National Academy of Medicine

Burnout Among Health Care Professionals: A Call to Explore and Address This Underrecognized Threat to Safe, High-Quality Care

  The US health care system is rapidly changing in an effort to deliver better care, improve health, and lower costs while providing care for an aging population with high rates of chronic disease and co-morbidities. Among the changes affecting clinical practice are new payment and de
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Breaking Silence, Breaking Stigma

  Introduction By Sandeep P. Kishore The NAM Perspectives paper, “Breaking the Culture of Silence on Physician Suicide” [1], brought together four unique voices from surgery, nursing, medical training, and the clergy to consider what had led Kaitlyn, a young medical student, to take h
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100 Days of Rain: A Reflection on the Limits of Physician Resilience

By January 1999, it rained, they say, for over 100 days in a row; Seattle has a reputation for precipitation, which I have to believe could lead to higher rates of seasonal affective disorder and the need for strong coffee. It was during this month that I can say I may have reached my
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Workforce Development to Enhance the Cognitive, Affective, and Behavioral Health of Children and Youth: Opportunities and Barriers in Child Health Care Training

Responsibility for cognitive, affective, and behavioral (CAB) health of children and adolescents (hereafter “youth”) has traditionally been shared among families, education systems, communities, and the health care delivery system. Within routine child health care, increasing but spot
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I Felt Alone but I Wasn’t: Depression is Rampant Among Doctors in Training

The National Academy of Medicine Perspective, Breaking the Culture of Silence on Physician Suicide, brought together four unique voices from surgery, nursing, medical training, and the clergy to consider what led Kaitlyn, a young medical student, to take her own life on April 11, 2013
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Improving Access to Effective Care for People Who Have Mental Health and Substance Use Disorders: A Vital Direction for Health and Health Care

Mental health and substance use disorders affect people of all ages and demographics and are extremely burdensome to society. At least 18.1% of American adults experience some form of mental disorder, 8.4% have a substance use disorder, and about 3% experience cooccurring mental healt
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Breaking the Culture of Silence on Physician Suicide

TW: Suicide Every year an estimated 400 U.S. physicians take their lives. Numerous global studies involving every medical and surgical specialty indicate that approximately 1 in 3 physicians is experiencing burnout at any given time. Medical students appear to be at an equal or higher
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Increasing Movement to Promote Health and Learning in Early Childhood

Public support is increasing for the investment in pre-kindergarten (pre-K) education for 3- and 4-year-olds.  If physical activity is going to be an integral part of pre-K education, changes are needed in the training of early childhood educators and in the physical environments of p
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