Factors associated with burnout during emergency medicine residency

James Kimo Takayesu, Edward A. Ramoska, Ted R. Clark, Bhakti Hansoti, Joseph Dougherty, Will Freeman, Kevin R. Weaver, Yuchiao Chang, Eric Gross

Research output: Contribution to journalArticle

46 Citations (Scopus)

Abstract

Objectives: While the prevalence of burnout in practicing emergency physicians has been studied, little is known of the prevalence and risk factors in emergency medicine (EM) residents. The aim of this study was to assess the prevalence of burnout among EM residents and the individual-level factors associated with burnout. Methods: Eight EM residency programs were surveyed using the Maslach Burnout Inventory (MBI). Demographic data and data on job satisfaction and tolerance of uncertainty in clinical decision-making were collected using validated instruments. Results: Of 289 eligible residents, 218 completed the MBI (response rate = 75%). A total of 142 residents (65%) met the criteria for burnout. Complete data sets of the other instruments were obtained from 193 (response rate = 67%), and this group comprised our study population. Subjects having a significant other or spouse had a higher prevalence of burnout compared to single residents (60% vs. 40%, p = 0.002). Poor global job satisfaction (p < 0.0001), lack of administrative autonomy (p = 0.021), and lack of clinical autonomy (p = 0.031) correlated with burnout, as did intolerance of uncertainty (p = 0.015). Conclusions: Burnout is highly prevalent in EM residents. Interventions should be targeted at 1) improving resident autonomy in the emergency department where possible, 2) supervision and instruction on medical decision-making that may affect or teach individuals to cope with risk tolerance, and 3) social supports to reduce work-home conflicts during training.

Original languageEnglish (US)
Pages (from-to)1031-1035
Number of pages5
JournalAcademic Emergency Medicine
Volume21
Issue number9
DOIs
StatePublished - Jan 1 2014

Fingerprint

Emergency Medicine
Internship and Residency
Job Satisfaction
Uncertainty
Equipment and Supplies
Spouses
Social Support
Hospital Emergency Service
Emergencies
Demography
Physicians
Population
Clinical Decision-Making

ASJC Scopus subject areas

  • Emergency Medicine

Cite this

Takayesu, J. K., Ramoska, E. A., Clark, T. R., Hansoti, B., Dougherty, J., Freeman, W., ... Gross, E. (2014). Factors associated with burnout during emergency medicine residency. Academic Emergency Medicine, 21(9), 1031-1035. https://doi.org/10.1111/acem.12464

Factors associated with burnout during emergency medicine residency. / Takayesu, James Kimo; Ramoska, Edward A.; Clark, Ted R.; Hansoti, Bhakti; Dougherty, Joseph; Freeman, Will; Weaver, Kevin R.; Chang, Yuchiao; Gross, Eric.

In: Academic Emergency Medicine, Vol. 21, No. 9, 01.01.2014, p. 1031-1035.

Research output: Contribution to journalArticle

Takayesu, JK, Ramoska, EA, Clark, TR, Hansoti, B, Dougherty, J, Freeman, W, Weaver, KR, Chang, Y & Gross, E 2014, 'Factors associated with burnout during emergency medicine residency', Academic Emergency Medicine, vol. 21, no. 9, pp. 1031-1035. https://doi.org/10.1111/acem.12464
Takayesu JK, Ramoska EA, Clark TR, Hansoti B, Dougherty J, Freeman W et al. Factors associated with burnout during emergency medicine residency. Academic Emergency Medicine. 2014 Jan 1;21(9):1031-1035. https://doi.org/10.1111/acem.12464
Takayesu, James Kimo ; Ramoska, Edward A. ; Clark, Ted R. ; Hansoti, Bhakti ; Dougherty, Joseph ; Freeman, Will ; Weaver, Kevin R. ; Chang, Yuchiao ; Gross, Eric. / Factors associated with burnout during emergency medicine residency. In: Academic Emergency Medicine. 2014 ; Vol. 21, No. 9. pp. 1031-1035.
@article{e1f10b1bb6a440b08a301699c8078478,
title = "Factors associated with burnout during emergency medicine residency",
abstract = "Objectives: While the prevalence of burnout in practicing emergency physicians has been studied, little is known of the prevalence and risk factors in emergency medicine (EM) residents. The aim of this study was to assess the prevalence of burnout among EM residents and the individual-level factors associated with burnout. Methods: Eight EM residency programs were surveyed using the Maslach Burnout Inventory (MBI). Demographic data and data on job satisfaction and tolerance of uncertainty in clinical decision-making were collected using validated instruments. Results: Of 289 eligible residents, 218 completed the MBI (response rate = 75{\%}). A total of 142 residents (65{\%}) met the criteria for burnout. Complete data sets of the other instruments were obtained from 193 (response rate = 67{\%}), and this group comprised our study population. Subjects having a significant other or spouse had a higher prevalence of burnout compared to single residents (60{\%} vs. 40{\%}, p = 0.002). Poor global job satisfaction (p < 0.0001), lack of administrative autonomy (p = 0.021), and lack of clinical autonomy (p = 0.031) correlated with burnout, as did intolerance of uncertainty (p = 0.015). Conclusions: Burnout is highly prevalent in EM residents. Interventions should be targeted at 1) improving resident autonomy in the emergency department where possible, 2) supervision and instruction on medical decision-making that may affect or teach individuals to cope with risk tolerance, and 3) social supports to reduce work-home conflicts during training.",
author = "Takayesu, {James Kimo} and Ramoska, {Edward A.} and Clark, {Ted R.} and Bhakti Hansoti and Joseph Dougherty and Will Freeman and Weaver, {Kevin R.} and Yuchiao Chang and Eric Gross",
year = "2014",
month = "1",
day = "1",
doi = "10.1111/acem.12464",
language = "English (US)",
volume = "21",
pages = "1031--1035",
journal = "Academic Emergency Medicine",
issn = "1069-6563",
publisher = "Wiley-Blackwell",
number = "9",

