scholarly journals Beyond the Maslach burnout inventory: addressing emergency medicine burnout with Maslach's full theory

2020 ◽  
Vol 1 (5) ◽  
pp. 1044-1049
Author(s):  
Joshua J. Baugh ◽  
James K. Takayesu ◽  
Benjamin A. White ◽  
Ali S. Raja
Keyword(s):  
Emergency Medicine ◽  
Maslach Burnout Inventory ◽  
Full Theory

scholarly journals Emergency medicine physician burnout and wellness in Canada before COVID19: A national survey

CJEM ◽  
2020 ◽  
Vol 22 (5) ◽  
pp. 603-607 ◽  
Author(s):  
Rodrick Lim ◽  
Kristine Van Aarsen ◽  
Sara Gray ◽  
Louise Rang ◽  
Jada Fitzpatrick ◽  
...  
Keyword(s):  
Emergency Medicine ◽  
High Risk ◽  
Final Analysis ◽  
Maslach Burnout Inventory ◽  
Health And Wellness ◽  
Physician Burnout ◽  
The Past ◽  
Emergency Medicine Physician ◽  
Medicine Physician ◽  
Baseline Information

ABSTRACTIntroductionEmergency medicine (EM) is a high-risk specialty for burnout. COVID-19 has had and will continue to have important consequences on wellness and burnout for EM physicians in Canada. Baseline data are crucial to monitor the health of EM physicians in Canada, and evaluate any interventions designed to help during and after COVID-19.ObjectivesTo describe the rates of burnout, depression, and suicidality in practicing EM physicians in Canada, just before the COVID-19 pandemic.MethodsA modified snowball method was used for survey distribution. Participants completed the Maslach Burnout Inventory – Health Services Tool (MBI-HSS), a screening measure for depression (PHQ-9), and a question regarding if the physician had ever or in the past 12 months contemplated suicide.ResultsA total of 384 respondent surveys were included in the final analysis: 86.1% (329/382) met at least one of the criteria for burnout, 58% (217/374) scored minimal to none on the PHQ-9 screening tool for depression, 14.3% (53/371) had contemplated suicide during their staff career in EM, and of those, 5.9% (22/371) had actively considered suicide in the past year.ConclusionCanadian EM physicians just before the COVID-19 pandemic had an alarming number of respondents meet the threshold for burnout, confirming EM as a high-risk specialty. This important baseline information can be used to monitor the physical and mental risks to EM physicians during and after COVID-19, and evaluate support for mental health and wellness, which is urgently needed now and post pandemic.

scholarly journals A kiégésszindróma vizsgálata a Szegedi Tudományegyetem Sebészeti Klinikájának dolgozói körében és összehasonlítása a Sürgősségi Betegellátó Önálló Osztályon kapott eredményekkel

2019 ◽  
Vol 160 (20) ◽  
pp. 784-791
Author(s):  
Mona Stankovic ◽  
Annamária Töreki ◽  
György Lázár ◽  
Zoltán Pető
Keyword(s):  
Emergency Medicine ◽  
Intervention Program ◽  
Negative Impact ◽  
Working Hours ◽  
Maslach Burnout Inventory ◽  
Burnout Syndrome ◽  
Immune Competence ◽  
Cross Sectional ◽  
Cross Sectional Design ◽  
The University

