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Coping versus burnout and other stories . . .

BMJ 2015; 350 doi: https://doi.org/10.1136/bmj.h533 (Published 05 February 2015) Cite this as: BMJ 2015;350:h533

Coping is the currency of medicine. The opposite of coping in health professionals is called burnout, although the word is rarely used about patients who find it hard to cope. In reality, as Dickens said, we are all wounded in the battle of life, but we have to fight on. A study of coping styles and burnout in emergency department healthcare professionals in Canada (Emergency Medicine Journal 2015; doi:10.1136/emermed-2014-203750) found that task oriented coping involving an action response is associated with decreased burnout, whereas emotion oriented coping is associated with increased burnout. “Don’t just do something, stand there” may be the most difficult thing to ask of people.

NEDA is an acronym meaning “no evidence of disease activity.” It is often used as a treatment goal and outcome measure in multiple sclerosis trials. But NEDA success in the first year is an unreliable predictor of long term success. A retrospective cohort study from Brigham and Women’s Hospital …

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