Repeated Cross-sectional Surveys of Burnout, Distress, and Depression among Anesthesiology Residents and First-year Graduates

Huaping Sun, David O. Warner, Alex Macario, Yan Zhou, Deborah J. Culley, Mark T. Keegan

Research output: Contribution to journalArticle

Abstract

WHAT WE ALREADY KNOW ABOUT THIS TOPIC: Burnout has been identified in approximately 50% of residents and practicing physicians WHAT THIS ARTICLE TELLS US THAT IS NEW: Based on survey data from 2013 to 2016, the prevalence of burnout, distress, and depression in anesthesiology residents and first-year graduates was 51%, 32%, and 12%, respectivelyMore hours worked and student debt were associated with a higher risk of distress and depression, but not burnoutPerceived institutional and social support and work-life balance were associated with a lower risk of burnout, distress, and depression BACKGROUND:: This repeated cross-sectional survey study was conducted to determine the prevalence of, and factors associated with, burnout, distress, and depression among anesthesiology residents and first-year graduates. We hypothesized that heavy workload and student debt burden were associated with a higher risk of physician burnout, distress, and depression, and that perception of having adequate workplace resources, work-life balance, and social support were associated with a lower risk. METHODS: Physicians beginning U.S. anesthesiology residency between 2013 and 2016 were invited to take online surveys annually from their clinical anesthesia year 1 to 1 yr after residency graduation. The Maslach Burnout Inventory, the Physician Well-Being Index, and the Harvard Department of Psychiatry/National Depression Screening Day Scale were used to measure burnout, distress, and depression, respectively. Logistic regression analyses were conducted to examine whether self-reported demographics, personal, and professional factors were associated with the risk of burnout, distress, and depression. RESULTS: The response rate was 36% (5,295 of 14,529). The prevalence of burnout, distress, and depression was 51% (2,531 of 4,966), 32% (1,575 of 4,941), and 12% (565 of 4,840), respectively. Factors associated with a lower risk of all three outcomes included respondents' perceived workplace resource availability, (odds ratio = 0.51 [95% CI, 0.45 to 0.57] for burnout; 0.51 [95% CI, 0.45 to 0.56] for distress; 0.52 [95% CI, 0.45 to 0.60] for depression) and perceived ability to maintain work-life balance (0.61 [95% CI, 0.56 to 0.67] for burnout; 0.50 [95% CI, 0.46 to 0.55] for distress; 0.58 [95% CI, 0.51 to 0.65] for depression). A greater number of hours worked per week and a higher amount of student debt were associated with a higher risk of distress and depression, but not burnout. CONCLUSIONS: Burnout, distress, and depression are notable among anesthesiology residents. Perceived institutional support, work-life balance, strength of social support, workload, and student debt impact physician well-being.

Original languageEnglish (US)
Pages (from-to)668-677
Number of pages10
JournalAnesthesiology
Volume131
Issue number3
DOIs
StatePublished - Sep 1 2019

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Anesthesiology
Cross-Sectional Studies
Depression
Physicians
Social Support
Students
Internship and Residency
Workload
Workplace
Aptitude
Social Work
Psychiatry
Anesthesia

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine

Cite this

Repeated Cross-sectional Surveys of Burnout, Distress, and Depression among Anesthesiology Residents and First-year Graduates. / Sun, Huaping; Warner, David O.; Macario, Alex; Zhou, Yan; Culley, Deborah J.; Keegan, Mark T.

In: Anesthesiology, Vol. 131, No. 3, 01.09.2019, p. 668-677.

