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Stress Management SurveyQ3 2007

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Survey Background• Survey includes 607 clinicians, including physicians, nurse

practitioners and physician assistants

• Survey completed in October 2007

• Clinicians randomly selected to participate

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35% of clinicians work over a 60-hour week; and 50% are working more than 5 years ago

How many hours do you typically work each week?

60 - 69 hours(23%)

50 - 59 hours(24%)

40 - 49 hours(22%)

Less than 40 hours(11%)

80 or more hours(12%)

70 - 79 hours(8%)

Compared to five years ago, do you work more or fewer hours per week?

More50%

Same20%

Less30%

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The majority of clinicians report increase in job stress over the years

How has the stress level of your job changes in the past five years?

Significantly less stressful

2%

Less stressful12%

Significantly more

stressful20%

More stressful51%

Same15%

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Administrative paperwork is the leading cause of stress for clinicians

8%

10%

12%

21%

34%

34%

35%

45%

63%

0 20 40 60 80

Remembering clinical information

Patient consultations/exams

Professional growth

Keeping up-to-date on medicalnews/advancements

Fear of making a mistake

Financial compensation

Internal office politics ormanagement

Time management

Paperwork (reimbursement,health insurance)

* Respondents asked to select 3; includes responses above 2%

Which aspects of practicing medicine do you believe cause the most stress?*

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Most clinicians turn to exercise to relieve stress

What is your personal outlet to relieve or avoid work-related stress?*

*respondents asked to select all that apply; includes responses above 15%

18%

29%

32%

38%

39%

54%

55%

63%

0 20 40 60 80

Go shopping

Nap or sleep

Music

Pursuit of a hobby

Surf the Internet

Watch TV/movie

Talk with my partner or friends

Exercise

88% also recommend exercise to patients for stress relief

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Most clinicians report work/personal life integration; despite pressures to keep it separate

21%

23%

27%

45%

0 20 40 60

Refrain from socializingwith co-workers

Turn off my pager/workphone at home

Do not discuss work athome

My work/private life are notseparate

* Respondents asked to select all that applies; includes responses above 10%

How do you keep your work life separate from your private life?*

Do you ever feel pressure from your family or friends to spend more time away from work?

No 31%

Don't know2%

Yes67%

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Over 65% of clinicians report work/life balance was important in their career choice

In choosing your specialty, how important was work/life balance in

your decision?

Not Important

12%

Very important

34%

Important32%

Somewhat important

22%

Knowing what you know now, would you choose a different career to improve your work/life balance?

Yes32%

No48%

Don't know20%

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Which of the following careers do you feel are more stressful than being a physician?

Over 45% feel police officers deal with more stress than physicians

46%

38%

33%31%

24%

12% 11% 11% 10% 10%

4%

0

20

40

60

Police officer

Firefighter

Stockbroker

Politician

Commercial airline pilot

Nurse

Lawyer

Reporter

Teacher

Homemaker

Starbucks employee

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50% of clinicians report technology has increased stress levels at work

To what degree do you feel that technology has increased or decreased your work-related stress?

No difference(17%)

Increased(50%)

Decreased(33%)

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Clinicians that feel technology reduces stress rank online resources & cell/pagers as most helpful

* Respondents asked to select up to 3; includes responses above 5%; excludes “other”

What type of technology helps you handle work-related stress?* (n=205)

Why has technology increased your work-related stress?* (n=298)

10%

11%

16%

19%

43%

54%

60%

65%

0 20 40 60 80

Computer order entry

Electronic phonebook

Electronic prescribing

Electronic calendar

Mobile clinical references

EMRs

Cell phone/pager

Online clinical resources

19%

26%

30%

40%

43%

0 20 40 60 80

More patients contactme

Easily distracted by it

Too cumbersome

Feel obligation tocheck email

Makes me tooreachable

Slow EMRs and misinformed patients were the two common technology challenges cited

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Most clinicians see the impact of stress on their patients; yet fewer than 25% discuss it regularly

How often do you talk to your patients about the health effects of

stress in their life?

Annual check-up

(5%)

When I see signs/

symptoms(47%)

When my patient brings

it up(30%)

Every visit(18%)

Do you feel that patients’ ailments are often triggered or compounded

by stress in their lives?

No3%

Yes97%

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Interrupted sleep and fatigue are most common symptoms of stress

30%

49%

60%

8%

9%

14%

15%

22%

26%

28%

29%

0 20 40 60 80

Eating disorder

Decreased sex drive

Chest pain/irregular heartbeat

Obesity

High blood pressure

Weight gain or loss

Muscle tension/pain

Headaches

Digestive problems

Fatigue

Sleep disturbances

* Respondents asked to select up to 3; includes responses above 5%

What are the most common physical symptom you see in patients related to stress?

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Majority of clinicians recommend exercise to relieve stress

7%

9%

15%

19%

32%

48%

51%

88%

0 20 40 60 80 100

Work less hours

Take a lunch break during work hours

Meditate

Don’t take work home

Counseling

Pursue a hobby

Spend more time with friends/family

Exercise

* Respondents asked to select up to 3; excludes “other”

What lifestyle recommendations do you give your patients to relieve stress?