<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1405-0099</journal-id>
<journal-title><![CDATA[Cirujano general]]></journal-title>
<abbrev-journal-title><![CDATA[Cir. gen]]></abbrev-journal-title>
<issn>1405-0099</issn>
<publisher>
<publisher-name><![CDATA[Asociación Mexicana de Cirugía General A.C.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1405-00992024000200097</article-id>
<article-id pub-id-type="doi">10.35366/118277</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Prevalencia de síndrome de burnout en médicos de la Asociación Mexicana de Cirugía General]]></article-title>
<article-title xml:lang="en"><![CDATA[Prevalence of burnout in physicians of the Mexican Association of General Surgery]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Sánchez-Pereda]]></surname>
<given-names><![CDATA[Diego]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ángel-Millán]]></surname>
<given-names><![CDATA[Gabriela Del]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[López-Gavito]]></surname>
<given-names><![CDATA[Elena]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ocampo-González]]></surname>
<given-names><![CDATA[Saúl]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Sierra-Salazar]]></surname>
<given-names><![CDATA[Mauricio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pérez-Soto]]></surname>
<given-names><![CDATA[Rafael Humberto]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Instituto Nacional de Ciencias Médicas y Nutrición, Salvador Zubirán Departamento de Cirugía ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital Sharp Mazatlán Servicio de Cirugía General ]]></institution>
<addr-line><![CDATA[Mazatlán Sinaloa]]></addr-line>
<country>México</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,OPD Hospital Civil de Guadalajara &#8220;Fray Antonio Alcalde&#8221; Clínica de Cirugía de Obesidad y Enfermedades Metabólicas ]]></institution>
<addr-line><![CDATA[Guadalajara ]]></addr-line>
<country>México</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2024</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2024</year>
</pub-date>
<volume>46</volume>
<numero>2</numero>
<fpage>97</fpage>
<lpage>104</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S1405-00992024000200097&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S1405-00992024000200097&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S1405-00992024000200097&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen:  Introducción:  el síndrome de burnout representa un fenómeno psicosocial con importante repercusión en los profesionales de la salud.  Objetivo:  el objetivo de este trabajo fue estimar la prevalencia de burnout entre los médicos miembros de la Asociación Mexicana de Cirugía General, así como explorar algunos factores asociados al desarrollo de éste.  Material y métodos:  se aplicó una encuesta digital a los médicos asociados a la Asociación Mexicana de Cirugía General, recolectando variables sociodemográficas, relacionadas a la actividad profesional actual, factores predisponentes o atenuantes de este síndrome y el Inventario de Burnout de Maslach. La prevalencia del síndrome de burnout, así como los perfiles dimensionales del síndrome presentes en los encuestados fueron estimados. Adicionalmente las variables recolectadas fueron contrastadas entre el grupo de asociados con síndrome de burnout y aquellos sin el diagnóstico.  Resultados:  un total de 1,398 asociados contestaron la encuesta. La prevalencia estimada de burnout fue de 49.3%. Los perfiles dimensionales más frecuentes fueron: baja realización personal aislada (32.2%), seguido de la combinación de altos niveles de fatiga emocional, altos niveles de despersonalización y bajos niveles de realización personal (24%). En el análisis bivariado el sexo femenino (p &lt; 0.001) y los grupos etarios más jóvenes (p &lt; 0.001) presentaron mayor proporción de encuestados con diagnóstico de burnout. Las variables relacionadas con mayor prevalencia de síndrome de burnout, fueron: grupo etario más joven, menor grado académico, menos tiempo invertido en ejercicio, familia y pasatiempos.  Conclusión:  la prevalencia de burnout es alta en la muestra estudiada. Estrategias para prevenir y mitigar los efectos de este trastorno, deben ser consideradas en las actividades de la Asociación Mexicana de Cirugía General, dirigidas a sus asociados.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract:  Introduction:  burnout syndrome represents a psychosocial phenomenon with important repercussions on health professionals.  Objective:  the objective of this study was to estimate the prevalence of burnout among general surgeons associated with the Mexican Association of General Surgery, and explore factors associated with the syndrome.  