Prevalence of Burnout in Occupational and Environmental Medicine Physicians in the United States.


Journal

Journal of occupational and environmental medicine
ISSN: 1536-5948
Titre abrégé: J Occup Environ Med
Pays: United States
ID NLM: 9504688

Informations de publication

Date de publication:
09 2020
Historique:
entrez: 5 9 2020
pubmed: 6 9 2020
medline: 6 8 2021
Statut: ppublish

Résumé

To determine prevalence and key drivers of burnout in Occupational and Environmental Medicine physicians in the United States. A nationwide survey of Occupational Medicine physicians was conducted using the Qualtrics® platform. Burnout, measured by the Maslach Burnout Inventory®, Social Support, and Job Satisfaction were assessed. The response rate was 46%, the overall burnout prevalence 38%, and most respondents were men (69%). The mean age and mean years in practice were 56 years and 20 years respectively. Physicians working in government/military (48%) and private medical center group settings (46%) were significantly more likely to report burnout, with consultants (15%) reporting the lowest rate. Although the overall burnout prevalence is lower in Occupational Medicine physicians compared with most specialties, the rate varies significantly by practice setting (15% to 48%) affirming the impact of organizational factors.

Identifiants

pubmed: 32890204
doi: 10.1097/JOM.0000000000001913
pii: 00043764-202009000-00003
doi:

Types de publication

Journal Article Research Support, U.S. Gov't, P.H.S.

