Author:
Lippert William C.,L. McCutcheon Jessica,B. Russell Gregory,J. Singhel Kenneth,M. Rinaldi Christina,Menon Suma,A. Chevli Parag,D. Lippert Jacqueline,H. Ip Edward,Huang Chi-Cheng
Abstract
Abstract
Background
Physician burnout is rising, especially among academic physicians facing pressures to increase their clinical workload, lead administrative tasks and committees, and be active in research. There is a concern this could have downstream effects on learners’ experiences and academic physician’s ability to teach learners on the team.
Methods
A 29-question RedCap survey was electronically distributed to 54 attending physicians within an academic learning health system who oversaw the General Medicine inpatient teaching services during the 2022–2023 academic year. The aims were to assess this cohort of attending physicians’ experiences, attitudes, and perceptions on their ability to effectively teach learners on the team, feeling valued, contributors to work-life balance and symptoms of burnout, Fisher’s Exact Tests were used for data analysis.
Results
Response rate was 56%. Attendings splitting time 50% inpatient / 50% outpatient felt that team size and type of admissions model affected their ability to effectively teach learners (p = 0.022 and p = 0.049). Attendings with protected administrative time felt that non-patient care obligations affected their ability to effectively teach the learners (p = 0.019). Male attendings and attendings with ≤ 5 years of General Medicine inpatient teaching experience felt less valued by residency leadership (p = 0.019 and p = 0.026). 80% of attendings experienced emotional exhaustion, and those with > 10 weeks on a General Medicine inpatient teaching service were more likely to experience emotional exhaustion (p = 0.041). Attendings with > 10 weeks on a General Medicine inpatient teaching service and those who were a primary caregiver were more likely to experience depersonalization (p = 0.012 and p = 0.031). 57% of attendings had reduced personal achievement.
Conclusions
Institutions should seek an individual and organizational approach to professional fulfillment. Special attention to these certain groups is warranted to understand how they can be better supported. Further research, such as with focus groups, is needed to address these challenges.
Publisher
Springer Science and Business Media LLC
Reference21 articles.
1. Dall T et al. (2021). The Complexities of Physician Supply and Demand: Projections … AAMC. AAMC, IHS Markit Ltd. www.aamc.org/media/54681/download?attachment&_hsenc=p2ANqtz--EKMOcjqRGBrLYHGJtfF1MTj08mR6y6NNUgvuZjW4fhrY6h_GpAsBdxeOCjZvGxkJmnztj.
2. West CP, Dyrbye LN, Shanafelt TD. Physician burnout: contributors, consequences and solutions. J Intern Med. 2018;283(6):516–29. https://doi.org/10.1111/joim.12752.
3. Shanafelt T, Goh J, Sinsky C. The business case for investing in Physician Well-being. JAMA Intern Med. 2017;177(12):1826–32. https://doi.org/10.1001/jamainternmed.2017.4340.
4. Sinsky C et al. (2021). COVID-Related Stress and Work Intentions in a Sample of US Health Care Workers. Mayo Clinic Proceedings: Innovations, Quality & Outcomes, Volume 5, Issue 6, ISSN 2542–4548, https://doi.org/10.1016/j.mayocpiqo.2021.08.007.
5. Ligibel JA, Goularte N, Berliner JI, et al. Well-being parameters and intention to Leave Current Institution among Academic Physicians. JAMA Netw Open. 2023;6(12):e2347894. https://doi.org/10.1001/jamanetworkopen.2023.47894.