Cited by 124Healthcare professionals’ stress and burnoutStress and Burnout ResearchOccupational Health and Burnout

The inevitability of physician burnout: Implications for interventions.

Open access
Montgomery, Anthony·2014·Burnout Research

Abstract

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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Crossref · 10.1016/j.burn.2014.04.002

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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.”

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  1. Dyrbye, L., Massie, F. S., Eacker, A., Harper, W., Power, D., Durning, S. J., et al. (2010). Relationship between burnout and professional conduct and attitudes among US medical students. The Journal of the American Medical Association, 304, 1171-1180.
  2. Tilburt, J. C., Wynia, M. K., Sheeler, R. D., et al. (2013). VIews of us physicians about controlling health care costs. The Journal of the American Medical Association, 310(4), 380-389.

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Authors
Montgomery, A.
Affiliations
University of Macedonia (GR)
Corresponding author
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
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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