![]() There is also data supporting the role of individual and environmental health behaviors limiting burnout. 10, 23,24,27,28 There is research to suggest that poorly-developed social networks with associated feelings of loneliness increase burnout. 3, 26-30 Available research tends to oversimplify individual factors such as resilience and wellness. 2 Current research suggests individual and environmental factors that mitigate burnout. 17-19, 21-25 There is limited empiric data about the ideal focus for burnout mitigation strategies. As the risk for burnout from medical school forward has become apparent, mitigation efforts have occurred. The Accreditation Council for Graduate Medical Education (ACGME) recognizes the importance of resident well-being on patient care. 19 Resident-focused research has found that burnout and depression are associated with increased rates of harmful patient errors, lower-quality patient care, decreased emotional intelligence, and higher explicit and implicit racial bias. 18 Resident physicians who experience burnout are more likely to report burnout following residency. 17 Medical students with high burnout are more likely to experience burnout during residency. 7,9,10,16 Elevated burnout rates begin in medical school, with peak rates during first-year studies and clinical training before residency. Physician burnout is an area of intense research. 7,8 Family physician burnout rates of 30% to 50% are at historically-high levels. 3-6 Physician burnout rates are on the rise. 1,2 Burnout adversely impacts health care professionals, organizations and patients. We explore implications for the design of future burnout prevention efforts and research.īurnout is a stress syndrome classically defined by high emotional exhaustion, high depersonalization, and low personal accomplishment. We determined stepwise forward-entry LR models for emotional exhaustion (feel isolated OR=6.89, low quality of wellness program OR=5.91, and low companionship OR=4.82) depersonalization (feel isolated OR=5.59, low quality of wellness program OR=15.11, graduate US osteopathic medical school OR=0.329, and African American OR=7.55) and depressive symptoms (feel isolated OR=5.31, inadequate time for restful sleep OR=0.383, and no dependent children OR=2.14).Ĭonclusions: Current findings document substantial social disconnection, substandard residency wellness programs, inadequate time for exercise, sleep, and other forms of self-care in addition to substantial levels of emotional exhaustion, depersonalization, and depressive symptoms. Results: Rates of psychological distress included 33.1% emotional exhaustion, 31.1% depersonalization, and 53.0% depressive symptoms. Multivariate data analysis included developing three logistic regression (LR) equations (emotional exhaustion, depersonalization, depressive symptoms) based on four blocks of potential risk factors (demographics, work environment characteristics, UCLA Loneliness items, and health behaviors). We determined descriptive statistics (frequency, means) for demographic and work environment characteristics, UCLA Loneliness Scale items, health behaviors, burnout (emotional exhaustion, depersonalization), and depressive symptoms. Three emails were used to recruit a national sample of family medicine residents (n=283 questions completed via Survey Monkey). Methods: Our study questions were part of a larger survey conducted by the Council of Academic Family Medicine Educational Research Alliance (CERA), from May 9-23, 2020. Our study examined relationships between burnout, depressive symptoms, and evidence-based risk factors. Existing research oversimplifies characteristics associated with burnout. If the URLs or services change over time, e.g., the resource moves, this same DOI will continue to resolve to the correct resources or services at their new locations.Background and Objectives: Burnout impacts medical students, residents, and practicing physicians. Do not include extra characters, or sentence punctuation marks.)Ĭlicking on a DOI link (try this one: ) takes you to one or more current URLs or other services related to a single resource. (Be sure to enter all of the characters before and after the slash. Type or paste a DOI name, e.g., 10.1000/xyz123, into the text box below. The DOI system provides a technical and social infrastructure for the registration and use of persistent interoperable identifiers, called DOIs, for use on digital networks. This is the web site of the International DOI Foundation (IDF), a not-for-profit membership organization that is the governance and management body for the federation of Registration Agencies providing Digital Object Identifier (DOI) services and registration, and is the registration authority for the ISO standard (ISO 26324) for the DOI system.
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