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The EPEC-O Curriculum is produced by the EPEC TM Project with major funding provided by NCI, with supplemental funding provided by the Lance Armstrong Foundation. Education in Palliative and End-of-life Care - Oncology The Project EPEC-O TM
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EPECEPECOOEPECEPECOOO EPECEPECOOEPECEPECOOO Module 15 Burnout Cancer Doctors and Burnout Module 15 Burnout Cancer Doctors and Burnout EPEC – Oncology Education in Palliative and End-of-life Care – Oncology
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Overall message Recognize burnout early to minimize the associated distress
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Objectives l Define burnout l Recognize associated signs, symptoms l Know risk factors l Contrast burnout and depression l Identify techniques to decrease burnout l Define burnout l Recognize associated signs, symptoms l Know risk factors l Contrast burnout and depression l Identify techniques to decrease burnout
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Video
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What is burnout? l Psychological syndrome l Response to chronic interpersonal stressors l Psychological syndrome l Response to chronic interpersonal stressors
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Key dimensions of burnout... l Exhaustion l Depersonalization l Sense of Ineffectiveness l Exhaustion l Depersonalization l Sense of Ineffectiveness
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Signs and symptoms of burnout... l Fatigue l Physical / emotional exhaustion l Headaches l GI disturbances l Fatigue l Physical / emotional exhaustion l Headaches l GI disturbances l Weight loss l Insomnia l Depression l Boredom
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... Signs and symptoms of burnout l Frustration l Low morale l Job turnover l Impaired job performance l Quality of care l Frustration l Low morale l Job turnover l Impaired job performance l Quality of care
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The nature of oncologists’ burnout l 56% - sense of failure l 34% - depression l 20% - disinterest in practice l 18% - boredom l 56% - sense of failure l 34% - depression l 20% - disinterest in practice l 18% - boredom Whippen DA, Canellos GP. J Clin Oncol, 1991.
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Burnout and head and neck surgeons l Frustration with: Disease – 27% Government – 67% Economics – 58% l Frustration with: Disease – 27% Government – 67% Economics – 58% Johnson JT, et al. Head Neck, 1993.
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Burnout vs. Depression Burnout l Work specific l ‘In the battle’ Burnout l Work specific l ‘In the battle’ Depression l Pervasive l ‘Given up’ Depression l Pervasive l ‘Given up’
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Lifestyle management techniques to reduce burnout... l Recognize and monitor symptoms l Good nutrition l Meditation l Spiritual life l Recognize and monitor symptoms l Good nutrition l Meditation l Spiritual life l Grieve loss l Overtime l Exercise l Energy work
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... Lifestyle management techniques l Sense of humor l Consultation for severe symptoms l Discuss stresses l Seek new solutions l Time l Sense of humor l Consultation for severe symptoms l Discuss stresses l Seek new solutions l Time
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Preventive approaches to burnout l Address emotions that affect patient care l Changes in managerial practice l Improved communications l Address emotions that affect patient care l Changes in managerial practice l Improved communications
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Summary... l Burnout is prevalent l Monitor for signs and symptoms l Manage lifestyle l Address managerial issues l Burnout is prevalent l Monitor for signs and symptoms l Manage lifestyle l Address managerial issues
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EPECEPECOOEPECEPECOOO EPECEPECOOEPECEPECOOO... Summary Recognize burnout early to minimize the associated distress
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