Ceux des MDs au Canada est ...

Wednesday � August 20 � 2003 

Nearly half of MDs are burned out: study
  
Mary Vallis  
CanWest News Service 

 
WINNIPEG -- An alarming number of Canadian doctors are suffering from
burnout and may abandon their practices as a result, a new study
suggests.

A survey conducted for the Canadian Medical Association (CMA) between
February and June found nearly half (45.7 per cent) of the responding
physicians were in "an advanced phase of burnout," characterized by
emotional exhaustion, cynicism and feelings of ineffectiveness in
their work. 

"Physicians are facing increasingly harsh realities -- worsening work
conditions, regressive government legislation and being shut out of
decision-making at all levels of government," said CMA president Dr.
Dana Hanson. "The result is clear. More and more physicians are
suffering from burnout."

The survey suggests the proportion of burned-out doctors is higher
than in other professions. About 40 per cent of Canada's general
population reports having such feelings, the CMA said.

The trend was most pronounced among young doctors: More than half --
51.5 per cent -- of the respondents between the ages of 35 and 44
were in an advanced stage of burnout.

In response to the results, Dr. Hanson announced the launch of the
Centre for Physician Health and Well-Being yesterday at the CMA's
annual meeting.

The centre will be a national resource for physicians who need
assistance, providing them with Web resources and a national help
line in addition to provincial programs that are already in place. It
will be advertised in medical journals and magazines this fall.

Dr. Hanson said during his tenure as president, his conversations
with doctors throughout Canada suggested burnout was becoming a
serious problem.

"These were people who were hurting and were reaching out. I think
we, as a profession, have to do better in reaching out to those
people."

Dr. Michael Kaufmann, director of the Ontario Medical Association's
physician health program, said confronting the issue is vital because
burned-out doctors may abandon their practices, he said.

"We need to promote a productive working environment which allows the
doctors to believe in what they're doing, and enjoy the honour of
what they're doing, because that's the way it ought to be."

The majority of doctors who responded to the CMA's questionnaire, 58
per cent, said their personal or family life has suffered because
they chose careers in medicine. Many of the respondents said they
felt trapped by their obligations to patients.

"I strive to appear to be patient and enthusiastic to patients and
colleagues and put their needs ahead of my own," one doctor wrote.
"Meanwhile, I'm silently burning out inside, and finding work less
rewarding. I would quit practising medicine, but I'm trapped..."

Female doctors were more likely to report burnout than their male
counterparts -- 47.6 per cent vs. 44.6 per cent.

"The question of physician morale hasn't been taken sufficiently
seriously," said Dr. Danielle Martin, president of the Canadian
Federation of Medical Students. She worries the statistics could
deter the best and brightest candidates from entering the field.

"What kind of intelligent human being ... would look at a profession
where more than half of the people are totally burned out and say,
'Gee, that's what I'd love to do for the rest of my life'? "

The results of the survey, which included responses from 2,251
doctors, is considered accurate within 2.1 percentage points, 19
times out of 20.

� Copyright 2003 The Ottawa Citizen 
 


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