A cross-sectional study of United States family medicine residency programme director burnout: implications for mitigation efforts and future research.

Autor:	Psenka TM; Department of Family Medicine, Medical University of South Carolina, Charleston, SC, USA., Freedy JR; Department of Family Medicine, Medical University of South Carolina, Charleston, SC, USA., Mims LD; Department of Family Medicine, Medical University of South Carolina, Charleston, SC, USA., DeCastro AO; Department of Family Medicine, Medical University of South Carolina, Charleston, SC, USA., Berini CR; Department of Family Medicine, Medical University of South Carolina, Charleston, SC, USA., Diaz VA; Department of Family Medicine, Medical University of South Carolina, Charleston, SC, USA., Jarrett JB; Department of Pharmacy Practice, University of Illinois at Chicago, Chicago, IL, USA., Steyer TE; Department of Family Medicine, Medical University of South Carolina, Charleston, SC, USA.
Jazyk:	angličtina
Zdroj:	Family practice [Fam Pract] 2020 Nov 28; Vol. 37 (6), pp. 772-778.
DOI:	10.1093/fampra/cmaa075
Abstrakt:	Background: Academic physician burnout is concerning. Too little is known about factors associated with residency programme director burnout. Continued uncertainty risks adverse outcomes including graduate medical education leadership turnover and negative impact on recruiting and retaining under-represented minority residency programme directors. Objective: This study assessed symptoms of burnout (emotional exhaustion, depersonalization) and depression along with evidence-based individual and environmental risk factors in a U.S. sample of family medicine residency programme directors. Methods: The omnibus 2018 Council of Academic Family Medicine Education Research Alliance survey was used to contact programme directors at all Accreditation Council for Graduate Medical Education accredited U.S. family medicine residency programmes via email. Descriptive data included programme director and programme characteristics, Areas of Worklife (workload, values and control), loneliness (lack companionship, feel left out and feel isolated), burnout (emotional exhaustion, depersonalization) and depressive symptoms. Chi-square tests contrasted descriptive variables with burnout and depressive symptoms. Logistic regression (LR) modelled associations between significant descriptive variables and burnout and depressive symptoms. Results: The survey response rate was 45.2% (268/590). Programme directors reported: emotional exhaustion (25.0%), depersonalization (10.3%) and depressive symptoms (25.3%). LR models found significant associations with emotional exhaustion (Workload: lacking time and other work-related resources); lack of companionship, depersonalization (North West Central residency region; Workload and lack of companionship) and depressive symptoms (Black/African American ethnicity). Conclusions: One-quarter of U.S. programme directors report burnout or depressive symptoms. Future research should consider associated variables as possible intervention targets to reduce programme director distress and turnover. (© The Author(s) 2020. Published by Oxford University Press. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.)
Databáze:	MEDLINE
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