Qualitative study of burnout, career satisfaction, and well-being among US neurologists in 2016

Janis M. Miyasaki, Carol Rheaume, Lisa Gulya, Aviva Ellenstein, Heidi B. Schwarz, Thomas R. Vidic, Tait D. Shanafelt, Terrence L. Cascino, Chris M. Keran, Neil A. Busis

Research output: Contribution to journalArticle

17 Citations (Scopus)

Abstract

Objective: To understand the experience and identify drivers and mitigating factors of burnout and well-being among US neurologists. Methods: Inductive data analysis was applied to free text comments (n = 676) from the 2016 American Academy of Neurology survey of burnout, career satisfaction, and well-being. Results: Respondents providing comments were significantly more likely to be older, owners/partners of their practice, solo practitioners, and compensated by production than those not commenting. The 4 identified themes were (1) policies and people affecting neurologists (government and insurance mandates, remuneration, recertification, leadership); (2) workload and work-life balance (workload, electronic health record [EHR], work-life balance); (3) engagement, professionalism, work domains specific to neurology; and (4) solutions (systemic and individual), advocacy, other. Neurologists mentioned workload > professional identity > time spent on insurance and government mandates when describing burnout. Neurologists' patient and clerical workload increased work hours or work brought home, resulting in poor work-life balance. EHR and expectations of high patient volumes by administrators impeded quality of patient care. As a result, many neurologists reduced work hours and call provision and considered early retirement. Conclusions: Our results further characterize burnout among US neurologists through respondents' own voices. They clarify the meaning respondents attributed to ambiguous survey questions and highlight the barriers neurologists must overcome to practice their chosen specialty, including multiple regulatory hassles and increased work hours. Erosion of professionalism by external factors was a common issue. Our findings can provide strategic direction for advocacy and programs to prevent and mitigate neurologist burnout and promote well-being and engagement.

Original languageEnglish (US)
Pages (from-to)1730-1738
Number of pages9
JournalNeurology
Volume89
Issue number16
DOIs
StatePublished - Oct 17 2017
Externally publishedYes

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Workload
Electronic Health Records
Insurance
Remuneration
Neurologists
Retirement
Quality of Health Care
Private Practice
Neurology
Administrative Personnel
Patient Care
Surveys and Questionnaires
Work-Life Balance
Professionalism

ASJC Scopus subject areas

  • Clinical Neurology

Cite this

Miyasaki, J. M., Rheaume, C., Gulya, L., Ellenstein, A., Schwarz, H. B., Vidic, T. R., ... Busis, N. A. (2017). Qualitative study of burnout, career satisfaction, and well-being among US neurologists in 2016. Neurology, 89(16), 1730-1738. https://doi.org/10.1212/WNL.0000000000004526

Qualitative study of burnout, career satisfaction, and well-being among US neurologists in 2016. / Miyasaki, Janis M.; Rheaume, Carol; Gulya, Lisa; Ellenstein, Aviva; Schwarz, Heidi B.; Vidic, Thomas R.; Shanafelt, Tait D.; Cascino, Terrence L.; Keran, Chris M.; Busis, Neil A.

In: Neurology, Vol. 89, No. 16, 17.10.2017, p. 1730-1738.

Research output: Contribution to journalArticle

Miyasaki, JM, Rheaume, C, Gulya, L, Ellenstein, A, Schwarz, HB, Vidic, TR, Shanafelt, TD, Cascino, TL, Keran, CM & Busis, NA 2017, 'Qualitative study of burnout, career satisfaction, and well-being among US neurologists in 2016', Neurology, vol. 89, no. 16, pp. 1730-1738. https://doi.org/10.1212/WNL.0000000000004526
Miyasaki JM, Rheaume C, Gulya L, Ellenstein A, Schwarz HB, Vidic TR et al. Qualitative study of burnout, career satisfaction, and well-being among US neurologists in 2016. Neurology. 2017 Oct 17;89(16):1730-1738. https://doi.org/10.1212/WNL.0000000000004526
Miyasaki, Janis M. ; Rheaume, Carol ; Gulya, Lisa ; Ellenstein, Aviva ; Schwarz, Heidi B. ; Vidic, Thomas R. ; Shanafelt, Tait D. ; Cascino, Terrence L. ; Keran, Chris M. ; Busis, Neil A. / Qualitative study of burnout, career satisfaction, and well-being among US neurologists in 2016. In: Neurology. 2017 ; Vol. 89, No. 16. pp. 1730-1738.
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