The inevitability of physician burnout: Implications for interventions.
Open accessAbstract
For physicians, burnout is the inevitable consequence of the way that medical education is organised and the subsequent maladaptive behaviours that are reinforced in healthcare organisations via the hidden curriculum. Thus, burnout is an important indicator of how the organisation itself is functioning. A central theme in this paper will be the degree to which the organisational systems are responsible for the disconnect between performance and physician health. Healthcare pays considerable ‘lip-service’ to systems approaches, but in practice it valorises the role of the individual physician in terms of both success and failure. Thus, this contradiction needs to be addressed.
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Healthcare systems still dominated by the medical model take a pathogenic perspective on burnout as a problem to be 'treated' at the individual level, rather than questioning why their systems consistently produce this issue.
“As observed by Montgomery [132], healthcare systems still dominated by the medical model take a pathogenic perspective on burnout as a problem to be ‘treated’ at the individual level, rather than questioning why their systems consistently produce this issue.”
From Interventions to address empathy-based stress in mental health workers: A scoping review and research agenda (2024) · cites this paper as [132]
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“Some even affirm that burnout is inevitable in this occupation (Montgomery, 2014).”
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From burnout to resilient practice: is it a matter of the individual or the context?
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“As observed by Montgomery [132], healthcare systems still dominated by the medical model take a pathogenic perspective on burnout as a problem to be ‘treated’ at the individual level, rather than questioning why their systems consistently produce this issue.”
JOB STRESSORS AND SLOW MEDICINE IN HEALTH CARE: A SCOPING REVIEW
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Physicians as leaders: are we trying to fit square pegs into round holes?
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Self-citationA Call to Restore Your Calling
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Rates of Burnout, Depression, Suicide, and Substance Use Disorders
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MONITORING BURNOUT IN THE INTENSIVE CARE UNIT AND EMERGENCY
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How did High Achievers Deal with Challenges: A Qualitative Study?
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A Call to Restore Your Calling
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- Authors
- Montgomery, A.
- Affiliations
- University of Macedonia (GR)
- Corresponding author
- Montgomery, Anthony
- ORCID
- Montgomery, Anthony
- Venue
- Burnout Research
- Publisher
- Elsevier BV
- Published
- 2014-06
- Volume
- 1
- Issue
- 1
- Pages
- 50-56
- ISSN
- 2213-0578 (ISSN-L)
- 2213-0586
- OpenAlex
- W2090826807
- Cited by
- 124
- References
- 89
- Citations by year
- 2026: 5 · 2025: 6 · 2024: 5 · 2023: 9 · 2022: 11 · 2021: 11 · 2020: 20 · 2019: 15 · 2018: 11 · 2017: 13 · 2016: 12 · 2015: 4 · 2014: 2
- FWCI
- 18.71
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Locations
- Burnout Research (publishedVersion, cc-by)
- Topics
- Health Sciences › Health Professions › General Health Professions › Healthcare professionals’ stress and burnout
- Social Sciences › Psychology › Social Psychology › Stress and Burnout Research
- Health Sciences › Health Professions › Occupational Therapy › Occupational Health and Burnout
- Keywords
- physician burnout, medical education, hidden curriculum, health care organization, organizational systems, maladaptive behavior, physician health, burnout intervention
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