Pediatric Orthopaedists Are Not Immune: Characterizing Self-reported Burnout Rates Among POSNA Members.
Journal
Journal of pediatric orthopedics
ISSN: 1539-2570
Titre abrégé: J Pediatr Orthop
Pays: United States
ID NLM: 8109053
Informations de publication
Date de publication:
Jul 2020
Jul 2020
Historique:
entrez:
6
6
2020
pubmed:
6
6
2020
medline:
11
11
2020
Statut:
ppublish
Résumé
There are no published data characterizing burnout rates for pediatric orthopaedic surgeons. The primary purpose of this study was to identify the rates of self-reported personal and team burnout among members of the Pediatric Orthopaedic Society of North America (POSNA). A secondary aim was to determine whether specific demographic variables were more likely to be associated with self-reported burnout. During its 2018 annual meeting, the POSNA Wellness Taskforce launched a web-based survey in which members were asked to respond to 2 previously validated questions related to personal and team burnout. The survey was distributed by a closed POSNA membership e-mail list and responses were analyzed anonymously. Descriptive statistics were calculated. Pearson χ testing was used to analyze differences in burnout rates as a function of age and sex. A total of 615 POSNA members completed the survey, a 47% response rate. Overall, 38% reported personal burnout and 46% reported team burnout. Women were more likely to report both personal (P<0.001) and team burnouts (P<0.005). Members aged 40 to 59 years were more likely to report personal burnout, irrespective of sex (P<0.001). Members aged 50 to 59 years were more likely than those in other age groups to report team burnout (P<0.001). There was no significant association found between the presence of burnout and either race, ethnicity, LGBTQ status, or educational background. As a group, pediatric orthopaedists report moderately high rates of both personal and team member burnout. Individual-specific factors such as age and sex may play an important role in determining one's risk for experiencing burnout. Recognizing that burnout affects a significant minority of POSNA members is a crucial first step. Level III.
Sections du résumé
BACKGROUND
BACKGROUND
There are no published data characterizing burnout rates for pediatric orthopaedic surgeons. The primary purpose of this study was to identify the rates of self-reported personal and team burnout among members of the Pediatric Orthopaedic Society of North America (POSNA). A secondary aim was to determine whether specific demographic variables were more likely to be associated with self-reported burnout.
METHODS
METHODS
During its 2018 annual meeting, the POSNA Wellness Taskforce launched a web-based survey in which members were asked to respond to 2 previously validated questions related to personal and team burnout. The survey was distributed by a closed POSNA membership e-mail list and responses were analyzed anonymously. Descriptive statistics were calculated. Pearson χ testing was used to analyze differences in burnout rates as a function of age and sex.
RESULTS
RESULTS
A total of 615 POSNA members completed the survey, a 47% response rate. Overall, 38% reported personal burnout and 46% reported team burnout. Women were more likely to report both personal (P<0.001) and team burnouts (P<0.005). Members aged 40 to 59 years were more likely to report personal burnout, irrespective of sex (P<0.001). Members aged 50 to 59 years were more likely than those in other age groups to report team burnout (P<0.001). There was no significant association found between the presence of burnout and either race, ethnicity, LGBTQ status, or educational background.
CONCLUSIONS
CONCLUSIONS
As a group, pediatric orthopaedists report moderately high rates of both personal and team member burnout. Individual-specific factors such as age and sex may play an important role in determining one's risk for experiencing burnout. Recognizing that burnout affects a significant minority of POSNA members is a crucial first step.
LEVEL OF EVIDENCE
METHODS
Level III.
Identifiants
pubmed: 32501927
doi: 10.1097/BPO.0000000000001440
pii: 01241398-202007000-00030
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
e527-e531Références
Maslach C, Schaufeli WB, Leiter MP. Job burnout. Annu Rev Psychol. 2001;52:397–422.
Wuest TK, Goldberg MJ, Kelly JD. Clinical faceoff: physician burnout-fact, fantasy, or the fourth component of the triple aim? Clin Orthop and Rel Res. 2017;475:1309–1314.
Shanafelt TD, Boone S, Tan L, et al. Burnout and satisfaction with work-life balance among US physicians relative to the general US population. Arch Int Med. 2012;172:1377–1385.
Shanafelt TD, Hasan O, Dyrbye LN, et al. Changes is burnout and satisfaction with work-life balance in physicians and the general US working population between 2011 and 2014. Mayo Clin Proc. 2015;90:1600–1623.
Shanafelt TD, Balch CM, Bechamps G. Burnout and medical errors among American surgeons. Annl Surg. 2010;251:995–1000.
Tawfik DS, Profit J, Morgenthaler TI, et al. Physician burnout, well-being, and work unit safety grades in relationship to reported medical errors. Mayo Clin Proc. 2018;92:1683–1684.
Melnyk BM, Orsolini L, Tan A, et al. A national study links nurses’ physical and mental health to medical errors and perceived worksite wellness. J Occup Environ Med. 2018;60:126–131.
Shanafelt TD, Balch CM, Bechamps GJ. Burnout and career satisfaction among American surgeons. Annl Surg. 2009;250:463–471.
