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The Relationship Between Burnout and Help-Seeking Behaviors, Concerns, and Attitudes of Residents

Bibliographic Data

ID21614157
AuthorsLiselotte N Dyrbye (0000-0002-7820-704X, L.N. Dyrbyeis professor of medicine and medical education, and codirector, Mayo Clinic Program on Physician Well-Being, Department of Medicine, Mayo Clinic Alix School of Medicine, Rochester, Minnesota., corresponding author), Andrea N Leep-Hunderfund (0000-0002-7784-504X, Twitter (United States)), Andrea N Leep Hunderfund (A.N. Leep Hunderfundis assistant professor of neurology, Mayo Clinic, and director, learning environment and educational culture, Mayo Clinic Alix School of Medicine, Rochester, Minnesota.), Richard C Winters (0000-0002-6242-9529, R.C. Wintersis assistant professor of emergency medicine, and medical director of professional leadership development, Mayo Clinic Care Network, Department of Emergency Medicine, Mayo Clinic Alix School of Medicine, Rochester, Minnesota.), Susan M Moeschler (0000-0003-1249-4549, S.M. Moeschleris associate professor of anesthesiology, Department of Anesthesiology, Mayo Clinic Alix School of Medicine, Rochester, Minnesota.), Brianna E Vaa (0000-0002-3018-2517, Twitter (United States)), Brianna E Vaa Stelling (B.E. Vaa Stellingis assistant professor of medicine, Department of Medicine, Mayo Clinic Alix School of Medicine, Rochester, Minnesota.), Eric J Dozois (0000-0002-2290-4735, E.J. Dozoisis professor of surgery, Department of Surgery, Mayo Clinic Alix School of Medicine, Rochester, Minnesota.), Daniel Satele (0000-0003-0795-714X, Twitter (United States)), Daniel V Satele (D.V. Sateleis statistician, Department of Health Sciences Research, Mayo Clinic, Rochester, Minnesota.), Colin P West (0000-0003-1628-5023, C.P. Westis professor of medicine, medical education, and biostatistics, and codirector, Mayo Clinic Program on Physician Well-Being, Department of Medicine, Mayo Clinic Alix School of Medicine, Rochester, Minnesota.)
Year2021
Volume96
Issue5
Pages701-708
Publication date2021-05-01
Open AccessNo
TypeARTICLE
VenueAcademic Medicine (JOURNAL)
Journal identifiersISSN: 1040-2446 • E-ISSN: 1938-808X
PublisherOxford University Press (OUP) (PUBLISHER)
DOI10.1097/acm.0000000000003790
PMID33031121
OpenAlexW3091871442
LanguageEN
Citations received5
References cited34

PURPOSE: To evaluate the relationship between help-seeking concerns and attitudes and burnout among residents. METHOD: In 2019, all residents across the 4 Mayo Clinic sites were surveyed. The survey included 2 items from the Maslach Burnout Inventory, an item from the National Comorbidity Survey Replication about likelihood of seeking professional help for a serious emotional problem, and items developed to explore residents' help-seeking behaviors and concerns. Multivariable logistic regression was conducted for each outcome variable and included age, gender, specialty, postgraduate year, site, and burnout. RESULTS: Of the 1,146 residents to whom surveys were sent, 762 (66.5%) responded. Nearly half (342/747, 45.8%) were concerned about negative consequence to their career if they went on medical leave, and one-third (247/753, 32.8%) were reluctant to seek professional help for a serious emotional concern. Of the 437 residents who had never attended a personal health appointment during scheduled work, 34.6% (151) thought it would be difficult to tell a supervising physician they needed to miss work due to a scheduled appointment. On multivariable analysis, burnout was independently associated with reporting it would be difficult to tell a supervising physician of a need to attend an appointment (odds ratio [OR] 2.32; 95% confidence interval [CI] 1.46, 3.67; P < .001), being concerned about negative consequence to their career if they went on medical leave (OR 2.09; 95% CI 1.49, 2.93; P < .001), and reluctance to seek professional care for a serious emotional problem (OR 1.65; 95% CI 1.17, 2.34; P = .004). CONCLUSIONS: Barriers to self-care and help-seeking are common among residents and may be worse among those with burnout. Strategies to reduce stigma and promote a culture of well-being are needed

Burnout · Confidence interval · Emotional exhaustion · Family medicine · Health care · Logistic regression · Odds ratio · Specialty · Clinical Psychology · Diversity and Career in Medicine · Healthcare professionals’ stress and burnout · Medicine · Nursing education and management · Psychology

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Citations per year1
Citation span2021 - 2026 (6)
Highly citedNo

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