The Impact of Institutional Factors on Physician Burnout: A National Study of Urology Trainees.
Citation: Urology. 131:27-35, 2019 Sep.PMID: 31199967Institution: MedStar Health | MedStar Washington Hospital CenterDepartment: Urology | Vice PresidentForm of publication: Journal ArticleMedline article type(s): Journal ArticleSubject headings: *Burnout, Professional/ep [Epidemiology] | *Internship and Residency | *Urology/ed [Education] | Adult | Burnout, Professional/et [Etiology] | Burnout, Professional/pc [Prevention & Control] | Female | Health Services Accessibility | Humans | Male | Mental Health Services | Mentors | Prevalence | Risk Factors | Self Report | United States/ep [Epidemiology]Year: 2019Local holdings: Available online from MWHC library: 1995 - present, Available in print through MWHC library:1999-2007ISSN:- 0090-4295
Item type | Current library | Collection | Call number | Status | Date due | Barcode |
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Journal Article | MedStar Authors Catalog | Article | 31199967 | Available | 31199967 |
Available online from MWHC library: 1995 - present, Available in print through MWHC library:1999-2007
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.
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