Burnout in Medical School Deans: An Uncommon Problem

Gabbe, Steven G.; Webb, Lynn E.; Moore, Donald E.; Harrell, Frank E.; Spickard, W. Anderson; Powell, Ralph Austin

doi:10.1097/acm.0b013e31816bdb96

Cited by 38 publications

(29 citation statements)

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“…In addition, 27.0 % of respondents reported emotional exhaustion, 10.4 % reported depersonalization, and 28.7 % reported overall burnout. These rates compared very favorably to national rates among medical students 1 (37.4 %, 27.9 %, and 49.6 %, respectively, each p<0.001), internal medicine residents 2 (45.8 %, 28.9 %, and 51.5 %, respectively, each p<0.001), practicing physicians 3 (37.9 %, 29.4 %, and 45.4 %, respectively, each p<0.001), clerkship directors 4 (46.2 %, 41.3 %, and 61.8 %, respectively, p=0.002, p<0.001, and p<0.001, respectively) and medical school deans 5 (40.4 %, 23.6 %, and 47.2 %, respectively, p=0.02, p=0.002, and p=0.002, respectively) (Fig. 2).…”

Section: Resultsmentioning

confidence: 99%

“…2 In a recent national study of practicing physicians, burnout was reported in 45.4 %, symptoms of depression in 37.8 %, suicidal ideation in the prior 12 months in 6.4 %, and dissatisfaction with work-life balance in 37.1 %. 3 Similar issues have been reported to affect educational leaders, including internal medicine clerkship directors 4 and medical school deans, 5 among whom burnout rates of 61.8 % and 47.2 %, respectively, have been reported. Among internal medicine program directors, high rates of job turnover and dissatisfaction have been reported.…”

Section: Introductionmentioning

confidence: 98%

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Burnout and Distress Among Internal Medicine Program Directors: Results of A National Survey

et al. 2013

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BACKGROUND: Physician burnout and distress has been described in national studies of practicing physicians, internal medicine (IM) residents, IM clerkship directors, and medical school deans. However, no comparable national data exist for IM residency program directors. OBJECTIVE: To assess burnout and distress among IM residency program directors, and to evaluate relationships of distress with personal and program characteristics and perceptions regarding implementation and consequences of Accreditation Council for Graduate Medical Education (ACGME) regulations. MAIN MEASURES:The 2010 APDIM Annual Survey included validated items on well-being and distress, including questions addressing quality of life, satisfaction with work-life balance, and burnout. Questions addressing personal and program characteristics and perceptions regarding implementation and consequences of ACGME regulations were also included. KEY RESULTS: Of 377 eligible program directors, 282 (74.8 %) completed surveys. Among respondents, 12.4 % and 28.8 % rated their quality of life and satisfaction with work-life balance negatively, respectively. Also, 27.0 % reported emotional exhaustion, 10.4 % reported depersonalization, and 28.7 % reported overall burnout. These rates were lower than those reported previously in national studies of medical students, IM residents, practicing physicians, IM clerkship directors, and medical school deans. Aspects of distress were more common among younger program directors, women, and those reporting greater weekly work hours. Work-home conflicts were common and associated with all domains of distress, especially if not resolved in a manner effectively balancing work and home responsibilities. Associations with program characteristics such as program size and American Board of Internal Medicine (ABIM) pass rates were not found apart from higher rates of depersonalization among directors of community-based programs (23.5 % vs. 8.6 %, p=0.01). We did not observe any consistent associations between distress and perceptions of implementation and consequences of program regulations. CONCLUSIONS: The well-being of IM program directors across domains, including quality of life, satisfaction with work-life balance, and burnout, appears generally superior to that of medical trainees, practicing physicians, and other medical educators nationally. Additionally, it is reassuring that program directors' perceptions of their ability to respond to current regulatory requirements are not adversely associated with distress. However, the increased distress levels among younger program directors, women, and those at community-based training programs reported in this study are important concerns worthy of further study.

