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CONFIDENTIAL AND PROPRIETARY © 1998–2005 Epocrates, Inc. All rights reserved.
Stress Management SurveyQ3 2007
CONFIDENTIAL AND PROPRIETARY © 1998–2005 Epocrates, Inc. All rights reserved. Slide | 2
Survey Background• Survey includes 607 clinicians, including physicians, nurse
practitioners and physician assistants
• Survey completed in October 2007
• Clinicians randomly selected to participate
CONFIDENTIAL AND PROPRIETARY © 1998–2005 Epocrates, Inc. All rights reserved. Slide | 3
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%
CONFIDENTIAL AND PROPRIETARY © 1998–2005 Epocrates, Inc. All rights reserved. Slide | 4
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%
CONFIDENTIAL AND PROPRIETARY © 1998–2005 Epocrates, Inc. All rights reserved. Slide | 5
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?*
CONFIDENTIAL AND PROPRIETARY © 1998–2005 Epocrates, Inc. All rights reserved. Slide | 6
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
CONFIDENTIAL AND PROPRIETARY © 1998–2005 Epocrates, Inc. All rights reserved. Slide | 7
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%
CONFIDENTIAL AND PROPRIETARY © 1998–2005 Epocrates, Inc. All rights reserved. Slide | 8
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%
CONFIDENTIAL AND PROPRIETARY © 1998–2005 Epocrates, Inc. All rights reserved. Slide | 9
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
CONFIDENTIAL AND PROPRIETARY © 1998–2005 Epocrates, Inc. All rights reserved. Slide | 10
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%)
CONFIDENTIAL AND PROPRIETARY © 1998–2005 Epocrates, Inc. All rights reserved. Slide | 11
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
CONFIDENTIAL AND PROPRIETARY © 1998–2005 Epocrates, Inc. All rights reserved. Slide | 12
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%
CONFIDENTIAL AND PROPRIETARY © 1998–2005 Epocrates, Inc. All rights reserved. Slide | 13
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?
CONFIDENTIAL AND PROPRIETARY © 1998–2005 Epocrates, Inc. All rights reserved. Slide | 14
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?