Research output: Contribution to journalArticle

Sun, Huaping ; Warner, David O. ; Macario, Alex ; Zhou, Yan ; Culley, Deborah J. ; Keegan, Mark T. / Repeated Cross-sectional Surveys of Burnout, Distress, and Depression among Anesthesiology Residents and First-year Graduates. In: Anesthesiology. 2019 ; Vol. 131, No. 3. pp. 668-677.
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abstract = "WHAT WE ALREADY KNOW ABOUT THIS TOPIC: Burnout has been identified in approximately 50{\%} of residents and practicing physicians WHAT THIS ARTICLE TELLS US THAT IS NEW: Based on survey data from 2013 to 2016, the prevalence of burnout, distress, and depression in anesthesiology residents and first-year graduates was 51{\%}, 32{\%}, and 12{\%}, respectivelyMore hours worked and student debt were associated with a higher risk of distress and depression, but not burnoutPerceived institutional and social support and work-life balance were associated with a lower risk of burnout, distress, and depression BACKGROUND:: This repeated cross-sectional survey study was conducted to determine the prevalence of, and factors associated with, burnout, distress, and depression among anesthesiology residents and first-year graduates. We hypothesized that heavy workload and student debt burden were associated with a higher risk of physician burnout, distress, and depression, and that perception of having adequate workplace resources, work-life balance, and social support were associated with a lower risk. METHODS: Physicians beginning U.S. anesthesiology residency between 2013 and 2016 were invited to take online surveys annually from their clinical anesthesia year 1 to 1 yr after residency graduation. The Maslach Burnout Inventory, the Physician Well-Being Index, and the Harvard Department of Psychiatry/National Depression Screening Day Scale were used to measure burnout, distress, and depression, respectively. Logistic regression analyses were conducted to examine whether self-reported demographics, personal, and professional factors were associated with the risk of burnout, distress, and depression. RESULTS: The response rate was 36{\%} (5,295 of 14,529). The prevalence of burnout, distress, and depression was 51{\%} (2,531 of 4,966), 32{\%} (1,575 of 4,941), and 12{\%} (565 of 4,840), respectively. Factors associated with a lower risk of all three outcomes included respondents' perceived workplace resource availability, (odds ratio = 0.51 [95{\%} CI, 0.45 to 0.57] for burnout; 0.51 [95{\%} CI, 0.45 to 0.56] for distress; 0.52 [95{\%} CI, 0.45 to 0.60] for depression) and perceived ability to maintain work-life balance (0.61 [95{\%} CI, 0.56 to 0.67] for burnout; 0.50 [95{\%} CI, 0.46 to 0.55] for distress; 0.58 [95{\%} CI, 0.51 to 0.65] for depression). A greater number of hours worked per week and a higher amount of student debt were associated with a higher risk of distress and depression, but not burnout. CONCLUSIONS: Burnout, distress, and depression are notable among anesthesiology residents. Perceived institutional support, work-life balance, strength of social support, workload, and student debt impact physician well-being.",
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N2 - WHAT WE ALREADY KNOW ABOUT THIS TOPIC: Burnout has been identified in approximately 50% of residents and practicing physicians WHAT THIS ARTICLE TELLS US THAT IS NEW: Based on survey data from 2013 to 2016, the prevalence of burnout, distress, and depression in anesthesiology residents and first-year graduates was 51%, 32%, and 12%, respectivelyMore hours worked and student debt were associated with a higher risk of distress and depression, but not burnoutPerceived institutional and social support and work-life balance were associated with a lower risk of burnout, distress, and depression BACKGROUND:: This repeated cross-sectional survey study was conducted to determine the prevalence of, and factors associated with, burnout, distress, and depression among anesthesiology residents and first-year graduates. We hypothesized that heavy workload and student debt burden were associated with a higher risk of physician burnout, distress, and depression, and that perception of having adequate workplace resources, work-life balance, and social support were associated with a lower risk. METHODS: Physicians beginning U.S. anesthesiology residency between 2013 and 2016 were invited to take online surveys annually from their clinical anesthesia year 1 to 1 yr after residency graduation. The Maslach Burnout Inventory, the Physician Well-Being Index, and the Harvard Department of Psychiatry/National Depression Screening Day Scale were used to measure burnout, distress, and depression, respectively. Logistic regression analyses were conducted to examine whether self-reported demographics, personal, and professional factors were associated with the risk of burnout, distress, and depression. RESULTS: The response rate was 36% (5,295 of 14,529). The prevalence of burnout, distress, and depression was 51% (2,531 of 4,966), 32% (1,575 of 4,941), and 12% (565 of 4,840), respectively. Factors associated with a lower risk of all three outcomes included respondents' perceived workplace resource availability, (odds ratio = 0.51 [95% CI, 0.45 to 0.57] for burnout; 0.51 [95% CI, 0.45 to 0.56] for distress; 0.52 [95% CI, 0.45 to 0.60] for depression) and perceived ability to maintain work-life balance (0.61 [95% CI, 0.56 to 0.67] for burnout; 0.50 [95% CI, 0.46 to 0.55] for distress; 0.58 [95% CI, 0.51 to 0.65] for depression). A greater number of hours worked per week and a higher amount of student debt were associated with a higher risk of distress and depression, but not burnout. CONCLUSIONS: Burnout, distress, and depression are notable among anesthesiology residents. Perceived institutional support, work-life balance, strength of social support, workload, and student debt impact physician well-being.

AB - WHAT WE ALREADY KNOW ABOUT THIS TOPIC: Burnout has been identified in approximately 50% of residents and practicing physicians WHAT THIS ARTICLE TELLS US THAT IS NEW: Based on survey data from 2013 to 2016, the prevalence of burnout, distress, and depression in anesthesiology residents and first-year graduates was 51%, 32%, and 12%, respectivelyMore hours worked and student debt were associated with a higher risk of distress and depression, but not burnoutPerceived institutional and social support and work-life balance were associated with a lower risk of burnout, distress, and depression BACKGROUND:: This repeated cross-sectional survey study was conducted to determine the prevalence of, and factors associated with, burnout, distress, and depression among anesthesiology residents and first-year graduates. We hypothesized that heavy workload and student debt burden were associated with a higher risk of physician burnout, distress, and depression, and that perception of having adequate workplace resources, work-life balance, and social support were associated with a lower risk. METHODS: Physicians beginning U.S. anesthesiology residency between 2013 and 2016 were invited to take online surveys annually from their clinical anesthesia year 1 to 1 yr after residency graduation. The Maslach Burnout Inventory, the Physician Well-Being Index, and the Harvard Department of Psychiatry/National Depression Screening Day Scale were used to measure burnout, distress, and depression, respectively. Logistic regression analyses were conducted to examine whether self-reported demographics, personal, and professional factors were associated with the risk of burnout, distress, and depression. RESULTS: The response rate was 36% (5,295 of 14,529). The prevalence of burnout, distress, and depression was 51% (2,531 of 4,966), 32% (1,575 of 4,941), and 12% (565 of 4,840), respectively. Factors associated with a lower risk of all three outcomes included respondents' perceived workplace resource availability, (odds ratio = 0.51 [95% CI, 0.45 to 0.57] for burnout; 0.51 [95% CI, 0.45 to 0.56] for distress; 0.52 [95% CI, 0.45 to 0.60] for depression) and perceived ability to maintain work-life balance (0.61 [95% CI, 0.56 to 0.67] for burnout; 0.50 [95% CI, 0.46 to 0.55] for distress; 0.58 [95% CI, 0.51 to 0.65] for depression). A greater number of hours worked per week and a higher amount of student debt were associated with a higher risk of distress and depression, but not burnout. CONCLUSIONS: Burnout, distress, and depression are notable among anesthesiology residents. Perceived institutional support, work-life balance, strength of social support, workload, and student debt impact physician well-being.

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