Burned right out, so there is nothing left of me, for me UFPA Alberta Physicians Burnout Survey Part One: Validation This survey will take you through multiple stages 1-Validation that you are a physician. Invalid data = invalid results 2-Description of your practice 3-Maslach Burnout Inventory 4-Determine the causes of any burnout you are experiencing 5-Feedback on your Maslach Burnout Inventory Score Confidentiality will be respected, your name will not be linked to your answers, and your email will not be used without your consent. Name * First Name Last Name Email * Are you a currently practicing doctor? This form is primarily for family doctors in Alberta, but we are able to help other physicians as well. You will need to be a verified physician to continue. Yes, I am a family physician, currently practicing in Alberta. Yes, I am a family physician, currently practicing in Canada, not Alberta. Yes, I am a physician, currently practicing in Alberta, not a family doctor. Yes, I am a physician, currently practicing in Canada, not an Alberta family doctor I am not a physician practicing in Canada What is your Alberta licensure (CPSA) number? In order to validate this information, we must validate your license. Thank you! Part 2: Describe your practice2 Part 2a: Describe your practice (family medicine) Here we will try to understand you as a physician, and how this may affect your experience with burnout. Notes: "niche medicine" is meant to indicate a practice model that deviates from Longitudinal Comprehensive Care (LCC) by placing restrictions on your patient panel to adhere to a special-interest-scope instead, eg: urgent-access, prenatal, long-term-care, occupational, cosmetic care would all be "niche". Majority practice style indicates the setting you feel you spend most of your time/effort. How old are you? 24-34 35-44 45-54 55-64 65+ How long have you been practicing? 0-5 years 6-10 years 11-20 years 21-30 years 31+ years What gender are you? Female Male Other I prefer not to say What is your practice location? Calgary Edmonton North Zone Central Zone South Zone What is your practice's location type? Large Urban Urban Rural Remote Rural Are you a clinic owner? Yes, I own the clinic business that I practice in Yes, I own some clinics that I do not practice in No, I practice in a setting not owned by me What is your majority practice style/setting? Private-owned clinic, longitudinal comprehensive care model Public-owned clinic, longitudinal comprehensive care model Mobile-practice, longitudinal comprehensive care model Academic-based clinic, longitudinal comprehensive care model Hospital-based practice, in-patient episodic care Private-owned clinic, niche care Public-owned clinic, niche care Non-patient oriented practice If your practice is diversified, describe what your secondary practice is? Examples: in-patient, urgent care, pre-natal, geriatric, long-term care, occupational, cosmetic, sports, policy If your practice is diversified, what percentage is your majority practice style/setting? For instance: is your "private-clinic LCC practice" 60% of your clinical time? What is your pay model for your majority style/setting? Fee for service ARP Private contract Private membership based Charity Other Thank you! Part 2b: Describe your practice (specialty medicine) This is still just a copy of the family medicine version. Here we will try to understand you as a physician, and how this may affect your experience with burnout. Notes: "niche medicine" is meant to indicate a practice model that deviates from Longitudinal Comprehensive Care (LCC) by placing restrictions on your patient panel to adhere to a special-interest-scope instead, eg: urgent-access, prenatal, long-term-care, occupational, cosmetic care would all be "niche". Majority practice style indicates the setting you feel you spend most of your time/effort. How old are you? 24-34 35-44 45-54 55-64 65+ How long have you been practicing? 0-5 years 6-10 years 11-20 years 21-30 years 31+ years What gender are you? Female Male Other I prefer not to say What is your practice location? Calgary Edmonton North Zone Central Zone South Zone What is your practice's location type? Large Urban Urban Rural Remote Rural Are you a clinic owner? Yes, I own the clinic business that I practice in Yes, I own some clinics that I do not practice in No, I practice in a setting not owned by me What is your majority practice style/setting? Private-owned clinic, longitudinal comprehensive care model Public-owned clinic, longitudinal comprehensive care model Mobile-practice, longitudinal comprehensive care model Academic-based clinic, longitudinal comprehensive care model Hospital-based practice, in-patient episodic care Private-owned clinic, niche care Public-owned clinic, niche care Non-patient oriented practice If your practice is diversified, describe what your secondary practice is? Examples: in-patient, urgent care, pre-natal, geriatric, long-term