Material and methods:  a digital survey was applied to associated members of the Mexican Association of General Surgery. Sociodemographic and professional activity-related variables, as well as predisposing or mitigating factors for this syndrome were included in the survey. In addition, the Maslach Burnout Inventory was also incorporated during the survey. Prevalence of Burnout syndrome, as well as the dimensional profiles of the syndrome were analyzed in the sample of respondent surgeons. Furthermore, the collected variables were contrasted between associated members with and without burnout syndrome diagnosis.  Results:  a total of 1,398 surgeons answered the survey. The estimated prevalence of burnout was 49.3%. The most frequent burnout dimensional profiles were: isolated low personal accomplishment (32.2%), followed by the combination of high levels of emotional exhaustion, high levels of depersonalization, and low levels of personal accomplishment (24%). In the bivariate analysis, female (p &lt; 0.001) and younger surgeons (p &lt; 0.001) presented a higher proportion of Burnout diagnosis. After multivariate analysis: young age, lower academic degree, decreased time invested in exercise, family and hobbies were associated with burnout diagnosis.  Conclusion:  prevalence of burnout is high among our studied sample. Strategies to prevent and mitigate the effects of this disorder should be considered in future activities of the Mexican Association of General Surgery for the wellbeing of its associated members.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[burnout]]></kwd>
<kwd lng="es"><![CDATA[cirujanos]]></kwd>
<kwd lng="es"><![CDATA[cirugía]]></kwd>
<kwd lng="es"><![CDATA[estrés psicológico]]></kwd>
<kwd lng="en"><![CDATA[burnout]]></kwd>
<kwd lng="en"><![CDATA[health personnel]]></kwd>
<kwd lng="en"><![CDATA[surgery]]></kwd>
<kwd lng="en"><![CDATA[psychological stress]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<label>1</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Staten]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<source><![CDATA[Combatting burnout: a guide for medical students and junior doctors]]></source>
<year>2019</year>
<publisher-loc><![CDATA[Boca Raton ]]></publisher-loc>
<publisher-name><![CDATA[CRC Press/Taylor &amp; Francis Group]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B2">
<label>2</label><nlm-citation citation-type="">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Maslach]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Jackson]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Leiter]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<source><![CDATA[The Maslach burnout inventory manual]]></source>
<year>1997</year>
<volume>3</volume>
<page-range>191-218</page-range></nlm-citation>
</ref>
<ref id="B3">
<label>3</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Palmer]]></surname>
<given-names><![CDATA[Y]]></given-names>
</name>
<name>
<surname><![CDATA[Gómez-Vera]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Cabrera-Pivaral]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Prince-Vélez]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Searcy]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Factores de riesgo organizacionales asociados al síndrome de Burnout en médicos anestesiólogos]]></article-title>
<source><![CDATA[Salud Mental]]></source>
<year>2005</year>
<volume>28</volume>
<page-range>82-91</page-range></nlm-citation>
</ref>
<ref id="B4">
<label>4</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Patel]]></surname>
<given-names><![CDATA[RS]]></given-names>
</name>
<name>
<surname><![CDATA[Bachu]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Adikey]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Malik]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Shah]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Factors related to physician burnout and its consequences: a review]]></article-title>
<source><![CDATA[Behav Sci (Basel)]]></source>
<year>2018</year>
<volume>8</volume>
<page-range>98</page-range></nlm-citation>
</ref>
<ref id="B5">
<label>5</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Toral-Villanueva]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Aguilar-Madrid]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Juárez-Pérez]]></surname>
<given-names><![CDATA[CA]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Burnout and patient care in junior doctors in Mexico City]]></article-title>
<source><![CDATA[Occup Med (Lond)]]></source>
<year>2008</year>
<volume>59</volume>
<page-range>8-13</page-range></nlm-citation>
</ref>
<ref id="B6">
