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High Prevalence of Burnout Among US Emergency Medicine Residents: Results From the 2017 National Emergency Medicine Wellness Survey

Published on Mar 1, 2019in Annals of Emergency Medicine5.21
· DOI :10.1016/j.annemergmed.2019.01.037
Michelle Lin18
Estimated H-index: 18
,
Nicole Battaglioli2
Estimated H-index: 2
+ 3 AuthorsDaniel W. Robinson
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Abstract
Study objective Previous work shows that emergency medicine attending physicians have higher-than-average rates of burnout. Preliminary data suggest that emergency medicine residents are also at risk for burnout. The objective of this study was to conduct the first national survey assessment of US emergency medicine residents to determine the prevalence of burnout. Methods This prospective 2017 National Emergency Medicine Resident Wellness Survey study was conducted through the Wellness Think Tank, whereby emergency medicine residents from 247 residencies across the United States were invited to participate in a national survey. The primary measure of burnout was the Maslach Burnout Inventory–Human Services Survey. In accordance with others' work, "burnout" was defined as a dichotomous variable represented by high levels of emotional exhaustion or depersonalization. Because of interpretative variability with the survey tool, we also calculated burnout rates by using a more restrictive definition and a more inclusive definition that have been reported in the literature. Results Surveys were completed by 1,522 residents (21.1% of all US emergency medicine residents), representing 193 of 247 US emergency medicine residency programs (78.1%). Within this sample, the prevalence of burnout was 76.1% (95% confidence interval 74.0% to 78.3%). With alternative definitions applied, burnout prevalence rates for this same sample were 18.2% (95% confidence interval 16.3% to 20.1%) with the more restrictive definition and 80.9% (95% confidence interval 78.9% to 82.9%) with the more inclusive definition. Conclusion The majority of US emergency medicine residents responding to this survey reported symptoms consistent with burnout, highlighting that physician burnout in the emergency medicine profession seems to begin as early as residency training. These findings may provide a baseline against which future work can be compared.
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  • Citations (1)
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References44
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Published on Apr 1, 2019in Academic Pediatrics2.54
Kathi J. Kemper12
Estimated H-index: 12
(OSU: Ohio State University),
Paria M. Wilson2
Estimated H-index: 2
(OSU: Ohio State University)
+ 6 AuthorsJanet R. Serwint28
Estimated H-index: 28
(Johns Hopkins University)
Abstract Background Measuring burnout symptoms is important, but the Maslach Burnout Inventory (MBI) has 22 items. This project compared 3 single-item measures with the MBI and other factors related to burnout. Methods Data were analyzed from the 2016 and 2017 Pediatric Resident Burnout-Resilience Study Consortium surveys, which included standard measures of perceived stress, mindfulness, resilience, and self-compassion; the MBI; and the 1- and 2-item screening questions. Results In 2016 and 201...
Published on Jan 1, 2019in Journal of Surgical Education2.21
Patricia K. Leach , Rachel M. Nygaard5
Estimated H-index: 5
(HCMC: Hennepin County Medical Center)
+ 2 AuthorsAshley P. Marek1
Estimated H-index: 1
(HCMC: Hennepin County Medical Center)
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Published on Nov 1, 2018in Journal of Neurosurgery
Frank J. Attenello26
Estimated H-index: 26
(SC: University of Southern California),
Ian A. Buchanan3
Estimated H-index: 3
(SC: University of Southern California)
+ 13 AuthorsWilliam J. Mack29
Estimated H-index: 29
(SC: University of Southern California)
OBJECTIVEExcessive dissatisfaction and stress among physicians can precipitate burnout, which results in diminished productivity, quality of care, and patient satisfaction and treatment adherence. Given the multiplicity of its harms and detriments to workforce retention and in light of the growing physician shortage, burnout has garnered much attention in recent years. Using a national survey, the authors formally evaluated burnout among neurosurgery trainees.METHODSAn 86-item questionnaire was ...
Published on Sep 18, 2018in JAMA51.27
Lisa S. Rotenstein7
Estimated H-index: 7
(Harvard University),
Matthew Torre5
Estimated H-index: 5
(Harvard University)
+ 4 AuthorsDouglas A. Mata10
Estimated H-index: 10
(Harvard University)
Importance Burnout is a self-reported job-related syndrome increasingly recognized as a critical factor affecting physicians and their patients. An accurate estimate of burnout prevalence among physicians would have important health policy implications, but the overall prevalence is unknown. Objective To characterize the methods used to assess burnout and provide an estimate of the prevalence of physician burnout. Data Sources and Study Selection Systematic search of EMBASE, ERIC, MEDLINE/PubMed...
Published on Sep 18, 2018in JAMA51.27
Liselotte N. Dyrbye44
Estimated H-index: 44
(Mayo Clinic),
Sara E. Burke3
Estimated H-index: 3
(SU: Syracuse University)
+ 10 AuthorsSean M. Phelan2
Estimated H-index: 2
(Mayo Clinic)
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Published on Sep 18, 2018in JAMA51.27
Thomas L. Schwenk33
Estimated H-index: 33
(UNR: University of Nevada, Reno),
Katherine J. Gold19
Estimated H-index: 19
(UM: University of Michigan)
Published on Aug 1, 2018in JAMA Surgery10.67
Michael L. Williford1
Estimated H-index: 1
(UNC: University of North Carolina at Chapel Hill),
Sara Scarlet1
Estimated H-index: 1
(UNC: University of North Carolina at Chapel Hill)
+ 8 AuthorsTimothy M. Farrell24
Estimated H-index: 24
(UNC: University of North Carolina at Chapel Hill)
Importance Prior studies demonstrate a high prevalence of burnout and depression among surgeons. Limited data exist regarding how these conditions are perceived by the surgical community. Objectives To measure prevalence of burnout and depression among general surgery trainees and to characterize how residents and attendings perceive these conditions. Design, Setting, and Participants This cross-sectional study used unique, anonymous surveys for residents and attendings that were administered vi...
Published on Aug 1, 2018in Emergency Medicine Australasia1.50
Atefeh Soltanifar4
Estimated H-index: 4
(MUMS: Mashhad University of Medical Sciences),
Elham Pishbin3
Estimated H-index: 3
(MUMS: Mashhad University of Medical Sciences)
+ 2 AuthorsMaryam Siahtir1
Estimated H-index: 1
(Shahid Beheshti University of Medical Sciences and Health Services)
Published on Mar 1, 2018in Academic Medicine5.08
Anthony R. Artino28
Estimated H-index: 28
,
Steven J. Durning29
Estimated H-index: 29
,
David P. Sklar30
Estimated H-index: 30
Published on Jan 1, 2018in Journal of The American College of Surgeons4.45
Carter C. Lebares3
Estimated H-index: 3
(UCSF: University of California, San Francisco),
Ekaterina V. Guvva2
Estimated H-index: 2
(UCSF: University of California, San Francisco)
+ 3 AuthorsElissa S. Epel68
Estimated H-index: 68
(UCSF: University of California, San Francisco)
Background Burnout among physicians affects mental health, performance, and patient outcomes. Surgery residency is a high-risk time for burnout. We examined burnout and the psychological characteristics that can contribute to burnout vulnerability and resilience in a group of surgical trainees. Study Design An online survey was distributed in September 2016 to all ACGME-accredited general surgery programs. Burnout was assessed with an abbreviated Maslach Burnout Inventory. Stress, anxiety, depre...
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