}

TY - JOUR

T1 - Factors associated with burnout during emergency medicine residency

AU - Takayesu, James Kimo

AU - Ramoska, Edward A.

AU - Clark, Ted R.

AU - Hansoti, Bhakti

AU - Dougherty, Joseph

AU - Freeman, Will

AU - Weaver, Kevin R.

AU - Chang, Yuchiao

AU - Gross, Eric

PY - 2014/1/1

Y1 - 2014/1/1

N2 - Objectives: While the prevalence of burnout in practicing emergency physicians has been studied, little is known of the prevalence and risk factors in emergency medicine (EM) residents. The aim of this study was to assess the prevalence of burnout among EM residents and the individual-level factors associated with burnout. Methods: Eight EM residency programs were surveyed using the Maslach Burnout Inventory (MBI). Demographic data and data on job satisfaction and tolerance of uncertainty in clinical decision-making were collected using validated instruments. Results: Of 289 eligible residents, 218 completed the MBI (response rate = 75%). A total of 142 residents (65%) met the criteria for burnout. Complete data sets of the other instruments were obtained from 193 (response rate = 67%), and this group comprised our study population. Subjects having a significant other or spouse had a higher prevalence of burnout compared to single residents (60% vs. 40%, p = 0.002). Poor global job satisfaction (p < 0.0001), lack of administrative autonomy (p = 0.021), and lack of clinical autonomy (p = 0.031) correlated with burnout, as did intolerance of uncertainty (p = 0.015). Conclusions: Burnout is highly prevalent in EM residents. Interventions should be targeted at 1) improving resident autonomy in the emergency department where possible, 2) supervision and instruction on medical decision-making that may affect or teach individuals to cope with risk tolerance, and 3) social supports to reduce work-home conflicts during training.

AB - Objectives: While the prevalence of burnout in practicing emergency physicians has been studied, little is known of the prevalence and risk factors in emergency medicine (EM) residents. The aim of this study was to assess the prevalence of burnout among EM residents and the individual-level factors associated with burnout. Methods: Eight EM residency programs were surveyed using the Maslach Burnout Inventory (MBI). Demographic data and data on job satisfaction and tolerance of uncertainty in clinical decision-making were collected using validated instruments. Results: Of 289 eligible residents, 218 completed the MBI (response rate = 75%). A total of 142 residents (65%) met the criteria for burnout. Complete data sets of the other instruments were obtained from 193 (response rate = 67%), and this group comprised our study population. Subjects having a significant other or spouse had a higher prevalence of burnout compared to single residents (60% vs. 40%, p = 0.002). Poor global job satisfaction (p < 0.0001), lack of administrative autonomy (p = 0.021), and lack of clinical autonomy (p = 0.031) correlated with burnout, as did intolerance of uncertainty (p = 0.015). Conclusions: Burnout is highly prevalent in EM residents. Interventions should be targeted at 1) improving resident autonomy in the emergency department where possible, 2) supervision and instruction on medical decision-making that may affect or teach individuals to cope with risk tolerance, and 3) social supports to reduce work-home conflicts during training.

UR - http://www.scopus.com/inward/record.url?scp=84908028781&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84908028781&partnerID=8YFLogxK

U2 - 10.1111/acem.12464

DO - 10.1111/acem.12464

M3 - Article

VL - 21

SP - 1031

EP - 1035

JO - Academic Emergency Medicine

JF - Academic Emergency Medicine

SN - 1069-6563

IS - 9

ER -