Burnout in Pediatric Residents Over a 2-Year Period: A Longitudinal Study.

Objective: Burnout is a work-related syndrome characterized by emotional exhaustion (EE), depersonalization (DP), and lack of personal accomplishment (PA). We hypothesized that the transition into an environment of high physical, intellectual, and emotional demands of the medical profession would le...

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Publicado en:Academic Pediatrics Vol. 14; no. 2; pp. 167 - 173
Autores principales: Pantaleoni, Julie L., Augustine, Erin M., Sourkes, Barbara M., Bachrach, Laura K.
Formato: research tables/charts Journal Article
Publicado: Elsevier B.V. Mar/Apr2014
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Mar/Apr2014
      vid: 14
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      pub: Elsevier B.V.
      place: New York, New York
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        107894120
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        10.1016/j.acap.2013.12.001
        107894120
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        atl: Burnout in Pediatric Residents Over a 2-Year Period: A Longitudinal Study.
      aug:
        au:
          Pantaleoni, Julie L.
          Augustine, Erin M.
          Sourkes, Barbara M.
          Bachrach, Laura K.
        affil: Department of Pediatrics, Stanford University School of Medicine, Palo Alto, Calif.
      sug:
        subj:
          Interns and Residents
          Pediatrics
          Burnout, Professional
          Human
          Adult
          Prospective Studies
          Male
          Female
          Attitude Measures
          T-Tests Utilization
          Analysis of Variance Utilization
          Fisher's Exact Test Utilization
          Data Analysis Software Utilization
          Funding Source
          Adult: 19-44 years
          Male
          Female
      ab: Objective: Burnout is a work-related syndrome characterized by emotional exhaustion (EE), depersonalization (DP), and lack of personal accomplishment (PA). We hypothesized that the transition into an environment of high physical, intellectual, and emotional demands of the medical profession would lead to an increase in the prevalence of burnout in pediatric residents, which would remain high throughout residency. Methods: The Maslach Burnout Inventory (MBI) was administered to pediatric residents at Lucile Packard Children's Hospital 6 times between February 2010 and February 2012. These times corresponded to the start of residency, mid-intern year, end-intern year, mid-junior year, end-junior year, and mid-senior year. Results: Mean values of burnout components changed significantly between the start of residency and mid-intern year. EE increased from 15.8 to 24.5 (P < .001), DP increased from 4.5 to 9.2 (P < .001), and PA decreased from 40.2 to 38.3 (P = .04). Similarly, the prevalence of burnout increased from 17% to 46% (P = .012), or 2% to 24% (P = .002) using more restrictive criteria, between the start of residency and mid-intern year. Significant changes in mean scores or prevalence of burnout were not found between any other consecutive times throughout residency. Conclusions: This longitudinal study documented a significant increase in the components of burnout among pediatric residents between the start of residency and mid-intern year, which persisted through the PGY2 and PGY3 years. Further studies are warranted to identify correlates of resident burnout and to develop preventative strategies to reduce its occurrence.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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