Tolerance for Uncertainty, Burnout, and Satisfaction With the Career of Emergency Medicine

Kuhn, Gloria J.; Goldberg, Richard M.; Compton, Scott

doi:10.1016/j.annemergmed.2008.12.019

Cited by 151 publications

(155 citation statements)

References 18 publications

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“…Among practicing EPs, a challenging clinical environment is more related to burnout compared to clinical and administrative autonomy ranking. 6,8 Clinical challenges are implicit in residency training, making autonomous decision-making a more important factor in feelings of personal accomplishment. Transparency of training objectives, especially those related to progressive responsibility, may aid in improving the resident's sense of empowerment, thereby reducing susceptibility to burnout.…”

Section: Discussionmentioning

confidence: 99%

“…Burnout was dichotomized into yes/no, with burnout defined as meeting the MBI definitions of high emotional exhaustion, high depersonalization, or low personal accomplishment. 6 Continuous variables were summarized using mean AE SD, and categorical variables were summarized using frequency and percentage. Correlations between burnout and demographic data were examined using chi-square tests with statistical significance defined as a two-sided p < 0.05.…”

Section: Discussionmentioning

confidence: 99%

“…16 Burnout in residents has been shown to be related to multiple problems, including poor health, mood disturbances, depression, alcohol abuse, and anxiety. 4 Moreover, Kuhn et al 6 have shown that poor tolerance for uncertainty because of a concern for bad outcomes is correlated with burnout in practicing EPs. The prevalence of burnout in emergency medicine (EM) residents, and the individual characteristics associated with it, has not been well described.…”

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confidence: 99%

“…4 Rates of burnout in attending emergency physicians (EPs) have been reported at 32% 6 to 60%, 7 depending on the definition of burnout used. Burnout may lead to decreased productivity and decreased job satisfaction.…”

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confidence: 99%

“…Burnout may lead to decreased productivity and decreased job satisfaction. 6,8,9 Other negative effects include depression, 10 risk of medical errors 11 and adverse effects on patient safety, 12,13 physical symptoms and illness, 14 increased alcohol and drug use, 14,15 and risk of suicidal ideation. 16 Burnout in residents has been shown to be related to multiple problems, including poor health, mood disturbances, depression, alcohol abuse, and anxiety.…”

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confidence: 99%

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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: 99%

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

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Factors Associated With Burnout During Emergency Medicine Residency

Takayesu

Ramoska

Clark

et al. 2014

Academic Emergency Medicine

161

134

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Physicians' Needs in Coping With Emotional Stressors

Hu¹

2012

Arch Surg

212

170

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The Relationship Between Grit, Burnout, and Well‐being in Emergency Medicine Residents

Dam

Perera

Jones

et al. 2018

AEM Education and Training

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Background: Burnout has become endemic in medicine, across all specialties and levels of training. Grit, defined as "perseverance and passion for long-term goals," attempts to quantify the ability to maintain sustained effort throughout an extended length of time. Our objective is to assess burnout and well-being and examine their relationship with the character trait, grit, in emergency medicine residents.Methods: In Fall 2016, we conducted a multicenter cross-sectional survey at five large, urban, academically affiliated emergency departments. Residents were invited to anonymously provide responses to three validated survey instruments; the Short Grit Scale, the Maslach Burnout Inventory, and the World Health Organization-5 Well-Being Index.Results: A total of 222 residents completed the survey (response rate = 86%). A total of 173 residents (77.9%) met criteria for burnout and 107 residents (48.2%) met criteria for low well-being. Residents meeting criteria for burnout and low well-being had significantly lower mean grit scores than those that did not meet criteria. Residents with high grit scores had lower odds of experiencing burnout and low well-being (odds ratio [OR] = 0.26, 95% confidence interval [CI] = 0.46-0.85; and [OR] = 0.33, 95% CI = 0.16-0.72, respectively). Residents with low grit scores were more likely to experience burnout and more likely to have low well-being (OR = 6.17, 95% CI = 1.43-26.64; and OR = 2.76, 95% CI = 1.31-5.79, respectively).Conclusion: A significant relationship exists between grit, burnout, and well-being. Residents with high grit appear to be less likely to experience burnout and low well-being while those with low grit are more likely to experience burnout and low well-being.

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Tolerance for Uncertainty, Burnout, and Satisfaction With the Career of Emergency Medicine

Cited by 151 publications

References 18 publications

Factors Associated With Burnout During Emergency Medicine Residency

Factors Associated With Burnout During Emergency Medicine Residency

Physicians' Needs in Coping With Emotional Stressors

The Relationship Between Grit, Burnout, and Well‐being in Emergency Medicine Residents

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