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McGoldrick J, Molina-Ochoa D, Schwab P, Edwards ST, Barton JL. An Evaluation of Burnout Among US Rheumatology Fellows: A National Survey. J Rheumatol 2023; 50:1185-1190. [PMID: 36921966 DOI: 10.3899/jrheum.221114] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/02/2023] [Indexed: 03/17/2023]
Abstract
OBJECTIVE To evaluate levels of burnout and correlates of burnout among US rheumatology fellows. METHODS US rheumatology fellows were invited to complete an electronic survey in 2019. Burnout was assessed using the Maslach Burnout Inventory. Measures of depression, fatigue, quality of life, and training year were also collected. Open-ended questions about perceived factors to promote resiliency and factors leading to increased burnout were included. Bivariate and multivariate regression analyses were used to examine correlates of burnout. Open-ended responses were analyzed using thematic analysis. RESULTS The response rate was 18% (105/582 pediatric and adult rheumatology fellows). Over one-third (38.5%) of postgraduate year (PGY) 4 and 16.7% of PGY5/6 fellows reported at least 1 symptom of burnout. Of PGY4 fellows, 12.8% met criteria for depression compared with 2.4% of PGY5/6 fellows. PGY4 fellows reported worse fatigue and poorer quality of life compared with PGY5/6. In multivariable models controlling for training year and gender, older age (> 31 years) was associated with lower odds of burnout. Thematic analysis of open-ended responses identified factors that help reduce burnout: exercise, family/friends, sleep, support at work, and hobbies. Factors contributing to burnout: pager, documentation, long hours, demands of patient care, and presentations and expectations. CONCLUSION This national survey of US rheumatology fellows reveals that early trainee level and younger age are associated with worse levels of fatigue, quality of life, and burnout. Although awareness of and strategies to reduce burnout are needed for all fellows, targeted interventions for younger fellows and those in their first year of training may be of highest yield.
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Affiliation(s)
| | - Diego Molina-Ochoa
- D. Molina-Ochoa, BS, University of Maryland School of Medicine, Baltimore, Maryland
| | - Pascale Schwab
- P. Schwab, MD, S.T. Edwards, MD, MPH, J.L. Barton, MD, MCR, Oregon Health & Science University, and VA Portland Health Care System, Portland, Oregon, USA
| | - Samuel T Edwards
- P. Schwab, MD, S.T. Edwards, MD, MPH, J.L. Barton, MD, MCR, Oregon Health & Science University, and VA Portland Health Care System, Portland, Oregon, USA
| | - Jennifer L Barton
- P. Schwab, MD, S.T. Edwards, MD, MPH, J.L. Barton, MD, MCR, Oregon Health & Science University, and VA Portland Health Care System, Portland, Oregon, USA
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Williams MS, Ryniker L, Schwartz RM, Shaam P, Finuf KD, Corley SS, Parashar N, Young JQ, Bellehsen MH, Jan S. Physician challenges and supports during the first wave of the COVID-19 pandemic: A mixed methods study. Front Psychiatry 2022; 13:1055495. [PMID: 36569611 PMCID: PMC9780028 DOI: 10.3389/fpsyt.2022.1055495] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/27/2022] [Accepted: 11/16/2022] [Indexed: 12/13/2022] Open
Abstract
INTRODUCTION During the COVID-19 pandemic, physicians encountered significant COVID-19-related negative experiences and psychological distress in both their personal and professional lives. To understand the factors that negatively impact physician well-being, a number of studies have pointed to multiple work system factors such as excessive workload and workflow interruptions. In addition, studies have shown that positive interpersonal relationships that provide social support may also serve as a buffering role against psychological distress. The aim of our study explores the challenges and sources of support for physicians relative to mental health symptoms. METHODS In this study, We used a cross-sectional study design with a convergent parallel mixed method approach combining both qualitative and quantitative data collected in parallel from a self-report questionnaire immediately following the first wave of COVID-19. The aim of our study explores the challenges and sources of support for physicians relative to mental health symptoms. RESULTS Of the 457 physicians in the study, the most frequently potential negative occupational experiences were, "Being at risk of contracting COVID-19 from patients/co-workers" (90.5%) and "Contact with distressed family members who cannot be with a loved one" (69.5%). We identified five common themes for main sources of social support (e.g. emotional support from family/friends) and six themes for challenges (e.g., work-related demands exacerbated by the pandemic). DISCUSSION Our study highlights COVID-19 and other pandemic-related challenges that negatively impacted the mental health of physicians. Interventions that provide targeted organizational supports (e.g. sufficient PPE and child support), as well as specific sources of support (e.g. family and emotional), can attenuate those challenges and stressors experienced during a pandemic.
