Observations on Burnout in Family Medicine and Psychiatry Residents
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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.
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.
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).
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.
- Weinger, MB, Ancoli-Isreal, S (2002) Sleep deprivation and clinical performance. JAMA 287: pp. 955-957 CrossRef
- Papp, KK, Stoller, EP, Sage, P (2004) The effects of sleep loss and fatigue on resident-physicians: A multi-institutional, mixed-method study. Acad Med 79: pp. 394-406 CrossRef
- Miller, MN, McGowen, KR (2000) The painful truth: physicians are not invincible. South Med J 93: pp. 966-973
- Accreditation Council for Graduate Medical Education: Common Program Requirements. Available at http://www.acgme.org/acWebsite/dutyHours/dh_dutyHoursCommonPR.pdf.
- Thomas, NK (2004) Resident burnout. JAMA 292: pp. 2880-2889 CrossRef
- Michels, PJ, Probst, JC, Godenick, M (2003) Anxiety and anger among family practice residents: a South Carolina family practice research consortium study. Acad Med 78: pp. 69-79 CrossRef
- McMurray, JE, Linzer, M, Konrad, TR (2000) The work lives of women physicians. Gen Intern Med 15: pp. 372-380
- Lemkau, J, Rafferty, J, Gordon, R (1994) Burnout and career-choice regret among family practice physicians in early practice. Fam Pract Res J 14: pp. 213-222
- Collier, VU, McCue, JD, Markus, A, Smith, L (2002) Stress in medical residency: status quo after a decade of reform?. Ann Intern Med 36: pp. 384-390 CrossRef
- Willcock, SM, Daly, MG, Tennant, CC (2004) Burnout and psychiatric morbidity in new medical graduates. Med J Aust 181: pp. 357-359
- Appendix II, Graduate Medical Education, Table 1. JAMA 2005; 294:1129–1143
- Whelan, GP (2006) Coming to America: the integration of international medical graduates into the American medical culture. Acad Med 81: pp. 176-178 CrossRef
- Maslach, C, Jackson, SE (1986) MBI Human Services Survey, Manual. Consulting Psychologists Press, Inc., Palo Alto, CA
- Moos, RH, Insel, PN (1993) Work Environment Scale. Consulting Psychologist Press, Inc., Palo Alto, CA
- Geurts, S, Rutte, C, Peeters, M (1999) Antecedents and consequences of work-home interference among medical residents. Soc Sci Med 48: pp. 1135-1148 CrossRef
- McCranie, EW, Brandsma, JM (1988) Personality antecedents of burnout among middle-aged physicians. Behav Med 14: pp. 30-36 CrossRef
- Linzer, M, McMurray, JE, Visser, MR (2002) Sex differences in physician burnout in the United States and the Netherlands. J Am Med Womens Assoc 57: pp. 191-193
- Martini, S, Arfken, CL, Churchill, A (2004) Burnout comparison among residents in different medical specialties. Acad Psychiatry 28: pp. 240-242 CrossRef
- Lemkau, JP, Purdy, RR, Rafferty, JP (1988) Correlates of burnout among family practice residents. J Med Educ 63: pp. 682-691
- Taylor, SE, Klein, LC, Lewis, BP (2000) Biobehavioral responses to stress in females: tend-and-befriend, not fight-or-flight. Psychol Rev 107: pp. 411-429 CrossRef
- Wartella, J, Amory, E, Lomas, LM (2003) Single or multiple reproductive experiences attenuate neurobehavioral stress and fear responses in the female rat. Physiol Behav 79: pp. 373-381 CrossRef
- Schaufeli, WB, Dierendonck, D (1995) A cautionary note about the cross-national and clinical validity of cut-off points for the Maslach Burnout Inventory. Psychol Rep 76: pp. 1083-1090 CrossRef
- Observations on Burnout in Family Medicine and Psychiatry Residents
Volume 32, Issue 1 , pp 13-19
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- 1. Department of Family Medicine, East Tennessee State University College of Medicine, 917 West Walnut Street, Johnson City, TN, 37604, USA
- 2. Department of Psychiatry and Behavioral Sciences, East Tennessee State University College of Medicine, Little Rock, USA