Abstract
Objective
To investigate the relationship between burnout, work environment, and a variety of personalvariables, including age, gender, marital, parental and acculturation status within a population of family medicine and psychiatry resident physicians.
Methods
Between 2002 and 2005, 155 residents in family medicine and psychiatry at East Tennessee State University College of Medicine were surveyed at intervals using the Maslach Burnout Inventory and Work Environment Scale, form R, to assess their current state of emotional health and job satisfaction.
Results
Female residents had lower scores on the Depersonalization scale of the Maslach Burnout Inventory (t = 3.37, p = 0.001). Parenting was associated with lower Depersonalization (t = 3.98, p<0.001) and Emotional Exhaustion (t = 2.59, p = 0.011). Residents from the United States culture reported higher Depersonalization and Emotional Exhaustion (t = −3.64, p<0.001; t = −3.85, p<0.001). On the Work Environment Scale, residents from United States culture reported less Task Orientation and Control but higher Work Pressure (t = 2.89, p = 0.005; t = 2.24, p = 0.027; t = −2.79, p = 0.006). Psychiatry residents reported less burnout than family medicine residents on the Depersonalization and Emotional Exhaustion scales (t = 2.49, p = 0.014: t = 2.05, p = 0.042) and higher Physical Comfort on the Work Environment Scale (t = −2.60,p = 0.011); while family medicine residents reported higher Peer Cohesion, Supervisor Support, and Autonomy (t = 3.41, p = 0.001; t = 2.38, p= 0.019; t = 2.27, p = 0.025).
Conclusion
This study design, using well established, standard, and valid measures, identified important issues for further exploration: the relationship between acculturation to burnout the potential role of parenting as a protective factor from burnout, and the recognition that women residents may not be as vulnerable to burnout as previously reported.
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References
Weinger MB, Ancoli-Isreal S: Sleep deprivation and clinical performance. JAMA 2002; 287: 955–957
Papp KK, Stoller EP, Sage P, et al: The effects of sleep loss and fatigue on resident-physicians: A multi-institutional, mixed-method study. Acad Med 2004; 79: 394–406
Miller MN, McGowen KR: The painful truth: physicians are not invincible. South Med J 2000; 93: 966–973
Accreditation Council for Graduate Medical Education: Common Program Requirements. Available at http://www.acgme.org/acWebsite/dutyHours/dh_dutyHoursCommonPR.pdf.
Thomas NK: Resident burnout. JAMA 2004; 292: 2880–2889
Michels PJ, Probst JC, Godenick M, et al: Anxiety and anger among family practice residents: a South Carolina family practice research consortium study. Acad Med 2003; 78: 69–79
McMurray JE, Linzer M, Konrad TR, et al: The work lives of women physicians. Gen Intern Med 2000; 15: 372–380
Lemkau J, Rafferty J, Gordon R Jr: Burnout and career-choice regret among family practice physicians in early practice: Fam Pract Res J 1994; 14: 213–222
Collier VU, McCue JD, Markus A, Smith L: Stress in medical residency: status quo after a decade of reform? Ann Intern Med 2002; 36: 384–390
Willcock SM, Daly MG, Tennant CC, et al: Burnout and psychiatric morbidity in new medical graduates. Med J Aust 2004; 181: 357–359
Appendix II, Graduate Medical Education, Table 1. JAMA 2005; 294:1129–1143
Whelan GP: Coming to America: the integration of international medical graduates into the American medical culture. Acad Med 2006; 81: 176–178
Maslach C, Jackson SE: MBI Human Services Survey, Manual. Palo Alto, CA, Consulting Psychologists Press, Inc., 1986
Moos RH, Insel PN: Work Environment Scale, 2nd ed, Palo Alto, CA, Consulting Psychologist Press, Inc., 1993
Geurts S, Rutte C, Peeters M: Antecedents and consequences of work-home interference among medical residents. Soc Sci Med 1999; 48: 1135–1148
McCranie EW, Brandsma JM: Personality antecedents of burnout among middle-aged physicians. Behav Med 1988; 14: 30–36
Linzer M, McMurray JE, Visser MR, et al: Sex differences in physician burnout in the United States and the Netherlands. J Am Med Womens Assoc 2002; 57: 191–193
Martini S, Arfken CL, Churchill A, et al: Burnout comparison among residents in different medical specialties. Acad Psychiatry 2004; 28: 240–242
Lemkau JP, Purdy RR, Rafferty JP, et al: Correlates of burnout among family practice residents. J Med Educ 1988; 63: 682–691
Taylor SE, Klein LC, Lewis BP, et al: Biobehavioral responses to stress in females: tend-and-befriend, not fight-or-flight. Psychol Rev 2000; 107: 411–429
Wartella J, Amory E, Lomas LM, et al: Single or multiple reproductive experiences attenuate neurobehavioral stress and fear responses in the female rat. Physiol Behav 2003; 79: 373–381
Schaufeli WB, Van Dierendonck D: A cautionary note about the cross-national and clinical validity of cut-off points for the Maslach Burnout Inventory. Psychol Rep 1995; 76: 1083–1090
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Woodside, J.R., Miller, M.N., Floyd, M.R. et al. Observations on Burnout in Family Medicine and Psychiatry Residents. Acad Psychiatry 32, 13–19 (2008). https://doi.org/10.1176/appi.ap.32.1.13
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DOI: https://doi.org/10.1176/appi.ap.32.1.13