Burnout and self-reported patient care in an internal medicine residency program

Tait D. Shanafelt, Katharine A. Bradley, Joyce E. Wipf, Anthony L. Back

Research output: Contribution to journalArticle

1106 Citations (Scopus)

Abstract

Background: Burnout is a syndrome of depersonalization, emotional exhaustion, and a sense of low personal accomplishment. Little is known about burnout in residents or its relationship to patient care. Objective: To determine the prevalence of burnout in medical residents and explore its relationship to self-reported patient care practices. Design: Cross-sectional study using an anonymous, mailed survey. Setting: University-based residency program in Seattle, Washington. Participants: 115 internal medicine residents. Measurements: Burnout was measured by using the Maslach Burnout Inventory and was defined as scores in the high range for medical professionals on the depersonalization or emotional exhaustion subscales. Five questions developed for this study assessed self-reported patient care practices that suggested suboptimal care (for example, "1 did not fully discuss treatment options or answer a patient's questions" or "I made ... errors that were not due to a lack of knowledge or inexperience"). Depression and at-risk alcohol use were assessed by using validated screening questionnaires. Results: Of 115 (76%) responding residents, 87 (76%) met the criteria for burnout. Compared with non-burned-out residents, burned-out residents were significantly more likely to self-report providing at least one type of suboptimal patient care at least monthly (53% vs. 21%; P= 0.004). In multivariate analyses, burnout - but not sex, depression, or at-risk alcohol use - was strongly associated with self-report of one or more suboptimal patient care practices at least monthly (odds ratio, 8.3 [95% Cl, 2.6 to 26.5]). When each domain of burnout was evaluated separately, only a high score for depersonalization was associated with self-reported suboptimal patient care practices (in a dose-response relationship). Conclusion: Burnout was common among resident physicians and was associated with self-reported suboptimal patient care practices.

Original languageEnglish (US)
Pages (from-to)358-367
Number of pages10
JournalAnnals of Internal Medicine
Volume136
Issue number5
StatePublished - Mar 5 2002
Externally publishedYes

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Internship and Residency
Internal Medicine
Patient Care
Depersonalization
Self Report
Alcohols
Depression
Multivariate Analysis
Cross-Sectional Studies
Odds Ratio
Physicians
Equipment and Supplies

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Shanafelt, T. D., Bradley, K. A., Wipf, J. E., & Back, A. L. (2002). Burnout and self-reported patient care in an internal medicine residency program. Annals of Internal Medicine, 136(5), 358-367.

Burnout and self-reported patient care in an internal medicine residency program. / Shanafelt, Tait D.; Bradley, Katharine A.; Wipf, Joyce E.; Back, Anthony L.

In: Annals of Internal Medicine, Vol. 136, No. 5, 05.03.2002, p. 358-367.

Research output: Contribution to journalArticle

Shanafelt, TD, Bradley, KA, Wipf, JE & Back, AL 2002, 'Burnout and self-reported patient care in an internal medicine residency program', Annals of Internal Medicine, vol. 136, no. 5, pp. 358-367.
Shanafelt TD, Bradley KA, Wipf JE, Back AL. Burnout and self-reported patient care in an internal medicine residency program. Annals of Internal Medicine. 2002 Mar 5;136(5):358-367.
Shanafelt, Tait D. ; Bradley, Katharine A. ; Wipf, Joyce E. ; Back, Anthony L. / Burnout and self-reported patient care in an internal medicine residency program. In: Annals of Internal Medicine. 2002 ; Vol. 136, No. 5. pp. 358-367.
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