Abstract: Introduction: Examination of the burnout syndrome in various healthcare fields has paramount importance for a better understanding of the disorder as well as for the establishment of a suitable preventive and intervention program. The surgical departments’ employees are at risk among healthcare workers, so it is our objective to further expand the knowledge on the characteristics of the burnout syndrome among the Hungarian surgical staff. Additionally, we compare the results obtained from the Department of Surgery at the University of Szeged with the results of the Department of Emergency Medicine. Aim: Aim of this study is to examine the burnout syndrome and its associations with different variables among the workers of the Department of Surgery at the University of Szeged, and to compare the data with a previous study conducted at the Department of Emergency Medicine at the University of Szeged. Method: Cross-sectional design utilizing a self-administrated questionnaire was used to collect data from the staff. Burnout was measured using the Maslach Burnout Inventory, while psychological immune competence was measured using the Psychological Immune Competence Questionnaire. Results: Based on statistical analysis, the number of weekly working hours and the number of somatic symptoms have a negative impact on burnout, while the greater number of high-quality social relationships and the stronger psychological immune competence have proven to be protective factors. Comparing the Department of Surgery and Department of Emergency Medicine at the University of Szeged, we found a difference in the age of the workers, the number of years spent in the healthcare as well as the scores on the burnout depersonalization scale. Conclusions: The results obtained show further correlations and reveal protective and risk factors in burnout which can be a key to establishing preventive and intervention strategies. Orv Hetil. 2019; 160(20): 784–791.

scholarly journals A Positive Depression Screen Is Associated with Emergency Medicine Resident Burnout and Is not Affected by the Implementation of a Wellness Curriculum

2021 ◽  
Vol 22 (6) ◽  
pp. 1341-1346
Author(s):  
Kelly Williamson ◽  
Patrick Lank ◽  
Adriana Olson ◽  
Navneet Cheema ◽  
Elise Lovell
Keyword(s):  
Emergency Medicine ◽  
Maslach Burnout Inventory ◽  
Positive Screen ◽  
Emergency Medicine Resident ◽  
Medicine Resident ◽  
Patient Health ◽  
Resident Burnout ◽  
And Control ◽  
Wellness Curriculum ◽  
Wellness Initiatives

Introduction: While burnout is occupation-specific, depression affects individuals comprehensively. Research on interventions for depression in emergency medicine (EM) residents is limited. Objectives: We sought to obtain longitudinal data on positive depression screens in EM residents, assess their association with burnout, and determine whether implementation of a wellness curriculum affected the rate of positive screens. Methods: In February 2017, we administered the Maslach Burnout Inventory and the Primary Care Evaluation of Mental Disorders Patient Health Questionnaire two-question depression screen at 10 EM residencies. At five intervention sites, a year-long wellness curriculum was then introduced while five control sites agreed not to introduce new wellness initiatives during the study period. Study instruments were re-administered in August 2017 and February 2018. Results: Of 382 residents, 285 participated in February 2017; 40% screened positive for depression. In August 2017, 247/386 residents participated; 27.9% screened positive for depression. In February 2018, 228/386 residents participated; 36.2% screened positive. A positive depression screen was associated with higher burnout. There were similar rates of positive screens at the intervention and control sites. Conclusion: Rates of positive depression screens in EM residents ranged between 27.9% and 40%. Residents with a positive screen reported higher levels of burnout. Rates of a positive screen were unaffected by introduction of a wellness curriculum.

scholarly journals Demographics, Activities, and Environmental Factors Impact Burnout in a National Survey of Emergency Medicine Residents

2021 ◽  
Vol 3 (2) ◽  
Author(s):  
Nicole Battaglioli ◽  
Keyword(s):  
Emergency Medicine ◽  
Environmental Factors ◽  
Medical School ◽  
National Survey ◽  
Emotional Exhaustion ◽  
Maslach Burnout Inventory ◽  
Well Being ◽  
Individual Characteristics ◽  
System Level ◽  
The Impact

Introduction: Burnout in emergency medicine and in residency training has been well-described. The impact of demographic, individual, and programmatic factors on burnout have not previously been determined in a national survey of emergency medicine residents. This study aimed to identify personal and environmental factors impacting resident burnout in a national sample of emergency medicine residents. Methods: A prospective Emergency Medicine Resident Wellness Survey was administered in 2017. We surveyed Respondents on demographic, personal, and environmental factors; each Respondent also completed the Maslach Burnout Inventory - Human Services Survey. Linear regressions were used to identify variables associated with the Maslach Burnout Inventory’s subscales of burnout (depersonalization, emotional exhaustion, and personal achievement). Results: The survey was completed by 1,522 of 7,186 (21.2%) eligible EM residents. Respondents represented 193 of 247 (78.1%) Emergency Medicine residency programs. Increased levels of depersonalization were associated with graduation from a US medical school, female gender, and increase in respondent age. Trainees who were parents and who graduated from an osteopathic (vs. allopathic) medical school were found to have decreased levels of depersonalization. Emotional exhaustion was decreased in respondents who took breaks while on shift and who engaged in regular studying. Conclusion: While some individual characteristics impact burnout, environmental factors also play a significant role, and should be a target of system-level interventions to improve trainee well-being.

