Quality of Life During Orthopaedic Training and Academic Practice

Sargent, M. Catherine; Sotile, Wayne M.; Sotile, Mary O.; Rubash, Harry E.; Barrack, Robert L.

doi:10.2106/jbjs.h.00665

Cited by 174 publications

(176 citation statements)

References 43 publications

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“…3 Residents within a relationship and, in particular, male residents with a significant other or a spouse, had a significantly higher prevalence of burnout. This finding is somewhat surprising, as previous studies in the general medical specialties 4,23,24 and in orthopedic surgery residents 24,25 have shown that unmarried residents have higher rates of burnout and that male spouses of orthopedic residents were significantly less satisfied with the quality of their relationships than were spouses of male residents. Moreover, female residents seem to experience more stress-related health complaints than their male colleagues.…”

Section: Discussionmentioning

confidence: 74%

Factors Associated With Burnout During Emergency Medicine Residency

Takayesu

Ramoska

Clark

et al. 2014

Academic Emergency Medicine

161

134

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Objectives: While the prevalence of burnout in practicing emergency physicians has been studied, little is known of the prevalence and risk factors in emergency medicine (EM) residents. The aim of this study was to assess the prevalence of burnout among EM residents and the individual-level factors associated with burnout.Methods: Eight EM residency programs were surveyed using the Maslach Burnout Inventory (MBI). Demographic data and data on job satisfaction and tolerance of uncertainty in clinical decision-making were collected using validated instruments.Results: Of 289 eligible residents, 218 completed the MBI (response rate = 75%). A total of 142 residents (65%) met the criteria for burnout. Complete data sets of the other instruments were obtained from 193 (response rate = 67%), and this group comprised our study population. Subjects having a significant other or spouse had a higher prevalence of burnout compared to single residents (60% vs. 40%, p = 0.002). Poor global job satisfaction (p < 0.0001), lack of administrative autonomy (p = 0.021), and lack of clinical autonomy (p = 0.031) correlated with burnout, as did intolerance of uncertainty (p = 0.015).Conclusions: Burnout is highly prevalent in EM residents. Interventions should be targeted at 1) improving resident autonomy in the emergency department where possible, 2) supervision and instruction on medical decision-making that may affect or teach individuals to cope with risk tolerance, and 3) social supports to reduce work-home conflicts during training.

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Section: Discussionmentioning

confidence: 74%

Factors Associated With Burnout During Emergency Medicine Residency

Takayesu

Ramoska

Clark

et al. 2014

Academic Emergency Medicine

161

134

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“…[8][9][10] Clinician burnout is associated with worse patient safety [11][12][13][14][15] and satisfaction. [16][17][18] By some estimates, burnout affects nearly half of all US nurses and physicians.…”

Section: Introductionmentioning

confidence: 99%

“…Employees who experience long work hours, excessive clinical workloads, a chaotic work environment, or discord among fellow staff are more likely to have burnout. 5,8,10,20 Conversely, those who report a greater institutional emphasis on quality of care, team cohesiveness and communication are less likely to report burnout. 5 Adequate staffing levels, equitable distribution of…”

Section: Introductionmentioning

confidence: 99%

“…32,34 However, one-third of primary care employees report signs of burnout, 33 and there appear to be strong temporal trends in declining job satisfaction and workplace climate among VA PCPs. 35 The stress of a large-scale change could be contributing to burnout among employees, or conversely, this team-based care model, which has characteristics associated with lower burnout in other settings, 2,5,8,10,20,21,[36][37][38] could be protective of burnout.…”

Section: Introductionmentioning

confidence: 99%

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Elements of Team-Based Care in a Patient-Centered Medical Home Are Associated with Lower Burnout Among VA Primary Care Employees

et al. 2014

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BACKGROUND: A high proportion of the US primary care workforce reports burnout, which is associated with negative consequences for clinicians and patients. Many protective factors from burnout are characteristics of patient-centered medical home (PCMH) models, though even positive organizational transformation is often stressful. The existing literature on the effects of PCMH on burnout is limited, with most findings based on small-scale demonstration projects with data collected only among physicians, and the results are mixed. OBJECTIVE: To determine if components of PCMH related to team-based care were associated with lower burnout among primary care team members participating in a national medical home transformation, the VA Patient Aligned Care Team (PACT). DESIGN: Web-based, cross-sectional survey and administrative data from May 2012. PARTICIPANTS: A total of 4,539 VA primary care personnel from 588 VA primary care clinics. MAIN MEASURES: The dependent variable was burnout, and the independent variables were measures of team-based care: team functioning, time spent in huddles, team staffing, delegation of clinical responsibilities, working to top of competency, and collective self-efficacy. We also included administrative measures of workload and patient comorbidity. KEY RESULTS: Overall, 39 % of respondents reported burnout. Participatory decision making (OR 0.65, 95 % CI 0.57, 0.74) and having a fully staffed PACT (OR 0.79, 95 % CI 0.68, 0.93) were associated with lower burnout, while being assigned to a PACT (OR 1.46, 95 % CI 1.11, 1.93), spending time on work someone with less training could do (OR 1.29, 95 % CI 1.07, 1.57) and a stressful, fast-moving work environment (OR 4.33, 95 % CI 3.78, 4.96) were associated with higher burnout. Longer tenure and occupation were also correlated with burnout. CONCLUSIONS: Lower burnout may be achieved by medical home models that are appropriately staffed, emphasize participatory decision making, and increase the proportion of time team members spend working to the top of their competency level.KEY WORDS: patient-centered medical home; burnout; team-based care; organizational change.

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“…When a surgeon suffers emotionally, the collateral damage extends to patients, friends, family, and loved ones [10]. Behavioral problems and dysfunctional thinking, left untreated, tend to worsen over time, and may lead to destructive behaviors that will likely bleed into one's personal and professional life.…”

mentioning

confidence: 99%