Burnout Among U.S. Medical Students, Residents, and Early Career Physicians Relative to the General U.S. Population

Dados Bibliográficos

ID23343284
AutoresLiselotte N Dyrbye (0000-0002-7820-704X, Apple (Israel), autor correspondente), Colin P West (0000-0003-1628-5023, Apple (Israel)), Daniel Satele (0000-0003-0795-714X, Apple (Israel)), Sonja Boone (Apple (Israel)), Litjen Tan (0000-0001-9054-6696, Apple (Israel)), Jeff Sloan, Jeff A Sloan (0000-0002-3393-2387, Apple (Israel)), Tait D Shanafelt (0000-0002-7106-5202, Apple (Israel))
Ano2014
Volume89
Fascículo3
Páginas443-451
Data de publicação2014-03-01
Peer ReviewedSim
Open AccessNão
TipoARTICLE
PeriódicoAcademic Medicine (JOURNAL)
Identificadores do periódicoISSN: 1040-2446 • E-ISSN: 1938-808X
EditoraOxford University Press (OUP) (PUBLISHER)
DOI10.1097/acm.0000000000000134
PMID24448053
OpenAlexW2159978247
IdiomaEN
Citações recebidas179
Referências citadas33

PURPOSE: To compare the prevalence of burnout and other forms of distress across career stages and the experiences of trainees and early career (EC) physicians versus those of similarly aged college graduates pursuing other careers. METHOD: In 2011 and 2012, the authors conducted a national survey of medical students, residents/fellows, and EC physicians (≤ 5 years in practice) and of a probability-based sample of the general U.S. population. All surveys assessed burnout, symptoms of depression and suicidal ideation, quality of life, and fatigue. RESULTS: Response rates were 35.2% (4,402/12,500) for medical students, 22.5% (1,701/7,560) for residents/fellows, and 26.7% (7,288/27,276) for EC physicians. In multivariate models that controlled for relationship status, sex, age, and career stage, being a resident/fellow was associated with increased odds of burnout and being a medical student with increased odds of depressive symptoms, whereas EC physicians had the lowest odds of high fatigue. Compared with the population control samples, medical students, residents/fellows, and EC physicians were more likely to be burned out (all P < .0001). Medical students and residents/fellows were more likely to exhibit symptoms of depression than the population control samples (both P < .0001) but not more likely to have experienced recent suicidal ideation. CONCLUSIONS: Training appears to be the peak time for distress among physicians, but differences in the prevalence of burnout, depressive symptoms, and recent suicidal ideation are relatively small. At each stage, burnout is more prevalent among physicians than among their peers in the U.S. population.

Burnout · Depression (economics) · Distress · Environmental health · Family medicine · Logistic regression · Multivariate analysis · Odds · Odds ratio · Poison control · Population · Psychiatry · Suicidal ideation · Suicide prevention · Clinical Psychology · Demography · Diversity and Career in Medicine · Emergency Medicine · Healthcare professionals’ stress and burnout · Innovations in Medical Education · Internal Medicine · Medicine · Gerontology