Racial/ethnic differences in burnout: a systematic review
Open accessAbstract
Background Awareness of burnout and its implications within the medical field has been growing. However, an understanding of the prevalence and consequences of burnout among underrepresented minority (URM), specifically underrepresented minority in medicine (UiM) populations, is not readily available. Objective To examine literature investigating burnout among UiM compared to non-UiM, with particular attention to which measures of burnout are currently being used for which racial/ethnic groups. Methods The authors identified peer-reviewed articles, published in English through systematic examination using PubMed, PsycINFO, Countway Discovery Medicine, and Web of Science databases. Studies meeting the inclusion criteria were summarized and study quality was assessed. Results Sixteen studies assessing racial/ethnic differences in burnout were eligible for inclusion. Nearly all studies were cross-sectional (n = 15) in design and conducted among populations in North America (n = 15). Most studies examined burnout among medical students or physicians and used the Maslach Burnout Inventory. Differences in burnout among UiM and non-UiM are inconclusive, although several studies have nuanced findings. Conclusion Increased focus on burnout measurement, conceptualization, and mitigation among UiM populations may be useful in improving recruitment, retention, and thriving.
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A systematic review conducted with underrepresented minorities in medicine (Lawrence et al., 2022) reported this issue.
“This issue was also reported by a systematic review conducted with under represented minorities in medicine (Lawrence et al., 2022), therefore caution with the interpretation of the findings is required.”
From Psychosocial risk and protective factors associated with burnout in police officers: A systematic review (2023) · cites this paper as Lawrence et al., 2022
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References 72 · Cited by 112
Research works printed but not linked: 53
- [1]Glasheen JJ Misky GJ Reid MB Harrison RA Sharpe B Auerbach A Career satisfaction and burnout in academic hospital medicine Arch Intern Med 2011 171 8 782 790 10.1001/archinternmed.2011.153 21518949 · DOI
- [2]Shanafelt TD West CP Sloan JA Novotny PJ Poland GA Menaker R Rummans TA Dyrbye LN Career fit and burnout among academic faculty Arch Intern Med 2009 169 10 990 995 19468093
- [3]Rassolian M Peterson LE Fang B Knight HC Peabody MR Baxley EG Workplace factors associated with burnout of family physicians JAMA Intern Med 2017 177 7 1036 1038 28492847 PMC5543312
- [4]Shanafelt TD Boone S Tan L Dyrbye LN Sotile W Satele D West CP Sloan J Oreskovich MR Burnout and satisfaction with work-life balance among US physicians relative to the general US population JAMA Intern Med 2012 172 18 1377 1385 10.1001/archinternmed.2012.3199 22911330 · DOI · Paper page
- [6]Rothenberger DA Physician burnout and well-being: a systematic review and framework for action Dis Colon Rectum 2017 60 6 567 576 28481850
- [7]Schindler BA Novack DH Cohen DG Yager J Wang D Shaheen NJ Guze P Wilkerson LA Drossman DA The impact of the changing health care environment on the health and well-being of faculty at four medical schools Acad Med 2006 81 1 27 34 16377815
- [8]Lowenstein SR Fernandez G Crane LA Medical school faculty discontent: prevalence and predictors of intent to leave academic careers BMC Med Educ 2007 7 1 37 17935631 PMC2194670
- [9]Windover AK Martinez K Mercer MB Neuendorf K Boissy A Rothberg MB Correlates and outcomes of physician burnout within a large academic medical center JAMA Intern Med 2018 178 6 856 858 29459945 PMC5885154
- [10]Shanafelt TD, Hasan O, Dyrbye LN, Sinsky C, Satele D, Sloan J et al., editors. Changes in burnout and satisfaction with work-life balance in physicians and the general US working population between 2011 and 2014. Mayo Clinic Proceedings; 2015: Elsevier. 26653297
- [12]Rotenstein LS Torre M Ramos MA Rosales RC Guille C Sen S Mata DA Prevalence of burnout among physicians: a systematic review Jama. 2018 320 11 1131 1150 30326495 PMC6233645
- [13]Ishak WW Lederer S Mandili C Nikravesh R Seligman L Vasa M Burnout during residency training: a literature review J Grad Med Educ 2009 1 2 236 242 10.4300/JGME-D-09-00054.1 21975985 PMC2931238 · DOI · Paper page
- [15]Dewa CS Loong D Bonato S Thanh NX Jacobs P How does burnout affect physician productivity? A systematic literature review BMC Health Serv Res 2014 14 1 325 25066375 PMC4119057
- [16]Dyrbye LN Shanafelt TD Physician burnout: a potential threat to successful health care reform Jama. 2011 305 19 2009 2010 21586718
