Ariela L Marshall1, Liselotte N Dyrbye2, Tait D Shanafelt3, Christine A Sinsky4, Daniel Satele5, Mickey Trockel6, Michael Tutty7, Colin P West8. 1. A.L. Marshall is associate professor of medicine, Division of Hematology, Department of Internal Medicine, Mayo Clinic, Rochester, Minnesota; ORCID: http://orcid.org/0000-0001-7388-0422. 2. L.N. Dyrbye is professor of medicine and medical education, Division of Community Internal Medicine, Department of Medicine, Mayo Clinic, Rochester, Minnesota. 3. T.D. Shanafelt is Jeanie and Stewart Ritchie Professor of Medicine and associate dean, Stanford School of Medicine, Stanford, California. 4. C.A. Sinsky is vice president of professional satisfaction, American Medical Association, Chicago, Illinois. 5. D. Satele is a statistician, Division of Biomedical Statistics and Informatics, Department of Health Sciences Research, Mayo Clinic, Rochester, Minnesota. 6. M. Trockel is clinical associate professor, Department of Psychiatry and Behavioral Sciences, Stanford University, Stanford, California. 7. M. Tutty is group vice president of professional satisfaction and practice sustainability, American Medical Association, Chicago, Illinois. 8. C.P. West is professor of medicine, medical education, and biostatistics, Division of General Internal Medicine, Department of Internal Medicine, and Division of Biomedical Statistics and Informatics, Department of Health Sciences Research, Mayo Clinic, Rochester, Minnesota; ORCID: https://orcid.org/0000-0003-1628-5023.
Abstract
PURPOSE: To explore the interaction between practice setting (academic practice [AP], private practice [PP]) and gender in relation to physician burnout and satisfaction with work-life integration (WLI). METHOD: In 2017, the authors administered a cross-sectional survey of U.S. physicians and characterized rates of burnout and satisfaction with WLI using previously validated and/or standardized tools. They conducted multivariable logistic regression to determine the interaction between the included variables. RESULTS: Of the 3,603 participants in the final analysis, female physicians reported a higher prevalence of burnout than male physicians in both AP (50.7% vs 38.2%, P < .0001) and PP (48.1% vs 40.7%, P = .001). However, the multivariable analysis found no statistically significant gender-based differences in burnout (odds ratio [OR] 0.94, 95% confidence interval [CI] 0.76-1.17, P = .60). Women and men in AP were less likely to report burnout than men in PP (OR 0.70, 95% CI 0.52-0.94, P = .01 and OR 0.69, 95% CI 0.53-0.90, P < .01, respectively); women in PP did not report different burnout rates from men in PP (OR 0.89, 95% CI 0.68-1.16, P = .38). Women in both AP and PP were less likely to be satisfied with WLI than men in PP (OR 0.62, 95% CI 0.47-0.83, P < .01 and OR 0.75, 95% CI 0.58-0.97, P = .03, respectively); men in AP did not report different satisfaction with WLI than men in PP (OR 1.05, 95% CI 0.82-1.33, P = .71). CONCLUSIONS: Gender differences in rates of burnout are related to practice setting and other differences in physicians' personal and professional lives. These results highlight the complex relationships among gender, practice setting, and other personal and professional factors in their influence on burnout and satisfaction with WLI.
PURPOSE: To explore the interaction between practice setting (academic practice [AP], private practice [PP]) and gender in relation to physician burnout and satisfaction with work-life integration (WLI). METHOD: In 2017, the authors administered a cross-sectional survey of U.S. physicians and characterized rates of burnout and satisfaction with WLI using previously validated and/or standardized tools. They conducted multivariable logistic regression to determine the interaction between the included variables. RESULTS: Of the 3,603 participants in the final analysis, female physicians reported a higher prevalence of burnout than male physicians in both AP (50.7% vs 38.2%, P < .0001) and PP (48.1% vs 40.7%, P = .001). However, the multivariable analysis found no statistically significant gender-based differences in burnout (odds ratio [OR] 0.94, 95% confidence interval [CI] 0.76-1.17, P = .60). Women and men in AP were less likely to report burnout than men in PP (OR 0.70, 95% CI 0.52-0.94, P = .01 and OR 0.69, 95% CI 0.53-0.90, P < .01, respectively); women in PP did not report different burnout rates from men in PP (OR 0.89, 95% CI 0.68-1.16, P = .38). Women in both AP and PP were less likely to be satisfied with WLI than men in PP (OR 0.62, 95% CI 0.47-0.83, P < .01 and OR 0.75, 95% CI 0.58-0.97, P = .03, respectively); men in AP did not report different satisfaction with WLI than men in PP (OR 1.05, 95% CI 0.82-1.33, P = .71). CONCLUSIONS: Gender differences in rates of burnout are related to practice setting and other differences in physicians' personal and professional lives. These results highlight the complex relationships among gender, practice setting, and other personal and professional factors in their influence on burnout and satisfaction with WLI.
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: Tait D Shanafelt; Hanhan Wang; Mary Leonard; Mary Hawn; Quinn McKenna; Rick Majzun; Lloyd Minor; Mickey Trockel Journal: JAMA Netw Open Date: 2021-02-01
Authors: Tait D Shanafelt; Colin P West; Lotte N Dyrbye; Mickey Trockel; Michael Tutty; Hanhan Wang; Lindsey E Carlasare; Christine Sinsky Journal: Mayo Clin Proc Date: 2022-09-14 Impact factor: 11.104
Authors: Lisa S Rotenstein; Allan S Fong; Molly Moore Jeffery; Christine A Sinsky; Richard Goldstein; Brian Williams; Edward R Melnick Journal: JAMA Netw Open Date: 2022-03-01
Authors: Daniel S Tawfik; Tait D Shanafelt; Liselotte N Dyrbye; Christine A Sinsky; Colin P West; Alexis S Davis; Felice Su; Kathryn C Adair; Mickey T Trockel; Jochen Profit; J Bryan Sexton Journal: JAMA Netw Open Date: 2021-05-03