Higher Grit Scores Associated With Less Burnout in a Cohort of Internal Medicine Residents

Brateanu, Andrei; Switzer, Benjamin; Scott, Susan C.; Ramsey, Jennifer; Thomascik, James; Nowacki, Amy S.; Colbert, Colleen Y.

doi:10.1016/j.amjms.2020.05.045

Cited by 19 publications

(19 citation statements)

References 35 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Emphasis should be made on factors that showed significance in protecting residents from burn out and ways to incorporate them in training should be sought to decrease burnout among residents. Programs should also try and measure grit scores early in residency, as they can potentially identify residents at risk for symptoms of burnout, specifically emotional exhaustion, and implement targeted interventions [ 33 ].…”

Section: Discussionmentioning

confidence: 99%

Triggering and protective factors of burnout in medical resident physicians in a lower-middle-income country: A cross-sectional study

Mahmood

Zahid

Nasir

et al. 2021

Annals of Medicine &Amp; Surgery

View full text Add to dashboard Cite

Background Residents and interns are prone to emotional and physical exhaustion, also known as burnout. Burnout has not been studied much in physicians working in lower-middle income countries. We conducted this study to determine the burden of burnout among internal medicine residents and to identify triggering and protective factors associated with burnout. Materials and methods A cross-sectional study was conducted at two institutes in Karachi from 2018 to 2019. All residents registered in the internal medicine program for at least 6 months were invited to participate via an online survey. An abbreviated version of the Maslach Burnout scale was used to measure burnout, and protective and triggering factors were recorded according to known factors. Results A total of 71 out of 92 (77%) residents participated. The mean (SD) age of the participants was 28 (3.1) years, 51 (71.8%) were females and 51 (71.8%) were junior residents. A total of 33 (46.5%) residents had burnout. Burnout and emotional exhaustion were more in female residents (p < 0.05). None of the triggering factors attained statistical significance. The protective factors for burnout which showed significant association were good relationship with friends (OR 0.1–95% CI 0.0, 0.6), exercise and extra-curricular activities (OR 0.2–95% CI 0.0, 0.7), celebrating accomplishments (OR 0.2–95% CI 0.0, 0.7), having enough money (OR 0.2–95% CI 0.0, 0.4), and ability to plan for future (OR 0.1–95% CI 0.0, 0.6). Conclusion More than a third of medicine residents suffered from burnout. We need to focus on rejuvenating activities for medicine residents to decrease burnout among them. If not addressed adequately this may result in a compromise in the quality of care being provided to patients.

show abstract

Section: Discussionmentioning

confidence: 99%

Triggering and protective factors of burnout in medical resident physicians in a lower-middle-income country: A cross-sectional study

Mahmood

Zahid

Nasir

et al. 2021

Annals of Medicine &Amp; Surgery

View full text Add to dashboard Cite

show abstract

“…31,32 Many studies have found a correlation between increased physician grit and decreased burnout. [41][42][43][44] Grit also predicted increased task engagement and decreased distress, suggesting that this may again be an area to focus on in mitigating stress associated with interpersonal conflict during medical care. 43 Conversely, our work also suggests that systems and environmental…”

Section: Discussionmentioning

confidence: 96%

“…[41][42][43][44] Grit also predicted increased task engagement and decreased distress, suggesting that this may again be an area to focus on in mitigating stress associated with interpersonal conflict during medical care. 43 Conversely, our work also suggests that systems and environmental…”

Section: Discussionmentioning

confidence: 96%

All clinical stressors are not created equal: Differential task stress in a simulated clinical environment

Joseph

Ray

Chang

et al. 2022

AEM Education and Training

View full text Add to dashboard Cite

Background: A variety of stressors are encountered while working in the emergency department and are often recreated in simulation-based medical education. We seek to examine the physiologic and stress state response of participants in a simulated clinical environment to commonly encountered stressors. Methods: Emergency medicine (EM) residents participated in a randomized, controlled trial of six simulated patient encounters with one of three stressors, medical difficulty, interpersonal challenge, and technology/equipment failure, randomized into each scenario. Participants wore smart shirts to measure heart rate variability (HRV) at rest and just after the introduced stressor and completed the Short Stress State Questionnaire (SSSQ) before and after each scenario.Results: Twenty-seven EM residents participated in the study. Interpersonal challenge resulted in increased distress as measured by SSSQ compared to the other two stressors (one way ANOVA, F[2,144] = 9.95, p < 0.001). There was no difference in worry or task engagement across stressors. HRV decreased significantly from rest for all stressors (p = 0.0003, p = 0.0112, p = 0.0027 for medical difficulty, interpersonal challenge, and equipment failure, respectively), but there was no statistically significant difference between mean change in HRV across stressors (one way ANOVA, F[2,120] = 0.17, p = 0.8452).Conclusions: Interpersonal challenge stressor was significantly associated with an increase in distress in EM residents during the simulated encounters as compared to the other stressors. While heart rate variability decreased from rest for each stressor as expected following stressor introduction, differing stressors did not produce a differential change.

show abstract

“…Alternatively, several psychological mechanisms could expand on the biomedical model of disease by highlighting the social determinants of illness [ 45 ]. Academy award winners, for example, may be able to avoid some stress through more control and less aggravation when encountering an obstacle.…”

Section: Discussionmentioning

confidence: 99%

Long-term mortality of academy award winning actors and actresses

Redelmeier

Singh

2022

PLoS ONE

View full text Add to dashboard Cite

Background Social status gradients are powerful health determinants for individuals living in poverty. We tested whether winning an Academy award (Oscar) for acting was associated with long-term survival. Methods We conducted a longitudinal cohort analysis of all actors and actresses nominated for an Academy award in a leading or a supporting role. For each, a control was identified based on age, sex, and co-staring in the same film. Results Overall, 2,111 individuals were analyzed with 1,122 total deaths occurring during a median follow-up of 68.8 years. Comparisons of winners to controls yielded a 4.8% relative difference average life-span (95% confidence interval: 1.6 to 7.9, p = 0.004), a 5.1 year absolute increase in life expectancy (95% confidence interval: 3.0 to 7.2, p < 0.001), and a 41% improvement in mortality hazard (95% confidence interval: 19 to 68, p < 0.001). The increased survival tended to be greater in recent years, for individuals winning at a younger age, and among those with multiple wins. The increased survival replicated in secondary analyses comparing winners to nominees and was not observed in analyses comparing nominees to controls. Conclusions Academy award winning actors and actresses show a positive association between success and survival, suggesting the importance of behavioral, psychological, or other modifiable health factors unrelated to poverty.

show abstract

Higher Grit Scores Associated With Less Burnout in a Cohort of Internal Medicine Residents

Cited by 19 publications

References 35 publications

Triggering and protective factors of burnout in medical resident physicians in a lower-middle-income country: A cross-sectional study

Triggering and protective factors of burnout in medical resident physicians in a lower-middle-income country: A cross-sectional study

All clinical stressors are not created equal: Differential task stress in a simulated clinical environment

Long-term mortality of academy award winning actors and actresses

Contact Info

Product

Resources

About