Quality of Life, Burnout, Educational Debt, and Medical Knowledge Among Internal Medicine Residents

West, Colin P.; Shanafelt, Tait D.; Kolars, Joseph C.

doi:10.1001/jama.2011.1247

Cited by 600 publications

(554 citation statements)

References 41 publications

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“…[2][3][4] Similar to previous studies, 2,4 we found no significant associations between resident demographic characteristics and burnout. Our findings of the relationship between job satisfaction (BI enjoy my continuity clinic^) and burnout are also supported by the literature.…”

Section: Discussionsupporting

confidence: 88%

“…1 It is measured using a validated instrument, 1 and reported by 50-75 % of resident physicians. [2][3][4] Burnedout residents self-report increased rates of medical errors, 4,5 suboptimal patient care, 2 and reduced empathy. 6,7 A few studies have tried to substantiate these findings with independent observational data but have not provided confirmatory evidence.…”

mentioning

confidence: 99%

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Burned Out at the Bedside: Patient Perceptions of Physician Burnout in an Internal Medicine Resident Continuity Clinic

et al. 2015

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Section: Discussionsupporting

confidence: 88%

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confidence: 99%

Burned Out at the Bedside: Patient Perceptions of Physician Burnout in an Internal Medicine Resident Continuity Clinic

et al. 2015

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“…Another study of medicine residents noted that senior residents (PGY3) had the highest QOL and more junior residents (PGY1 and 2) and women had more work‐life balance dissatisfaction and emotional exhaustion 16. In that study, the symptoms improved with increased PGY level 16. We speculate this difference in otolaryngology PGY1 versus medicine PGY1 is that medicine residents start within their fields whereas otolaryngology residents begin as rotators.…”

Section: Discussionmentioning

confidence: 78%

“…The burnout effect also appears to have a cumulative effect over time 3. Another study of medicine residents noted that senior residents (PGY3) had the highest QOL and more junior residents (PGY1 and 2) and women had more work‐life balance dissatisfaction and emotional exhaustion 16. In that study, the symptoms improved with increased PGY level 16.…”

Section: Discussionmentioning

confidence: 84%

A study of otolaryngology resident quality of life and sleepiness

Garcia‐Rodriguez

Sanchez

et al. 2017

Laryngoscope Investig Oto

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ObjectivesThis study aimed to determine otolaryngology residents' quality of life and sleepiness.MethodsAn electronic survey was distributed to otolaryngology residents in the United States in October 2014 and May 2015. The survey included questions from the Physician Well‐Being Index (PWBI) and Epworth Sleepiness Scale (ESS). Data were analyzed using standard descriptive and frequency analyses, Spearman correlations, and Student's t‐test.ResultsThe 196 respondents (13% response rate) had a mean age of 29.9 years and worked an average of 70.88 hours/week. Higher PWBI score (lower quality of life) correlated with higher ESS (more sleepiness) for all respondents regardless of rotation (Spearman coefficient of .45; p = .001). PWBI scores were higher for head/neck oncology. Both PWBI and ESS scores were highest for postgraduate year two. PWBI showed a significant positive correlation with hours worked (correlation coefficient .35; p = .001) as well as a significant negative correlation with exercise time (correlation coefficient ‐.18; p = .010). There was a positive correlation between hours worked and ESS (correlation coefficient .48; p = .001).ConclusionFor the otolaryngology survey respondents, sleepiness and overall well‐being were better during the first year with a dramatic worsening during junior years followed by an improvement in the senior years. More work hours and poor quality of life was associated with less physically active residents. Focused interventions during these rotations may reduce distress, improve quality of life, and enhance learning.Level of EvidenceNA

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“…Há uma cultura de que a privação do sono é um símbolo de dedicação à profissão médica, parecendo aumentar a produtividade nos estudos e no atendimento [25]. Entretanto, estudos sugerem que fadiga, sonolência, depressão, esgotamento, insatisfação no trabalho e baixa qualidade de vida podem afetar negativamente o profissionalismo, a qualidade da assistência e a segurança e satisfação do paciente [24,26].…”

Section: Discussionunclassified

Qualidade de vida de médicos residentes de um hospital escola

Dias

Neves

Sousa

et al. 2016

Sci Med

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Este artigo está licenciado sob forma de uma licença Creative Commons Atribuição 4.0 Internacional, que permite uso irrestrito, distribuição e reprodução em qualquer meio, desde que a publicação original seja corretamente citada. http://creativecommons.org/licenses/by/4.0/deed.pt_BR Qualidade de vida de médicos residentes de um hospital escola Quality of life of medical residents from a teaching hospital ABSTRACT Aims:To assess the quality of life of medical residents from a teaching hospital located in Goiânia, State of Goiás, Brazil. Methods: This is a descriptive cross-sectional study with a quantitative approach. The survey was conducted using a census, during which all medical residents were interviewed. Two questionnaires were applied: one containing sociodemographic and occupational data and the World Health Organization Quality of Life -Bref (WHOQOL-Bref), which assesses quality of life. A parametric statistical analysis was used, including interval scale, Scheffé analysis of variance, and chi-square test. A p<0.05 was considered to be statistically significant. Results: A total of 84 medical residents with a mean age of 29.8±3.6 years were interviewed. Fifty-four (64.3%) were female and 53 (63.1%) were single. Thirty-eight were attending the first year, 39 were in the second year, and seven were in the third year of residency. The weekly workload showed an average of 63.19±11.30 hours and 56 (66.7%) reported having a job besides the residency program. A score of 3.44±0.54 was obtained for the overall quality of life, 3.51±0.61 for the physical domain, 3.43±0.63 for the psychological domain, 3.42±0.80 for social relations, and 3.39±0.54 for environment. The perception about quality of life showed a score of 2.99±1.00 whereas that of personal satisfaction with health was equal to 3.04±1.17. Men had a higher score for overall quality of life (mean of 3.64) than women (mean of 3.32) (p=0.005). A significant difference between male and female residents was also observed in the physical domain (p=0.005) and in the psychological one (p=0.004), in which women had lower scores (means of 3.8 and 3.7, respectively) than men (means of 4.3 and 4.2, respectively). Conclusions:The overall quality of life assessment yielded a good mean, and all domains were included under this classification. Selfassessment demonstrated regular perception about the residents' own quality of life. Being a female was a predictor of worse overall quality of life and worse scores in the physical and psychological domains.KEY WORDS: internship and residency; residency, medical; quality of life; mental health.

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Quality of Life, Burnout, Educational Debt, and Medical Knowledge Among Internal Medicine Residents

Cited by 600 publications

References 41 publications

Burned Out at the Bedside: Patient Perceptions of Physician Burnout in an Internal Medicine Resident Continuity Clinic

Burned Out at the Bedside: Patient Perceptions of Physician Burnout in an Internal Medicine Resident Continuity Clinic

A study of otolaryngology resident quality of life and sleepiness

Qualidade de vida de médicos residentes de um hospital escola

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