<label>6</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Miranda-Ackerman]]></surname>
<given-names><![CDATA[RC]]></given-names>
</name>
<name>
<surname><![CDATA[Barbosa-Camacho]]></surname>
<given-names><![CDATA[FJ]]></given-names>
</name>
<name>
<surname><![CDATA[Sander-Moller]]></surname>
<given-names><![CDATA[MJ]]></given-names>
</name>
<name>
<surname><![CDATA[Buenrostro-Jiménez]]></surname>
<given-names><![CDATA[AD]]></given-names>
</name>
<name>
<surname><![CDATA[Mares-País]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Cortes-Flores]]></surname>
<given-names><![CDATA[AO]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Burnout syndrome prevalence during internship in public and private hospitals: a survey study in Mexico]]></article-title>
<source><![CDATA[Med Educ Online]]></source>
<year>2019</year>
<volume>24</volume>
<page-range>1593785</page-range></nlm-citation>
</ref>
<ref id="B7">
<label>7</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Maresca]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Corallo]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
<name>
<surname><![CDATA[Catanese]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Formica]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Lo Buono]]></surname>
<given-names><![CDATA[V]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Coping strategies of healthcare professionals with burnout syndrome: a systematic review]]></article-title>
<source><![CDATA[Medicina (Kaunas)]]></source>
<year>2022</year>
<volume>58</volume>
<page-range>327</page-range></nlm-citation>
</ref>
<ref id="B8">
<label>8</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Jackson]]></surname>
<given-names><![CDATA[ER]]></given-names>
</name>
<name>
<surname><![CDATA[Shanafelt]]></surname>
<given-names><![CDATA[TD]]></given-names>
</name>
<name>
<surname><![CDATA[Hasan]]></surname>
<given-names><![CDATA[O]]></given-names>
</name>
<name>
<surname><![CDATA[Satele]]></surname>
<given-names><![CDATA[DV]]></given-names>
</name>
<name>
<surname><![CDATA[Dyrbye]]></surname>
<given-names><![CDATA[LN]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Burnout and alcohol abuse/dependence among U.S. medical students]]></article-title>
<source><![CDATA[Academic Medicine]]></source>
<year>2016</year>
<volume>91</volume>
<page-range>1251-6</page-range></nlm-citation>
</ref>
<ref id="B9">
<label>9</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Sener]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Surgeon burnout: It is time to make solutions a priority]]></article-title>
<source><![CDATA[Can Urol Assoc J]]></source>
<year>2021</year>
<volume>15</volume>
<page-range>S2-4</page-range></nlm-citation>
</ref>
<ref id="B10">
<label>10</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Houdmont]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Daliya]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Theophilidou]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Adiamah]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Hassard]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Lobo]]></surname>
<given-names><![CDATA[DN]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Burnout Among Surgeons in the UK During the COVID-19 pandemic: a cohort study]]></article-title>
<collab>East Midlands Surgical Academic Network (EMSAN) Burnout Study Group</collab>
<source><![CDATA[World J Surg]]></source>
<year>2022</year>
<volume>46</volume>
<page-range>1-9</page-range></nlm-citation>
</ref>
<ref id="B11">
<label>11</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Lu]]></surname>
<given-names><![CDATA[PW]]></given-names>
</name>
<name>
<surname><![CDATA[Columbus]]></surname>
<given-names><![CDATA[AB]]></given-names>
</name>
<name>
<surname><![CDATA[Fields]]></surname>
<given-names><![CDATA[AC]]></given-names>
</name>
<name>
<surname><![CDATA[Melnitchouk]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
<name>
<surname><![CDATA[Cho]]></surname>
<given-names><![CDATA[NL]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Gender Differences in surgeon burnout and barriers to career satisfaction: a qualitative exploration]]></article-title>
<source><![CDATA[J Surg Res]]></source>
<year>2020</year>
<volume>247</volume>
<page-range>28-33</page-range></nlm-citation>
</ref>
<ref id="B12">
<label>12</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Sanfey]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
<name>
<surname><![CDATA[Fromson]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Mellinger]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Rakinic]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Williams]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Williams]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Surgeons in difficulty: an exploration of differences in assistance-seeking behaviors between male and female surgeons]]></article-title>
