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Editorial
. 2020 Feb;35(2):409-411.
doi: 10.1007/s11606-019-05505-6.

Ethics in Conflict: Moral Distress as a Root Cause of Burnout

Elizabeth Dzeng  1 , Robert M Wachter  2
Affiliations
Editorial

Ethics in Conflict: Moral Distress as a Root Cause of Burnout

Elizabeth Dzeng et al. J Gen Intern Med. 2020 Feb.
No abstract available

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Conflict of interest statement

Dr. Wachter reports that he is a member of the Lucian Leape Institute of the Institute for Healthcare Improvement (no compensation except travel expenses); has a contract to UCSF from the Agency for Healthcare Research and Quality to edit a patient-safety website; receives royalties from Lippincott Williams & Wilkins and McGraw-Hill for writing/editing several books; receives stock options for serving on the board of Accuity Medical Management Systems; receives a yearly stipend for serving on the board of The Doctors Company and on the Global Advisory Board for Teledoc; serves on the scientific advisory boards for Amino.com, PatientSafe Solutions, and EarlySense (for which he receives stock options); consults with Commure (for which he receives a stipend and stock options) and Forward (stock options); has a small royalty stake in CareWeb, a hospital communication tool developed at UCSF; has given > 200 talks (a few to for-profit entities including Nuance, GE, Health Catalyst, AvaCare) for which he has received honoraria; and holds the Benioff Endowed Chair in Hospital Medicine from Marc and Lynne Benioff and the Holly Smith Distinguished Professorship in Science and Medicine at UCSF. Dr. Dzeng reports no conflicts of interest.

References

    1. ABIM Foundation. Foundation A. Medicine EF of I Medical Professionalism in the New Millenium: A Physician Charter. Ann Intern Med. 2002;136(3):243–246. doi: 10.7326/0003-4819-136-3-200202050-00012. - DOI - PubMed
    1. Panagioti M, Geraghty K, Johnson J, et al. Association between Physician Burnout and Patient Safety, Professionalism, and Patient Satisfaction: A Systematic Review and Meta-analysis. JAMA Intern Med. 2018;178(10):1317–1330. doi: 10.1001/jamainternmed.2018.3713. - DOI - PMC - PubMed
    1. Shanafelt Tait D., West Colin P., Sinsky Christine, Trockel Mickey, Tutty Michael, Satele Daniel V., Carlasare Lindsey E., Dyrbye Lotte N. Changes in Burnout and Satisfaction With Work-Life Integration in Physicians and the General US Working Population Between 2011 and 2017. Mayo Clinic Proceedings. 2019;94(9):1681–1694. doi: 10.1016/j.mayocp.2018.10.023. - DOI - PubMed
    1. Talbot S, Dean W. Physicians aren’t ‘burning out.’ They’re suffering from moral injury. STAT. https://www.statnews.com/2018/07/26/physicians-not-burning-out-they-are-.... Accessed July 4, 2019.
    1. Dzeng E, Colaianni A, Roland M, et al. Influence of Institutional Culture and Policies on Do-Not-Resuscitate Decision Making at the End of Life. JAMA Intern Med. 2015;175(5):812–819. doi: 10.1001/jamainternmed.2015.0295. - DOI - PubMed

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