- [17]Oreskovich MR Kaups KL Balch CM Hanks JB Satele D Sloan J Meredith C Buhl A Dyrbye LN Shanafelt TD Prevalence of alcohol use disorders among American surgeons Arch Surg 2012 147 2 168 174 22351913
- [18]Shanafelt TD Balch CM Dyrbye L Bechamps G Russell T Satele D Rummans T Swartz K Novotny PJ Sloan J Oreskovich MR Special report: suicidal ideation among American surgeons Arch Surg 2011 146 1 54 62 21242446
- [19]Odom KL Roberts LM Johnson RL Cooper LA Exploring obstacles to and opportunities for professional success among ethnic minority medical students Acad Med 2007 82 2 146 153 17264692
- [20]Hardeman RR Przedworski JM Burke S Burgess DJ Perry S Phelan S Dovidio JF van Ryn M Association between perceived medical school diversity climate and change in depressive symptoms among medical students: a report from the medical student CHANGE study J Natl Med Assoc 2016 108 4 225 235 27979008 PMC5171227
- [21]Peterson NB Friedman RH Ash AS Franco S Carr PL Faculty self-reported experience with racial and ethnic discrimination in academic medicine J Gen Intern Med 2004 19 3 259 265 15009781 PMC1492150
- [22]Nunez-Smith M Pilgrim N Wynia M Desai MM Jones BA Bright C Krumholz HM Bradley EH Race/ethnicity and workplace discrimination: results of a national survey of physicians J Gen Intern Med 2009 24 11 1198 1204 19727966 PMC2771235
- [24]National Academies of Sciences, Engineering, and Medicine Promising practices for addressing the underrepresentation of women in science, engineering, and medicine: Opening Doors 2020 Washington The National Academies Press 32134611
- [28]Rafferty JP Lemkau JP Purdy RR Rudisill JR Validity of the Maslach Burnout Inventory for family practice physicians J Clin Psychol 1986 42 3 488 492 3711351
- [32]Koeske GF Koeske RD Construct validity of the Maslach Burnout Inventory: a critical review and reconceptualization J Appl Behav Sci 1989 25 2 131 144 10.1177/0021886389252004 · DOI
- [34]Reis D Xanthopoulou D Tsaousis I Measuring job and academic burnout with the Oldenburg Burnout Inventory (OLBI): factorial invariance across samples and countries Burn Res 2015 2 1 8 18 10.1016/j.burn.2014.11.001 · DOI
- [37]Pines AM Aronson E Career burnout 1988 New York Free Press
- [38]Veritas Health Innovation Covidence systematic review software 2017 VIC Veritas Health Innovation Melbourne
- [40]Pololi LH Evans AT Civian JT Gibbs BK Coplit LD Gillum LH Brennan RT Faculty vitality-surviving the challenges facing academic health centers: a national survey of medical faculty Acad Med 2015 90 7 930 936 25692560
- [41]Primack BA Dilmore TC Switzer GE Bryce CL Seltzer DL Li J Landsittel DP Kapoor WN Rubio DM Burnout among early career clinical investigators Clin Transl Sci 2010 3 4 186 188 10.1111/j.1752-8062.2010.00202.x 20718821 PMC2925292 · DOI
- [43]Meredith LS Hackbarth NS Darling J Rodriguez HP Stockdale SE Cordasco KM Emotional exhaustion in primary care during early implementation of the VA’s medical home transformation: Patient-aligned Care Team (PACT) Med Care 2015 53 3 253 260 10.1097/mlr.0000000000000303 25675403 · DOI
- [44]Weintraub AS Geithner EM Stroustrup A Waldman ED Compassion fatigue, burnout and compassion satisfaction in neonatologists in the US J Perinatol: official journal of the California Perinatal Association 2016 36 11 1021 1026 10.1038/jp.2016.121 27490191 · DOI
- [45]Kroll H Macaulay T Jesse M A Preliminary survey examining predictors of burnout in pain medicine physicians in the United States Pain Physician 2016 19 5 E689 27389112
- [46]Keswani RN Taft TH Coté GA Keefer L Increased levels of stress and burnout are related to decreased physician experience and to interventional gastroenterology career choice: findings from a US survey of endoscopists Am J Gastroenterol 2011 106 10 1734 1740 21979198
- [47]Cossman JS Street D Mississippi burnout part II: satisfaction, autonomy and work/family balance J Miss State Med Assoc 2009 50 10 338 345 20830962
- [48]Afzal KI Khan FM Mulla Z Akins R Ledger E Giordano FL Primary language and cultural background as factors in resident burnout in medical specialties: a study in a bilingual US city South Med J 2010 103 7 607 615 20531049
- [49]Cook AF Arora VM Rasinski KA Curlin FA Yoon JD The prevalence of medical student mistreatment and its association with burnout Acad Med: journal of the Association of American Medical Colleges 2014 89 5 749 754 PMC4401419 24667503
- [50]Dyrbye LN Thomas MR Eacker A Harper W Massie FS Jr Power DV Race, ethnicity, and medical student well-being in the United States Arch Intern Med 2007 167 19 2103 2109 10.1001/archinte.167.19.2103 17954805 · DOI
- [51]Dyrbye LN Thomas MR Huschka MM Lawson KL Novotny PJ Sloan JA Shanafelt TD A multicenter study of burnout, depression, and quality of life in minority and nonminority US medical students Mayo Clin Proc 2006 81 11 1435 1442 10.4065/81.11.1435 17120398 · DOI
