scholarly journals 1949. Putting Out Fires: Assessing Burnout within an Infectious Diseases Fellowship at an Academic Medical Center

2019 ◽  
Vol 6 (Supplement_2) ◽  
pp. S58-S59
Author(s):  
Leslie-Ann Alexander ◽  
Barbra M Blair ◽  
Wendy Stead
Keyword(s):  
Infectious Diseases ◽  
Needs Assessment ◽  
Medical Center ◽  
Academic Medical Center ◽  
Maslach Burnout Inventory ◽  
Personal Accomplishment ◽  
Medical Community ◽  
Personal Factors ◽  
Academic Medical ◽  
Participant Understanding

Abstract Background Burnout, “a psychological syndrome of emotional exhaustion (EE), depersonalization (DP), and reduced personal accomplishment (PA),” is a well-described problem in the medical community. National surveys report 45% of practicing physicians and 60% of residents and fellows are burnt out. A longitudinal study of medical students and residents reported 45% burnout, as well as career choice regret in 14% of trainees. There are little data about burnout in Infectious Diseases (ID) physicians, including fellows. We sought to measure burnout prevalence in an academic ID Division, identify factors that modified the risk of burnout, and assess knowledge and attitudes about fellow and faculty burnout in the division. Methods The study population included 33 ID physicians (10 fellows, 23 faculties). Level of burnout was assessed via the Maslach Burnout Inventory (MBI), a validated 22-item tool. An additional survey was distributed as a needs assessment to determine participant understanding of “burnout” and “wellness,” ability to recognize burnout in colleagues, attitudes about the scope of the problem, and specific programmatic and personal factors felt to contribute to burnout. Results The MBI was completed by 10 fellows and 16 faculties (76%). A high score in ≥ 1 domain of burnout was reported in 50% of respondents, and 19% received a high score in both EE and DP. Fellows had moderate to high levels of EE (90%) and DP (70%), though all fellows reported at least a moderate sense of PA. The survey needs assessment was completed by 9 fellows and 17 faculties (79%). In a hypothetical case, 100% and 58% of participants correctly identified elements of DP and EE, respectively. Respondents identified several factors contributing to burnout risk, most commonly being lack of schedule autonomy (100%), increasing patient load (96%), and inability to attend teaching conferences (88%). Fellows felt burnt out when seeing ≥ 4 new consults per day and/or carrying a census of 10–11 patients. Conclusion ID fellows at an academic medical center recognize burnout and report levels on par with national data. Fellows and faculty can identify personal and programmatic factors that increase and decrease their risk of burnout. These data can guide programmatic and divisional interventions to improve trainee wellness. Disclosures All Authors: No reported Disclosures.

scholarly journals Residency as a Social Network: Burnout, Loneliness, and Social Network Centrality

2015 ◽  
Vol 7 (4) ◽  
pp. 617-623 ◽  
Author(s):  
Jordan Shapiro ◽  
Bin Zhang ◽  
Eric J. Warm
Keyword(s):  
Social Network ◽  
Medical Center ◽  
Academic Medical Center ◽  
Maslach Burnout Inventory ◽  
Personal Accomplishment ◽  
Network Centrality ◽  
Academic Medical ◽  
Social Network Centrality ◽  
Dose Dependent Fashion ◽  
Dose Dependent

ABSTRACT Background Burnout is typically viewed as an individual condition, and no link has been identified between burnout and loneliness. Objective To investigate the association of burnout with loneliness and social network degree and centrality. Methods A survey containing the Maslach Burnout Inventory (MBI), a 3-question loneliness scale, and a social connectivity component was sent to residents in a large urban academic medical center internal medicine residency program. Results The response rate was 77% (95 of 124 residents). We defined significant burnout as MBI subscores of ≥ 27 for emotional exhaustion (EE), ≥ 10 for depersonalization (DP), or both. This was met by 43 (45%), 47 (49%), and 31 (33%) out of 95 respondents, respectively. Those with significant burnout had higher loneliness scores: 5.6 versus 4.5 for EE (P = .002; OR = 1.50; 95% CI 1.15–1.95); 5.4 versus 4.6 for DP (P = .024; OR = 1.33; 95% CI 1.03–1.71); and 5.8 versus 4.6 for both EE and DP (P = .001; OR = 1.54; 95% CI 1.17–2.02). Rating a larger number of coresidents as closer connections on a 5-point Likert scale was not associated with lower burnout scores. No measures of centrality were associated with burnout scores for EE and/or DP. High personal accomplishment subscores on the MBI did correlate significantly with several measures of centrality. Conclusions Burnout was associated with loneliness in a dose-dependent fashion. Greater sense of personal accomplishment was associated with greater network centrality.

scholarly journals Impact of Mandatory Infectious Diseases Consultation on Fungemia Management at a Large Academic Medical Center