care, occupational, cosmetic, sports, policy If your practice is diversified, what percentage is your majority practice style/setting? For instance: is your "private-clinic LCC practice" 60% of your clinical time? What is your pay model for your majority style/setting? Fee for service ARP Private contract Private membership based Charity Other Thank you! Part 3: Maslach Burnout Inventory Section A 1. I feel emotionally drained from my work. Never A few times per year Once a month A few times per month Once a week A few times per week Every day 2. Working with people all day long requires a great deal of effort. Never A few times per year Once a month A few times per month Once a week A few times per week Every day 3. I feel like my work is breaking me down. Never A few times per year Once a month A few times per month Once a week A few times per week Every day 4. I feel frustrated by my work. Never A few times per year Once a month A few times per month Once a week A few times per week Every day 5. I feel I work too hard at my job. Never A few times per year Once a month A few times per month Once a week A few times per week Every day 6. It stresses me too much to work in direct contact with people. Never A few times per year Once a month A few times per month Once a week A few times per week Every day 7. I feel like I am at the end of my rope. Never A few times per year Once a month A few times per month Once a week A few times per week Every day Section B 8. I feel I look after certain patients impersonally, as if they were objects. Never A few times per year Once a month A few times per month Once a week A few times per week Every day 9. I feel tired when I get up in the morning and have to face another day of work. Never A few times per year Once a month A few times per month Once a week A few times per week Every day 10. I have the impression that my patients make me responsible for some of their problems. Never A few times per year Once a month A few times per month Once a week A few times per week Every day 11. I am at the end of my patience at the end of my work day. Never A few times per year Once a month A few times per month Once a week A few times per week Every day 12. I really don’t care what happens to some of my patients. Never A few times per year Once a month A few times per month Once a week A few times per week Every day 13. I have become more insensitive to people since I’ve been working. Never A few times per year Once a month A few times per month Once a week A few times per week Every day 14. I’m afraid that this job is making me uncaring. Never A few times per year Once a month A few times per month Once a week A few times per week Every day Section C 15. I accomplish many worthwhile things in my job. Never A few times per year Once a month A few times per month Once a week A few times per week Every day 16. I feel full of energy. Never A few times per year Once a month A few times per month Once a week A few times per week Every day 17. I am easily able to understand what my patients feel. Never A few times per year Once a month A few times per month Once a week A few times per week Every day 18. I look after my patients problems very effectively. Never A few times per year Once a month A few times per month Once a week A few times per week Every day 19. In my work, I handle emotional problems very calmly. Never A few times per year Once a month A few times per month Once a week A few times per week Every day 20. Through my work, I feel that I have a positive influence on people. Never A few times per year Once a month A few times per month Once a week A few times per week Every day 21. I am easily able to create a relaxed atmosphere with my patients. Never A few times per year Once a month A few times per month Once a week A few times per week Every day 22. I feel refreshed when I have been close to my patients at work. Never A few times per year Once a month A few times per month Once a week A few times per week Every day Thank you! Part 4a: What stressors have impacted you the most? (family medicine) UFPA, through its work with a growing community of family doctors, has identified eight emerging stressor categories that have had the greatest impact on physician/practice wellbeing. How do you feel these stressors are impacting you? ***This section will get more complete definitions of the CORE CONCERNS*** 1. Working Conditions and Pay. <b>This is my top concern</b> This is a priority concern to me This is a secondary concern to me I recognize this as a legitimate concern I do not see this as a concern 2. Business Autonomy. <b>This is my top concern</b> This is a priority concern to me This is a secondary concern to me I recognize this as a legitimate concern I do not see this as a concern 3. Clinical Autonomy. <b>This is my top concern</b> This is a priority concern to me This is a secondary concern to me I recognize this as a legitimate concern I do not see this as a concern 4. Ineffective