Aims and objectives
Burnout is a syndrome caused by chronic occupational stress,
characterized by a combination of emotional exhaustion,
depersonalization,
and a sense of low personal accomplishment [1,2].
While the prevalence of burnout among physicians is debated,
the most popularly cited number is 50% [3],
with training physicians,
including residents and medical students,
showing some of the greatest susceptibility [4].
Sequelae of burnout can be even more dire,
as burnout has been linked to higher rates of depression,
suicidal ideation,
substance abuse,
and a negative impact on patient...
Methods and materials
Study population: The curriculum was piloted with residents in the departments of radiology and emergency medicine from April 2017 to October 2017 with approval from our Institutional Review Board.
Our study group consisted of 12 (35%) females and 21 (62%) males who ranged in age from 25-34 years (n=28; 82%) to 35-44 years (n=6; 18%).
More than half (n=20; 59%) indicated they were White/Caucasian,
three (9%) Black/African American,
and five (15%) Asian/Pacific Islander.
Other ethnic groups were represented,
including,
but not limited to,
Hispanic/Latino.
(Table...
Results
Baseline burnout data: On the aMBI,
at baseline,
radiology and emergency medicine residents were reported to have fairly high levels of personal accomplishment (mean: 12.5; SD 3.3).
Emotional exhaustion scores (mean: 10.3; SD 4.2) were slightly more elevated than depersonalization scores (mean: 8.6; SD 3.9).
(Table 2)
Curriculum assessment: Of the 12 participants who completed the post session assessment,
11 (92%) rated the overall quality of the session as very good or good.
Most (83%) of the participants felt extremely or very comfortable utilizing the...
Conclusion
Overall the resiliency curriculum was well received.
Participants also reported an increased knowledge of and comfort in utilizing wellbeing and mental health resources available at our institution after the sessions,
possibly due in part to efforts during the sessions to normalize discussions around burnout.
Baseline aMBI burnout data from the pre-curriculum surveys demonstrates that the study population participating in the resiliency curriculum did on average meet criteria for burnout,
with mean scores for all three subscales and their relation to each other being consistent with...
Personal information
The author group is part of a greater working group of residents,
attending physicians,
mental health professionals,
and institutional officialswho comprise the Graduate Medical Education Wellness Committee at Boston Medical Center.
This group is dedicated to promoting thephysical and mental wellbeingof all Boston Medical Center residents and fellows.
References
Maslach C,
Jackson SE,
Leiter MP.
Maslach Burnout Inventory Manual.
4th ed.
Menlo Park,
CA: Mind Garden Inc; 2016.
Leiter MP,
Bakker AB,
Maslach C.
Burnout at Work: A Psychological Perspective. London,
United Kingdom,
and New York,
NY: Psychology Press,
Taylor & Francis Group; 2014.
Rotenstein LS,
Torre M,
Ramos MA,
et al.
Prevalence of burnout among physicians: a systematic review.
JAMA.
2018;320(11):1131-1150.
doi:10.1001/jama.2018.12777
Dyrbye LN,
West CP,
Satele D,
et al.
Burnout among US medical students,
residents,
and early career physicians relative to the...