2023-09-28 14:46:10 +00:00
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abstract: 'The past decade has been a time of great change for US physicians. Many
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physicians feel that the care delivery system has become a barrier to
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providing high-quality care rather than facilitating it. Although
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physician distress and some of the contributing factors are now widely
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recognized, much of the distress physicians are experiencing is related
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to insidious issues affecting the cultures of our profession, our health
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care organizations, and the health care delivery system. Culture refers
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to the shared and fundamental beliefs of a group that are so widely
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accepted that they are implicit and often no longer recognized. When
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challenges with culture arise, they almost always relate to a problem
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with a subcomponent of the culture even as the larger culture does many
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things well. In this perspective, we consider the role of culture in
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many of the problems facing our health care delivery system and
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contributing to the high prevalence of professional burnout plaguing US
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physicians. A framework, drawn from the field of organizational science,
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to address these issues and heal our professional culture is considered.
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(C) 2019 Mayo Foundation for Medical Education and Research. Published
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by Elsevier Inc.'
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affiliation: 'Shanafelt, TD (Corresponding Author), Stanford Univ, Sch Med, 300 Pasteur
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Dr,Room 3215, Stanford, CA 94305 USA.
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Shanafelt, Tait D., Stanford Univ, Sch Med, Dept Med, Stanford, CA 94305 USA.
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Minor, Lloyd B., Stanford Univ, Sch Med, Dept Otolaryngol, Stanford, CA 94305 USA.
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Trockel, Mickey, Stanford Univ, Sch Med, Dept Psychiat \& Behav Sci, Stanford, CA
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94305 USA.
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Schein, Edgar; Schein, Peter, Org Culture \& Leadership Inst, Menlo Pk, CA USA.
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Kirch, Darrell, Assoc Amer Med Coll, Washington, DC USA.'
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author: Shanafelt, Tait D. and Schein, Edgar and Minor, Lloyd B. and Trockel, Mickey
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and Schein, Peter and Kirch, Darrell
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author-email: Tshana@stanford.edu
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author_list:
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- family: Shanafelt
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given: Tait D.
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- family: Schein
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given: Edgar
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- family: Minor
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given: Lloyd B.
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- family: Trockel
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given: Mickey
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- family: Schein
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given: Peter
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- family: Kirch
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given: Darrell
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da: '2023-09-28'
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doi: 10.1016/j.mayocp.2019.03.026
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eissn: 1942-5546
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files: []
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issn: 0025-6196
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journal: MAYO CLINIC PROCEEDINGS
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keywords-plus: 'WORK-LIFE BALANCE; PHYSICIAN BURNOUT; SUICIDAL-IDEATION;
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JOB-SATISFACTION; CARE; WELLNESS; PROMOTE; TIME; INTERVENTIONS;
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COMMUNICATION'
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language: English
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month: AUG
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number: '8'
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number-of-cited-references: '62'
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pages: 1556-1566
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papis_id: 54c9a8b6488ef3d07f29b1748f07ffd3
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ref: Shanafelt2019healingprofessional
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times-cited: '75'
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title: Healing the Professional Culture of Medicine
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2023-10-01 08:15:07 +00:00
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type: article
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2023-09-28 14:46:10 +00:00
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unique-id: WOS:000478016900025
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usage-count-last-180-days: '2'
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usage-count-since-2013: '10'
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volume: '94'
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web-of-science-categories: Medicine, General \& Internal
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year: '2019'
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