Do Internal or External Characteristics More Reliably Predict Burnout in Resident Physicians: A Multi-institutional Study

Mullins, C. Haddon; Gleason, Frank H.; Wood, Tara; Baker, Samantha; Cortez, Alexander R.; Lovasik, Brendan P.; Sandhu, Gurjit; Cooper, Amanda; Hildreth, Amy N.; Simmons, Jon D.; Delman, Keith A.; Lindeman, Brenessa

doi:10.1016/j.jsurg.2020.09.024

Cited by 14 publications

(8 citation statements)

References 28 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Among all 17 studies that looked at perceived control, 10 found significant effects, all but one indicating that more perceived control is a protective factor. Four studies used prospective designs 47 52 56 69…”

Section: Resultsmentioning

confidence: 99%

Predictors of burnout among US healthcare providers: a systematic review

et al. 2022

View full text Add to dashboard Cite

ObjectiveOne potential barrier to optimal healthcare may be provider burnout or occupational-related stress in the workplace. The objective of this study is to conduct a systematic review to identify the predictors of burnout among US. healthcare providers.DesignSystematic review using in-depth critical appraisal to assess risk of bias and present the quality of evidence in synthesised results from the prognostic studies.Data sourcesWe searched 11 databases, registries, existing reviews and contacted experts through 4 October 2021.Eligibility criteria for selecting studiesWe included all studies evaluating potential predictors and documenting the presence and absence of associations with burnout assessed as a multidimensional construct. We excluded studies that relied solely on a single continuous subscale of burnout. Data were abstracted from eligible studies and checked for accuracy by a content expert and a methodologist.Data extraction and synthesisTwo reviewers independently screened citations and full-text publications using predetermined eligibility criteria.ResultsThe 141 identified studies evaluated a range of burnout predictors. Findings for demographic characteristics were conflicting or show no association. Workplace factors, such as workload, work/life balance, job autonomy and perceived support from leadership, had stronger associations with risk for burnout. Mental health factors, such as anxiety, and physical health risks may increase the risk, although the direction of these associations is unclear as few prospective studies exist to address this question. Factors such as social support appear to have a protective effect.ConclusionWe found the most evidence for workplace, mental health and psychosocial factors in predicting burnout but limited evidence for other potential predictors. However, more prospective studies are needed to improve our understanding about how to prevent provider burnout.PROSPERO registration numberCRD4202014836.

show abstract

Section: Resultsmentioning

confidence: 99%

Predictors of burnout among US healthcare providers: a systematic review

et al. 2022

View full text Add to dashboard Cite

show abstract

“…This unique work is congruent with prior work illuminating that factors contributing to and protecting from burnout can be both internal (eg, emotional intelligence, resilience, and mindfulness) and external (eg, work experiences). 4 As demonstrated in this study, professional development coaching can serve to fortify and develop the internal characteristics of trainees, increasing their self-reflection and goal setting as they navigate their coaching sessions. In addition, professional development coaching can help trainees to develop the skills necessary to adapt their external characteristics, teaching them how to mold their working environments to be more favorable.…”

mentioning

confidence: 85%

Surgeon Coaching: An Important Tool in the Armamentarium Against Burnout?

McMullin

Lindeman

2022

Annals of Surgery

Self Cite

View full text Add to dashboard Cite

“…Resilience however remains a major component of the solution, and does indeed correlate with decreased burnout in recent studies [3,4], while appearing to decrease distress in biopsychosocial dimensions [5]. Not surprisingly, emergency providers (with no significant difference measured between physicians and APP's) had higher job retention with better wellness markers [6].…”

mentioning

confidence: 93%

“…Researchers have found positive associations between resilience and a variety of factors: family support [7], residency support [7], male gender [7], professional autonomy [7], moral courage [8]; and negative associations with: increasing age [9,10] and being single or divorced [10]. Less burnout is seen among those with higher emotional intelligence and mindfulness [3], higher empathy and social support [11], higher self-compassion (e.g., not being overtly self-critical) [12,13], and greater concern for others [12].…”

mentioning

confidence: 99%

Wellness Review 2020, Part 2

Ferguson¹,

Huecker²

2020

JWellness

View full text Add to dashboard Cite

Introduction: This article comprises Part 2 of the Journal of Wellness review of 2020 wellness literature (July – December). In this review, JWellness editors continue the goal of offering a cohesive summary of recent publications within the wellness domain. We summarize new science and resilience initiatives published outside of JWellness that seek understanding of either burnout and its prevention or thriving in the medical community. Methods: From the interval of 01 July – 31 Dec 2020, PubMed was queried for empirical research studies, review articles, and editorials in accordance with the following algorithm: an article was required to have two delineating keywords, each from a separate grouping. The first identified medical professionals in either the title or the abstract: (“clinical professionals,” “physicians,” or “caregivers”), and the other identified a wellness-related keyword in the title: (“wellness,” “burnout,” “resilience,” or “resiliency”). Literature in Review: A total of 234 articles resulted. The list for inclusion was then narrowed to sixty-three articles plus one that was hand-picked. Recent literature into physician wellness, burnout and resilience continues to focus heavily on COVID-19. Well-researched topics include burnout surveillance, proposals for and small investigations into resilience, multiple studies attempting to differentiate characteristics that predispose to burnout, and the impact of the pandemic. Less has been written on leadership, financial wellness, and sustainable resilience-building initiatives. We note relatively few control-measured interventional studies—the majority of which remain small in endeavor and short in duration, limiting generalizability. Conclusion: Recent literature into physician wellness, burnout and resilience focuses heavily on COVID-19. Many workplace / organizational factors negatively influence wellness: cumbersome EHRs, cultures not focused on socialization and self-compassion, and high physician task load. We express optimism regarding future interventional studies of burnout mitigation and resilience enhancement.

show abstract

Do Internal or External Characteristics More Reliably Predict Burnout in Resident Physicians: A Multi-institutional Study

Cited by 14 publications

References 28 publications

Predictors of burnout among US healthcare providers: a systematic review

Predictors of burnout among US healthcare providers: a systematic review

Surgeon Coaching: An Important Tool in the Armamentarium Against Burnout?

Wellness Review 2020, Part 2

Contact Info

Product

Resources

About