TY - JOUR
T1 - Burnout in Pediatric Residents
T2 - Comparing Brief Screening Questions to the Maslach Burnout Inventory
AU - Kemper, Kathi J.
AU - Wilson, Paria M.
AU - Schwartz, Alan
AU - Mahan, John D.
AU - Batra, Maneesh
AU - Staples, Betty B.
AU - McClafferty, Hilary
AU - Schubert, Charles J.
AU - Serwint, Janet R.
N1 - Funding Information:
The authors thank all of the residents who completed the surveys. The authors also thank the staff at the Association of Pediatric Program Directors Longitudinal Educational Assessment Research Network office and, in particular, Ms. Beth King, whose diligence and tireless efforts were instrumental in establishment of the consortium. The 46 participating residency programs listed below are all members of the Pediatric Resident Burnout-Resilience Study Consortium and participated in one or both years of the study. Every institution had site principal investigators who served as collaborators for this study and manuscript. Pediatric Resident Burnout-Resilience Study Consortium in 2018: Megan McCabe, Albert Einstein College of Medicine (Montefiore); Molly Shane; Sharon Unti, Ann & Robert H. Lurie Children's Hosp of Chicago; Sanghamitra Misra, Baylor College of Medicine (Houston); Colin Sox, Boston Children's Hospital/Boston Medical Center; Violet Borowitcz, Carillion Clinic - Virginia Tech Carillion School of Medicine; Sydney Primis, Carolinas Medical Center; Ross Myers, Kathy Mason, Case Western Reserve University/University Hospital Case Medical Center/Rainbow Babies and Children's Hospital; Miriam Stewart, Lisa Zaoutis, Oana Tomescu, Children's Hospital of Philadelphia; Chuck Schubert, Cincinnati Children's Hospital Medical Center/University of Cincinnati College of Medicine; Frances Zappalla, Crozer-Chester Medical Center; Kim Gifford, Dartmouth Hitchcock Medical Center; Betty Staples, Duke University Hospital Medical Center; Jerry Rushton, Adam Hill, Kim Schneider, Indiana Univeristy School of Medicine; Kathleen Donnelly, Inova Fairfax Medical Campus/Inova Children's Hospital; Jordan Watson, Jefferson Medical College/duPont Hospital for Children; Janet R. Serwint, Johns Hopkins University School of Medicine; Jerussa Levy, Louisiana State University (New Orleans); Pam Dietz, Maine Medical Center; Jay Homme, Mayo Clinic College of Medicine (Rochester); Leah Phillipi, Medical College of Wisconsin; John Mahan, Nationwide Children's Hospital/Ohio State University; Jennifer DiPace, New York Presbyterian Hospital (Cornell Campus); Bridget VoigtRush University Medical Center; Nicole Paradise Black, Denise McIntyre, Shands Hospital at the University of Florida; Katherine Baker, St. Christopher's Hospital for Children; Priya Garg, Tufts Medical Center; Lauren Nassetta, University of Alabama Medical Center; Hilary McClafferty, University of Arizona Health Sciences Center; Albina Gogo, University of California (Davis) Health System; Kate Perkins, Jessica Lloyd, Alan Chin, University of California (Los Angeles) Medical Center; Deborah Rana, University of California (San Diego); Joseph Hageman, University of Chicago Corner Children's Hospital; Jennifer Reese, University of Colorado Denver Children's Hospital; Amanda Osta, University of Illinois College of Medicine at Chicago; Lisa Gilmer, University of Kansas School of Medicine; Tara McKinley, Michelle Stevenson, University of Louisville School of Medicine; Hilary Haftel, Thomas Saba, University of Michigan Medical Center; Maren Olson, Michael Pitt, University of Minnesota Medical School; Carmen Herrera; Lanier Lopez, University of New Mexico Children's Hospital; Keith Mather, University of Oklahoma College of Medicine (Tulsa); Casey Hester, University of Oklahoma Health Sciences Center (Oklahoma City); Stephanie Dewar, University of Pittsburgh Children's Hospital; Sophia Goslings, University of South Alabama Children's and Women's Hospital; Maneesh Batra, University of Washington-Seattle Children's Hospital; Grant Syverson, University of Wisconsin Hospitals and Clinics; Ann Burke, Wright State University.
Publisher Copyright:
© 2018 Academic Pediatric Association
PY - 2019/4
Y1 - 2019/4
N2 - 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.
AB - 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.
KW - burnout
KW - education
KW - pediatric
KW - resident
KW - resilience
KW - screening
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U2 - 10.1016/j.acap.2018.11.003
DO - 10.1016/j.acap.2018.11.003
M3 - Article
C2 - 30395934
AN - SCOPUS:85058647885
SN - 1876-2859
VL - 19
SP - 251
EP - 255
JO - Academic pediatrics
JF - Academic pediatrics
IS - 3
ER -