<source><![CDATA[J Am Coll Surg]]></source>
<year>2015</year>
<volume>221</volume>
<page-range>621-7</page-range></nlm-citation>
</ref>
<ref id="B13">
<label>13</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Shaikh]]></surname>
<given-names><![CDATA[CF]]></given-names>
</name>
<name>
<surname><![CDATA[Palmer Kelly]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Paro]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Cloyd]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Ejaz]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Beal]]></surname>
<given-names><![CDATA[EW]]></given-names>
</name>
<name>
<surname><![CDATA[Pawlik]]></surname>
<given-names><![CDATA[TM]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Burnout assessment among surgeons and surgical trainees during the COVID-19 pandemic: a systematic review]]></article-title>
<source><![CDATA[J Surg Educ]]></source>
<year>2022</year>
<volume>79</volume>
<page-range>1206-20</page-range></nlm-citation>
</ref>
<ref id="B14">
<label>14</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Hu]]></surname>
<given-names><![CDATA[YY]]></given-names>
</name>
<name>
<surname><![CDATA[Ellis]]></surname>
<given-names><![CDATA[RJ]]></given-names>
</name>
<name>
<surname><![CDATA[Hewitt]]></surname>
<given-names><![CDATA[DB]]></given-names>
</name>
<name>
<surname><![CDATA[Yang]]></surname>
<given-names><![CDATA[AD]]></given-names>
</name>
<name>
<surname><![CDATA[Cheung]]></surname>
<given-names><![CDATA[EO]]></given-names>
</name>
<name>
<surname><![CDATA[Moskowitz]]></surname>
<given-names><![CDATA[JT]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Discrimination, abuse, harassment, and burnout in surgical residency training]]></article-title>
<source><![CDATA[N Engl J Med]]></source>
<year>2019</year>
<volume>381</volume>
<page-range>1741-52</page-range></nlm-citation>
</ref>
<ref id="B15">
<label>15</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Yaghmour]]></surname>
<given-names><![CDATA[NA]]></given-names>
</name>
<name>
<surname><![CDATA[Brigham]]></surname>
<given-names><![CDATA[TP]]></given-names>
</name>
<name>
<surname><![CDATA[Richter]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
<name>
<surname><![CDATA[Miller]]></surname>
<given-names><![CDATA[RS]]></given-names>
</name>
<name>
<surname><![CDATA[Philibert]]></surname>
<given-names><![CDATA[I]]></given-names>
</name>
<name>
<surname><![CDATA[Baldwin]]></surname>
<given-names><![CDATA[DC]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Causes of death of residents in ACGME-Accredited Programs 2000 Through 2014: implications for the learning environment]]></article-title>
<source><![CDATA[Acad Med]]></source>
<year>2017</year>
<volume>92</volume>
<page-range>976-83</page-range></nlm-citation>
</ref>
<ref id="B16">
<label>16</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Siegel]]></surname>
<given-names><![CDATA[TR]]></given-names>
</name>
<name>
<surname><![CDATA[Nagengast]]></surname>
<given-names><![CDATA[AK]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Mitigating burnout]]></article-title>
<source><![CDATA[Surg Clin North Am]]></source>
<year>2019</year>
<volume>99</volume>
<page-range>1029-35</page-range></nlm-citation>
</ref>
<ref id="B17">
<label>17</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Balch]]></surname>
<given-names><![CDATA[CM]]></given-names>
</name>
<name>
<surname><![CDATA[Freischlag]]></surname>
<given-names><![CDATA[JA]]></given-names>
</name>
<name>
<surname><![CDATA[Shanafelt]]></surname>
<given-names><![CDATA[TD]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Stress and burnout among surgeons: understanding and managing the syndrome and avoiding the adverse consequences]]></article-title>
<source><![CDATA[Arch Surg]]></source>
<year>2009</year>
<volume>144</volume>
<page-range>371-6</page-range></nlm-citation>
</ref>
<ref id="B18">
<label>18</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Kearney]]></surname>
<given-names><![CDATA[MK]]></given-names>
</name>
<name>
<surname><![CDATA[Weininger]]></surname>
<given-names><![CDATA[RB]]></given-names>
</name>
<name>
<surname><![CDATA[Vachon]]></surname>
<given-names><![CDATA[ML]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Self-care of physicians caring for patients at the end of life: &#8220;Being connected... a key to my survival&#8221;]]></article-title>
<source><![CDATA[JAMA]]></source>
<year>2009</year>
<volume>301</volume>
<page-range>1155-1164. E1</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
