Variability of Burnout and Stress Measures in Pediatric Residents: An Exploratory Single-Center Study From the Pediatric Resident Burnout–Resilience Study Consortium

Reed, Suzanne; Kemper, Kathi J.; Schwartz, Alan; Batra, Maneesh; Staples, Betty B.; Serwint, Janet R.; McClafferty, Hilary; Schubert, Charles J.; Wilson, Patricia S.; Rakowsky, Alex; Chase, Margaret; Mahan, John D.

doi:10.1177/2515690x18804779

Cited by 16 publications

(15 citation statements)

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“…With our data, we confirm crosssectional studies reporting several protective factors for burnout, such as that more mindfulness is associated with a lower risk of burnout. 30,31,33,72,[79][80][81][82] Also confirmed in our data are earlier findings that self-compassion, CCC, and empathy are associated with a lower burnout risk. 30,38,76,82,83 Controlled trials are needed to evaluate the impact on burnout of programs that improve mindfulness, self-compassion, and CCC.…”

Section: Discussionsupporting

confidence: 89%

“…Like others, we found that sleepiness, fatigue, stress, worklife conflicts, and dissatisfaction were associated with an increased risk of burnout. 4,26,34,[69][70][71][72][73] Interventions addressing these factors may be worthwhile to test to reduce burnout. 74 On the other hand, we did not confirm some reported risk factors for burnout, for example, sex and debt.…”

Section: Discussionmentioning

confidence: 99%

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Burnout in Pediatric Residents: Three Years of National Survey Data

et al. 2020

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BACKGROUND: We aimed to describe the national epidemiology of burnout in pediatric residents. METHODS: We conducted surveys of residents at 34 programs in 2016, 43 programs in 2017, and 49 programs in 2018. Survey items included the Maslach Burnout Inventory, demographics, program characteristics, personal qualities, experiences, and satisfaction with support, worklife balance, and learning environment. Analyses included cross-sectional comparisons and cross-sectional and longitudinal regression. RESULTS: More than 60% of eligible residents participated; burnout rates were .50% in all years and not consistently associated with any demographic or residency characteristics. Cross-sectional associations were significant between burnout and stress, sleepiness, quality of life, mindfulness, self-compassion, empathy, confidence in providing compassionate care (CCC), being on a high-acuity rotation, recent major medical error, recent time off, satisfaction with support and career choice, and attitudes about residency. In cross-sectional logistic regression analyses, 4 factors were associated with an increased risk of burnout: stress, sleepiness, dissatisfaction with work-life balance, and recent medical error; 4 factors were associated with lower risk: empathy, self-compassion, quality of life, and CCC. Longitudinally, after controlling for 2017 burnout and 2018 risk factors (eg, recent error, sleepiness, rotation, and time off), 2017 quality of life was associated with 2018 burnout; 2017 self-compassion was associated with lower 2018 stress; and 2017 mindfulness, empathy, and satisfaction with learning environment and career choice were associated with 2018 CCC. CONCLUSIONS: A majority of residents met burnout criteria. Several identified factors (eg, stress, sleepiness, medical errors, empathy, CCC, and self-compassion) suggest targets for interventions to reduce burnout in future studies. WHAT'S KNOWN ON THIS SUBJECT: Small studies in pediatric residents and larger studies on medical students and practicing physicians suggest that burnout is common, increasing, and associated with demographic and other risk factors, but most are cross-sectional. WHAT THIS STUDY ADDS: We examined burnout' s epidemiology in a national sample of pediatric residents over 3 years, assessing a broad range of risk and protective factors. We identified modifiable risk factors for both individuals and programs, laying the groundwork for intervention studies.

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Section: Discussionsupporting

confidence: 89%

Section: Discussionmentioning

confidence: 99%

Burnout in Pediatric Residents: Three Years of National Survey Data

et al. 2020

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“…Specific examples linked to increased burnout include emotional exhaustion, anxiety during medical school, neuroticism personality trait, increased use of electronic health record and occupational stress [5,[18][19][20]. However, protective factors such as personal resilience, mindfulness, self-compassion, reported levels of empathy and extraverted personalities have been associated with decreased burnout [5,10,13,21,22].…”

Section: Discussionmentioning

confidence: 99%

The Correlation of Burnout and Optimism among Medical Residents

Fowler¹,

Kiessling²,

Khan³

et al. 2020

Cureus

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Burnout is common among clinical specialties and has implications on the residents' wellbeing and mental health. Evidence suggests that optimism and burnout are correlated, but research has not focused on the applicability to medical residents. The objective of the study was to define burnout in residents and correlate it with optimism. Methods The authors conducted a correlational, prospective cross-sectional study using self-reported single item burnout (1-10) and Life Oriented Test-Revised (LOT-R) (0-24) survey instruments among residents of neurosurgery, neurology, internal medicine, family medicine and emergency medicine at a community-based hospital. Residents were asked to fill out the survey once in the 2018 academic year and once again in the 2019 academic year. Burnout and optimism scores were correlated and compared across subgroups for each year.

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“…5 Work hour restrictions, self-care workshops, and a meditation intervention improve burnout. 6 Resilience 7,8 and mindfulness 9 are associated with decreased burnout. However, burnout is not a phenomenon that occurs in isolation.…”

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confidence: 99%

Well-being in Residency: Impact of an Online Physician Well-being Course on Resiliency and Burnout in Incoming Residents

Ricker

Brooks

Bodine

et al. 2021

Fam Med

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Background and Objectives: Wellness in residency has come to the forefront of national graduate medical education initiatives. Exponential growth in knowledge and skill development occurs under immense pressures, with physical, mental, and emotional stressors putting residents at burnout risk. The Accreditation Council for Graduate Medical Education requires programs to attend to resident wellness, providing the structure, environment, and resources to address burnout. This study’s purpose was to evaluate the Andrew Weil Center for Integrative Medicine online Physician Well-being Course (PWC) with incoming postgraduate year-1 (PGY-1) residents in multiple residencies across a single health care system. The PWC teaches the learner strategies for building resilience, managing stress, identifying signs of burnout, and mindfulness practices including a self-selected daily 10-minute resiliency activity (meditation, gratitude journaling, and finding meaning journaling) for 14 days. Methods: Incoming PGY-1 residents were enrolled in PWC 1 month prior to 2018 orientation. Validated measures of resiliency, burnout and gratitude were completed pre- and postcourse. We assessed pre/postcourse changes with paired t tests. We asked participants whether they incorporated any wellness behavior changes postcourse. Results: Almost two-thirds of the incoming trainees completed the course (n=53/87, 61%). We found significant improvements (P<.05) for resiliency and burnout (emotional exhaustion, depersonalization). Gratitude did not change. The personal accomplishment burnout scale declined. The most frequently reported wellness behaviors were in the area of sleep, exercise, and diet. Conclusions: Resiliency, emotional exhaustion, and depersonalization improved, personal accomplishment declined, while gratitude remained the same. This project demonstrates an accessible and scalable approach to teaching well-being to incoming residents.

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Variability of Burnout and Stress Measures in Pediatric Residents: An Exploratory Single-Center Study From the Pediatric Resident Burnout–Resilience Study Consortium

Cited by 16 publications

References 50 publications

Burnout in Pediatric Residents: Three Years of National Survey Data

Burnout in Pediatric Residents: Three Years of National Survey Data

The Correlation of Burnout and Optimism among Medical Residents

Well-being in Residency: Impact of an Online Physician Well-being Course on Resiliency and Burnout in Incoming Residents

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