Predictors and Outcomes of Burnout Among Primary Care Providers in the United States: A Systematic Review

Abraham, Cilgy M.; Zheng, Katherine; Poghosyan, Lusine

doi:10.1177/1077558719888427

Cited by 63 publications

(80 citation statements)

References 54 publications

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“…Since this time, this research field has flourished with numerous further original studies being reported. This growth has enabled the subsequent publishing of reviews focused on specific professional groups such as physicians and primary healthcare providers [ 68 , 69 ]. It has also allowed for a wider range of patient care outcomes to be synthesised including provider communication and quality of care indicators [ 68 – 70 ].…”

Section: Consequences Of Burnoutmentioning

confidence: 99%

Burnout in Surgical Trainees: a Narrative Review of Trends, Contributors, Consequences and Possible Interventions

et al. 2021

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Surgical disciplines are popular and training places are competitive to obtain, but trainees report higher levels of burnout than either their non-surgical peers or attending or consultant surgeons. In this review, we critically summarise evidence on trends and changes in burnout over the past decade, contributors to surgical trainee burnout, the personal and professional consequences of burnout and consider the evidence for interventions. There is no evidence for a linear increase in burnout levels in surgeons over the past decade but the impact of the COVID-19 pandemic has yet to be established and is likely to be significant. Working long hours and experiencing stressful interpersonal interactions at work are associated with higher burnout in trainees but feeling more supported by training programmes and receiving workplace supervision are associated with reduced burnout. Burnout is associated with poorer overall mental and physical well-being in surgical trainees and has also been linked with the delivery of less safe patient care in this group. Useful interventions could include mentorship and improving work conditions, but there is a need for more and higher quality studies.

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Section: Consequences Of Burnoutmentioning

confidence: 99%

Burnout in Surgical Trainees: a Narrative Review of Trends, Contributors, Consequences and Possible Interventions

et al. 2021

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“…This finding is consistent with reports of higher levels of burnout among the primary care workforce and a robust economy that bolstered retirement funds. [18][19][20] The estimated shortage of about 14,900 Primary Care physicians in 2018 is based on the calculation from the Health Resources and Services Administration (HRSA) that about this number of primary care providers are needed to remove the primary-care-shortage designation in currently designated shortage areas. Each modeled supply and demand scenario is based on assumptions about the continuation of current trends or changes in care delivery that might happen at a future date, so each scenario has a degree of uncertainty.…”

Section: Total Physician Supply and Demandmentioning

confidence: 99%

Undergraduate Knowledge of Osteopathic Medicine: What Premedical Students Know About Osteopathic Medicine and Its Effect on Burnout

Collins¹,

Collins²,

Darrow³

et al. 2020

Journal of Osteopathic Medicine

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Context Undergraduate student interest in becoming a physician continues to rise, but so too does the difficulty of earning acceptance to medical school. In this competitive environment, little is known about premedical students’ knowledge of their medical school options. Moreover, as undergraduate students’ emotional health continues to decline, little is known about whether premedical students experience or are at increased risk for the burnout symptoms reported by medical students and other physicians in training. Objective To examine premedical undergraduate students’ knowledge of osteopathic medicine, assess how they learned of osteopathic medicine, and collect information about any reported feelings of burnout. Methods In this institutional review board-approved study, we electronically distributed an anonymous survey to 342 premedical undergraduate students at a midsize, public research undergraduate institution. The survey included 56 questions. Students were surveyed on their preference of medical schools, knowledge of osteopathic medicine, and experience with burnout via the Maslach Burnout Inventory which measures exhaustion, cynicism, and professional efficacy. Of those who completed the survey, only those who confirmed that they currently considered themselves to be premedical students were included in our analysis. A 2×2 factorial analysis of variance (ANOVA) test was applied to assess main and interaction effects amongst respondents who preferred osteopathic or allopathic programs, whether they learned of osteopathic medicine programs by their own research, and their scores on the 3 measures of the Maslach Burnout Inventory: exhaustion, cynicism, and professional efficacy. Bivariate and factorial analyses were completed using SPSS v26 software (IBM). All tests were 2-tailed and used a .05 standard P value. Results Of 342 students to whom the survey was sent, 160 (46.8%) responded, and only 92 (26.9%) considered themselves premedical students. Of the 160 students analyzed in our study, 80 (50%) reported first learning of osteopathic medicine through their own research. A 2×2 factorial ANOVA revealed a significant interaction effect for cynicism in respondents who reported learning of osteopathic medicine programs on their own. Conversely, when respondents reported learning of osteopathic medicine programs from another source, they also reported significantly lower cynicism (F[1,1]5.23, P=.03) and exhaustion (F[1,13] 5.79, P=.02) scores. Of the 92 respondents, only 2 students (2.2%) answered all questions regarding general osteopathic medical knowledge correctly. Conclusion The results of this study suggest that among premedical students, knowledge of osteopathic medicine may be incomplete and may be impeding medical school applications. Furthermore, respondents who reported interest in osteopathic medical schools and learned of this option through their own research seemed to experience greater burnout. Based on these findings, increased outreach and education have the potential to not only better inform students of the osteopathic profession, but also to reduce burnout.

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“…In particular is concern that rising levels of provider burnout could contribute to earlier retirement. [77][78][79][80][81][82][83] Scenarios simulating a one-or two-year shift in retirement patterns can make it easier to understand the effect this may have on the overall supply of a health profession.…”

Section: Scenariosmentioning

confidence: 99%

Editorial

2020

IJM

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Predictors and Outcomes of Burnout Among Primary Care Providers in the United States: A Systematic Review

Cited by 63 publications

References 54 publications

Burnout in Surgical Trainees: a Narrative Review of Trends, Contributors, Consequences and Possible Interventions

Burnout in Surgical Trainees: a Narrative Review of Trends, Contributors, Consequences and Possible Interventions

Undergraduate Knowledge of Osteopathic Medicine: What Premedical Students Know About Osteopathic Medicine and Its Effect on Burnout

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