The role of online consultation requests to personal social media accounts and instant messaging services of dermatologists in occupational burnout: An emerging problem.
COVID-19
burnout
consultation
dermatology
instant messaging
social media
Journal
Journal of cosmetic dermatology
ISSN: 1473-2165
Titre abrégé: J Cosmet Dermatol
Pays: England
ID NLM: 101130964
Informations de publication
Date de publication:
Jun 2022
Jun 2022
Historique:
received:
15
07
2021
accepted:
18
08
2021
pubmed:
28
8
2021
medline:
23
6
2022
entrez:
27
8
2021
Statut:
ppublish
Résumé
Burnout affects all physicians, including dermatologists. Long working hours, high workload, and work-related activities outside working hours are common risk factors for burnout that disrupt the work-life balance. This study aimed to evaluate dermatologists' approach to online consultation requests via social media (SM) and instant messaging services (IMS), the psychological effects of these consultations on dermatologists, and their relationship with burnout syndrome. A cross-sectional, descriptive research was conducted as an online survey using Google Forms. The survey consisted of 55 items and was sent to dermatologists through a closed Facebook group of the Turkish Society of Dermatology. The burnout levels of dermatologists were evaluated using three subscales of the Maslach Burnout Inventory (MBI): emotional exhaustion (EE), depersonalization (DP), and personal achievement (PA). Out of the total 270 participants, 268 (99.3%) participants reported using SM and IMS, whereas 263 (98.1%) received personal consultation requests on these applications. Among all IMS, WhatsApp (n=258, 98.1%) was the most common IMS for online consultation requests. Median (IQR) scores for EE, DP, and PA subscales were 18 (11), 6 (5), and 21 (6), respectively. A positive correlation was observed between the frequency of online consultation requests and MBI-EE subscale scores (r = 0.136; 95% CI, 0.013-0.254; p = 0.026). Fatigue (95.1%), anger (66.6%), and unhappiness (45.2%) were among the most common adverse effects of online consultations on dermatologists. Online consultation requests to dermatologists' personal IMS and SM accounts can lead to burnout. The current study findings raise the awareness of the risks of burnout among dermatologists. There is an implicit need for further research, mobile apps other than frequently used IMS and SM apps, and regulations to avoid problems related to the consequences of online dermatology consultations through IMS and SM.
Sections du résumé
BACKGROUND
BACKGROUND
Burnout affects all physicians, including dermatologists. Long working hours, high workload, and work-related activities outside working hours are common risk factors for burnout that disrupt the work-life balance. This study aimed to evaluate dermatologists' approach to online consultation requests via social media (SM) and instant messaging services (IMS), the psychological effects of these consultations on dermatologists, and their relationship with burnout syndrome.
MATERIALS AND METHODS
METHODS
A cross-sectional, descriptive research was conducted as an online survey using Google Forms. The survey consisted of 55 items and was sent to dermatologists through a closed Facebook group of the Turkish Society of Dermatology. The burnout levels of dermatologists were evaluated using three subscales of the Maslach Burnout Inventory (MBI): emotional exhaustion (EE), depersonalization (DP), and personal achievement (PA).
RESULTS
RESULTS
Out of the total 270 participants, 268 (99.3%) participants reported using SM and IMS, whereas 263 (98.1%) received personal consultation requests on these applications. Among all IMS, WhatsApp (n=258, 98.1%) was the most common IMS for online consultation requests. Median (IQR) scores for EE, DP, and PA subscales were 18 (11), 6 (5), and 21 (6), respectively. A positive correlation was observed between the frequency of online consultation requests and MBI-EE subscale scores (r = 0.136; 95% CI, 0.013-0.254; p = 0.026). Fatigue (95.1%), anger (66.6%), and unhappiness (45.2%) were among the most common adverse effects of online consultations on dermatologists.
CONCLUSION
CONCLUSIONS
Online consultation requests to dermatologists' personal IMS and SM accounts can lead to burnout. The current study findings raise the awareness of the risks of burnout among dermatologists. There is an implicit need for further research, mobile apps other than frequently used IMS and SM apps, and regulations to avoid problems related to the consequences of online dermatology consultations through IMS and SM.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
2542-2549Informations de copyright
© 2021 Wiley Periodicals LLC.
Références
Freudenberger HJ. The issues of staff burnout in therapeutic communities. J Psychoactive Drugs. 1986;18(3):247-251.
Maslach C, Jackson SE. The measurement of experienced burnout. J Organizational Behaviour. 1981;2(2):99-113.
Shanafelt TD, Boone S, Tan L, et al. Burnout and satisfaction with work-life balance among US physicians relative to the general US population. Arch Intern Med. 2012;172(18):1377-1385.
Martin KL. Medscape physician lifestyle & happiness report. 2019 Available from. https://www.medscape.com/slideshow/2019-lifestyle-happiness-6011057.