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Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 98%

Burnout and Distress Among Internal Medicine Program Directors: Results of A National Survey

et al. 2013

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“…The most obvious outcome of this would be higher levels of turnover, seen, for example, in a survey of medical school deans, 33 per cent of whom reported they would step down in the next two years (Gabbe, 2008), and amongst PhD students, where dropout levels can be as high as 30-50 per cent (Stubb et al 2012). However, signs can also be manifested as negative attitudes in the workplace and counterproductive workplace behaviours such as cynicism, incivility and sabotage (Kinman & Jones, 2001;Spector et al 2005).…”

Section: Outcomes Related To Poor Mental Health and Wellbeing For Indmentioning

confidence: 99%

“…Finally, several studies (Padilla & Thompson, 2016;Mauno et al 2014;Navarro et al 2010;Shanafelt et al 2009;Gabbe, 2008) use the Maslach Burnout Inventory (MBI) (Maslach & Jackson, 1981), a set of questions intended to capture burnout, defined as a prolonged response to chronic emotional and interpersonal job stressors. In this approach, burnout is characterised as consisting of three dimensions: emotional exhaustion, cynicism and inefficacy or reduced personal accomplishment (Maslach & Jackson 1981;Maslach et al 1996;Maslach et al 2001).…”

Section:  Limitations Of the Evidence Base In Generalmentioning

confidence: 99%

Understanding mental health in the research environment: A Rapid Evidence Assessment

Guthrie¹,

Lichten²,

Belle³

et al. 2017

144

121

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RAND Europe is a not-for-profit organisation whose mission is to help improve policy and decisionmaking through research and analysis. RAND's publications do not necessarily reflect the opinions of its research clients and sponsors. Limited Print and Electronic Distribution RightsThis document and trademark(s) contained herein are protected by law. This representation of RAND intellectual property is provided for noncommercial use only. Unauthorized posting of this publication online is prohibited. Permission is given to duplicate this document for personal use only, as long as it is unaltered and complete. Permission is required from RAND to reproduce, or reuse in another form, any of its research documents for commercial use. For information on reprint and linking permissions, please visit www.rand.org/pubs/permissions. This work consists of a review of the existing literature.The report is likely to be of relevance to universities and other research-performing institutions, policy makers, research funders and managers, professional bodies, and the research community more widely.RAND Europe is a not-for-profit policy research organisation which aims to improve policy and decision making through research and analysis. For more information on this report or RAND Europe more widely, please contact

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“…Cynicism (or depersonalization) refers to indifference or distant attitudes towards work, and reduced efficacy (or personal accomplishment) refers to a feeling of incompetence or lack of achievement and productivity at work 1,2) . Surveys have reported the prevalence of burnout as 2.5-51.1% in the health care sector [3][4][5] , 2-34% in the education sector 6,7) , 51.4% in the justice sector 8) , and 3-39% in the forest industry 9) . Burnout has significant consequences for employees, in forms such as anxiety, depression, sleep disturbances, headache, gastrointestinal illness, hypertension, muscle tension, chronic fatigue, and poor job performance.…”

mentioning

confidence: 99%

Burnout, Workplace Violence and Social Support among Drivers and Conductors in the Road Passenger Transport Sector in Maputo City, Mozambique

Couto

Lawoko²

2011

Journal of Occupational Health

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Burnout in Medical School Deans: An Uncommon Problem

Abstract: Despite having an "extreme" job, only 2% of deans exhibited high levels of burnout. A high sense of control and self-efficacy, a supportive family, increasing length of service, and increasing age may be factors which reduce burnout in deans.

Cited by 38 publications

References 14 publications

Burnout and Distress Among Internal Medicine Program Directors: Results of A National Survey

Burnout and Distress Among Internal Medicine Program Directors: Results of A National Survey

Understanding mental health in the research environment: A Rapid Evidence Assessment

Burnout, Workplace Violence and Social Support among Drivers and Conductors in the Road Passenger Transport Sector in Maputo City, Mozambique

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