Burnout

Guenette, Jeffrey P.; Smith, Stacy E.

doi:10.1016/j.acra.2017.12.002

Cited by 43 publications

(3 citation statements)

References 19 publications

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“…Conversely, those who perceive greater personal achievement are less burnt-out. Factors which increase personal achievement include constructive feedback, good social support, and feeling valued, implying that workplace and training adjustments can change feelings of personal achievement (12) . Since we have shown that personal achievement strongly correlates with resilience, and resilience negatively correlates with psychological distress, implementing measures to increase feelings of competency and personal achievement may be one way to increase resilience and decrease burnout and depression among residents.…”

Section: Discussionmentioning

confidence: 99%

Trainee Responses to Hurricane Harvey: Correlating Volunteerism With Burnout

Yeo

Román

Kusnerik

et al. 2018

Front. Public Health

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Background: Natural disasters take a heavy toll not only on their victims, but also on physicians who suffer vicarious trauma and burnout. New trainees in Houston, from entering PGY1 residents to entering fellows, underwent even more upheaval and stress during Hurricane Harvey. Many responded to calls for volunteer help.Objective: To investigate the impact of Hurricane Harvey on new trainees at our institution, and correlate volunteerism with measures of burnout and resilience.Methodology: Thirty three new trainees out of 90 (43% of population) from all specialties in our institution voluntarily responded to an online survey on the impact of Hurricane Harvey on their lives, whether or not they volunteered and in what form, and answered questions drawing from the abbreviated Maslach burnout survey and Resiliency Quiz. Statistical analyses were conducted using GraphPad Prism and Excel data analysis.Results: The top areas impacted were emotional health (32%), eating habits (29%), family (25%) and finances (25%). The main voluntary activities were covering for colleagues who could not make it to hospital (50%), donating money and supplies (36%), and cleaning and rebuilding (36%). Volunteering was associated with feelings of appreciation (76%), happiness (62%), thankfulness (57%), purposefulness (43%) and pride (33%). Fewer volunteers scored lowly in personal achievement as compared to non-volunteers (10 vs. 38%, p = 0.05).Significance: Hurricane Harvey affected health, finances and family of new trainees, more than half of whom volunteered to help. Volunteers had a greater sense of personal achievement as compared to non-volunteers. This may be due to having more volunteers among less burnt-out trainees or because volunteering reduced burnout and stress responses/trauma. These results suggest that volunteer opportunities should be made available in programs targeting resident burnout.

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Section: Discussionmentioning

confidence: 99%

Trainee Responses to Hurricane Harvey: Correlating Volunteerism With Burnout

Yeo

Román

Kusnerik

et al. 2018

Front. Public Health

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“…There are two such theory-based, physician-specific methodologies initiated by physicians (reviewed by Belkić and Nedić) 1 . One, based on the job demands resource model developed and applied among radiology residents and psychosocial oncologists, helped identify and modify some concomitants of burnout among these health professionals 21–23 . The other, the physician-specific Occupational Stressor Index (OSI), developed for physicians by physicians, based on a comprehensive work-stressor model, is our focus, with new results presented regarding burnout (Supplemental Digital Content, http://links.lww.com/SMJ/A230).…”

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confidence: 99%

Physicians’ Total Burden of Occupational Stressors: More than Threefold Increased Odds of Burnout