Langues

eng

Sous-ensembles de citation

IM

Pagination

680-685

Références

Shanafelt TD, Hasan O, Dyrbye LN, et al. Changes in burnout and satisfaction with work-life balance in physicians and the general US working population between 2011 and 2014. Mayo Clin Proc 2015; 90:16001613.
Medscape. Medscape National Physician Burnout, Depression & Suicide Report 2019; 2019. Available at: https://www.medscape.com/slideshow/2019-lifestyle-burnout-depression-6011056#1.
Taking Action Against Clinician Burnout. 2019; Washington, D.C:National Academies Press, doi:10.17226/25521.
Maslach C, Leiter MP. Understanding the burnout experience: recent research and its implications for psychiatry. World Psychiatry 2016; 15:103111.
Paolini HO, Bertram B, Hamilton T. Antidotes to burnout: fostering physician resiliency, well-being, and holistic development. Medscape Psychiatry 2013; https://www.medscape.com/viewarticle/782514
Deckard G, Meterko M, Field D. Physician burnout: an examination of personal, professional, and organizational relationships. Med Care 1994; 32:745754.
Benzer DG. Stress impairment in physicians. WMJ 2001; 100:2023.
Shanafelt T, Goh J, Sinsky C. The business case for investing in physician well-being. JAMA Intern Med 2017; 177:18261832.
Shanafelt TD, Boone S, Tan L, et al. Burnout and satisfaction with work-life balance among US physicians relative to the general US population. Arch Intern Med 2012; 172:13771385.
Jha A, Iliff A, Chaoui A, Bonbaugh MMY. A Crisis in Health Care: A Call to Action on Physician Burnout; 2019. Available at: http://www.massmed.org/News-and-Publications/MMS-News-Releases/Physician-Burnout-Report-2018/.
Shanafelt TD, West CP, Sinsky C, et al. Changes in burnout and satisfaction with work-life integration in physicians and the general US Working Population between 2011 and 2017. Mayo Clin Proc 2019; 94:16811694.
North CS, Ryall JE. Psychiatric illness in female physicians. Are high rates of depression an occupational hazard? Postgrad Med 1997; 101:233236.
Patel RS, Bachu R, Adikey A, et al. Factors related to physician burnout and its consequences: a review. Behav Sci (Basel) 2018; 8:E98.
McKenzie B, Walker T, Chin C. Prevalence of burnout in Bahamian Health Care Personnel. J Occup Environ Med 2018; 60:e434e435.
Leiter MP, Durup J. The discriminant validity of burnout and depression: a confirmatory factor analytic study. Anxiety Stress Coping 1994; 7:357373.
Tawfik DS, Profit J, Morgenthaler TI, et al. Physician burnout, well-being, and work unit safety grades in relationship to reported medical errors. Mayo Clin Proc 2018; 93:15711580.
West CP, Dyrbye LN, Erwin PJ, et al. Interventions to prevent and reduce physician burnout: a systematic review and meta-analysis. Lancet 2016; 388:22722281.
Karasek RA. Job demands, job decision latitude, and mental strain: implications for job redesign. Adm Sci Q 1979; 24:285.
Johnson JV, Hall EM. Job strain, work place social support, and cardiovascular disease: a cross-sectional study of a random sample of the Swedish working population. Am J Public Health 1988; 78:13361342.
Blom V, Bodin L, Bergström G, et al. Applying the demand-control-support model on burnout in managers and non-managers. Int J Work Heal Manag 2016; 9:110122.
Maslach C, Jackson SE, Leiter MP. Maslach Burnout Inventory. Manual. 3rd ed.Palo Alto, CA:Consulting Psychologists Press; 1996.
Maslach C, Jackson S, Leiter MP. Maslach Burnout Inventory Manual, 4th ed.; 2017.
Hyman SA, Shotwell MS, Michaels DR, et al. A survey evaluating burnout, health status, depression, reported alcohol and substance use, and social support of anesthesiologists. Anesth Analg 2017; 125:20092018.
Doulougeri K, Georganta K, Montgomery A. Diagnosing burnout among healthcare professionals: can we find consensus? Cogent Med 2016; 3:1237605doi:10.1080/2331205X.2016.1237605.
doi: 10.1080/2331205x.2016.1237605
Rafferty JP, Lemkau JP, Purdy RR, et al. Validity of the Maslach Burnout Inventory for family practice physicians. J Clin Psychol 1986; 42:488492.
Lee RT, Ashforth BE. A meta-analytic examination of the correlates of the three dimensions of job burnout. J Appl Psychol 1996; 81:123133.
Leiter CMSEJMP. Maslach Burnout Inventory manual; 1996.
Spector PE. Measurement of human service staff satisfaction: development of the Job Satisfaction Survey. Am J Community Psychol 1985; 13:693713.
Sarason IG, Levine HM, Basham RB, Sarason BR. Assessing social support: the Social Support Questionnaire. J Pers Soc Psychol 1983; 44:127139.
Darves B. Targeting physician burnout. NEJM Career Cent 2017.
Turner TB, Dilley SE, Smith HJ, et al. The impact of physician burnout on clinical and academic productivity of gynecologic oncologists: a decision analysis. Gynecol Oncol 2017; 146:642646.
Walters T, Matthews J, Dailey I. Burnout in Army health care providers. Mil Med 2014; 179:10061012.
Hachette Books, Loehr J. The Only Way to Win: How Building Character Drives Higher Achievement and Greater Fulfillment in Business and Life. 2012.
Oliver D. David Oliver: when “resilience” becomes a dirty word. BMJ 2017; 358:j3604.
Shanafelt TD, Noseworthy JH. Executive leadership and physician well-being: nine organizational strategies to promote engagement and reduce burnout. Mayo Clin Proc 2017; 92:129146.
Shanafelt TD, Dyrbye LN, West CP. Addressing physician burnout: the way forward. JAMA 2017; 317:901902.
American College of Occupational and Environmental Medicine. Vision and Mission Statements; 2018. Available at: https://acoem.org/About-ACOEM/Vision-and-Mission-Statements.
Green-McKenzie J, Emmett EA. Characteristics and outcomes of an innovative train-in-place residency program. J Grad Med Educ 2017; 9:634639.
ACGME. ACGME Program Requirements for Graduate Medical Education in Preventive Medicine; 2019. Available at: https://www.acgme.org/Portals/0/PFAssets/ProgramRequirements/380-Preventive_Medicine_2019.pdf?ver=2018-08-21-130637-697.
Personal communication with the AmericanCollege of Preventive Medine Membership Office on April 4, 2020.
Gold KJ, Sen A, Schwenk TL. Details on suicide among US physicians: data from the National Violent Death Reporting System. Gen Hosp Psychiatry 2012; 35:4549.

Auteurs

Judith Green-McKenzie (J)

Division of Occupational Medicine (Dr Green-McKenzie, Dr Somasundaram, Dr Lawler, Dr O'Hara); Bayhealth Occupational Medicine, Dover, Delaware (Dr Somasundaram); Sharp Rees-Stealy Medical Group, San Diego (Dr Lawler); EMR CPR, Fremont (Dr O'Hara), California; Epidemiology & Biostatistics (Dr Shofer), Department of Emergency Medicine, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania.

Articles similaires

[Redispensing of expensive oral anticancer medicines: a practical application].

Lisanne N van Merendonk, Kübra Akgöl, Bastiaan Nuijen
1.00
Humans Antineoplastic Agents Administration, Oral Drug Costs Counterfeit Drugs

Smoking Cessation and Incident Cardiovascular Disease.

Jun Hwan Cho, Seung Yong Shin, Hoseob Kim et al.
1.00
Humans Male Smoking Cessation Cardiovascular Diseases Female
Humans United States Aged Cross-Sectional Studies Medicare Part C
1.00
Humans Yoga Low Back Pain Female Male

Classifications MeSH