Panagioti M, Geragthy K, Johnson J, et al. Association between physician burnout and patient safety, professionalism, and patient satisfaction: a systematic review and meta-analysis. JAMA Intern Med. 2018;178:1317–1330.
Shanafelt TD, Balch CM, Dyrbye LN, et al. Special report: suicidal ideation among American surgeons. Arch Surg. 2011;146:54–62.
Goldman ML, Shah RN, Bernstein CA. Depression and suicide among physician trainees: recommendations for a national response. JAMA Psychiatry. 2015;72:411–412.
Mata DA, Ramos MA, Bansal N. Prevalence of depression and depressive symptoms among resident physicians. A systematic review and meta- analysis. JAMA. 2015;314:2373–2383.
Rotenstein LS, Ramos MA, Torre M, et al. Prevalence of depression, depressive symptoms, and suicidal ideation among medical students. A systematic review and meta-analysis. JAMA. 2016;316:2214–2236.
Schwenk TL. Resident depression: the tip of a graduate medical education iceberg. JAMA. 2015;314:2357–2359.
Elmore LC, Jeffe DB, Jin L, et al. National survey of burnout among US general surgery residents. J Am Coll Surg. 2016;223:440–451.
Dyrbyre LN, West CP, Satele D, et al. Burnout among U.S. medical students, residents, and early career physicians relative to the general U.S. population. Acad Med. 2014;89:443–451.
Schernhammer ES, Colditz GA. Suicide rates among physicians: a quantitative and gender assessment (meta-analysis). Am J Psych. 2004;161:2295–2302.
Andrew LB, Brenner BE. Physician suicide. Medscape. 2017. Available at: https://emedicine.medscape.com/article/806779-overview. Accessed August 1, 2019.
Peckham C. National Physician Burnout and Depression Report. Medscape. 2018. Available at: www.medscape.com/slideshow/2018-lifestyle-burnout-depression-6009235. Accessed August 1, 2019.
Balch CM, Shanafelt TD, Sloan JA, et al. Distress and career satisfaction among 14 surgical specialties, comparing academic and private practice settings. Annl Surg. 2011;254:558–568.
Dimou FM, Eckelbarger D, Riall TS. Surgeon burnout: a systematic review. J Am Coll Surg. 2016;222:1230–1239.
Saleh KJ, Quick JC, Sime WE, et al. Recognizing and preventing burnout among orthopaedic leaders. Clin Orthop Relat Res. 2009;91:2395–2405.
Sargent MC, Sotile W, Sotile MO, et al. Quality of life during orthopaedic training and academic practice. Part 1. Orthopaedic surgery residents and faculty. J Bone Joint Surg Am. 2009;91:2395–2405.
Dolan ED, Mohr D, Lempa M, et al. Using a single item to measure burnout in primary care staff: a psychometric evaluation. J Gen Intern Med. 2015;30:582–587.
West CP, Dyrbye LN, Satele DV, et al. Concurrent validity of single-item measures of emotional exhaustion and depersonalization in burnout assessment. J Gen Intern Med. 2012;27:1445–1452.
West CP, Dyrbye LN, Sloan JA, et al. Single item measures of emotional exhaustion and depersonalization are useful for assessing burnout in medical professionals. J Gen Intern Med. 2009;24:1318–1321.
Dyrbye LN, Shanafelt TD, Balch CM, et al. Relationship between work-home conflicts and burnout among American surgeons: a comparison by sex. Arch Surg. 2011;146:211–217.
Burns KEA, Fox-Robichaud A, Lorens E, et al. Gender differences in career satisfaction, moral distress, and incivility: a national, cross-sectional survey of Canadian critical care physicians. Can J Anaesth. 2019;66:503–511.
McMurray JE, Linzer M, Konrad TR, et al. The work lives of women physicians results from the physician work life study. The SGIM Career Satisfaction Study Group. J Gen Intern Med. 2000;15:372–380.
Moore LR, Ziegler C, Hessler A, et al. Burnout and Career Satisfaction in Women Neurologists in the United States. J Womens Health. 2019;28:515–525.
Dyrbye LN, Varkey P, Boone SL, et al. Physician satisfaction and burnout at different career stages. Mayo Clin Proc. 2013;88:1358–1367.
Thomas LR, Ripp JA, West CP. Charter on physician well-being. JAMA. 2018;319:1541–1542.
Bodenheimer T, Sinsky C. From triple to quadruple aim: care of the patient requires care of the provider. Ann Fam Med. 2014;12:573–576.
Goldberg MJ, Shea KG, Weiss JM, et al. The Pediatric Orthopaedic Society of North America (POSNA) adopts a member health and wellness charter. J Pediatr Orthop. 2019;39:e241–e244.
Thorpe C, Ryan B, McLean S, et al. How to obtain excellent response rates when surveying physicians. Fam Pract. 2009;26:65–68.
Rafferty JP, Lemkau JP, Purdy RR, et al. Validity of the Maslach Burnout Inventory for family practice physicians. J Clin Psychol. 1986;42:488–492.