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Changes in Burnout and Satisfaction With Work-Life Integration in Physicians and the General US Working Population Between 2011 and 2017
Open accessAbstract
Objective To evaluate the prevalence of burnout and satisfaction with work-life integration among physicians and other US workers in 2017 compared with 2011 and 2014. Participants and Methods Between October 12, 2017, and March 15, 2018, we surveyed US physicians and a probability-based sample of the US working population using methods similar to our 2011 and 2014 studies. A secondary survey with intensive follow-up was conducted in a sample of nonresponders to evaluate response bias. Burnout and work-life integration were measured using standard tools. Results Of 30,456 physicians who received an invitation to participate, 5197 (17.1%) completed surveys. Among the 476 physicians in the secondary survey of nonresponders, 248 (52.1%) responded. A comparison of responders in the 2 surveys revealed no significant differences in burnout scores ( P =.66), suggesting that participants were representative of US physicians. When assessed using the Maslach Burnout Inventory, 43.9% (2147 of 4893) of the physicians who completed the MBI reported at least one symptom of burnout in 2017 compared with 54.4% (3680 of 6767) in 2014 ( P <.001) and 45.5% (3310 of 7227) in 2011 ( P =.04). Satisfaction with work-life integration was more favorable in 2017 (42.7% [2056 of 4809]) than in 2014 (40.9% [2718 of 6651]; P <.001) but less favorable than in 2011 (48.5% [3512 of 7244]; P <.001). On multivariate analysis adjusting for age, sex, relationship status, and hours worked per week, physicians were at increased risk for burnout (odds ratio, 1.39; 95% CI, 1.26-1.54; P <.001) and were less likely to be satisfied with work-life integration (odds ratio, 0.77; 95% CI, 0.70-0.85; P <.001) than other working US adults. Conclusion Burnout and satisfaction with work-life integration among US physicians improved between 2014 and 2017, with burnout currently near 2011 levels. Physicians remain at increased risk for burnout relative to workers in other fields.
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“primary care clinicians are particularly susceptible to burnout”
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“Full details of the sampling strategy and the assessment for response bias have been previously reported, including analysis of the secondary survey results that indicated that participants were representative of US physicians.27”
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Metadata
- Authors
- Shanafelt, T. D., West, C. P., Sinsky, C., Trockel, M., Tutty, M., Satele, D. V., Carlasare, L. E., & Dyrbye, L. N.
- Affiliations
- Stanford University (US)
- Mayo Clinic (US)
- American Medical Association (US)
- Corresponding author
- Shanafelt, Tait D.
- ORCID
- Venue
- Mayo Clinic Proceedings
- Publisher
- Elsevier BV
- Published
- 2019-09
- Volume
- 94
- Issue
- 9
- Pages
- 1681-1694
- ISSN
- 0025-6196 (ISSN-L)
- OpenAlex
- W4238630029
- Cited by
- 914
- References
- 47
- Citations by year
- 2026: 57 · 2025: 63 · 2024: 106 · 2023: 139 · 2022: 133 · 2021: 180 · 2020: 169 · 2019: 53
- FWCI
- 183.23
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- Mayo Clinic Proceedings (publishedVersion, cc-by-nc-nd)
- Funders
- Stanford Medicine WellMD Center
- American Medical Association
- Topics
- Health Sciences › Health Professions › General Health Professions › Healthcare professionals’ stress and burnout
- Social Sciences › Gender Studies › Diversity and Career in Medicine
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Occupational Health and Burnout
- Keywords
- burnout, work-life integration, job satisfaction, physicians, occupational stress, Maslach Burnout Inventory, temporal trends, physician well-being, response bias, emotional exhaustion, depersonalization, reduced personal accomplishment, gender differences, physician retention, physician recruitment
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