Goyal¹,

Rustagi²,

Belkić³

2021

Southern Medical Journal

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Objectives: To assess the relation between total job stressor burden and physician burnout, identifying potentially contributory modifiable stressors, using a comprehensive, theory-based instrument created for physicians by physicians.Methods: From 2018 to 2019, we conducted a cross-sectional study in a public teaching hospital in India. Of 305 clinically active physicians, 293 were reached and 42.7% participated. Job stressors were assessed via the physician-specific Occupational Stressor Index (OSI) and burnout by the Copenhagen Burnout Index (CBI). Results:The 76 fully participating physicians were 68% male, 84% residents, and 70% age 30 or younger, from various specialties. Mean scores for total OSI: 87 ± 7.8; personal burnout: 46.6 ± 18.2; work-related burnout: 41.4 ± 20.7; and patient-related burnout: 31.7 ± 22.4. Total OSI scores were significantly associated with personal and work-related burnout, adjusting for working-years as physicians and sex. Total OSI scores >88 showed adjusted odds ratios (±95% confidence intervals): 3.99 (1.31, 12.1) and 6.50 (1.85, 22.8) for personal and work-related burnout, respectively. The high demands aspect of the OSI showed significant multivariate relations to personal, work-related, and patient-related burnout. Patient-related burnout was significantly more likely among male physicians in these multivariate analyses. Physicians outside preventive/ diagnostic areas, with heavier burdens and more emergency cases were less likely to fully participate. Conclusions:The total burden of job stressors is powerfully associated with personal and work-related burnout. The clinically defined total OSI cutpoint >88 warranting urgent intervention is corroborated by >3-fold odds of personal and work-related burnout. Lowering total OSI scores is an immediate priority, starting with potentially modifiable stressors that are already maximum/near-maximum (inadequate rest breaks, nightshifts, work hours, insufficient work-free vacation time, and infection hazards). These issues affect patient care.

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“…First, the study only analysed the pass rates of the written and practical skill examinations and did not compare the performances of the different modules of the practical skill examination. Second, some studies have shown that marital status has a significant impact on resident performance 28 34. However, this study did not include marital status as an independent variable.…”

Section: Discussionmentioning

confidence: 94%

Factors associated with graduation examination results from standardised residency training in Zhejiang Province, China: a cross-sectional analysis of medical examination results data from 2020

Gao

Xia

et al. 2023

BMJ Open

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ObjectiveStandardised residency training is an important part of postgraduation medical education in China. The graduation examination tests the effect of residency training and is an important measure to guarantee the quality of residency training. This study aimed to analyse the results and associated factors of the graduation examination of standardised residency training in Zhejiang Province in 2020.DesignCross-sectional analysis of examination results data.SettingMedical and health institutions and universities in Zhejiang Province.ParticipantsA total of 5555 examinees took the graduation examination of standardised residency training in Zhejiang Province in 2020.Primary outcomesPass rates of the practical skill examination and written examination.ResultsThe pass rates for the practical skill examination and written examination were 91.8% and 96.5%, respectively. Examinees aged 30 and above (adjusted OR (AOR)=0.48, 95% CI 0.26 to 0.89), those with 3 years (AOR=0.19, 95% CI 0.09 to 0.43) and 2 years (AOR=0.61, 95% CI 0.40 to 0.96) of training, those who retook the examination (AOR=0.28, 95% CI 0.20 to 0.391) and those from primary healthcare institutions (AOR=0.56, 95% CI 0.40 to 0.77) were less likely to pass the practical skill examination. Examinees with a postgraduate degree and those from colleges and universities had higher pass rates in the written examination (AOR=6.37, 95% CI 1.95 to 23.34; AOR=2.87, 95% CI 1.40 to 6.65, respectively). Examinees aged 30 and above (AOR=0.08, 95% CI 0.01 to 0.30), those aged between 25 and 30 (AOR=0.22, 95% CI 0.03 to 0.80), those who retook the examination (AOR=0.04, 95% CI 0.03 to 0.07), those from second-level hospitals (AOR=0.58, 95% CI 0.39 to 0.87) and those who failed the practical skill examination (AOR=0.17, 95% CI 0.12 to 0.25) were less likely to pass the written examination.ConclusionsThe pass rate of the graduation examination of standardised residency training was associated with the individual characteristics of the examinees. The results of practical skill examination were related to the results of the written examination.

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Burnout

Cited by 43 publications

References 19 publications

Trainee Responses to Hurricane Harvey: Correlating Volunteerism With Burnout

Trainee Responses to Hurricane Harvey: Correlating Volunteerism With Burnout

Physicians’ Total Burden of Occupational Stressors: More than Threefold Increased Odds of Burnout

Factors associated with graduation examination results from standardised residency training in Zhejiang Province, China: a cross-sectional analysis of medical examination results data from 2020

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