Keri J S Brady1, Pengsheng Ni2,3, R Christopher Sheldrick2, Mickey T Trockel4,5, Tait D Shanafelt5, Susannah G Rowe6,7, Jeffrey I Schneider6,8, Lewis E Kazis2. 1. Health Law, Policy & Management Department, Boston University School of Public Health, 715 Albany Street, Boston, MA, USA. kjbrady@bu.edu. 2. Health Law, Policy & Management Department, Boston University School of Public Health, 715 Albany Street, Boston, MA, USA. 3. Biostatistics & Epidemiology Data Analytic Center, Boston University School of Public Health, 85 East Newton Street, Boston, MA, USA. 4. Department of Psychiatry and Behavioral Sciences, Stanford University, 401 Quarry Road, Stanford, CA, USA. 5. Stanford Medicine WellMD Center, Stanford University, 300 Pasteur Drive, Suite H3215, Stanford, CA, USA. 6. Boston Medical Center, 1 Boston Medical Center Place, Boston, MA, USA. 7. Department of Ophthalmology, Boston University School of Medicine, 85 East Concord Street, 8th Floor, Boston, MA, USA. 8. Department of Emergency Medicine, Boston University School of Medicine, 72 East Concord Street, Boston, MA, USA.
Abstract
PURPOSE: Current US health policy discussions regarding physician burnout have largely been informed by studies employing the Maslach Burnout Inventory (MBI); yet, there is little in the literature focused on interpreting MBI scores. We described the burnout symptoms and precision associated with MBI scores in US physicians. METHODS: Using item response theory (IRT) analyses of secondary, cross-sectional survey data, we created response profiles describing the probability of burnout symptoms associated with US physicians' MBI emotional exhaustion (EE), depersonalization (DP), and personal accomplishment (PA) subscale scores. Response profiles were mapped to raw subscale scores and used to predict symptom endorsements at mean scores and commonly used cut-points. RESULTS: The average US physician was likely to endorse feeling he/she is emotionally drained, used up, frustrated, and working too hard and all PA indicators once weekly or more but was unlikely to endorse feeling any DP symptoms once weekly or more. At the commonly used EE and DP cut-points of 27 and 10, respectively, a physician was unlikely to endorse feeling burned out or any DP symptoms once weekly or more. Each subscale assessed the majority of sample score ranges with ≥ 0.70 reliability. CONCLUSIONS: We produced a crosswalk mapping raw MBI subscale scores to scaled scores and response profiles calibrated in a US physician sample. Our results can be used to better understand the meaning and precision of MBI scores in US physicians; compare individual/group MBI scores against a reference population of US physicians; and inform the selection of subscale cut-points for defining categorical physician burnout outcomes.
PURPOSE: Current US health policy discussions regarding physician burnout have largely been informed by studies employing the Maslach Burnout Inventory (MBI); yet, there is little in the literature focused on interpreting MBI scores. We described the burnout symptoms and precision associated with MBI scores in US physicians. METHODS: Using item response theory (IRT) analyses of secondary, cross-sectional survey data, we created response profiles describing the probability of burnout symptoms associated with US physicians' MBI emotional exhaustion (EE), depersonalization (DP), and personal accomplishment (PA) subscale scores. Response profiles were mapped to raw subscale scores and used to predict symptom endorsements at mean scores and commonly used cut-points. RESULTS: The average US physician was likely to endorse feeling he/she is emotionally drained, used up, frustrated, and working too hard and all PA indicators once weekly or more but was unlikely to endorse feeling any DP symptoms once weekly or more. At the commonly used EE and DP cut-points of 27 and 10, respectively, a physician was unlikely to endorse feeling burned out or any DP symptoms once weekly or more. Each subscale assessed the majority of sample score ranges with ≥ 0.70 reliability. CONCLUSIONS: We produced a crosswalk mapping raw MBI subscale scores to scaled scores and response profiles calibrated in a US physician sample. Our results can be used to better understand the meaning and precision of MBI scores in US physicians; compare individual/group MBI scores against a reference population of US physicians; and inform the selection of subscale cut-points for defining categorical physician burnout outcomes.
Authors: Cristina Civilotti; Daniela Acquadro Maran; Sergio Garbarino; Nicola Magnavita Journal: Int J Environ Res Public Health Date: 2022-04-24 Impact factor: 4.614
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Authors: Keri J S Brady; R Christopher Sheldrick; Pengsheng Ni; Mickey T Trockel; Tait D Shanafelt; Susannah G Rowe; Lewis E Kazis Journal: J Patient Rep Outcomes Date: 2021-06-05
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Authors: Keri J S Brady; Pengsheng Ni; Lindsey Carlasare; Tait D Shanafelt; Christine A Sinsky; Mark Linzer; Martin Stillman; Mickey T Trockel Journal: J Gen Intern Med Date: 2021-03-31 Impact factor: 5.128