Colon A, Gillihan R, Motaparthi K. Factors contributing to burnout in dermatologists. Clin Dermatol. 2020;38(3):321-327.
West CP, Dyrbye LN, Shanafelt TD. Physician burnout: contributors, consequences and solutions. J Intern Med. 2018;283(6):516-529.
Krynski L, Goldfarb G, Maglio I. Technology-mediated communication with patients: WhatsApp Messenger, e-mail, patient portals. A challenge for pediatricians in the digital era. Arch Argent Pediatr. 2018;116(4):e554-e559.
Barayev E, Shental O, Yaari D, et al. WhatsApp Tele-Medicine - Usage patterns and physicians views on the platform. Isr J Health Policy Res. 2021;10(1):34.
Dettmers J, Vahle-Hinz T, Bamberg E, Friedrich N, Keller M. Extended work availability and its relation with start-of-day mood and cortisol. J Occup Health Psychol. 2016;21(1):105-118.
Gimeno-Vicente M, Alfaro-Rubio A, Gimeno-Carpio E. Teledermatology by WhatsApp in Valencia: Characteristics of remote consultation and its emotional impact on the dermatologist. Actas Dermosifiliogr. 2020;111(5):364-380.
Ergin C. Doktor ve hemşirelerde tükenmişlik ve Maslach Tükenmişlik Ölçeğinin uyarlanması. VII Ulusal Psikoloji Kongresi; Hacettepe Üniversitesi; 1992.
Barankin B, DeKoven J. Psychosocial effect of common skin diseases. Can Fam Physician. 2002;48:712-716.
Noh S, Kim M, Park CO, Hann SK, Oh SH. Comparison of the psychological impacts of asymptomatic and symptomatic cutaneous diseases: vitiligo and atopic dermatitis. Ann Dermatol. 2013;25(4):454-461.
Jayakumar KL, Samimi SS, Vittorio CC, et al. Expediting patient appointments with dermatology rapid access clinics. Dermatol Online J. 2018;24(6).
Gantenbein L, Navarini AA, Maul LV, Brandt O, Mueller SM. Internet and social media use in dermatology patients: Search behavior and impact on patient-physician relationship. Dermatol Ther. 2020;33(6):e14098.
Williams V, Kovarik C. WhatsApp: An innovative tool for dermatology care in limited resource settings. Telemed J E Health. 2018;24(6):464-468.
Fattore D, Delfino M, Fabbrocini G. Legal, medical, and ethical implications of instant messaging application use in dermatology. Int J Dermatol. 2019;58(10):e206-e207.
Gu L, Xiang L, Lipner SR. Analysis of availability of online dermatology appointments during the COVID-19 pandemic. J Am Acad Dermatol. 2021;84(2):517-520.
Naderi-Azad S, Manion R, Alhusayen R. Impact of COVID-19 on access to care: A national patient survey. J Cutan Med Surg. 2021;25(4):453-455.
Schoenberg E, Shalabi D, Wang JV, Saedi N, Keller M. Public social media consultations for dermatologic conditions: an online survey. Dermatol Online J. 2020;26(3).
Jakhar D, Kaul S, Kaur I. WhatsApp messenger as a teledermatology tool during coronavirus disease (COVID-19): from bedside to phone-side. Clin Exp Dermatol. 2020;45(6):739-740.
Ganasegeran K, Renganathan P, Rashid A, Al-Dubai SA. The m-Health revolution: Exploring perceived benefits of WhatsApp use in clinical practice. Int J Med Inform. 2017;97:145-151.
Mars M, Scott RE. WhatsApp in clinical practice: A literature review. Stud Health Technol Inform. 2016;231:82-90.
Farsi D. Social media and health care, part I: Literature review of social media use by health care providers. J Med Internet Res. 2021;23(4):e23205.
Romero G, Sanchez P, Garcia M, Cortina P, Vera E, Garrido JA. Randomized controlled trial comparing store-and-forward teledermatology alone and in combination with web-camera videoconferencing. Clin Exp Dermatol. 2010;35(3):311-317.
Lee JJ, English JC 3rd. Teledermatology: A review and update. Am J Clin Dermatol. 2018;19(2):253-260.
Karakitapoglu-Aygun Z. Self, identity, and emotional well-being among Turkish university students. J Psychol. 2004;138(5):457-478.
Organization WH. Occupational safety and health in public health emergencies: a manual for pro-tecting health workers and responders. 2018. p. 51-5.
Nagler AR, Shinkai K, Kimball AB. Burnout Among All Groups of Physicians-Mitigation Strategies for Dermatologists. JAMA Dermatol. 2020;156(10):1049-1050.
Salkovskis PM. Understanding and treating obsessive-compulsive disorder. Behav Res Ther. 1999;37(Suppl 1):S29-52.