Intern Emerg Med. 2025 Nov 1. doi: 10.1007/s11739-025-04142-8. Online ahead of print.
ABSTRACT
Emergency physicians (EPs) are particularly susceptible to burnout because of the high-stress environment in which they operate, characterized by rapid decision-making, long shifts, and limited resources. This review aims to explore the prevalence and contributing factors to burnout among EPs and to describe different interventions to mitigate this issue. The most used tool to measure burnout is the Maslach Burnout Inventory (MBI), which evaluates emotional exhaustion, depersonalization, and personal accomplishment. Various studies identified both organizational and individual risk factors contributing to high burnout rates, exceeding 70% in some regions. Key organizational factors include increased workload, poor collegial relationships, and work-life conflict, while individual factors involve maladaptive coping strategies. This paper emphasizes the importance of personal and system resilience, defined as the ability to manage stress and thrive under hardship, in combating burnout. It highlights the Stanford Model of Professional Fulfillment, which focuses on cultivating a culture of wellness, enhancing practice efficiency, and fostering personal resilience through self-care and peer support. According to our literature review, proposed interventions include improving shift length and scheduling, managing workload, and reducing bureaucratic tasks. These measures aim to create a supportive environment that prioritizes clinician well-being and enhances job satisfaction. Recognizing the need for a multifaceted approach, this paper suggests combining organizational changes with individual support strategies to effectively reduce burnout rates. This paper underscores the necessity for systemic changes in EM settings to ensure sustainable healthcare delivery and improved outcomes for both patients and healthcare professionals. Implementing these strategies can lead to a more resilient workforce, capable of providing high-quality care while maintaining personal well-being.
PMID:41175275 | DOI:10.1007/s11739-025-04142-8
