The EPEC-O Curriculum is produced by the EPECTM Project with major funding provided by NCI, with supplemental funding provided by the Lance Armstrong Foundation.

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The
EPEC-O
TM
Education in Palliative and End-of-life Care -
Oncology
Project
The EPEC-O Curriculum is produced by the EPECTM
Project with major funding provided by NCI, with
supplemental funding provided by the Lance
Armstrong Foundation.
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EPEC Oncology Education in Palliative and
End-of-life Care Oncology
Module 15 Cancer Doctors and Burnout
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Overall message

• Recognize burnout early to minimize the
  associated distress

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Objectives

• Define burnout
• Recognize associated signs, symptoms
• Know risk factors
• Contrast burnout and depression
• Identify techniques to decrease burnout

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Video
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What is burnout?

• Psychological syndrome
• Response to chronic interpersonal stressors

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Key dimensionsof burnout . . .

• Exhaustion
• Depersonalization
• Sense of Ineffectiveness

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Signs and symptomsof burnout . . .

• Fatigue
• Physical / emotional exhaustion
• Headaches
• GI disturbances

• Weight loss
• Insomnia
• Depression
• Boredom

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. . . Signs and symptomsof burnout

• Frustration
• Low morale
• Job turnover
• Impaired job performance
• ? Quality of care

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The nature of oncologists burnout

• 56 - sense of failure
• 34 - depression
• 20 - disinterest in practice
• 18 - boredom

Whippen DA, Canellos GP. J Clin Oncol, 1991.
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Burnout and head and neck surgeons

• Frustration with
• Disease 27
• Government 67
• Economics 58

Johnson JT, et al. Head Neck, 1993.
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Burnout vs. Depression

• Burnout
• Work specific
• In the battle

• Depression
• Pervasive
• Given up

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Lifestyle management techniques toreduce burnout
. . .

• Recognize and monitor symptoms
• Good nutrition
• Meditation
• Spiritual life

• Grieve loss
• ? Overtime
• Exercise
• Energy work

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. . . Lifestyle managementtechniques

• Sense of humor
• Consultation for severe symptoms
• Discuss stresses
• Seek new solutions
• Time

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Preventive approachesto burnout

• Address emotions that affect patient care
• Changes in managerial practice
• Improved communications

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Summary . . .

• Burnout is prevalent
• Monitor for signs and symptoms
• Manage lifestyle
• Address managerial issues

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. . . Summary

• Recognize burnout early to minimize the
  associated distress