- [53]Fang DZ Young CB Golshan S Moutier C Zisook S Burnout in premedical undergraduate students Acad Psychiatry: the journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry 2012 36 1 11 16 10.1176/appi.ap.10080125 22362430 · DOI
- [54]Dyrbye LN Power DV Massie FS Eacker A Harper W Thomas MR Szydlo DW Sloan JA Shanafelt TD Factors associated with resilience to and recovery from burnout: a prospective, multi-institutional study of US medical students Med Educ 2010 44 10 1016 1026 10.1111/j.1365-2923.2010.03754.x 20880371 · DOI
- [55]Dyrbye LN Thomas MR Harper W Massie FS Power DV Eacker A The learning environment and medical student burnout: a multicentre study Med Educ 2009 43 3 274 282 10.1111/j.1365-2923.2008.03282.x 19250355 · DOI
- [57]Pololi L Cooper LA Carr P Race, disadvantage and faculty experiences in academic medicine J Gen Intern Med 2010 25 12 1363 1369 20697960 PMC2988158
- [58]Carr PL Palepu A Szalacha L Caswell C Inui T ‘Flying below the radar’: a qualitative study of minority experience and management of discrimination in academic medicine Med Educ 2007 41 6 601 609 17518841
- [59]Cora-Bramble D Zhang K Castillo-Page L Minority faculty members’ resilience and academic productivity: are they related? Acad Med 2010 85 9 1492 1498 20453809
- [60]Hassouneh D Lutz KF Beckett AK Junkins EP Jr Horton LL The experiences of underrepresented minority faculty in schools of medicine Medi Educ Online 2014 19 1 24768 PMC4255094 25472784
- [62]Zambrana RE, Valdez RB, Pittman CT, Bartko T, Weber L, Parra-Medina D. Workplace stress and discrimination effects on the physical and depressive symptoms of underrepresented minority faculty. Stress Health. 2020. 10.1002/smi.2983. 32926523 · DOI
- [67]Leiter M Preventing workplace burnout: why resilience is not enough InPsych: The Bulletin of the Australian Psychological Society 2018 40 3 24
- [70]Friedman MJ Post-Vietnam syndrome: recognition and management Psychosomatics. 1981 22 11 931 942 7313050
- [71]Dean W Simon Talbot AD Reframing clinician distress: moral injury not burnout Fed Pract 2019 36 9 400 402 31571807 PMC6752815
- [72]Mehta P Mehta J Reframing clinician distress: moral injury not burnout Fed Pract 2019 36 11 504 506 31892771 PMC6913604
- [73]Padgett L Ascensao JL Reframing clinician distress: moral injury not burnout Fed Pract: for the Health Care Professionals of the VA, Dod, and PHS 2019 36 11 502 504 PMC6913606 31892770
- [74]Cowger TL Davis BA Etkins OS Makofane K Lawrence JA Bassett MT Comparison of weighted and unweighted population data to assess inequities in coronavirus disease 2019 deaths by race/ethnicity reported by the US Centers for Disease Control and Prevention JAMA Netw Open 2020 3 7 e2016933 32721026 PMC7388022
- [75]Goitein L Shanafelt TD Nathens AB Curtis JR Effects of resident work hour limitations on faculty professional lives J Gen Intern Med 2008 23 7 1077 1083 18612748 PMC2517910
- [76]Golub JS Johns MM III Weiss PS Ramesh AK Ossoff RH Burnout in academic faculty of otolaryngology—head and neck surgery Laryngoscope 2008 118 11 1951 1956 18797419
- [77]Dyrbye LN Thomas MR Power DV Durning S Moutier C Massie FS Burnout and serious thoughts of dropping out of medical school: a multi-institutional study Acad Med 2010 85 1 94 102 10.1097/acm.0b013e3181c46aad 20042833 · DOI · Paper page
- Authors
- Lawrence, J. A., Davis, B. A., Corbette, T., Hill, E. V., Williams, D. R., & Reede, J. Y.
- Affiliations
- Harvard University (US)
- Corresponding author
- Lawrence, Jourdyn A.
- Venue
- Journal of Racial and Ethnic Health Disparities
- Published
- 2021-01-11
- Volume
- 9
- Issue
- 1
- Pages
- 257-269
- ISSN
- 2196-8837 (ISSN-L)
- 2197-3792
- PMC
- PMC7799165
- OpenAlex
- W3118509181
- Cited by
- 112
- References
- 72
- Citations by year
- 2026: 16 · 2025: 29 · 2024: 17 · 2023: 24 · 2022: 17 · 2021: 9
- FWCI
- 3.37
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- Journal of Racial and Ethnic Health Disparities (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Aetna Foundation (18-8601)
- Topics
- Health Sciences › Health Professions › General Health Professions › Healthcare professionals’ stress and burnout
- Social Sciences › Gender Studies › Diversity and Career in Medicine
- Social Sciences › Psychology › Social Psychology › Stress and Burnout Research
- Keywords
- burnout, underrepresented minorities in medicine, racial and ethnic differences, medical students, physicians, Maslach Burnout Inventory, burnout measurement, health disparities, recruitment and retention
- MeSH terms
- Burnout, Psychological, Burnout, Professional, Humans, Minority Groups, Physicians, Students, Medical
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