Observations on Burnout in Family Medicine and Psychiatry Residents

Objective To investigate the relationship between burnout, work environment, and a variety of personalvariables, including age, gender, marital, parental and acculturation status within a population of family medicine and psychiatry resident physicians. Methods Between 2002 and 2005, 155 residents i...

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Veröffentlicht in:Academic psychiatry 2008-01, Vol.32 (1), p.13-19
Hauptverfasser: Woodside, Jack Richard, Miller, Merry Noel, Floyd, Michael R., McGowen, K. Ramsey, Pfortmiller, Debi T.
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creator Woodside, Jack Richard
Miller, Merry Noel
Floyd, Michael R.
McGowen, K. Ramsey
Pfortmiller, Debi T.
description Objective To investigate the relationship between burnout, work environment, and a variety of personalvariables, including age, gender, marital, parental and acculturation status within a population of family medicine and psychiatry resident physicians. Methods Between 2002 and 2005, 155 residents in family medicine and psychiatry at East Tennessee State University College of Medicine were surveyed at intervals using the Maslach Burnout Inventory and Work Environment Scale, form R, to assess their current state of emotional health and job satisfaction. Results Female residents had lower scores on the Depersonalization scale of the Maslach Burnout Inventory (t = 3.37, p = 0.001). Parenting was associated with lower Depersonalization (t = 3.98, p
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Ramsey ; Pfortmiller, Debi T.</creator><creatorcontrib>Woodside, Jack Richard ; Miller, Merry Noel ; Floyd, Michael R. ; McGowen, K. Ramsey ; Pfortmiller, Debi T.</creatorcontrib><description>Objective To investigate the relationship between burnout, work environment, and a variety of personalvariables, including age, gender, marital, parental and acculturation status within a population of family medicine and psychiatry resident physicians. Methods Between 2002 and 2005, 155 residents in family medicine and psychiatry at East Tennessee State University College of Medicine were surveyed at intervals using the Maslach Burnout Inventory and Work Environment Scale, form R, to assess their current state of emotional health and job satisfaction. Results Female residents had lower scores on the Depersonalization scale of the Maslach Burnout Inventory (t = 3.37, p = 0.001). Parenting was associated with lower Depersonalization (t = 3.98, p&lt;0.001) and Emotional Exhaustion (t = 2.59, p = 0.011). Residents from the United States culture reported higher Depersonalization and Emotional Exhaustion (t = −3.64, p&lt;0.001; t = −3.85, p&lt;0.001). On the Work Environment Scale, residents from United States culture reported less Task Orientation and Control but higher Work Pressure (t = 2.89, p = 0.005; t = 2.24, p = 0.027; t = −2.79, p = 0.006). Psychiatry residents reported less burnout than family medicine residents on the Depersonalization and Emotional Exhaustion scales (t = 2.49, p = 0.014: t = 2.05, p = 0.042) and higher Physical Comfort on the Work Environment Scale (t = −2.60,p = 0.011); while family medicine residents reported higher Peer Cohesion, Supervisor Support, and Autonomy (t = 3.41, p = 0.001; t = 2.38, p= 0.019; t = 2.27, p = 0.025). Conclusion This study design, using well established, standard, and valid measures, identified important issues for further exploration: the relationship between acculturation to burnout the potential role of parenting as a protective factor from burnout, and the recognition that women residents may not be as vulnerable to burnout as previously reported.</description><identifier>ISSN: 1042-9670</identifier><identifier>EISSN: 1545-7230</identifier><identifier>DOI: 10.1176/appi.ap.32.1.13</identifier><identifier>PMID: 18270276</identifier><language>eng</language><publisher>New York: Springer-Verlag</publisher><subject>Acculturation ; Achievement ; Adult ; Affect ; Burnout ; Burnout, Professional ; Child Rearing ; Cultural Pluralism ; Culture ; Depersonalization - epidemiology ; Depersonalization - psychology ; Depression (Psychology) ; Family (Sociological Unit) ; Family Practice - statistics &amp; numerical data ; Fatigue (Biology) ; Female ; Females ; Graduates ; Humans ; Internal Medicine ; Internship and Residency - statistics &amp; numerical data ; Job Satisfaction ; Male ; Medical Education ; Medicine ; Medicine &amp; Public Health ; Mental Health ; Original Article ; Parents ; Psychiatry ; Psychiatry - statistics &amp; numerical data ; Questionnaires ; Surveys and Questionnaires ; Teaching Methods ; Trainees ; Work Environment</subject><ispartof>Academic psychiatry, 2008-01, Vol.32 (1), p.13-19</ispartof><rights>Academic Psychiatry 2006</rights><rights>Copyright American Psychiatric Publishing, Inc. 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Ramsey</creatorcontrib><creatorcontrib>Pfortmiller, Debi T.