scholarly journals MP56: A National survey of burnout and mentorship programs amongst Royal College Emergency Medicine residents

CJEM ◽  
2019 ◽  
Vol 21 (S1) ◽  
pp. S62-S63
Author(s):  
R. Liu ◽  
K. van Aarsen ◽  
R. Sedran ◽  
R. Lim
Keyword(s):  
Emergency Medicine ◽  
National Survey ◽  
Emotional Exhaustion ◽  
Royal College ◽  
Maslach Burnout Inventory ◽  
Past Research ◽  
Medical Personnel ◽  
Personal Accomplishment ◽  
Three Dimensions ◽  
Mentorship Programs

Introduction: In recent years, there has been growing interest in the field of physician wellness and burnout. Past research has shown that the prevalence of burnout is non-uniform between specialties and is most prevalent amongst emergency medicine physicians. Additionally, burnout can be observed amongst individuals early in their medical careers, including medical students and residents. To date, there is no national perspective of burnout amongst Canadian Royal College of Emergency Medicine (EM) residents. Our study looks to provide a national survey of burnout in this population as well as characterize mentorship programs at training sites. Methods: An anonymous electronic survey was e-mailed to Canadian EM residents via local program directors. Characteristics of mentor-mentee relationships and quality of residents’ mentorship experiences were assessed on a 6-point Likert scale. The Maslach Burnout Inventory – Human Services Survey (MBI-HSS) for medical personnel was used to assess burnout on three dimensions (emotional exhaustion, depersonalization and personal accomplishment). Burnout was dichotomized as present or absent if the MBI criteria are met (emotional exhaustion score > 26 or depersonalization score > 9 or personal accomplishment <34). Results: To date, 52 responses have been collected. Respondents are primarily male (63%) and in their PGY year 1-3 (71%). Responses were collected from 6/14 (43%) of eligible programs. 84% of residents currently had an emergency medicine mentor. Of these, 8% were dissatisfied with their residency's mentorship program and 55% were satisfied/very satisfied. 72% of residents met the threshold for burnout in at least one dimension of the MBI (3 dimensions = 17%; 2 dimensions = 17%; 1 dimension = 38%) and 13% cited considering suicide during their training. Conclusion: Results thus far suggest significant burnout amongst Royal College of Emergency Medicine residents. Alarmingly, 13% of responders cited having contemplated suicide during their training. These results point to an important opportunity to better support EM residents during their training to improve wellness and reduce burnout. Our findings suggest a high prevalence of residents with established mentors and future analyses will examine the correlation between mentorship characteristics and resident burnout levels.

scholarly journals P129: The impact of high performance physician training on resident wellness and clinical performance

CJEM ◽  
2016 ◽  
Vol 18 (S1) ◽  
pp. S121-S121
Author(s):  
P. Sytnik ◽  
A. Hussain ◽  
J. Brooks
Keyword(s):  
Emergency Medicine ◽  
High Performance ◽  
Situational Awareness ◽  
Performance Enhancement ◽  
Clinical Performance ◽  
Maslach Burnout Inventory ◽  
Significant Difference ◽  
Resident Wellness ◽  
The Impact ◽  
Domain Scores

