Liselotte N Dyrbye1, Andrea N Leep Hunderfund2, Richard C Winters3, Susan M Moeschler4, Brianna E Vaa Stelling5, Eric J Dozois6, Daniel V Satele7, Colin P West8. 1. L.N. Dyrbye is professor of medicine and medical education, and codirector, Mayo Clinic Program on Physician Well-Being, Department of Medicine, Mayo Clinic Alix School of Medicine, Rochester, Minnesota. 2. A.N. Leep Hunderfund is assistant professor of neurology, Mayo Clinic, and director, learning environment and educational culture, Mayo Clinic Alix School of Medicine, Rochester, Minnesota. 3. R.C. Winters is assistant professor of emergency medicine, and medical director of professional leadership development, Mayo Clinic Care Network, Department of Emergency Medicine, Mayo Clinic Alix School of Medicine, Rochester, Minnesota. 4. S.M. Moeschler is associate professor of anesthesiology, Department of Anesthesiology, Mayo Clinic Alix School of Medicine, Rochester, Minnesota. 5. B.E. Vaa Stelling is assistant professor of medicine, Department of Medicine, Mayo Clinic Alix School of Medicine, Rochester, Minnesota. 6. E.J. Dozois is professor of surgery, Department of Surgery, Mayo Clinic Alix School of Medicine, Rochester, Minnesota. 7. D.V. Satele is statistician, Department of Health Sciences Research, Mayo Clinic, Rochester, Minnesota. 8. C.P. West is professor of medicine, medical education, and biostatistics, and codirector, Mayo Clinic Program on Physician Well-Being, Department of Medicine, Mayo Clinic Alix School of Medicine, Rochester, Minnesota.
Abstract
PURPOSE: To evaluate the relationship between help-seeking concerns and attitudes and burnout among residents. METHOD: In 2019, all residents across the 4 Mayo Clinic sites were surveyed. The survey included 2 items from the Maslach Burnout Inventory, an item from the National Comorbidity Survey Replication about likelihood of seeking professional help for a serious emotional problem, and items developed to explore residents' help-seeking behaviors and concerns. Multivariable logistic regression was conducted for each outcome variable and included age, gender, specialty, postgraduate year, site, and burnout. RESULTS: Of the 1,146 residents to whom surveys were sent, 762 (66.5%) responded. Nearly half (342/747, 45.8%) were concerned about negative consequence to their career if they went on medical leave, and one-third (247/753, 32.8%) were reluctant to seek professional help for a serious emotional concern. Of the 437 residents who had never attended a personal health appointment during scheduled work, 34.6% (151) thought it would be difficult to tell a supervising physician they needed to miss work due to a scheduled appointment. On multivariable analysis, burnout was independently associated with reporting it would be difficult to tell a supervising physician of a need to attend an appointment (odds ratio [OR] 2.32; 95% confidence interval [CI] 1.46, 3.67; P < .001), being concerned about negative consequence to their career if they went on medical leave (OR 2.09; 95% CI 1.49, 2.93; P < .001), and reluctance to seek professional care for a serious emotional problem (OR 1.65; 95% CI 1.17, 2.34; P = .004). CONCLUSIONS: Barriers to self-care and help-seeking are common among residents and may be worse among those with burnout. Strategies to reduce stigma and promote a culture of well-being are needed.
PURPOSE: To evaluate the relationship between help-seeking concerns and attitudes and burnout among residents. METHOD: In 2019, all residents across the 4 Mayo Clinic sites were surveyed. The survey included 2 items from the Maslach Burnout Inventory, an item from the National Comorbidity Survey Replication about likelihood of seeking professional help for a serious emotional problem, and items developed to explore residents' help-seeking behaviors and concerns. Multivariable logistic regression was conducted for each outcome variable and included age, gender, specialty, postgraduate year, site, and burnout. RESULTS: Of the 1,146 residents to whom surveys were sent, 762 (66.5%) responded. Nearly half (342/747, 45.8%) were concerned about negative consequence to their career if they went on medical leave, and one-third (247/753, 32.8%) were reluctant to seek professional help for a serious emotional concern. Of the 437 residents who had never attended a personal health appointment during scheduled work, 34.6% (151) thought it would be difficult to tell a supervising physician they needed to miss work due to a scheduled appointment. On multivariable analysis, burnout was independently associated with reporting it would be difficult to tell a supervising physician of a need to attend an appointment (odds ratio [OR] 2.32; 95% confidence interval [CI] 1.46, 3.67; P < .001), being concerned about negative consequence to their career if they went on medical leave (OR 2.09; 95% CI 1.49, 2.93; P < .001), and reluctance to seek professional care for a serious emotional problem (OR 1.65; 95% CI 1.17, 2.34; P = .004). CONCLUSIONS: Barriers to self-care and help-seeking are common among residents and may be worse among those with burnout. Strategies to reduce stigma and promote a culture of well-being are needed.
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