Emergency Medicine Trainee Burnout Is Associated With Lower Patients’ Satisfaction With Their Emergency Department Care

Lu, Dave W.; Weygandt, Paul Logan; Pinchbeck, Carrie; Strout, Tania D.

doi:10.1002/aet2.10094

Cited by 22 publications

(18 citation statements)

References 25 publications

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“…Across the several studies [25,26,27], the prevalence of burnout in general population ranges from 13% to 27%, indicating that a moderate portion of trainees in our study population experienced burnout. There was no significant difference between burnout and year of training, which is consistent with a previous study on burnout in the training of medical professionals [28]. Furthermore, there was no significant difference between burnout and the type of program.…”

Section: Discussionsupporting

confidence: 90%

Occupational Stress among Field Epidemiologists in Field Epidemiology Training Programs from the Public Health Sector

Ryu

Kim

et al. 2019

IJERPH

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Despite the high-demand work environment for field epidemiologists in field epidemiology training programs, little is known about their occupational stress. To identify occupational stress and its related factors, the occupational stress among trainees in field epidemiology training programs in Southeast Asia and Western Pacific regions from 2016 to 2018 was examined using six subscales: Role Overload, Role Insufficiency, Role Ambiguity, Role Boundary, Responsibility, and Physical Environment. Furthermore, the data on the year of training and type of training program as well as the level of burnout, which affects stress-coping strategies, were collected. Fisher’s exact tests and logistic regression models were used to examine associations between occupational stress, burnout, the number of years of training, and the type of training program. Sixty-two trainees participated, and there were no significant associations between burnout, the year of training, and type of training program. A burden of occupational stress in Role Overload and Physical Environment was reported by 56% and 53% of respondents, respectively. The trainees affiliated with a university program were less likely to have a burden of occupational stress in Responsibility and Physical Environment. It is concerning that more than half of trainees in the programs experienced occupational stress in Role Overload and Physical Environment. Additional efforts to design improved training programs to reduce occupational stress are warranted.

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Section: Discussionsupporting

confidence: 90%

Occupational Stress among Field Epidemiologists in Field Epidemiology Training Programs from the Public Health Sector

Ryu

Kim

et al. 2019

IJERPH

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“…Like other physicians, burned-out EPs self-report delivering suboptimal clinical care and more often perceive they have erred medically 73. Such EPs also have lower patient satisfaction scores and perform worse during high-fidelity simulations compared with their peers who are not burned out 111, 112…”

Section: Discussionmentioning

confidence: 99%

Burnout, Drop Out, Suicide: Physician Loss in Emergency Medicine, Part I

Stehman

Testo

Gershaw

et al. 2019

WestJEM

280

189

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Each year more than 400 physicians take their lives, likely related to increasing depression and burnout. Burnout-a psychological syndrome featuring emotional exhaustion, depersonalization, and a reduced sense of personal accomplishment-is a disturbingly and increasingly prevalent phenomenon in healthcare, and emergency medicine (EM) in particular. As self-care based solutions have proven unsuccessful, more system-based causes, beyond the control of the individual physicians, have been identified. Such system-based causes include limitations of the electronic health record, long work hours and substantial educational debt, all in a culture of "no mistakes allowed." Blame and isolation in the face of medical errors and poor outcomes may lead to physician emotional injury, the so-called "second victim" syndrome, which is both a contributor to and consequence of burnout. In addition, emergency physicians (EP) are also particularly affected by the intensity of clinical practice, the higher risk of litigation, and the chronic fatigue of circadian rhythm disruption. Burnout has widespread consequences, including poor quality of care, increased medical errors, patient and provider dissatisfaction, and attrition from medical practice, exacerbating the shortage and maldistribution of EPs. Burned-out physicians are unlikely to seek professional treatment and may attempt to deal with substance abuse, depression and suicidal thoughts alone. This paper reviews the scope of burnout, contributors, and consequences both for medicine in general and for EM in particular. [

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“…Some research concerning burnout among EM staff has been conducted. [ 10 , 11 ] However, few studies have focused on EM physicians, and the published data are inconsistent. Thus, we performed a meta-analysis to systematically evaluate the prevalence of burnout among EM physicians.…”

Section: Introductionmentioning

confidence: 99%

Burnout in emergency medicine physicians

Zhang¹,

Mu²,

et al. 2020

Medicine

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Background: Physician burnout has been a global problem that affects severely the mental status among doctors, especially in emergency medicine (EM). However, few studies have focused on emergency medicine physicians, and the published data are inconsistent. Thus, this meta-analysis is performed to systematically evaluate the prevalence of burnout among emergency medicine physicians. Methods: We systematically searched databases including PubMed, Embase, PsychINFO and the Cochrane Library from inception to September, 2019 for English-language articles. We selected all the original articles those used Maslach Burnout Inventory to assess the prevalence of burnout and its 3 dimensions emotional exhaustion (EE), depersonalization, and personal accomplishment (PA) in emergency medicine physicians. After literature screening, quality evaluation was performed for eligible studies by using the Joanna Briggs Institute (JBI) critical appraisal checklist for studies reporting prevalence data; then, Begg test and Egger test was used to assess publication bias. Pooled prevalence rates were assessed by conducting a meta-analysis using random effects models. Then sensitivity analysis followed to test the stability of the result and detected the source of heterogeneity. Results: A total of 1943 EM physicians provided burnout data. The pooled prevalence rates of high levels of emotional exhaustion, high levels of depersonalization and low levels of PA were 40% (95% CI: 26%–55%; I 2 = 97.4%), 41% (95% CI: 30%–52%; I 2 = 94.5%) and 35% (95% CI: 19%–52%; I 2 = 99.0%), respectively. The mean burnout scores were 23.95 (SD = 11.88) for emotional exhaustion, 11.63 (SD = 6.85) for depersonalization, and 34.69 (SD = 7.71) for PA. Conclusions: This meta-analysis demonstrate a high level of burnout prevalent in EM physicians that approximately 40% experience high levels of EE and depersonalization. Our findings also suggest that EM physicians are more susceptible to burnout compared with physicians in other departments and other medical staffs in EM. More attention should be payed to mental status of EM physicians and further investigation concerning how to reduce burnout would be beneficial for EM physicians. Registration: INPLASY202060060 in inplasy.com (doi.org/10.37766/inplasy2020.6.0060)

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Emergency Medicine Trainee Burnout Is Associated With Lower Patients’ Satisfaction With Their Emergency Department Care

Cited by 22 publications

References 25 publications

Occupational Stress among Field Epidemiologists in Field Epidemiology Training Programs from the Public Health Sector

Occupational Stress among Field Epidemiologists in Field Epidemiology Training Programs from the Public Health Sector

Burnout, Drop Out, Suicide: Physician Loss in Emergency Medicine, Part I

Burnout in emergency medicine physicians

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