Drivers and sequelae of burnout in U.S. dermatology trainees.

Drivers and sequelae of burnout in U.S. dermatology trainees. - 2021

Background: Burnout is a health care epidemic. Although burnout has been shown to affect dermatologists in multispecialty studies, there are no such studies in dermatology trainees. Conclusion: Improving control over working environment, as evidenced by the impact of work-life balance and autonomy, may lessen burnout in trainees. Further studies analyzing regional and program-specific variations will help improve trainee experience. Copyright (c) 2021 Published by Elsevier Inc. on behalf of Women's Dermatologic Society. Methods: All residents enrolled in a U.S. dermatology training program were eligible. The 45-question survey included the Maslach Burnout Inventory, a validated quality of life index, and 31 questions based on known drivers of burnout and new research questions. No identifying data were collected. Objective: We conducted a survey-based study of burnout in U.S. dermatology trainees to identify its drivers and sequelae. Results: A total of 180 residents responded, for a response rate of 14.4%. Notably, an analysis of the cohort showed that our sample was not statistically different from the national complement of trainees based both on proportion of female respondents and mean age (p=.9449 and .2376, respectively). Of the respondents, 59% were female. The average age was 30.6 years. Sixty-nine percent of trainees (124 of 180) met the criteria for burnout. On univariate analysis, age, sex, training year, and relationship status were not associated with burnout. Good work-life balance (p=.032), autonomy in the workplace (p=.0027), intradisciplinary respect (p=.022), and increased work hours (p=.0110) were protective. On multivariate analysis, autonomy in the workplace (odds ratio: 3.580; confidence interval, 1.32-9.71; p=.012) and good work-life balance (odds ratio: 0.262; confidence interval, 0.095-0.722; p=.0097) remained significant.


English

10.1016/j.ijwd.2021.05.001 [doi] PMC8714592 [pmc] S2352-6475(21)00064-2 [pii]


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MedStar Health Research Institute
MedStar Washington Hospital Center


Dermatology
Urology; Literature and Medicine


Journal Article

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