Family Physician Burnout and Resilience: A Cross-Sectional Analysis
Open accessAbstract
Background and Objectives: Current physician burnout levels are at historically high levels, especially in family medicine, with many factors playing a role. The goal of this study was to understand demographic, psychological, environmental, behavioral, and workplace characteristics that impact physician wellness and burnout, focusing on family medicine physicians and residents. Methods: Survey respondents were 295 family medicine residents and faculty members across 11 residency programs within the Residency Research Network of Texas (RRNeT). Subjects completed multiple measures to assess resilience, burnout, psychological flexibility, and workplace stress. Respondents also reported personal wellness practices and demographic information. The primary outcome variables were burnout (depersonalization, emotional exhaustion, and personal achievement) and resilience. Results: The predictor variables contributed significant variance (depersonalization=27.1%, emotional exhaustion=39%, accomplishment=37.7%, resilience=37%) and resulted in large effect sizes (depersonalization f²=.371, emotional exhaustion f²=.639, accomplishment f²=.605, resilience f²=.587) among the three burnout models and the resilience model for the sample. Similar variance and effect sizes were present for independent resident and program faculty samples, with resilience being the only outcome variable with significant differences in variance between the samples. Conclusions: This study demonstrates the roles of both individual and organization change needed to impact provider wellness, with special attention to resilience across faculty and residents. The results of this study may inform workplace policies (ie, organizational practice change) and wellness programming and curricula (ie, individual level) for family medicine residents and program faculty.
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The difference in prevalence between settings is expected because burnout varies across economies, geographic regions, cultures, and ethnic groups.
“This disparity was expected given that the burnout experience is understood to be significantly varied across different economies, geographical regions [19], culture, and ethnicity [20].”
From Burnout among neurology residents during the COVID-19 pandemic: a national cross-sectional study (2022) · cites this paper as [20]
The paper describes burnout as particularly high in the Texas–Mexico border region and notes that working in underresourced areas may impose burdens that do not generalize to other areas (Introduction and Limitations; page unavailable). This lends some support to geographic variation, but the paper does not establish differences in burnout prevalence across economies or geographic regions. The citing sentence attaches a separate citation to culture and ethnicity. (LLM, conf=0.78)
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Additional file 2 of Burnout among family medicine residents: a cross-sectional nationwide study
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- Authors
- Buck, K., Williamson, M., Ogbeide, S., & Norberg, B.
- Affiliations
- Texas A&M Health Science Center (US)
- Corresponding author
- Buck, Katherine
- Venue
- Family Medicine
- Published
- 2019-09-06
- Volume
- 51
- Issue
- 8
- Pages
- 657-663
- ISSN
- 0742-3225 (ISSN-L)
- OpenAlex
- W2954666646
- Cited by
- 58
- References
- 18
- Citations by year
- 2026: 2 · 2025: 11 · 2024: 13 · 2023: 5 · 2022: 11 · 2021: 11 · 2020: 4 · 2019: 1
- FWCI
- 9.20
- Type
- journal article
- Language
- en
- Open access
- diamond
- doi.org
- Locations
- Family Medicine (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institutes of Health (UL1TR002645, TR002645)
- National Center for Advancing Translational Sciences (TR002645)
- Institute for Integration of Medicine and Science
- Topics
- Health Sciences › Health Professions › General Health Professions › Healthcare professionals’ stress and burnout
- Social Sciences › Psychology › Social Psychology › Stress and Burnout Research
- Health Sciences › Health Professions › Occupational Therapy › Occupational Health and Burnout
- Keywords
- physician burnout, resilience, family medicine residents, family medicine faculty, depersonalization, emotional exhaustion, personal accomplishment, psychological flexibility, occupational stress, physician well-being, wellness programs, organizational change
- MeSH terms
- Adult, Burnout, Professional, Cross-Sectional Studies, Family Practice, Female, Humans, Internship and Residency, Male, Physicians, Family, Surveys and Questionnaires, Stress, Psychological, Texas, Models, Statistical, Workplace, Resilience, Psychological
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