Introduction / Innovation Concept: There are numerous research studies in the medical literature, which demonstrate how the experience of a medical residency can contribute towards burnout. The escalating performance pressures and expectations during residency training have the potential to negatively impact upon physician health and clinical performance. The purpose of this prospective cohort study was to test the effectiveness of the High Performance Physician (HPP) program among General Surgery residents at the University of Manitoba with regard to burnout and clinical performance. Methods: This program was delivered over a 9-week period. All 26 residents were asked to complete the Maslach Burnout Inventory - Human Services Survey (MBI-HSS). Each resident then participated as the team leader for a 15-minute trauma resuscitation simulation. Three attending physicians from Surgery & Emergency Medicine assessed resident performance and ability to manage work-based stressors. Following the simulation, each resident received a debrief interview. Once the HPP curriculum had been completed, residents took part in a second high fidelity simulation session and again completed the MBI-HSS. Curriculum, Tool, or Material: The HPP program offered through the Department of Emergency Medicine (EM), is a performance enhancement based curriculum. It is designed to equip physicians with mental skills to help optimize focus, arousal control, stress management, communication, and teamwork. Further, to utilize these skills to cope and respond more effectively to the inherent performance pressures that may present within one’s area of specialization. Conclusion: The Emotional Exhaustion domain of the MBI-HSS demonstrated a statistically significant decrease. The other domain scores were not statistically significant. Simulation domain scores did not demonstrate a statistically significant difference in performance between the pre- and post-HPP curriculum simulation sessions. A summative content analysis of the interview data demonstrated that residents believed internal barriers to situational awareness were the most significant impact on performance. Further study is required to determine if differences are seen in long-term follow-up.

scholarly journals Burnout Level in Medical Residents Doing Internship in Emergency Medicine Hospital before the Pandemic

2020 ◽  
Vol 28 (2) ◽  
pp. 46-69 ◽  
Author(s):  
E.Y. Matyushkina ◽  
O.Y. Mikita ◽  
A.B. Kholmogorova
Keyword(s):  
Emergency Medicine ◽  
Training Programs ◽  
Maslach Burnout Inventory ◽  
Medical Residents ◽  
Professional Activity ◽  
Professional Burnout ◽  
Emotional Wellbeing ◽  
Close Relationship ◽  
Emergency Units ◽  
High Level

The review of modern studies on the issue of professional burnout in young doctors and medical residents revealed the highest emotional distress in young residents doing internships in intensive care and emergency units. The paper presents the results of the study on 143 medical residents in the multi-profile hospital of emergency medicine. The methodical complex used included Maslach Burnout Inventory, Symptom Checklist‐90‐Revised (SCL-90-R) by L. Derogatis, and a survey on the attitude to professional troubles. Most young doctors pointed out the close relationship between problems with physical health and emotional wellbeing to their professional activity. The vast majority of the participants met the criteria for burnout, as indicated by high emotional exhaustion (69%) and depersonalization (85%) indications from the Maslach Inventory. Although most residents didn’t endorse any problems in communicating with the patients, their high level of depersonalization is more likely to attest to formalizing their relationships with the patients as opposed to having high social competence. The yielded results let us conclude that it is necessary to develop and implement into training programs for medical residents of the multi-profile hospital of emergency medicine programs promoting their communication competence, coping with distress, and preventing professional burnout.

scholarly journals Comparing the Maslach Burnout Inventory to Other Well-Being Instruments in Emergency Medicine Residents

2018 ◽  
Vol 10 (5) ◽  
pp. 532-536 ◽  
Author(s):  
Kelly Williamson ◽  
Patrick M. Lank ◽  
Navneet Cheema ◽  
Nicholas Hartman ◽  
Elise O. Lovell ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Emergency Medicine ◽  
Emotional Exhaustion ◽  
Career Satisfaction ◽  
Maslach Burnout Inventory ◽  
Well Being ◽  
Work Life ◽  
Personal Accomplishment ◽  
Life Balance

