Stress, Burnout, Resilience Flashcards
1
Q
what drives burnout and what are symptoms?
A
- what drives burnout?
- excessive workload
- inefficient environment, inadequate support
- loss of autonomy/flexibility
- problems with work-life integration
- symptoms:
- depersonalization
- emotional exhaustion
- loss of meaning or enjoyment
2
Q
what does burnout lead to?
A
- decreases physicians’ professionalism and the quality of medical care they provide
- increases medical errors and malpractice rates
- lowers patient compliance and satisfaction with medical care
- increases rates of physician substance abuse, suicide and intent to leave practice
3
Q
define psychological stress
A
unacknowledged painful emotions: fear, anger, sadness, etc.
4
Q
describe the short term vs. long term effect of stress
A
- short term: adaptive changes that help us respond to stress by mobilizing energy
- long term: corticotropins and toxic to organs, including the brain
5
Q
describe the formula for resilience
A
- self correction + emotion regulation
- other variables:
- cognitive strengths
- cognitive humility
- perceived support
- ability to self-correct and self-regulate in the presence of aversive stimuli
6
Q
describe mature vs. immature empathy
A
- immature: sharing similar experiences, gushing, unsolicited fix-it advice, pity, humor as a distraction, poorly-based reassurance
- mature: that must be….you seem….I’m sorry that…..I can imagine that…..Tell me more….
7
Q
describe the availability heuristic
A
- the tendency to overestimate the likelihood of events that have been encountered recently and are fresh in memory
- treating 6 homeless pts for secondary infxn due to drug use:
- all homeless person use injection drugs
- treating 6 homeless pts for secondary infxn due to drug use:
8
Q
describe base rate fallacy
A
- the tendency to ignore rate information while focusing on specific information
- 21 year old male presents with hallucinations; is he schizophrenic (1 in 100 chances) or on psychedelics (15 in 100 chance)?
9
Q
describe framing effect
A
- how information is framed:
- describing treatment options in terms of survival rate (people choose riskier option) vs. mortality rate (they choose conservative option)
10
Q
describe confirmation bias (verification bias)
A
- the tendency to search for, interpret, focus on, and remember information that corresponds with one’s pre-existing beliefs
- we favor (and even manipulate) information: conspiracy theorists, for instance
- election politics
11
Q
describe representativeness heuristics
A
- relying on past experiences to decide about new ones
12
Q
describe conjunction fallacy
A
- the tendency to assume that specific conditions are more probable than general ones
- pt in ER is slurring his words and has not bated in some time > he is drunk and homeless
13
Q
describe Gambler’s fallacy
A
- the tendency to believe that future probabilities are altered by past events, when in reality they are independent