Burnout in Urology: Findings from the 2016 AUA Annual Census

North, Amanda; McKenna, Patrick H.; Fang, Raymond; Şener, Alp; McNeil, Brian K.; Franc-Guimond, Julie; Meeks, William; Schlossberg, Steven M.; Gonzalez, Christopher; Clemens, J. Quentin

doi:10.1016/j.urpr.2017.11.004

Cited by 41 publications

(50 citation statements)

References 13 publications

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“…Individual factors such as gender or postgraduate year associated with non-urological-surgeon burnout in other studies were not predictive of burnout in our present analysis [21][22][23][24]. A prior study of burnout in practicing urologists similarly revealed no association between gender and burnout [9]. We believe that this may be secondary to a deliberate effort of the profession to address gender inequity in urology.…”

Section: Discussioncontrasting

confidence: 63%

“…Dissatisfaction with WLB was reported by 39% of USA vs 56% of European residents. While increased resident work hours are a known burnout driver [9,12], our present study demonstrated this to be true only in the USA cohort; this significance disappeared on multivariable analysis. This is probably due to differing training practices.…”

Section: Discussionmentioning

confidence: 45%

“…From 2011 to 2014, burnout amongst practicing urologists increased from 41.2% to 63.6% . Similarly, an AUA survey of 1126 practicing urologists demonstrated burnout in 41.3% of urologists aged <65 years . In that cohort, younger age and increased working hours were associated with higher rates of burnout.…”

Section: Introductionmentioning

confidence: 98%

“…Physician burnout is rising in all specialties, with some of the highest rates reported for urologists . From 2011 to 2014, burnout amongst practicing urologists increased from 41.2% to 63.6% .…”

Section: Introductionmentioning

confidence: 99%

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Resident burnout in USA and European urology residents: an international concern

et al. 2019

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Objective To describe the prevalence and predictors of burnout in USA and European urology residents, as although the rate of burnout in urologists is high and associated with severe negative sequelae, the extent and predictors of burnout in urology trainees remains poorly understood. Subjects and methods An anonymous 32‐question survey of urology trainees across the USA and four European countries, analysing personal, programme, and institutional factors, was conducted. Burnout was assessed using the validated abridged Maslach Burnout Inventory. Univariate analysis and multivariable logistic regression models assessed drivers of burnout in the two cohorts. Results Overall, 40% of participants met the criteria for burnout as follows: Portugal (68%), Italy (49%), USA (38%), Belgium (36%), and France (26%). Response rates were: USA, 20.9%; Italy, 45.2%; Portugal, 30.5%; France, 12.5%; and Belgium, 9.4%. Burnout was not associated with gender or level of training. In both cohorts, work–life balance (WLB) dissatisfaction was associated with increased burnout (odds ratio [OR] 4.5, P < 0.001), whilst non‐medical reading (OR 0.6, P = 0.001) and structured mentorship (OR 0.4, P = 0.002) were associated with decreased burnout risk. Lack of access to mental health services was associated with burnout in the USA only (OR 3.5, P = 0.006), whilst more weekends on‐call was associated with burnout in Europe only (OR 8.3, P = 0.033). In both cohorts, burned out residents were more likely to not choose a career in urology again (USA 54% vs 19%, P < 0.001; Europe 43% vs 25%, P = 0.047). Conclusion In this study of USA and European urology residents, we found high rates of burnout on both continents. Despite regional differences in the predictors of burnout, awareness of the unique institutional drivers may help inform directions of future interventions.

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Section: Discussioncontrasting

confidence: 63%

Section: Discussionmentioning

confidence: 45%

Section: Introductionmentioning

confidence: 98%

Section: Introductionmentioning

confidence: 99%

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Resident burnout in USA and European urology residents: an international concern

et al. 2019

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“…Critics of these findings point to the limited sample size of urologists surveyed in the past ( n = 119) [ 2 ]. The 2016 AUA census data surveying a matrix sample of 1126 practicing urologists found a burnout rate of 38.8%, which is comparable to other specialties [ 20 •]. Nevertheless, a systematic review of factors influencing medical students’ choice of subspecialty found that the third most important factor was controllable lifestyles or flexible work schedules (53%), following academic interests (75)% and competencies (55) [ 21 ].…”

Section: Barriers To Medical Student Interest In Urologymentioning

confidence: 99%

Strategies to Encourage Medical Student Interest in Urology

2020

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Purpose of Review Urology residency positions have steadily increased but applications have remained stagnant. This is an alarming trend given the aging general population and thus increased need for urologists. The purpose of this review is to describe barriers and suggest strategies to encourage medical students to pursue urology. Recent Findings Barriers to interest in urology include educational factors, such as timing of exposure to urology in medical school, USMLE scores, research experience, and deciding in time for an early match, as well as socioeconomic barriers, such as cost, being underrepresented in medicine, and gender. Steps the urological community can take include increasing involvement in medical school curricula, increasing faculty mentor availability, and broadening students’ range of urological experiences. Summary Strategies to encourage interest in urology fall into three categories: creating interest, supporting interest, and removing barriers for students considering urology. Ultimately, the goal is to garner excellent residents in a field that must expand to meet the needs of a growing and aging population.

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Burnout, Happiness, and Work–Life Harmony

Lloyd

McAchran

2019

Navigating Organized Urology

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Burnout in Urology: Findings from the 2016 AUA Annual Census

Cited by 41 publications

References 13 publications

Resident burnout in USA and European urology residents: an international concern

Resident burnout in USA and European urology residents: an international concern

Strategies to Encourage Medical Student Interest in Urology

Burnout, Happiness, and Work–Life Harmony

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