Physician and Advanced Practice Clinician Burnout in Rural and Urban Settings.

Recruiting rural-practicing clinicians is a high priority. In this study, we explored burnout and contributing work conditions among rural, urban, and family practice physicians and advanced practice clinicians (APCs) in an Upper Midwestern health care system. The Mini Z burnout reduction measure was administered by anonymous electronic survey in March 2022. We conducted bivariate analyses of study variables, then assessed relationships of study variables to burnout with multivariate binary logistic regression. Of 1118 clinicians (63% response rate), 589 physicians and 496 APCs were included in this study (n = 1085). Most were female (56%), physicians (54%), and White (86%), while 21% were in family practice, 46% reported burnout, and 349 practiced rurally. Rural and urban clinician burnout rates were comparable (45% vs 47%). Part-time work protected against burnout for family practice and rural clinicians, but not urban clinicians. In multivariate models for rural clinicians, stress (OR: 8.53, 95% CI: 4.09 to 17.78, Burnout was comparable between rural and urban physicians and APCs. Part-time work was associated with decreased burnout in rural and family practice clinicians. Addressing burnout drivers (stress, workload control, chaos) may improve rural work environments, reduce turnover, and aid rural clinician recruitment. Addressing stress may be particularly impactful in family practice.

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© Copyright 2024 by the American Board of Family Medicine.

Déclaration de conflit d'intérêts

Conflict of interest: Dr. Linzer is supported through his employer Hennepin Healthcare for work on burnout reduction projects with large healthcare organizations including the American Medical Association, the Institute for Healthcare Improvement, the American Board of Internal Medicine, Optum, Gillette Children’s Hospital and the California Area Health Education Center System. His work on this paper was supported through his employer by Essentia Health. Ms. Poplau is supported through her employer Hennepin Healthcare Research Institute for work on burnout reduction projects with large healthcare organizations including the American Medical Association, the Institute for Healthcare Improvement, the American College of Physicians, Optum, Gillette Children’s Hospital and the California Area Health Education Center System. Her work on this paper was supported through her employer by Essentia Health. Dr. Stillman is supported through his employer, Hennepin Healthcare, for work on burnout reduction projects with healthcare organizations including the American Medical Association, Optum, Inc., and Gillette Children’s Hospital. His work on this paper was supported through his employer by Essentia Health. Dr. Sudak, Ms. Engels, and Ms. Horn are supported by their employer, Essentia Health. Their work on this paper was supported by Essentia Health.