Representatives/Allies. <b>This is my top concern</b> This is a priority concern to me This is a secondary concern to me I recognize this as a legitimate concern I do not see this as a concern 5. System Sustainability. <b>This is my top concern</b> This is a priority concern to me This is a secondary concern to me I recognize this as a legitimate concern I do not see this as a concern 6. Political Autonomy/Healthcare stewardship. <b>This is my top concern</b> This is a priority concern to me This is a secondary concern to me I recognize this as a legitimate concern I do not see this as a concern 7. Relationship between govt and physicians. <b>This is my top concern</b> This is a priority concern to me This is a secondary concern to me I recognize this as a legitimate concern I do not see this as a concern 8. Societal Devaluation of Fam Docs. <b>This is my top concern</b> This is a priority concern to me This is a secondary concern to me I recognize this as a legitimate concern I do not see this as a concern Are there other stressors you are experiencing in your practice that you feel are not well represented in these above categories? Thank you! Part 4b: What stressors have impacted you the most? (specialty medicine) UFPA, through its work with a growing community of family doctors, has identified eight emerging stressor categories that have had the greatest impact on physician/practice wellbeing. How do you feel these stressors are impacting you? ***This section will get more complete definitions of the CORE CONCERNS*** 1. Working Conditions and Pay. <b>This is my top concern</b> This is a priority concern to me This is a secondary concern to me I recognize this as a legitimate concern I do not see this as a concern 2. Business Autonomy. <b>This is my top concern</b> This is a priority concern to me This is a secondary concern to me I recognize this as a legitimate concern I do not see this as a concern 3. Clinical Autonomy. <b>This is my top concern</b> This is a priority concern to me This is a secondary concern to me I recognize this as a legitimate concern I do not see this as a concern 4. Ineffective Representatives/Allies. <b>This is my top concern</b> This is a priority concern to me This is a secondary concern to me I recognize this as a legitimate concern I do not see this as a concern 5. System Sustainability. <b>This is my top concern</b> This is a priority concern to me This is a secondary concern to me I recognize this as a legitimate concern I do not see this as a concern 6. Political Autonomy/Healthcare stewardship. <b>This is my top concern</b> This is a priority concern to me This is a secondary concern to me I recognize this as a legitimate concern I do not see this as a concern 7. Relationship between govt and physicians. <b>This is my top concern</b> This is a priority concern to me This is a secondary concern to me I recognize this as a legitimate concern I do not see this as a concern 8. Societal Devaluation of Fam Docs. <b>This is my top concern</b> This is a priority concern to me This is a secondary concern to me I recognize this as a legitimate concern I do not see this as a concern Are there other stressors you are experiencing in your practice that you feel are not well represented in these above categories? Thank you! Part 4c: A new stressor not yet categorized? You have stated you have other concerns. Here is your chance to describe them at length So far you have described your concern as: This is your opportunity to add greater detail. It is important for your representatives to have a nuanced understanding of your concerns if they are to represent you regarding such. Commonly new concerns need to be matched up against other concern categories, and then fed back to constituents in order to see how they resonate with the physician body as a whole. Are you willing to be part of a limited survey to examine the group reactions to new concerns? Yes No Thank you! Part 5a: What does your Maslach Burnout Inventory Reveal? (family medicine) Here is your scores, by section, how they match against your peers, now and historically, and what this says about your experience ***THIS SECTION WILL BE FLESHED OUT AFTER THE PROGRAMMING HAS BEEN COMPLETED*** Section A: Emotional Exhaustion Section B: Depersonalization Section C: Personal Accomplishments Overall Interpretation Have you heard of UFPA? UFPA is important, you can make it more important. Because we are important. Thank you! Part 5b: What does your Maslach Burnout Inventory Reveal? (specialty medicine) Here is your scores, by section, how they match against your peers, now and historically, and what this says about your experience ***THIS SECTION WILL BE FLESHED OUT AFTER THE PROGRAMMING HAS BEEN COMPLETED*** Section A: Emotional Exhaustion Section B: Depersonalization Section C: Personal Accomplishments Overall Interpretation Have you heard of UFPA? UFPA is important, you can make it more important. Because we are important. Thank you!
