Physician wellness: A challenging search
At a recent Finding Medical Evidence session presented by College librarians, a doctor mentioned that it is difficult to search for articles on physician wellness. Using the Medline database through the College’s website (www.cpsbc.ca/library/search-materials/databases), a search for the phrase physician wellness returns only 17 results. This phrase doesn’t map to a MeSH term—that is, Medline has not designated an official term for this concept.
There is an official term for physicians, which can be modified with the subheading psychology, producing many articles of interest. However, wellness is not just about psychological distress. To broaden the search, try combining the physicians topic with terms such as occupational exposure, occupational diseases, or radiation injuries. There is also a term for infectious disease transmission, patient-to-professional. One can look on the bright side with terms such as resilience, psychological, health promotion, or personal satisfaction.
If you are searching for articles on stress, you can go beyond the term stress, psychological. Additional terms include burnout, professional; work schedule tolerance; and fatigue.
If you encounter any other challenging searches, College registrants are welcome to ask the library for assistance. We can make recommendations and help you develop an effective search strategy.
Here are a few recent articles available online or by request from the library:
• Dyrbye LN, Varkey P, Boone SL, et al. Physician satisfaction and burnout at different career stages. Mayo Clin Proc 2013;88:1358-1367.
• Goetz K, Musselmann B, Szecsenyi J, et al. The influence of workload and health behavior on job satisfaction of general practitioners. Fam Med 2013;45:95-101.
• Zwack J, Schweitzer J. If every fifth physician is affected by burnout, what about the other four? Resilience strategies of experienced physicians. Acad Med 2013;88:382-389.
—Niki Baumann
Librarian
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This article is the opinion of the Library of the College of Physicians and Surgeons of BC and has not been peer reviewed by the BCMJ Editorial Board.