Burnout and Resiliency Among Family Medicine Program Directors

Porter, Maribeth; Hagan, Helen R.; Klassen, Rosemary; Yang, Yang; Seehusen, Dean A.; Carek, Peter J.

doi:10.22454/fammed.2018.836595

Cited by 30 publications

(32 citation statements)

References 17 publications

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“…This aligns with other work in Mexican medical students (Elizondo -Omaña et al, 2010), South African physicians (Rossouw et al, 2013), and in the broader U.S. population (Connor and Davidson, 2003), where no differences in mean CD-RISC-25 score were identified by the sociodemographic factors studied. Although they used the Brief Resilience Scale rather than the CD-RISC-25, Porter et al (2018) also did not find associations between the resilience level and demographics of U.S. family medicine programme directors. However, other literature has found associations between CD-RISC-25 scores and various sociodemographic variables as summarised by Davidson and Connor (2015).…”

Section: Discussionmentioning

confidence: 87%

Resilience: a nationwide study of medical educators

Chan¹,

Dennis²

2019

MedEdPublish

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Background: Medical educators have the potential to play an important role in addressing resilience issues across the medical education continuum. Yet, limited research has explored this cohort, particularly in the UK context. This study aims to address this gap by exploring resilience and the factors that relate to resilience in UK medical educators. Methods:A cross-sectional online questionnaire was employed. It contained the validated Connor-Davidson Resilience Scale 25 (CD-RISC-25) and Patient Health Questionnaire-8 (PHQ-8), for determining medical educator resilience and depression levels respectively. Sociodemographic characteristics were also collected to identify potential factors associated with resilience. Finally, participants identified factors that facilitated or undermined their resilience through open-ended questions. Data was analysed using quantitative (e.g. multiple regression analysis), and qualitative (i.e. thematic framework analysis) approaches.Results: Among 244 UK participants, the mean CD-RISC-25 score was 72.9 and standard deviation 10.3. The PHQ-8 score was the only significant negative predictor identified (B = -1.22, p < 0.001). Other sociodemographic variables examined were not found to be predictors of CD-RISC-25 scores. Educators identified multidimensional factors influencing their resilience, but predominately viewed internal factors as being supportive, and external factors as undermining. Conclusions:Medical educators in this study had resilience levels that were comparable to other population samples. The study also highlights the importance of considering external factors, such as contextual and sociocultural influences, in addition to individual factors when addressing resilience.

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Section: Discussionmentioning

confidence: 87%

Resilience: a nationwide study of medical educators

Chan¹,

Dennis²

2019

MedEdPublish

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“…2 Burnout may be a factor. 1,2,6,7 Study of PD wellness and how to improve it may yield interventions to improve length of service. PDs may move to positions such as department chair or chief medical officer.…”

Section: Discussionmentioning

confidence: 99%

“…4 Surveys show many PDs plan to step down in the next 1 to 2 years 5,6 and burnout may be a factor. 6,7 Between 11% and 14% of residency programs across specialties have at least one PD change annually. 8 Some hypothesize that short average tenure of a PD may limit the strength of residency programs.…”

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confidence: 99%

Family Medicine Program Director Tenure: 2011 Through 2017

Brown

Gerkin

2019

Fam Med

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Background and Objectives: The program director (PD) position is challenging. PDs are faced with many competing priorities and risk of burnout. Short PD tenure may contribute to training program challenges. The tenure of family medicine residency directors has not been rigorously studied. Our objective was to study family medicine program director tenure and change in tenure over time, and compare these to available Accreditation Council for Graduate Medical Education (ACGME) data. Methods: We analyzed the 11 Council of Academic Family Medicine Educational Research Alliance PD surveys from 2011 through 2017. We calculated mean and median responses to the question “How long have you been program director at your current program?” We compared these results to data from the ACGME Data Resource Book for all specialty programs. Results: Of 2,577 responses in 11 PD surveys over 7 years, mean family medicine PD tenure was 6.5 years and median tenure was 4.5 years. Tenure did not change significantly from 2011-2017, and 30.5% of PDs have been in their position 0, 1, or 2 years. The right skew in our data (ie, median substantially less than mean), is similar to that seen in other specialties. Conclusions: Mean family medicine PD tenure is 6.5 years and median tenure is 4.5 years. The short tenure and large number of new PDs annually may impact program quality and suggests more resources and support may be needed for PDs new in their position.

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“…6 This is unfortunate because family medicine program directors are less likely to be burned out than practicing physicians. 7 The study's results might be applicable to family physicians in general and perhaps even to other health care professionals, so one would hope that someday it will be replicated with these broader populations. The second problem with the study is that it does not examine causation.…”

Section: From the Editormentioning

confidence: 99%