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Cited by 333Healthcare professionals’ stress and burnoutHospital Admissions and OutcomesSleep and Work-Related Fatigue

Burnout and Internal Medicine Resident Work-Hour Restrictions

Gopal, Ravi, Glasheen, Jeffrey J., Miyoshi, Tom J., Prochazka, Allan V.·2005·Archives of Internal Medicine
DOI 10.1001/archinte.165.22.2595
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Abstract

BACKGROUND: Burnout is very common in internal medicine residents. Effective July 2003, all residents were restricted to work less than an average of 80 hours per week and no more than 30 hours of continuous duty for patient care and educational obligations. We evaluated rates of burnout in internal medicine residents before and after the implementation of the new work-hour restriction. METHODS: University of Colorado Health Science Center internal medicine residents were surveyed in May 2003 and May 2004. The survey contained the Maslach Burnout Inventory, organized into 3 subscales (ie, emotional exhaustion, depersonalization, and personal accomplishment); the Primary Care Evaluation of Mental Disorders depression screen; and self-reported quality of care and education. RESULTS: The response rate was 87% (121 of 139 residents) and 74% (106 of 143 residents) in 2003 and 2004, respectively. Self-reported hours worked decreased from a mean of 74.6 to 67.1 (P = .003). In 2004, 13% fewer residents experienced high emotional exhaustion (42% vs 29%; P = .03). There was a trend toward fewer residents with high depersonalization (61% vs 55%; P = .13) and fewer residents with a positive depression screen (51% vs 41%; P = .11). Personal accomplishment did not change. The assessment of self-reported quality of care did not significantly change from 2003 to 2004. Residents reported attending fewer educational conferences per month (18.99 vs 15.56; P = .01). Overall residency satisfaction decreased 6 mm on a 100-mm visual analogue score (P = .02). CONCLUSIONS: Burnout continues to be a major problem. Reducing hours may be the first step to reduce burnout but may also affect education and quality of care.

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Authors
Gopal, R., Glasheen, J. J., Miyoshi, T. J., & Prochazka, A. V.
Affiliations
University of Colorado Health (US)
ORCID
Venue
Archives of Internal Medicine
Publisher
American Medical Association (AMA)
Published
2005-12-12
Volume
165
Issue
22
Pages
2595
ISSN
0003-9926 (ISSN-L)
DOI
10.1001/archinte.165.22.2595
OpenAlex
W2157109445
Cited by
333
References
5
Citations by year
2026: 6 · 2025: 7 · 2024: 19 · 2023: 15 · 2022: 10 · 2021: 21 · 2020: 22 · 2019: 22 · 2018: 14 · 2017: 19 · 2016: 13 · 2015: 16 · 2014: 14 · 2013: 14 · 2012: 15
FWCI
31.57
Type
journal article
Language
en
Open access
closed
Locations
  • Archives of Internal Medicine (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Health Professions › General Health Professions › Healthcare professionals’ stress and burnout
  • Health Sciences › Medicine › Emergency Medicine › Hospital Admissions and Outcomes
  • Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and Work-Related Fatigue
Keywords
burnout, internal medicine residents, resident work hour restrictions, emotional exhaustion, depersonalization, personal accomplishment, depression, quality of care, resident education, Maslach Burnout Inventory
MeSH terms
Adult, Burnout, Professional, Colorado, Female, Humans, Internal Medicine, Internship and Residency, Job Satisfaction, Longitudinal Studies, Male, Personnel Staffing and Scheduling, Physicians, Prospective Studies, Quality of Health Care, Surveys and Questionnaires, Work Schedule Tolerance

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