Comparison of Burnout Among Medical Residents Before and After the Implementation of Work Hours Limits

Martini, Shahm; Arfken, Cynthia L.; Balon, Richard

doi:10.1176/appi.ap.30.4.352

Cited by 111 publications

(93 citation statements)

References 7 publications

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“…Also, female physicians' role as homemakers, managing all the household problems and nurturing the children adds to the amount of stress that they experience. There was no significant association between marital status of residents and burnout levels in this study which was consistent with the results of Shanafelt et al (2002), (Martini, Arfken, & Balon, 2006) and also Park et al (2016). In 2004 Martini et al found that being single was significantly associated with burnout (65.2% burnout in divorced or single residents and 40% burnout in married residents) We can conclude that being married and having a spouse with a supporting and comforting role can reduce anxiety and stress and eventually reduce the burnout rate.…”

supporting

confidence: 90%

Prevalence of Burnout among Resident Physicians in Mazandaran University of Medical Sciences, Iran

Sheikhmoonesi¹,

khani²,

Khademloo³

et al. 2017

GJHS

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Introduction: Burnout is a state of mental and physical exhaustion which is developed under high levels of work-related stress. Burnout during residency training has gained significant attention since it leaves negative impacts on job performance and patient care. This study aimed at investigating the rate of burnout among residents in different medical fields. Method:A descriptive cross sectional study was carried out in 170 medical residents in Mazandaran University of Medical Sciences, 2012. Data was collected using a demographic questionnaire and Maslach Burnout Inventory (MBI).Results: Overall 52% of residents met burnout criteria ranging from 33% to 73% in different fields. There was a significant difference between specialties regarding emotional exhaustion subscale. (p=0.022). There was also a significant relationship between age and emotional exhaustion, in fact younger residents reported higher emotional exhaustion. (p=0.004) Conclusions:There was a considerable degree of burnout among residents and we found a relationship between educational field and emotional exhaustion. The highest degree of burnout was observed in Gynecology residents, and highest degree of emotional exhaustion was reported between younger residents.

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supporting

confidence: 90%

Prevalence of Burnout among Resident Physicians in Mazandaran University of Medical Sciences, Iran

Sheikhmoonesi¹,

khani²,

Khademloo³

et al. 2017

GJHS

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“…Two studies found that a higher number of work hours was related to burnout. 30,51 Specifically, in one study, working >80 h corresponded to rates of burnout near 70%, which decreased to 39% when working <80 h per week. 30 …”

Section: The 2003 Duty Hour Rules and Resident Well-beingmentioning

confidence: 98%

Patient Safety, Resident Education and Resident Well-Being Following Implementation of the 2003 ACGME Duty Hour Rules

2011

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), bibliographies, pertinent reviews, and meeting abstracts. STUDY SELECTION: We included studies examining the relationship between the pre-and post-2003 time periods and patient outcomes (mortality, complications, errors), resident education (standardized test scores, clinical experience), and well-being (as measured by the Maslach Burnout Inventory). We excluded non-US studies. DATA EXTRACTION: One rater used structured data collection forms to abstract data on study design, quality, and outcomes. We synthesized the literature qualitatively and included a meta-analysis of patient mortality. RESULTS: Of 5,345 studies identified, 60 met eligibility criteria. Twenty-eight studies included an objective outcome related to patients; 10 assessed standardized resident examination scores; 26 assessed resident operative experience. Eight assessed resident burnout. Metaanalysis of the mortality studies revealed a significant improvement in mortality in the post-2003 time period with a pooled odds ratio (OR) of 0.9 (95% CI: 0.84, 0.95). These results were significant for medical (OR 0.91; 95% CI: 0.85, 0.98) and surgical patients (OR 0.86; 95% CI: 0.75, 0.97). However, significant heterogeneity was present (I 2 83%). Patient complications were more nuanced. Some increased in frequency; others decreased. Outcomes for resident operative experience and standardized knowledge tests varied substantially across studies. Resident well-being improved in most studies. LIMITATIONS: Most studies were observational. Not all studies of mortality provided enough information to be included in the meta-analysis. We used unadjusted odds ratios in the meta-analysis; statistical heterogeneity was substantial. Publication bias is possible. CONCLUSIONS:Since 2003, patient mortality appears to have improved, although this could be due to secular trends. Resident well-being appears improved. Change in resident educational experience is less clear.

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“…[3][4][5] Studies of the few programs offering part-time options show that residents have less burnout, better faculty evaluations, and equivalent board pass rates compared to fulltime colleagues. 6 We hypothesized that the majority of medical students would desire flexible residency training schedules.…”

Section: Briefmentioning

confidence: 99%

Medical Student Interest in Flexible Residency Training Options

Piotrowski

Stulberg

Egan

2018

Fam Med

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BRIEFREPORT T oday's medical students have different priorities and expectations for work-life balance than previous generations.1,2 Stress and long work hours during residency training often lead to burnout, depression, suboptimal patient care, and an inferior educational experience. [3][4][5] Studies of the few programs offering part-time options show that residents have less burnout, better faculty evaluations, and equivalent board pass rates compared to fulltime colleagues. 6 We hypothesized that the majority of medical students would desire flexible residency training schedules. MethodsTo assess medical students' interest in flexible residency training options we developed an 11-item survey using a combination of expert opinion, literature review, and a pilot study at the University of Chicago Pritzker School of Medicine. We designed one question based on an instrument utilized in a prior study with similar intent at the Medical College of Pennsylvania in 1976. 7 The survey questions included in this analysis are listed in Table 1. This study received an exemption from the University of Chicago Institutional Review Board. We surveyed second through fourth-year medical students at (1) RESULTS:The survey was completed by 789 medical students. Over half of medical students surveyed indicated that they would be interested in working part-time during some portion of their residency training (51%), and that access to part-time training options would increase their likelihood of applying to a particular residency program (52%). When given the option of three residency training schedules of varying lengths, 41% of male students and 60% of female students chose a 60-hour workweek, even when that meant extending the residency length by 33% and reducing their yearly salary to $39,000. CONCLUSIONS:There is considerable interest among medical students in access to part-time residency training options and reduced-hour residency programs. This level of interest indicates that offering flexible training options could be an effective recruitment tool for residency programs and could improve students' perception of their work-life balance during residency.

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Comparison of Burnout Among Medical Residents Before and After the Implementation of Work Hours Limits

Cited by 111 publications

References 7 publications

Prevalence of Burnout among Resident Physicians in Mazandaran University of Medical Sciences, Iran

Prevalence of Burnout among Resident Physicians in Mazandaran University of Medical Sciences, Iran

Patient Safety, Resident Education and Resident Well-Being Following Implementation of the 2003 ACGME Duty Hour Rules

Medical Student Interest in Flexible Residency Training Options

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