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Those pesky poor people: Are they fueling the fires of burnout?
Dyrbye & Shanafelt from Mayo sound a warning that the impending influx of 30 million newly insured patients into doctors' offices after full implementation of health insurance reform, simultaneous with declining reimbursements, are likely to increase physician stress and burnout. They urge a lot of doctor-friendly policy measures (like a committee to set limits on how many patients we should see each day) and a "self-care" competency as part of graduate medical education, all of which sounds great. JAMA 2011;305(19):2009-2010.