Navigation Links
Hospital-based neurologists worry about career burnout

MAYWOOD, Il. - A survey has identified career burnout as a significant problem among neurologists who predominantly work with hospital inpatients.

Nearly 29 percent of these "neurohospitalists" said they had experienced burnout, and 45.8 percent said they were concerned about burnout but had not yet experienced it. (Burnout was defined as maintaining a schedule so burdensome as to limit the time a physician will or could spend as a neurohospitalist.)

Results were published in the December, 2012 issue of Neurology Clinical Practice. Among the co-authors is Jose Biller, MD, chair of the Department of Neurology of Loyola University Chicago Stritch School of Medicine. Biller is chair of the Neurohospitalist Section of the American Academy of Neurology.

Many neurologists have limited or abandoned seeing hospital patients because of reduced reimbursement. At the same time, inpatient neurologic care is becoming increasingly complex. The neurohospitalist movement has emerged as a possible solution to both problems.

In the survey, respondents said advantages of the neurohospitalist model include timely and high-quality care, improved continuity of care during the hospital stay, familiarity with hospital systems and defined work schedules.

Disadvantages included long work hours, poor reimbursement and transitions between the hospital and clinic settings.

Researchers conducted a random sample of 1,293 neurologists, with a response rate of 41.6 percent. Among those who responded, 16.4 percent said they were neurohospitalists. (A neurohospitalist was defined as a neurologist whose predominant focus is the care of inpatients as either a consultant or primary attending physician.)

Researchers surveyed an additional 498 neurologists (response rate, 55.8 percent) who specialize in such areas as critical care, stroke and emergency neurology and are thus more likely to be neurohospitalists. Combining results from both surveys, researchers found that the most common diagnosis neurohospitalists see is stroke and transient ischemic attack (mini stroke), 83.1 percent, followed by delirium/encephalopathy, 9 percent, and seizure, 2.6 percent.

Researchers concluded that neurohospitalists "are a potential solution to a number of the pressures on traditional neurologist practice." However, challenges need to be resolved, "not the least of which are potentially problematic transitions of care and burnout concerns given a small workforce. As the model matures, further study will be worthwhile, of both neurohospitalists and their impact on the inpatient care of patients with neurologic disorders."

Other co-authors are David J. Likosky, MD, of the University of Washington (first author), S. Andrew Josephson, MD, of the University of California San Fransisco, Mary Coleman of the American Academy of Neurology and W. David Freeman, MD, of the Mayo Clinic Jacksonville.

Biller is one of five neurohospitalists at Loyola. "I believe the neurohospitalist model we have developed at Loyola will evolve into a national paradigm on how to optimally provide care of hospitalized patients with a wide array of neurologic disorders," he said.

Biller added that hospital administrators "should support fellowship training for this new breed of neurologists."


Contact: Jim Ritter
Loyola University Health System

Related medicine news :

1. Hospital-based exercise programs benefit people with osteoarthritis
2. Food Safety Tips For a Worry-Free Tailgating Party
3. Weight gain worry for stressed black girls
4. When to worry about kids temper tantrums
5. Unexpected findings at multi-detector CT scans: Less reason to worry
6. No more lying about your age: Scientists can now gauge skin’s true age with new laser technique
7. Maternity Skin Care Line Pretty Mommies Offers Insight on Recent Article About Natural Personal Care Products
8. CB-1 Weight Gainer Commercial Sparks Conversation in Social Media World about the Weight Gain Pills
9. College Kids Not So Smart About Flu Shots, Study Finds
10. Kettlebell Training Expert Lorna Kleidman Comments on an Article about Risks of Ibuprofen Use for Athletes
11. MyPuress Releases Details About Groundbreaking New Product
Post Your Comments:
(Date:11/27/2015)... VVA (PRWEB) , ... November 27, 2015 , ... ... motto of progress through sharing, the 2016 Building Better Radiology Marketing ... The conference will begin on Sunday, March 6, 2016, at Caesars Palace in ...
(Date:11/27/2015)... ... 2015 , ... The moment you stop improving is the ... the needs of advisers and clients but going above and beyond to find ... service. However, there's always room for improvement, which is why the entire Consulting ...
(Date:11/27/2015)... (PRWEB) , ... November 27, 2015 , ... ... the largest, most successful and prominent nonprofit healthcare organizations in the country. They ... involvement with various organizations, and helped advance the healthcare industry as a whole ...
(Date:11/27/2015)... ... November 27, 2015 , ... Indosoft ... announces the incorporation of Asterisk 11 LTS (Long Term Support) into its Q-Suite ... LTS brings Q-Suite 5.10 up-to-date with a version of Asterisk that will receive ...
(Date:11/26/2015)... ON (PRWEB) , ... November 26, 2015 , ... ... of a real-time eReferral system for diagnostic imaging in the Waterloo region. Using ... BMD and Nuclear Medicine tests directly from their electronic medical record (EMR) without ...
Breaking Medicine News(10 mins):
(Date:11/27/2015)... -- Lannett Company, Inc. (NYSE: LCI ) today ... Kremers Urban Pharmaceuticals Inc. (KU), the U.S. specialty ... S.A. (Euronext: UCB). --> ... UCB for total consideration of approximately US$1.23 billion, ... capital adjustment, a deduction of certain reimbursable amounts ...
(Date:11/26/2015)... 2015 Un nuevo enfoque combina ... el cáncer avanzado.   --> Un ... de Bremachlorin para el cáncer avanzado.   ... con la terapia fotodinámica de Bremachlorin para el cáncer ... --> Clinical Cancer Research . --> ...
(Date:11/26/2015)... 2015 --> --> ... to find optimal contrast weighting of MRI for patients ... signed a research agreement with SyntheticMR in order to use ... it is possible to generate multiple contrast images from a ... has left, thus making it possible to both fine tune ...
Breaking Medicine Technology: