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Bibliografie
1. Physicians giving up medicine, MomMd - Connecting women in medicine, 2011 MomMd LLC [accesat la
14.11.2011]. Disponibil la http://www.mommd.com/givingup.shtml.
2. Schaufeli W, Leiter P, Maslach C. Burnout: 35 years of research and practice. Career Development
International 2009;14 (30): 204-220.
3. Smith M, Segal J, Segal R. Preventing Burnout - Signs, Symptoms, Causes, and Coping Strategies. Harvard
Health Publications; 2011.
4. Burnout in the Medical Profession. PatientPlus, Egton Medical Information Systems Limited; 2009.
5. Burnout (psychology) [accesat la 14.11.2011]. Disponibil la: http://en.wikipedia.org/wiki/Burnout_(psychology).
6. Balch CM, Shanafelt TD, Sloan JA, Satele DV, Freischlag JA, Freischlag J. Distress and career satisfaction
among 14 surgical specialties, comparing academic and private practice settings. Johns Hopkins Medical
Institutions Annals of surgery 2011; 254(4):558-68.
*!
Website: www.edmed.ro
! E-mail: contact@edmed.ro
!
!
7. RadX2$PSORDUHDVLQGURPXOXLGHEXUQRXWODPHGLFLLFDUHOXFUHD]vQGRPHQLXOvQJULMLULORUSDOLDWLYHDFRUGDWH
EROQDYLORUGHFDQFHUVXQWHLSUHJWLLVIDFID">DFFHVDWOD@'LVSRQLELOOD
http://www.paliatia.eu/uploads/2011/PALvol4no1Jan2011en.pdf.
8. Pho K. Primary care doctors face burnout, and how that affects health reform. MedpageToday, 2011.
9. Krasner M, Epstein R, Beckman H, Suchman A, Chapman B, Mooney C Quill T. Association of an Educational
Program in Mindful Communication With Burnout, Empathy, and Attitudes Among Primary Care Physicians.
JAMA 2009; 302(12):1284 1293.
10. Soler JK et al. Burnout in European family doctors: the EGPRN study. Oxford Journals, Family Practice
2008;25 (4):245 265.
11. Czachowskia S, Pawlikowskab T. 7KHVHUHIRUPVNLOOHGPHGRFWRUVSHUFHSWLRQVRIIDPLO\PHGLFLQHGXULQJWKH
transition from communism to capitalism. Oxford Journals, Family Practice, 2008;28(4):437 443.
12. Spickard A, Gabbe S, Christensen J. Mid-Career Burnout in Generalist and Specialist Physicians, JAMA
2002;288(12):1447 1450.
13. Drosescu P. Sindromul Burn-Out [accesat la 14.11.2011]. Disponibil la:
http://www.medicinasportiva.ro/dr.drosescu/ro_2010/Sindromul%20burn-out%20oboseala%20cronica%202.html
14. Teacher Burnout - The reDOLW\RIWKHSUREOHPDGDSWDUHGXS&R\RWH&6ORZ/HDGHUVKLS+HURLF
Management [accesat la 14.11.2011]. Disponibil la: https://sites.google.com/site/teacherburnoutandresources/
15. Kraft U. Burned Out. Scientific American Mind, June/July 2006: 28-33.
16. McManus I C, Smithers E, Partridge P, Keeling A, Fleming P R. A levels and intelligence as predictors of
medical careers in UK doctors: 20 year prospective study. British Medical Journal 2003;327:139-142.
17. Burnout Self-Test: Checking yourself for burnout [accesat la 14.11.2011]. Disponibil la:
http://www.mindtools.com/pages/article/newTCS_08.htm
18. Pacurar A. Medicii de familie - de la stres la sindromul burnout [accesat la 14.11.2011]. Disponibil la:
PsihoCenter.ro
19. Lee F. Stress, burnout, and strategies for reducing them - :KDWVWKHVLWXDWLRQDPRQJ&DQDGLDQIDPLO\
physicians? The official journal of The College of FAmily Physicians of Canada 2008;54(2): 234 - 235.
20. Davis K. Preventing Burnout - The personality traits that make you a good doctor may also make you a target
for burnout. Family Practice Management 2000;4:70.
21. Pho K. Burnout in doctors and stressed physicians hurt patients. USA Today; 2010.
22. Robertson R. Physician and Family Support Program Perspectives. Alberta physician stress and burnout
study: 15. Preliminary findings, PFSP Perspectives: Alberta Doctors' Digest 2011.
23. $VRFLDLD%lint Romnia [accesat la 14.11.2011]. Disponibil la http://www.asociatiabalint.ro
24. Hegyi Cs. Blint-QWUHEULLUVSXQVXUL. Alutus; 2006.
25. Popescu M, Visinescu M, Cristovescu D, Arion C, Popescu R. Sindromul de burn-out al medicului de familie.
5HYLVWDGHPHGLFLQLSVLKRORJLHDHURQDXWLF-21.
Linkuri utile
http://www.mindtools.com/pages/article/newTCS_08.htm
https://www.cpp.com/en/detailprod.aspx?pc=35
http://www.asociatiabalint.ro
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