AAAAI Work Group Report: Physician Wellness in Allergy and Immunology.

Addiction Allergy and immunology Burnout Depersonalization Depression Divorce Emotional exhaustion Health Lack of efficacy Mindfulness Mini-Z survey Personal accomplishment Physician Provider Stress Suicide Wellness Workgroup

Journal

The journal of allergy and clinical immunology. In practice
ISSN: 2213-2201
Titre abrégé: J Allergy Clin Immunol Pract
Pays: United States
ID NLM: 101597220

Informations de publication

Date de publication:
04 2020
Historique:
received: 23 12 2019
accepted: 06 01 2020
pubmed: 19 2 2020
medline: 15 5 2021
entrez: 19 2 2020
Statut: ppublish

Résumé

Physician health and wellness can be negatively impacted by burnout, which, in turn, can lead to medical errors and early retirement. Burnout issues can start in medical school and progress during residency, fellowship, and throughout a physician's career. Previous studies have reported burnout rates between 45% and 54% for US physicians in general. However, there is currently little data regarding health and wellness specifically in the field of allergy and immunology. This workgroup report was developed to assess health and wellness in our specialty. The American Academy of Allergy, Asthma, and Immunology (AAAAI) electronically distributed an anonymous questionnaire using the validated mini-Z survey to a random sample of 1035 fellows and members. In addition to the mini-Z items, the survey queried personal and professional demographic characteristics, and included open-ended wellness questions. A total of 138 fellows and members of the AAAAI completed the survey, yielding a 13% response rate. The burnout rate was 35%, which is lower than the national average among US physicians, and is overall encouraging. However, there is room for improvement. Limitations of the study include a small sample size as well as evolving definitions of burnout. Our results identify specialty specific concerns and can be used to inform the development of tailored interventions to improve wellness and minimize burnout. However, future surveys with a larger sample size are needed to obtain a more robust data set on allergy and immunology specific wellness challenges.

Sections du résumé

BACKGROUND
Physician health and wellness can be negatively impacted by burnout, which, in turn, can lead to medical errors and early retirement. Burnout issues can start in medical school and progress during residency, fellowship, and throughout a physician's career. Previous studies have reported burnout rates between 45% and 54% for US physicians in general. However, there is currently little data regarding health and wellness specifically in the field of allergy and immunology.
OBJECTIVE
This workgroup report was developed to assess health and wellness in our specialty.
METHODS
The American Academy of Allergy, Asthma, and Immunology (AAAAI) electronically distributed an anonymous questionnaire using the validated mini-Z survey to a random sample of 1035 fellows and members. In addition to the mini-Z items, the survey queried personal and professional demographic characteristics, and included open-ended wellness questions.
RESULTS
A total of 138 fellows and members of the AAAAI completed the survey, yielding a 13% response rate. The burnout rate was 35%, which is lower than the national average among US physicians, and is overall encouraging. However, there is room for improvement. Limitations of the study include a small sample size as well as evolving definitions of burnout.
CONCLUSIONS
Our results identify specialty specific concerns and can be used to inform the development of tailored interventions to improve wellness and minimize burnout. However, future surveys with a larger sample size are needed to obtain a more robust data set on allergy and immunology specific wellness challenges.

Identifiants

pubmed: 32067926
pii: S2213-2198(20)30063-5
doi: 10.1016/j.jaip.2020.01.023
pii:
doi:

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

1224-1229

Commentaires et corrections

Type : CommentIn
Type : CommentIn

Informations de copyright

Copyright © 2020 American Academy of Allergy, Asthma & Immunology. Published by Elsevier Inc. All rights reserved.

Auteurs

Theresa Bingemann (T)

Division of Allergy and Immunology, Rochester General Hospital, and University of Rochester School of Medicine, Rochester, NY.

Hemant Sharma (H)

Division of Allergy and Immunology, Children's National Medical Center, Washington, DC.

Anil Nanda (A)

Asthma and Allergy Center, Lewisville and Flower Mound, Texas; Department of Internal Medicine, Division of Allergy and Immunology, University of Texas Southwestern Medical Center, Dallas, Texas. Electronic address: anilnanda@yahoo.com.

David A Khan (DA)

Department of Internal Medicine, Division of Allergy and Immunology, University of Texas Southwestern Medical Center, Dallas, Texas.

Sharon Markovics (S)

Manhasset Allergy and Asthma, New York, NY.

James Sussman (J)

Allergy Partners of New Mexico, Santa Fe, NM; University of New Mexico School of Medicine, Albuquerque, NM.

Andrew Murphy (A)

Asthma, Allergy, and Sinus Center, West Chester, Pa.

Denise Kalman (D)

Division of Allergy and Immunology, Nemours/Alfred I. duPont Hospital for Children, Wilmington, Del.

Giselle Mosnaim (G)

Division of Pulmonary, Allergy, and Critical Care Medicine, Northshore University Health System, Evanston, Ill.

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Classifications MeSH