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Affiliation(s)
- Myia S Williams
- Department of Medicine, Northwell Health, Manhasset, NY, United States.,Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Northwell Health, Hempstead, NY, United States.,Institute of Health System Science, Feinstein Institutes for Medical Research, Manhasset, NY, United States
| | - Laura Ryniker
- Institute of Health System Science, Feinstein Institutes for Medical Research, Manhasset, NY, United States.,Department of Occupational Medicine, Epidemiology and Prevention, Northwell Health, Great Neck, NY, United States.,Center for Traumatic Stress, Resilience and Recovery at Northwell Health, Great Neck, NY, United States
| | - Rebecca M Schwartz
- Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Northwell Health, Hempstead, NY, United States.,Institute of Health System Science, Feinstein Institutes for Medical Research, Manhasset, NY, United States.,Department of Occupational Medicine, Epidemiology and Prevention, Northwell Health, Great Neck, NY, United States.,Center for Traumatic Stress, Resilience and Recovery at Northwell Health, Great Neck, NY, United States
| | - Pooja Shaam
- Institute of Health System Science, Feinstein Institutes for Medical Research, Manhasset, NY, United States.,Department of Occupational Medicine, Epidemiology and Prevention, Northwell Health, Great Neck, NY, United States.,Center for Traumatic Stress, Resilience and Recovery at Northwell Health, Great Neck, NY, United States
| | - Kayla D Finuf
- Department of Medicine, Northwell Health, Manhasset, NY, United States.,Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Northwell Health, Hempstead, NY, United States
| | - Samantha S Corley
- Institute of Health System Science, Feinstein Institutes for Medical Research, Manhasset, NY, United States.,Department of Occupational Medicine, Epidemiology and Prevention, Northwell Health, Great Neck, NY, United States.,Center for Traumatic Stress, Resilience and Recovery at Northwell Health, Great Neck, NY, United States
| | - Nidhi Parashar
- Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Northwell Health, Hempstead, NY, United States.,Division of General Pediatrics, Steven and Alexandra Cohen Children's Medical Center, New Hyde Park, NY, United States
| | - John Q Young
- Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Northwell Health, Hempstead, NY, United States.,Department of Psychiatry, Zucker Hillside Hospital at Northwell Health, Glen Oaks, NY, United States
| | - Mayer H Bellehsen
- Center for Traumatic Stress, Resilience and Recovery at Northwell Health, Great Neck, NY, United States.,Department of Psychiatry, Zucker Hillside Hospital at Northwell Health, Glen Oaks, NY, United States
| | - Sophia Jan
- Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Northwell Health, Hempstead, NY, United States.,Institute of Health System Science, Feinstein Institutes for Medical Research, Manhasset, NY, United States.,Department of Psychiatry and Resident Mental Health Program, Lenox Hill Hospital, New York, NY, United States
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Bernales-Turpo D, Quispe-Velasquez R, Flores-Ticona D, Saintila J, Ruiz Mamani PG, Huancahuire-Vega S, Morales-García M, Morales-García WC. Burnout, Professional Self-Efficacy, and Life Satisfaction as Predictors of Job Performance in Health Care Workers: The Mediating Role of Work Engagement. J Prim Care Community Health 2022; 13:21501319221101845. [PMID: 35603465 PMCID: PMC9125607 DOI: 10.1177/21501319221101845] [Citation(s) in RCA: 19] [Impact Index Per Article: 9.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
Background: It is essential to identify the factors that influence the work performance
of health professionals working in health care facilities, especially in the
context of the COVID-19 pandemic, since these factors have an impact on the
quality of medical care provided to the population. Objective: This study aimed to analyze the mediating role of work engagement in the
relationship between job burnout, professional self-efficacy, life
satisfaction, and job performance in Peruvian health care workers. Methods: Cross-sectional explanatory study, with the voluntary participation of 508
health professionals (physicians and nurses) of both sexes (70.7% women,
29.3% men), and from different health facilities in the city of Lima. All
participants were administered the Single Burnout Item questionnaire, the
Professional Self-Efficacy Scale (AU-10), the Satisfaction with Life Scale
(SWL), the Individual Work Performance Questionnaire (IWPQ), and the Utrecht
Work Engagement Scale (UWES-9). Structural Equation Modeling (SEM) was used
for data analysis. Results: In the SEM analysis, it was found that for the mediation model the
incremental goodness-of-fit indices were significant
(χ2 = 2292.313, gl = 659, P < .001,
χ2/gl = 2.788). Career self-efficacy (β = .557,
P < .001) and life satisfaction (β = .289,
P < .001) were positive predictors of work
engagement. While burnout was a negative predictor (β = .878,
P < .001). The consistent mediation of work
engagement of professional self-efficacy, life satisfaction, and burnout had
a positive predictor effect on job performance (β = .878,
P < .001). Conclusion: Research provides evidence that professional self-efficacy, life
satisfaction, and burnout could influence job performance through work
engagement.
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