Liselotte N Dyrbye1, Colin P West2, Jeph Herrin3, John Dovidio4, Brooke Cunningham5, Mark Yeazel5, Veronica Lam6, Ivuoma N Onyeador7, Natalie M Wittlin8, Sara E Burke9, Sharonne N Hayes10, Sean M Phelan11, Michelle van Ryn12. 1. Division of Community Internal Medicine, Department of Medicine, Mayo Clinic, Rochester, MN. Electronic address: dyrbye.liselotte@mayo.edu. 2. Division of General Internal Medicine, Department of Medicine, Mayo Clinic, Rochester, MN. 3. Department of Internal Medicine, Yale School of Medicine, New Haven, CT. 4. Yale University, New Haven, CT. 5. Department of Family Medicine and Community Health, University of Minnesota, Minneapolis, MN. 6. Flying Buttress Associates, Charlottesville, VA. 7. Department of Management and Organizations, Kellogg School of Management, Northwestern University, Kirkland, WA. 8. Department of Psychology, Yale University, New Haven, CT. 9. Department of Psychology, Syracuse University, Syracuse, NY. 10. Department of Cardiovascular Medicine, Mayo Clinic, Rochester, MN. 11. Division of Health Care Policy & Research, Mayo Clinic, Rochester, MN. 12. School of Nursing, Oregon Health & Science University, Portland, OR.
Abstract
OBJECTIVE: To explore the relationship between learning environment culture and the subsequent risk of developing burnout in a national sample of residents overall and by gender. METHODS: From April 7 to August 2, 2016, and May 26 to August 5, 2017, we surveyed residents in their second (R2) and third (R3) postgraduate year. The survey included a negative interpersonal experiences scale (score range 1 to 7 points, higher being worse) assessing psychological safety and bias, inclusion, respect, and justice; an unfair treatment scale (score range 1 to 5 points, higher being worse), and two items from the Maslach Burnout Inventory. Individual responses to the R2 and R3 surveys were linked. RESULTS: The R2 survey was completed by 3588 of 4696 (76.4%) residents; 3058 of 3726 (82.1%) residents completed the R3 survey; and 2888 residents completed both surveys. Women reported more negative interpersonal experiences (mean [SD], 3.00 [0.83] vs 2.90 [0.85], P<.001) and unfair treatment (66.5% vs. 58.7%, P<.001) than men at R2. On multivariable analysis, women at R3 were more likely than their male counterparts to have burnout (odds ratio, 1.23; 95% CI, 1.02 to 1.48; P=.03). Both men and women who reported more negative interpersonal experiences at R2 were more likely to have burnout at R3 (odds ratio, 1.32; 95% CI, 1.14 to 1.52; P<.001). The factors contributing to burnout did not vary in effect magnitude by gender. CONCLUSION: These findings indicate women residents are more likely to have burnout relative to men in the third year of residency. Negative culture predicted subsequent burnout 1 year later among both men and women. Differences in burnout were at least partly due to differing levels of exposure to negative interactions for men versus women rather than a negative interaction having a differential impact on the well-being of men versus women.
OBJECTIVE: To explore the relationship between learning environment culture and the subsequent risk of developing burnout in a national sample of residents overall and by gender. METHODS: From April 7 to August 2, 2016, and May 26 to August 5, 2017, we surveyed residents in their second (R2) and third (R3) postgraduate year. The survey included a negative interpersonal experiences scale (score range 1 to 7 points, higher being worse) assessing psychological safety and bias, inclusion, respect, and justice; an unfair treatment scale (score range 1 to 5 points, higher being worse), and two items from the Maslach Burnout Inventory. Individual responses to the R2 and R3 surveys were linked. RESULTS: The R2 survey was completed by 3588 of 4696 (76.4%) residents; 3058 of 3726 (82.1%) residents completed the R3 survey; and 2888 residents completed both surveys. Women reported more negative interpersonal experiences (mean [SD], 3.00 [0.83] vs 2.90 [0.85], P<.001) and unfair treatment (66.5% vs. 58.7%, P<.001) than men at R2. On multivariable analysis, women at R3 were more likely than their male counterparts to have burnout (odds ratio, 1.23; 95% CI, 1.02 to 1.48; P=.03). Both men and women who reported more negative interpersonal experiences at R2 were more likely to have burnout at R3 (odds ratio, 1.32; 95% CI, 1.14 to 1.52; P<.001). The factors contributing to burnout did not vary in effect magnitude by gender. CONCLUSION: These findings indicate women residents are more likely to have burnout relative to men in the third year of residency. Negative culture predicted subsequent burnout 1 year later among both men and women. Differences in burnout were at least partly due to differing levels of exposure to negative interactions for men versus women rather than a negative interaction having a differential impact on the well-being of men versus women.
Authors: Liselotte N Dyrbye; Colin P West; Christine A Sinsky; Mickey Trockel; Michael Tutty; Daniel Satele; Lindsey Carlasare; Tait Shanafelt Journal: JAMA Netw Open Date: 2022-05-02
Authors: Susan M Halbach; Kartik Pillutla; Patricia Seo-Mayer; Alan Schwartz; Darcy Weidemann; John D Mahan Journal: Front Pediatr Date: 2022-05-04 Impact factor: 3.418