ABSTRACT Background  The Maslach Burnout Inventory (MBI) is considered the “gold standard” for measuring burnout, encompassing 3 scales: emotional exhaustion, depersonalization, and personal accomplishment. Other well-being instruments have shown utility in various settings, and correlations between MBI and these instruments could provide evidence of relationships among key variables to guide well-being efforts. Objective  We explored correlations between the MBI and other well-being instruments. Methods  We fielded a multicenter survey of 9 emergency medicine (EM) residencies, administering the MBI and 4 published well-being instruments: a quality-of-life assessment, a work-life balance rating, an appraisal of career satisfaction, and the Primary Care Evaluation of Mental Disorders Patient Health Questionnaire 2 question screen. Consistent with the Maslach definition, burnout was defined by high emotional exhaustion (> 26) and high depersonalization (> 12). Results  Of 334 residents, 261 (78%) responded. Residents who reported lower quality of life had higher emotional exhaustion (ρ = –0.437, P < .0001), higher depersonalization (ρ = –0.18, P < .005), and lower personal accomplishment (ρ = 0.347, P < .001). Residents who reported a negative work-life balance had emotional exhaustion (P < .001) and depersonalization (P < .009). Positive career satisfaction was associated with lower emotional exhaustion (P < .0001), lower depersonalization (P < .005), and higher personal accomplishment (P < .05). A positive depression screen was associated with higher emotional exhaustion, higher depersonalization, and lower personal achievement (all P < .0001). Conclusions  Our multicenter study of EM residents demonstrated that assessments using the MBI correlate with other well-being instruments.

scholarly journals Burnout in Military Emergency Medicine Resident Physicians: A Cross-Sectional Study With Comparisons to Other Physician Groups

2019 ◽  
Vol 185 (3-4) ◽  
pp. e331-e334
Author(s):  
Barbara J Williams ◽  
Sherri L Rudinsky ◽  
Michael J Matteucci
Keyword(s):  
At Risk ◽  
Emergency Medicine ◽  
Academic Performance ◽  
Maslach Burnout Inventory ◽  
Cross Sectional Study ◽  
Medical Community ◽  
Sectional Study ◽  
Cross Sectional ◽  
Resident Physicians ◽  
Definition Of

Abstract Introduction Physician burnout is of growing concern in the medical community and in emergency medicine (EM) in particular. It is unclear whether higher levels of burnout are associated with poorer academic or clinical performance. EM residency in military environments compared to civilian residencies has unique considerations related to additional military-specific training and operational requirements, which may contribute to burnout. The prevalence and effects of burnout on military EM resident physicians have not been investigated. Methods In this institutional review board-approved cross-sectional study, the prevalence of burnout and its effect on academic performance of 30 EM residents in a single 4-year military EM training program was examined. The primary instrument utilized to assess for burnout was the Maslach Burnout Inventory Health Services Survey (MBI-HSS). The primary definition of burnout utilized was a high score in both emotional exhaustion (EE) and depersonalization (DP), and a low score in personal achievement (PA). Additionally, at risk for burnout was defined as moderate or high scores in both EE and DP and low scores in PA. A secondary definition of burnout utilized was any high score in EE or DP, or a low score in PA. The findings in this cohort were compared with published reports of burnout in civilian EM resident and attending physicians as well as military orthopedic physicians. The annual American Board of Emergency Medicine In-Training Exam (ABEM-ITE) percentile ranks for each volunteer in that same academic year were collected as a measure of academic achievement. Results Thirty of the 40 eligible resident physicians consented to participate in this research project (75%). All 30 completed the MBI-HSS and ABEM-ITE. Burnout, using the primary definition, was found in 10% of residents with an additional 13% at risk for burnout. Using the secondary definition of burnout, 73% of residents demonstrated burnout. The prevalence of burnout as measured by the MBI-HSS was similar to that reported in civilian EM resident and practicing physician groups but 2.7 times the burnout rates found in a military orthopedic resident group. We found no relationship between any individual burnout measure in the MBI-HSS and the annual ABEM-ITE percentile scores. Conclusion In a small study of military EM resident physicians, level of burnout as measured by the MBI-HSS is similar to other EM populations including civilian residents and practicing physicians, though it was much higher than that of military orthopedic residents. No relationship between presence or absence of burnout and academic performance as measured by the ABEM-ITE was found.

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