in depression. Too much bureaucracy and paperwork was the main factor contributing to burnout, listed by 56% of respondents. Spending too much time at work, and lack of respect — from colleagues, administrators, or staff — took the second and third spots. Government regulations, decreasing reimbursement, emphasis on profit over patients, and maintenance of certification requirements were all also listed as burnout factors, but were less important, with only about 15% to 16% of respondents citing those. Disconnect on Perceived Impact on Care Medscape asked physicians who reported feeling depressed whether their depression had any impact on patient care. Some 40% said it did not affect their interaction with patients. However, about a third said they were less engaging, more exasperated, and less friendly with patients because of their depression. Fourteen percent of respondents said they make errors that might not otherwise occur. A larger number seemed to recognize that their distress was affecting interactions with staff and colleagues. Forty-two percent admitted to being less engaged with or actively listening to staff and peers. An equal number acknowledged being more easily exasperated, and a slightly smaller percentage said they were less friendly and that they expressed frustration in front of colleagues and staff. Source
