Huaping Sun1, David O Warner, Alex Macario, Yan Zhou, Deborah J Culley, Mark T Keegan. 1. From the American Board of Anesthesiology, Raleigh, North Carolina (H.S., D.O.W., A.M., Y.Z., D.J.C., M.T.K.) the Department of Anesthesiology and Perioperative Medicine, Mayo Clinic, Rochester, Minnesota (D.O.W., M.T.K.) the Department of Anesthesiology, Perioperative and Pain Medicine, Stanford University, Stanford, California (A.M.) the Department of Anesthesiology, Perioperative and Pain Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts (D.J.C.).
Abstract
BACKGROUND: This repeated cross-sectional survey study was conducted to determine the prevalence of, and factors associated with, burnout, distress, and depression among anesthesiology residents and first-year graduates. We hypothesized that heavy workload and student debt burden were associated with a higher risk of physician burnout, distress, and depression, and that perception of having adequate workplace resources, work-life balance, and social support were associated with a lower risk. METHODS: Physicians beginning U.S. anesthesiology residency between 2013 and 2016 were invited to take online surveys annually from their clinical anesthesia year 1 to 1 yr after residency graduation. The Maslach Burnout Inventory, the Physician Well-Being Index, and the Harvard Department of Psychiatry/National Depression Screening Day Scale were used to measure burnout, distress, and depression, respectively. Logistic regression analyses were conducted to examine whether self-reported demographics, personal, and professional factors were associated with the risk of burnout, distress, and depression. RESULTS: The response rate was 36% (5,295 of 14,529). The prevalence of burnout, distress, and depression was 51% (2,531 of 4,966), 32% (1,575 of 4,941), and 12% (565 of 4,840), respectively. Factors associated with a lower risk of all three outcomes included respondents' perceived workplace resource availability, (odds ratio = 0.51 [95% CI, 0.45 to 0.57] for burnout; 0.51 [95% CI, 0.45 to 0.56] for distress; 0.52 [95% CI, 0.45 to 0.60] for depression) and perceived ability to maintain work-life balance (0.61 [95% CI, 0.56 to 0.67] for burnout; 0.50 [95% CI, 0.46 to 0.55] for distress; 0.58 [95% CI, 0.51 to 0.65] for depression). A greater number of hours worked per week and a higher amount of student debt were associated with a higher risk of distress and depression, but not burnout. CONCLUSIONS: Burnout, distress, and depression are notable among anesthesiology residents. Perceived institutional support, work-life balance, strength of social support, workload, and student debt impact physician well-being.
BACKGROUND: This repeated cross-sectional survey study was conducted to determine the prevalence of, and factors associated with, burnout, distress, and depression among anesthesiology residents and first-year graduates. We hypothesized that heavy workload and student debt burden were associated with a higher risk of physician burnout, distress, and depression, and that perception of having adequate workplace resources, work-life balance, and social support were associated with a lower risk. METHODS: Physicians beginning U.S. anesthesiology residency between 2013 and 2016 were invited to take online surveys annually from their clinical anesthesia year 1 to 1 yr after residency graduation. The Maslach Burnout Inventory, the Physician Well-Being Index, and the Harvard Department of Psychiatry/National Depression Screening Day Scale were used to measure burnout, distress, and depression, respectively. Logistic regression analyses were conducted to examine whether self-reported demographics, personal, and professional factors were associated with the risk of burnout, distress, and depression. RESULTS: The response rate was 36% (5,295 of 14,529). The prevalence of burnout, distress, and depression was 51% (2,531 of 4,966), 32% (1,575 of 4,941), and 12% (565 of 4,840), respectively. Factors associated with a lower risk of all three outcomes included respondents' perceived workplace resource availability, (odds ratio = 0.51 [95% CI, 0.45 to 0.57] for burnout; 0.51 [95% CI, 0.45 to 0.56] for distress; 0.52 [95% CI, 0.45 to 0.60] for depression) and perceived ability to maintain work-life balance (0.61 [95% CI, 0.56 to 0.67] for burnout; 0.50 [95% CI, 0.46 to 0.55] for distress; 0.58 [95% CI, 0.51 to 0.65] for depression). A greater number of hours worked per week and a higher amount of student debt were associated with a higher risk of distress and depression, but not burnout. CONCLUSIONS: Burnout, distress, and depression are notable among anesthesiology residents. Perceived institutional support, work-life balance, strength of social support, workload, and student debt impact physician well-being.
Authors: Molly B Kraus; Holly M Thomson; Franklin Dexter; Perene V Patel; Sarah E Dodd; Marlene E Girardo; Linda B Hertzberg; Amy C S Pearson Journal: J Educ Perioper Med Date: 2021-01-01
Authors: Lara Zisblatt; Fei Chen; Dawn Dillman; Amy N DiLorenzo; Mark P MacEachern; Amy Miller Juve; Emily E Peoples; Connor Snarskis; Ashley E Grantham Journal: J Educ Perioper Med Date: 2022-04-01
Authors: Sarah L Nizamuddin; Junaid Nizamuddin; Usman Latif; Avery Tung; Jerome M Klafta; Sang M Lee; Cindy M Ku; David L Stahl; Jason Lee; Sajid S Shahul Journal: J Educ Perioper Med Date: 2020-04-01
Authors: Susan M Martinelli; Robert S Isaak; Brooke A Chidgey; Ty L Bullard; Amy DiLorenzo; Annette Rebel; Fei Chen Journal: J Educ Perioper Med Date: 2020-10-01
Authors: Anoushka M Afonso; Joshua B Cadwell; Steven J Staffa; David Zurakowski; Amy E Vinson Journal: Anesthesiology Date: 2021-05-01 Impact factor: 8.986
Authors: Wan Yen Lim; John Ong; Sharon Ong; Ying Hao; Hairil Rizal Abdullah; Darren Lk Koh; Un Sam May Mok Journal: J Clin Med Date: 2019-12-26 Impact factor: 4.241