The DOI matches its Crossref record; 11 of the 11 references it cites were found in a registry or an index.
Pediatric Resident Burnout and Attitudes Toward Patients
Abstract
BACKGROUND AND OBJECTIVES: Burnout occurs in up to 75% of resident physicians. Our study objectives were to: (1) determine the prevalence of burnout, and (2) examine the association between burnout and self-reported patient care attitudes and behaviors among pediatric residents. METHODS: A total of 258 residents (53% response rate) from 11 pediatric residency programs completed a cross-sectional Web-based survey. Burnout was measured with 2 items from the Maslach Burnout Inventory. Patient care attitudes and behaviors were measured with 7 questions from a standardized qualitative survey. χ2 and logistic regression tested the association between burnout and self-reported patient care attitudes and behavior. RESULTS: A total of 39% of respondents (mean age, 29.4 years ± 2.3 SD; 79% female; 83% white; 35% postgraduate year [PGY] -1, 34% PGY-2, and 31% PGY-3), endorsed burnout. Residents with burnout had significantly greater odds (P < .01) of reporting suboptimal patient care attitudes and behaviors, including: discharging patients to make the service more manageable (adjusted odds ratio [aOR] 4.2; 95% confidence interval [CI], 1.6–11.1), not fully discussing treatment options or answering questions (aOR 3.5; 95% CI, 1.7–7.1), making treatment or medication errors (aOR 7.1; 95% CI, 2.0–25.8), ignoring the social or personal impact of an illness (aOR 9.6; 95% CI, 3.2–28.9), and feeling guilty about how a patient was treated (aOR 6.0; 95% CI, 1.6–22.1). CONCLUSIONS: Burnout is highly prevalent among pediatric residents and is associated with self-reported negative patient care attitudes and behaviors. Residency programs should develop interventions addressing burnout and its potential negative impact on patient care.
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Cites
Burnout and self-reported patient care in an internal medicine residency program
Shanafelt, T. D., Bradley, K. A., Wipf, J. E., & Back, A. L. (2002) · Annals of Internal Medicine · doi:10.7326/0003-4819-136-5-200203050-00008 · Cited by 2,165 · cited 1×
“objectives were to: (1) determine the prevalence of burnout, and (2) examine the”
BackgroundWest, C. P., Huschka, M. M., Novotny, P. J., Sloan, J. A., Kolars, J. C., Habermann, T. M., & Shanafelt, T. D. (2006) · JAMA · doi:10.1001/jama.296.9.1071 · Cited by 1,454
Rates of medication errors among depressed and burnt out residents: prospective cohort study
Fahrenkopf, A. M., Sectish, T. C., Barger, L. K., Sharek, P. J., Lewin, D., Chiang, V. W., Edwards, S., Wiedermann, B. L., & Landrigan, C. P. (2008) · BMJ · doi:10.1136/bmj.39469.763218.be · Cited by 1,175
Physician response to surveys A review of the literature
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“In a study of first-year pediatric and medicine–pediatric residents, Olson et al 15 found that 40% endorsed ≥1 criteria for burnout.”
BackgroundResidents' Response to Duty-Hour Regulations — A Follow-up National Survey
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Impact of a brief intervention on the burnout levels of pediatric residents
Martins, A. E., Davenport, M. C., Valle, M. D. L. P. D., Lalla, S. D., Domínguez, P., Ormando, L., Ingratta, A., Gambarini, H., & Ferrero, F. (2011) · Jornal de Pediatria · doi:10.2223/jped.2127 · Cited by 81
Cited by
Prevalence of Burnout in Medical and Surgical Residents: A Meta-Analysis
Low, Z. X., Yeo, K. A., Sharma, V. K., Leung, G. K., McIntyre, R. S., Guerrero, A., Lu, B., Sin Fai Lam, C. C., Tran, B. X., Nguyen, L. H., et al. (2019) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph16091479 · Cited by 415
“Study Study Demographics Study Results MBI/Abbrev.”
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Simpkin, A. L., Khan, A., West, D. C., Garcia, B. M., Sectish, T. C., Spector, N. D., & Landrigan, C. P. (2018) · Academic Pediatrics · doi:10.1016/j.acap.2018.03.002 · Cited by 125
Williamson, K., Lank, P. M., Cheema, N., Hartman, N., Lovell, E. O., & Emergency Medicine Education Research Alliance (EMERA) (2018) · Journal of Graduate Medical Education · doi:10.4300/jgme-d-18-00155.1 · Cited by 105
Hutchins (2015) · doi:10.1097/acm.0000000000002546 · Cited by 67
Metadata
- Authors
- Baer, T. E., Feraco, A. M., Tuysuzoglu Sagalowsky, S., Williams, D., Litman, H. J., & Vinci, R. J.
- Venue
- Pediatrics
- Publisher
- American Academy of Pediatrics (AAP)
- Published
- 2017-03-01
- Volume
- 139
- Issue
- 3
- ISSN
- 0031-4005 (ISSN-L)
- 1098-4275
- OpenAlex
- W2590968554
- Cited by
- 159
- References
- 11
- FWCI
- 31.42
- Type
- journal article
- Language
- en
- Open access
- closed
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