2016 ◽  
Vol 3 (suppl_1) ◽  
Author(s):  
Travis Jones ◽  
Dustin Wilson ◽  
Christina Sarubbi ◽  
Deverick J. Anderson ◽  
Richard H. Drew
Keyword(s):  
Infectious Diseases ◽  
Medical Center ◽  
Academic Medical Center ◽  
Academic Medical ◽  
Infectious Diseases Consultation

scholarly journals Learning Experiences Within Infectious Diseases Pharmacy Residency Programs in the United States: A Cross-Sectional Survey

2019 ◽  
Vol 6 (10) ◽  
Author(s):  
Jonathan C Cho ◽  
Matthew P Crotty ◽  
Wesley D Kufel ◽  
Elias B Chahine ◽  
Amelia K Sofjan ◽  
...  
Keyword(s):  
United States ◽  
Infectious Diseases ◽  
Medical Center ◽  
Academic Medical Center ◽  
Travel Medicine ◽  
The United States ◽  
Cross Sectional ◽  
Residency Programs ◽  
Medical Centers ◽  
Academic Medical

Abstract Background Pharmacists with residency training in infectious diseases (ID) optimize antimicrobial therapy outcomes in patients and support antimicrobial stewardship (AS) programs. Although most ID residencies are accredited and assessed by certain standards, the degree to which these programs are similar is not known. Methods A 19-item, cross-sectional, multicentered, electronic survey was distributed via e-mail to pharmacy residency program directors (RPDs) of all 101 second-year postgraduate (PGY-2) ID residency programs in the United States. Results Survey responses were collected from 71 RPDs (70.3%); 64.8% were associated with an academic medical center and 97.2% focused primarily in adult ID. Rotations in the microbiology laboratory, adult AS, and adult ID consult were required in 98.6% of residency programs. Only 28.2% of responding programs required pediatric AS and pediatric ID consult rotations. Programs at academic medical centers were more likely to offer immunocompromised host ID consult (P = .003), pediatric ID consult (P = .006), and hospital epidemiology (P = .047) rotations but less frequently offered outpatient AS (P = .003), viral hepatitis clinics (P = .001), and travel medicine clinics (P = .007) rotations compared to programs at nonacademic medical centers. Residents were frequently involved in AS committees (97.2%), pharmacokinetic dosing of antimicrobials (83.1%), precepting pharmacy trainees (80.3%), and performing research projects (91.5%). Conclusions The PGY-2 ID pharmacy residency programs demonstrated consistency in required adult ID consult, antimicrobial management activities, committee service, and teaching and research opportunities. Pediatric experiences were less common. The PGY-2 ID residency programs prepare pharmacists to become antimicrobial stewards for adult patients.

scholarly journals Analysis of an Infectious Diseases Pharmacist on Call Pager Program to Inform Educational Efforts

2017 ◽  
Vol 33 (4) ◽  
pp. 146-150
Author(s):  
Elise M. Gilbert ◽  
Nathaniel J. Rhodes ◽  
Milena M. McLaughlin ◽  
Jessica M. Cottreau ◽  
Marc H. Scheetz ◽  
...  
Keyword(s):  
Infectious Diseases ◽  
Health Care Providers ◽  
Medical Center ◽  
Academic Medical Center ◽  
Temporal Trends ◽  
Question Type ◽  
Care Providers ◽  
Educational Initiatives ◽  
Academic Medical ◽  
Secondary Objective

Background: An on call infectious diseases (ID) pharmacist may be used as a resource for physicians, pharmacists, and other health care providers to help answer questions regarding anti-infective agents. Objective: To assess type, requestor, resources dedicated, and temporal trends of questions received through an ID pharmacist on call pager program. A secondary objective was to gather insight as to how this information was utilized to inform educational initiatives. Methods: This was a retrospective study of questions received by the ID pharmacist on call via pager at a large academic medical center. Question data were documented in a central database and analyzed to assess temporal trends and question type, and qualitatively analyzed to determine areas for targeted educational efforts. Results: The ID pharmacist on call recorded 545 questions during the 1-year study period; questions were composed of various antimicrobial agent–related queries, including antibiotic spectrum and selection (n = 251, 46.1%), dosing of antimicrobials (n = 195, 35.8%), and drug monitoring (n = 26, 4.8%). Targeted educational initiatives secondary to questions received included pharmacist education regarding the use of polymyxin antibiotics and antibiotic dosing protocol updates. Conclusions: An ID pharmacist on call pager program was utilized to inquire about antibiotic spectrum and selection for the majority of questions. Records of questions received may be utilized to direct educational efforts and create or revise targeted resources for pharmacists and other clinicians.

scholarly journals Needs Assessment for Research Use of High-Throughput Sequencing at a Large Academic Medical Center

PLoS ONE ◽  
2015 ◽  
Vol 10 (6) ◽  
pp. e0131166 ◽  
Author(s):  
Albert Geskin ◽  
Elizabeth Legowski ◽  
Anish Chakka ◽  
Uma R Chandran ◽  
M. Michael Barmada ◽  
...  
Keyword(s):  
Needs Assessment ◽  
High Throughput ◽  
High Throughput Sequencing ◽  
Medical Center ◽  
Academic Medical Center ◽  
Research Use ◽  
Academic Medical
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