TY  - BOOK
AU  - Brems, Jacob
AU  - Krasnow, Ross
AU  - Marchalik, Daniel
AU  - Padmore, Jamie
AU  - Stamatakis, Lambros
TI  - The Impact of Institutional Factors on Physician Burnout: A National Study of Urology Trainees
SN  - 0090-4295
PY  - 2019///
KW  - *Burnout, Professional/ep [Epidemiology]
KW  - *Internship and Residency
KW  - *Urology/ed [Education]
KW  - Adult
KW  - Burnout, Professional/et [Etiology]
KW  - Burnout, Professional/pc [Prevention & Control]
KW  - Female
KW  - Health Services Accessibility
KW  - Humans
KW  - Male
KW  - Mental Health Services
KW  - Mentors
KW  - Prevalence
KW  - Risk Factors
KW  - Self Report
KW  - United States/ep [Epidemiology]
KW  - MedStar Health
KW  - MedStar Washington Hospital Center
KW  - Urology
KW  - Vice President
KW  - Journal Article
N1  - Available online from MWHC library: 1995 - present, Available in print through MWHC library:1999-2007
N2  - CONCLUSION: The prevalence of burnout in urology trainees is high. Institutional factors such as formal mentorship and access to mental health services may play an important role in resident well-being; Copyright (c) 2019 Elsevier Inc. All rights reserved; OBJECTIVE: To determine the prevalence of burnout in urology trainees and examine the influence of personal, programmatic, and institutional factors on burnout rates; RESULTS: Overall response rate was 20.9%. Individual factors such as age, gender, exercise, and meditation were not associated with burnout while reading for relaxation (P=.022) and spending time with family (P=.025) were protective against burnout. Residents working >80 hours vs 60-80 hours and <60 hours per week were more likely to exhibit burnout (77.6% vs 66.1% vs 47.1%, respectively, P=.044). Institutional factors such as structured mentorship programs (P=.019) and access to mental health services (P <.001) were associated with decreased burnout. On multivariable analysis, unavailable or difficult-to-access mental health services were associated with increased odds of burnout (OR 5.38, 95%CI 2.20-13.16, P <.001, and OR 2.33, 95%CI 1.07-5.07, P=.034, respectively); STUDY DESIGN: We conducted an anonymous survey of burnout in urology residents across the United States using a 50-question REDCap-based electronic questionnaire in May of 2018. The survey included demographic questions, an inventory of stress-reduction techniques and the Maslach Burnout Inventory. Univariate analysis and multinomial logistic regression models were used to assess associations between individual, program, and organizational factors and resident burnout
UR  - https://dx.doi.org/10.1016/j.urology.2019.04.042
ER  -