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Background The Maslach Burnout Inventory (MBI) is considered the ''gold standard'' for measuring burnout, encompassing 3 scales: emotional exhaustion, depersonalization, and personal accomplishment. Other well-being instruments have shown utility in various settings, and correlations between MBI and these instruments could provide evidence of relationships among key variables to guide well-being efforts.Objective We explored correlations between the MBI and other well-being instruments. MethodsWe fielded a multicenter survey of 9 emergency medicine (EM) residencies, administering the MBI and 4 published wellbeing instruments: a quality-of-life assessment, a work-life balance rating, an appraisal of career satisfaction, and the Primary Care Evaluation of Mental Disorders Patient Health Questionnaire 2 question screen. Consistent with the Maslach definition, burnout was defined by high emotional exhaustion (. 26) and high depersonalization (. 12). ResultsOf 334 residents, 261 (78%) responded. Residents who reported lower quality of life had higher emotional exhaustion (q ¼ -0.437, P , .0001), higher depersonalization (q ¼ -0.18, P , .005), and lower personal accomplishment (q ¼ 0.347, P , .001). Residents who reported a negative work-life balance had emotional exhaustion (P , .001) and depersonalization (P , .009). Positive career satisfaction was associated with lower emotional exhaustion (P , .0001), lower depersonalization (P , .005), and higher personal accomplishment (P , .05). A positive depression screen was associated with higher emotional exhaustion, higher depersonalization, and lower personal achievement (all P , .0001).Conclusions Our multicenter study of EM residents demonstrated that assessments using the MBI correlate with other well-being instruments.

Mortality risk following CCS is increased in younger patients and those experiencing postoperative renal failure as defined by pRIFLE for a period of time that extends well beyond the immediate postoperative period and the time of hospitalization.

Objective To determine whether injection augmentation reduces the likelihood of ultimately needing definitive framework surgery in unilateral vocal fold paralysis (UVFP) patients. Study Design Retrospective cohort study Methods All patients diagnosed with UVFP (2008–2012) at the academic center were identified. Time from symptom onset to presentation to either a community otolaryngologist and/or academic center as well as any directed treatment(s) were recorded. Stepwise, multivariate logistic regression analysis was used to determine whether injection augmentation independently affected odds of needing definitive, framework surgery among patients seen within nine months of symptom onset and who had not undergone any prior rehabilitative procedures. Results Cohort consisted of 633 patients (55% female, 80% Caucasian, median age 60 years) with UVFP. The majority of etiologies were either surgery (48%) or idiopathic (37%). Duration to presentation at community otolaryngologist was shorter than to the academic center (median 2 vs. 6 months). Overall, less than half of UVFP patients had any operation (46%). Multivariate logistic regression found that earlier injection augmentation did not affect odds of ultimately undergoing framework surgery (OR 1.13, CI 0.92 – 1.40; p=0.23). Conclusion Nearly half of UVFP patients do not require any rehabilitative procedure. When indicated, early injection augmentation is effective at temporarily alleviating associated symptoms, but does not reduce likelihood of needing a definitive framework operation in patients with UVFP. Understanding practice patterns and fostering early detection and treatment may improve quality of life in this patient population.

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