</creatorcontrib><title>Observations on Burnout in Family Medicine and Psychiatry Residents</title><title>Academic psychiatry</title><addtitle>Acad Psychiatry</addtitle><addtitle>Acad Psychiatry</addtitle><description>Objective To investigate the relationship between burnout, work environment, and a variety of personalvariables, including age, gender, marital, parental and acculturation status within a population of family medicine and psychiatry resident physicians. Methods Between 2002 and 2005, 155 residents in family medicine and psychiatry at East Tennessee State University College of Medicine were surveyed at intervals using the Maslach Burnout Inventory and Work Environment Scale, form R, to assess their current state of emotional health and job satisfaction. Results Female residents had lower scores on the Depersonalization scale of the Maslach Burnout Inventory (t = 3.37, p = 0.001). Parenting was associated with lower Depersonalization (t = 3.98, p&lt;0.001) and Emotional Exhaustion (t = 2.59, p = 0.011). Residents from the United States culture reported higher Depersonalization and Emotional Exhaustion (t = −3.64, p&lt;0.001; t = −3.85, p&lt;0.001). On the Work Environment Scale, residents from United States culture reported less Task Orientation and Control but higher Work Pressure (t = 2.89, p = 0.005; t = 2.24, p = 0.027; t = −2.79, p = 0.006). Psychiatry residents reported less burnout than family medicine residents on the Depersonalization and Emotional Exhaustion scales (t = 2.49, p = 0.014: t = 2.05, p = 0.042) and higher Physical Comfort on the Work Environment Scale (t = −2.60,p = 0.011); while family medicine residents reported higher Peer Cohesion, Supervisor Support, and Autonomy (t = 3.41, p = 0.001; t = 2.38, p= 0.019; t = 2.27, p = 0.025). 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Ramsey</au><au>Pfortmiller, Debi T.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Observations on Burnout in Family Medicine and Psychiatry Residents</atitle><jtitle>Academic psychiatry</jtitle><stitle>Acad Psychiatry</stitle><addtitle>Acad Psychiatry</addtitle><date>2008-01-01</date><risdate>2008</risdate><volume>32</volume><issue>1</issue><spage>13</spage><epage>19</epage><pages>13-19</pages><issn>1042-9670</issn><eissn>1545-7230</eissn><abstract>Objective To investigate the relationship between burnout, work environment, and a variety of personalvariables, including age, gender, marital, parental and acculturation status within a population of family medicine and psychiatry resident physicians. Methods Between 2002 and 2005, 155 residents in family medicine and psychiatry at East Tennessee State University College of Medicine were surveyed at intervals using the Maslach Burnout Inventory and Work Environment Scale, form R, to assess their current state of emotional health and job satisfaction. Results Female residents had lower scores on the Depersonalization scale of the Maslach Burnout Inventory (t = 3.37, p = 0.001). Parenting was associated with lower Depersonalization (t = 3.98, p&lt;0.001) and Emotional Exhaustion (t = 2.59, p = 0.011). Residents from the United States culture reported higher Depersonalization and Emotional Exhaustion (t = −3.64, p&lt;0.001; t = −3.85, p&lt;0.001). On the Work Environment Scale, residents from United States culture reported less Task Orientation and Control but higher Work Pressure (t = 2.89, p = 0.005; t = 2.24, p = 0.027; t = −2.79, p = 0.006). Psychiatry residents reported less burnout than family medicine residents on the Depersonalization and Emotional Exhaustion scales (t = 2.49, p = 0.014: t = 2.05, p = 0.042) and higher Physical Comfort on the Work Environment Scale (t = −2.60,p = 0.011); while family medicine residents reported higher Peer Cohesion, Supervisor Support, and Autonomy (t = 3.41, p = 0.001; t = 2.38, p= 0.019; t = 2.27, p = 0.025). Conclusion This study design, using well established, standard, and valid measures, identified important issues for further exploration: the relationship between acculturation to burnout the potential role of parenting as a protective factor from burnout, and the recognition that women residents may not be as vulnerable to burnout as previously reported.</abstract><cop>New York</cop><pub>Springer-Verlag</pub><pmid>18270276</pmid><doi>10.1176/appi.ap.32.1.13</doi><tpages>7</tpages></addata></record>
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subjects Acculturation
Achievement
Adult
Affect
Burnout
Burnout, Professional
Child Rearing
Cultural Pluralism
Culture
Depersonalization - epidemiology
Depersonalization - psychology
Depression (Psychology)
Family (Sociological Unit)
Family Practice - statistics & numerical data
Fatigue (Biology)
Female
Females
Graduates
Humans
Internal Medicine
Internship and Residency - statistics & numerical data
Job Satisfaction
Male
Medical Education
Medicine
Medicine & Public Health
Mental Health
Original Article
Parents
Psychiatry
Psychiatry - statistics & numerical data
Questionnaires
Surveys and Questionnaires
Teaching Methods
Trainees
Work Environment
title Observations on Burnout in Family Medicine and Psychiatry Residents
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