UFPA Alberta Physicians Burnout Survey

Part 1 of 6

Introduction

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1. Introduction
2. Validation that you are a physician.
3. Description of your practice
4. Maslach Burnout Inventory
5. Determine the causes of any burnout you are experiencing
6. 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.

Part 2 of 6

Validation

Validation that you are a physician. Invalid data = invalid results. You won't be permitted past this part without validation.

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Please provide the following information:

Email Address 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.

What is your Alberta licensure (CPSA) number?

In order to validate this information, we must validate your license.

Part 3 of 6

Describe your practice

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.

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How old are you? Select your age 24-34 35-44 45-54 55-64 65+ How long have you been practicing? Select your years of practice 0-5 years 6-10 years 11-20 years 21-30 years 31+ years What gender are you? Select your gender Female Male Other I prefer not to say What is your practice location? Select your practice location Calgary Edmonton North Zone Central Zone South Zone What is your practice's location type? Select your location type Large Urban Urban Rural Remote-Rural Are you a clinic owner? Select your clinic ownership status Yes, I own the clinic business I practice in Yes, I own some clinics that I don't practice in No, I practice in a setting not owned by myself What is your majority practice style/setting? Select your practice style 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 Other 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? Select your pay model Fee for service ARP Private contract Private membership based Charity Other

Part 4 of 6

Maslach Burnout Inventory

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Part A

1. I feel emotionally drained from my work. Never A few times a year Once a month A few times a month Once a week A few times a week Every day 2. Working with people all day long requires a great deal of effort. Never A few times a year Once a month A few times a month Once a week A few times a week Every day 3. I feel like my work is breaking me down. Never A few times a year Once a month A few times a month Once a week A few times a week Every day 4. I feel frustrated by my work. Never A few times a year Once a month A few times a month Once a week A few times a week Every day 5. I feel I work too hard at my job. Never A few times a year Once a month A few times a month Once a week A few times a week Every day 6. It stresses me too much to work in direct contact with people. Never A few times a year Once a month A few times a month Once a week A few times a week Every day 7. I feel like I am at the end of my rope. Never A few times a year Once a month A few times a month Once a week A few times a week Every day

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Part B

8. I feel I look after certain patients impersonally, as if they were objects. Never A few times a year Once a month A few times a month Once a week A few times a 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 a year Once a month A few times a month Once a week A few times a week Every day 10. I have the impression that my patients make me responsible for some of their problems. Never A few times a year Once a month A few times a month Once a week A few times a week Every day 11. I am at the end of my patience at the end of my work day. Never A few times a year Once a month A few times a month Once a week A few times a week Every day 12. I really don’t care what happens to some of my patients. Never A few times a year Once a month A few times a month Once a week A few times a week Every day 13. I have become more insensitive to people since I’ve been working. Never A few times a year Once a month A few times a month Once a week A few times a week Every day 14. I’m afraid that this job is making me uncaring. Never A few times a year Once a month A few times a month Once a week A few times a week Every day

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Part C

15. I accomplish many worthwhile things in my job. Never A few times a year Once a month A few times a month Once a week A few times a week Every day 16. I feel full of energy. Never A few times a year Once a month A few times a month Once a week A few times a week Every day 17. I am easily able to understand what my patients feel. Never A few times a year Once a month A few times a month Once a week A few times a week Every day 18. I look after my patients' problems very effectively. Never A few times a year Once a month A few times a month Once a week A few times a week Every day 19. In my work, I handle emotional problems very calmly. Never A few times a year Once a month A few times a month Once a week A few times a week Every day 20. Through my work, I feel that I have a positive influence on people. Never A few times a year Once a month A few times a month Once a week A few times a week Every day 21. I am easily able to create a relaxed atmosphere with my patients. Never A few times a year Once a month A few times a month Once a week A few times a week Every day 22. I feel refreshed when I have been close to my patients at work. Never A few times a year Once a month A few times a month Once a week A few times a week Every day

Part 5 of 6

What stressors have impacted you the most?

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1. Working Conditions and Pay. This is my TOP concern This is a priority concern for me This is a secondary concern for me I recognize this is a legitimate concern for some I do not see this as a concern 2. Business Autonomy. This is my TOP concern This is a priority concern for me This is a secondary concern for me I recognize this is a legitimate concern for some I do not see this as a concern 3. Clinical Autonomy. This is my TOP concern This is a priority concern for me This is a secondary concern for me I recognize this is a legitimate concern for some I do not see this as a concern 4. Ineffective Representation/Allies. This is my TOP concern This is a priority concern for me This is a secondary concern for me I recognize this is a legitimate concern for some I do not see this as a concern 5. System Sustainability. This is my TOP concern This is a priority concern for me This is a secondary concern for me I recognize this is a legitimate concern for some I do not see this as a concern 6. Political Autonomy/Healthcare Stewardship. This is my TOP concern This is a priority concern for me This is a secondary concern for me I recognize this is a legitimate concern for some I do not see this as a concern 7. Relationship Between Govt and Physicians. This is my TOP concern This is a priority concern for me This is a secondary concern for me I recognize this is a legitimate concern for some I do not see this as a concern 8. Societal Devaluation of Family Physicians. This is my TOP concern This is a priority concern for me This is a secondary concern for me I recognize this is a legitimate concern for some I do not see this as a concern Summary of your Stressor Rankings -Click to Update-

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Other Stressors

Are there other stressors you are experiencing in your practice that you feel are not well represented in these above categories?

9. How do you rate the impact of your newly identified stressor? This is my TOP concern This is a priority concern for me This is a secondary concern for me I recognize this is a legitimate concern for some I do not see this as a concern

Part 6 of 6

What does your Maslach Burnout Inventory Reveal?

Burnout in healthcare providers is a psychological syndrome resulting from chronic workplace stress, characterized by emotional exhaustion, depersonalization, and a reduced sense of personal accomplishment. It often manifests as fatigue, detachment from patients, and a sense of ineffectiveness, impairing providers' empathy and performance. If left unmitigated, burnout can lead to severe consequences, including increased risk of depression, suicidality, higher turnover, medical errors, and compromised patient care, ultimately affecting both healthcare outcomes and organizational stability (Maslach & Leiter, 2016; West et al., 2018).

Here are your scores, by section, how they match against your peers, now and historically, and what this says about your experience.

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Part A: Emotional Exhaustion

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Part B: Depersonalization

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Part C: Personal Accomplishments

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Overall Interpretation

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Profile Description

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Suggested Interventions

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Future Surveys and Further Information