Burnout in Pediatric Residents

Comparing Brief Screening Questions to the Maslach Burnout Inventory

Kathi J. Kemper, Paria M. Wilson, Alan Schwartz, John D. Mahan, Maneesh Batra, Betty B. Staples, Hilary McClafferty, Charles J. Schubert, Janet Rose Serwint

Research output: Contribution to journalArticle

Abstract

Background: Measuring burnout symptoms is important, but the Maslach Burnout Inventory (MBI) has 22 items. This project compared 3 single-item measures with the MBI and other factors related to burnout. Methods: Data were analyzed from the 2016 and 2017 Pediatric Resident Burnout-Resilience Study Consortium surveys, which included standard measures of perceived stress, mindfulness, resilience, and self-compassion; the MBI; and the 1- and 2-item screening questions. Results: In 2016 and 2017, data were collected from 1785/2723 (65%) and 2148/3273 (66%) eligible pediatric residents, respectively. Burnout rates on the MBI were 56% in 2016 and 54% in 2017. The Physician Work Life Study item generated estimates of burnout prevalence of 43% to 49% and, compared with the MBI for 2016 and 2017, had sensitivities of 69% to 72%, specificities of 79% to 82%, positive likelihood ratios of 3.4 to 3.8, and negative likelihood ratios of 0.35 to 0.38. The combination of an emotional exhaustion item and a depersonalization item generated burnout estimates of 53% in both years and, compared with the full MBI, had sensitivities of 85% to 87%, specificities of 84% to 85%, positive likelihood ratios of 5.7 to 6.4, and negative likelihood ratios of 0.18 for both years. Both items were significantly correlated with their parent subscales. The single items were significantly correlated with stress, mindfulness, resilience, and self-compassion. Conclusions: The 1- and 2-item screens generated prevalence estimates similar to the MBI and were correlated with variables associated with burnout. The 1- and 2-item screens may be useful for pediatric residency training programs tracking burnout symptoms and response to interventions.

Original languageEnglish (US)
JournalAcademic Pediatrics
DOIs
StateAccepted/In press - Jan 1 2018

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Pediatrics
Equipment and Supplies
Mindfulness
Depersonalization
Internship and Residency
Physicians
Education

Keywords

  • burnout
  • education
  • pediatric
  • resident
  • resilience
  • screening

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

Cite this

Burnout in Pediatric Residents : Comparing Brief Screening Questions to the Maslach Burnout Inventory. / Kemper, Kathi J.; Wilson, Paria M.; Schwartz, Alan; Mahan, John D.; Batra, Maneesh; Staples, Betty B.; McClafferty, Hilary; Schubert, Charles J.; Serwint, Janet Rose.

In: Academic Pediatrics, 01.01.2018.

Research output: Contribution to journalArticle

Kemper, Kathi J. ; Wilson, Paria M. ; Schwartz, Alan ; Mahan, John D. ; Batra, Maneesh ; Staples, Betty B. ; McClafferty, Hilary ; Schubert, Charles J. ; Serwint, Janet Rose. / Burnout in Pediatric Residents : Comparing Brief Screening Questions to the Maslach Burnout Inventory. In: Academic Pediatrics. 2018.
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abstract = "Background: Measuring burnout symptoms is important, but the Maslach Burnout Inventory (MBI) has 22 items. This project compared 3 single-item measures with the MBI and other factors related to burnout. Methods: Data were analyzed from the 2016 and 2017 Pediatric Resident Burnout-Resilience Study Consortium surveys, which included standard measures of perceived stress, mindfulness, resilience, and self-compassion; the MBI; and the 1- and 2-item screening questions. Results: In 2016 and 2017, data were collected from 1785/2723 (65{\%}) and 2148/3273 (66{\%}) eligible pediatric residents, respectively. Burnout rates on the MBI were 56{\%} in 2016 and 54{\%} in 2017. The Physician Work Life Study item generated estimates of burnout prevalence of 43{\%} to 49{\%} and, compared with the MBI for 2016 and 2017, had sensitivities of 69{\%} to 72{\%}, specificities of 79{\%} to 82{\%}, positive likelihood ratios of 3.4 to 3.8, and negative likelihood ratios of 0.35 to 0.38. The combination of an emotional exhaustion item and a depersonalization item generated burnout estimates of 53{\%} in both years and, compared with the full MBI, had sensitivities of 85{\%} to 87{\%}, specificities of 84{\%} to 85{\%}, positive likelihood ratios of 5.7 to 6.4, and negative likelihood ratios of 0.18 for both years. Both items were significantly correlated with their parent subscales. The single items were significantly correlated with stress, mindfulness, resilience, and self-compassion. Conclusions: The 1- and 2-item screens generated prevalence estimates similar to the MBI and were correlated with variables associated with burnout. The 1- and 2-item screens may be useful for pediatric residency training programs tracking burnout symptoms and response to interventions.",
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