Burnout and satisfaction with work-life balance among US physicians relative to the general US population

Archives of Internal Medicine

Volumn 172, Issue 18, 2012, Pages 1377-1385

  Shanafelt, Tait D ^a   Boone, Sonja ^b   Tan, Litjen ^b   Dyrbye, Lotte N ^a   Sotile, Wayne ^c   Satele, Daniel ^a   West, Colin P ^a   Sloan, Jeff ^a   Oreskovich, Michael R ^d  

^a MAYO CLINIC   (United States)

^b AMERICAN MEDICAL ASSOCIATION   (United States)

^c TULANE UNIVERSITY SCHOOL OF MEDICINE   (United States)

^d UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ADULT; ARTICLE; BURNOUT; DEPRESSION; EDUCATIONAL STATUS; EMERGENCY MEDICINE; FAMILY MEDICINE; FEMALE; GENERAL PRACTICE; HUMAN; JOB SATISFACTION; MAJOR CLINICAL STUDY; MALE; MEDICAL ASSESSMENT; PHYSICIAN; PRIORITY JOURNAL; QUALITY OF LIFE; RISK FACTOR; UNITED STATES;

ADULT; AGED; BURNOUT, PROFESSIONAL; FEMALE; HUMANS; JOB SATISFACTION; MALE; MIDDLE AGED; PHYSICIANS; QUESTIONNAIRES; UNITED STATES; WORKLOAD; YOUNG ADULT;

EID: 84867338648     PISSN: 00039926     EISSN: 15383679     Source Type: Journal    
DOI: 10.1001/archinternmed.2012.3199     Document Type: Article

References (50)

1. Maslach C, Jackson S, Leiter M. Maslach Burnout Inventory Manual. 3rd ed. Palo Alto, CA: Consulting Psychologists Press; 1996.
2. Spickard A Jr, Gabbe SG, Christensen JF. Mid-career burnout in generalist and specialist physicians. JAMA. 2002;288(12):1447-1450.
3. Shanafelt TD, Balch CM, Bechamps GJ, et al. Burnout and career satisfaction among American surgeons. Ann Surg. 2009;250(3):463-471.
4. Wallace JE, Lemaire JB, Ghali WA. Physician wellness: amissing quality indicator. Lancet. 2009;374(9702):1714-1721.
5. Dyrbye LN, Massie FS Jr, Eacker A, et al. Relationship between burnout and professional conduct and attitudes among US medical students. JAMA. 2010;304(11):1173-1180.
6. Shanafelt TD, Balch CM, Bechamps G, et al. Burnout and medical errors among American surgeons. Ann Surg. 2010;251(6):995-1000.
7. Shanafelt T, Sloan J, Satele D, Balch C. Why do surgeons consider leaving practice? J Am Coll Surg. 2011;212(3):421-422.
8. Balch CM, Shanafelt TD, Sloan JA, Satele DV, Freischlag JA. Distress and career satisfaction among 14 surgical specialties, comparing academic and private practice settings. Ann Surg. 2011;254(4):558-568.
9. Shanafelt TD, Sloan JA, Habermann TM. The well-being of physicians. Am J Med. 2003;114(6):513-519.
10. Oreskovich MR, Kaups KL, Balch CM, et al. Prevalence of alcohol use disorders among American surgeons. Arch Surg. 2012;147(2):168-174.
11. Shanafelt TD, Balch CM, Dyrbye LN, et al. Special report: suicidal ideation among American surgeons. Arch Surg. 2011;146(1):54-62.
12. American Association for Public Opinion Research. Standard definitions: final dispositions of case codes and outcome rates for surveys. 2011. http://www.aapor.org/Content/aapor/AdvocacyandInitiatives/StandardsandEthics/ StandardDefinitions/StandardDefinitions2011.pdf. Accessed March 12, 2012.
13. 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. (Pubitemid 16075092)
14. Lee RT, Ashforth BE. A meta-analytic examination of the correlates of the three dimensions of job burnout. J Appl Psychol. 1996;81(2):123-133. (Pubitemid 126343851)
15. Leiter M, Durup J. The discriminant validity of burnout and depression: a confirmatory factor analytic study. Anxiety Stress Coping. 1994;7:357-373.
16. Thomas NK. Resident burnout. JAMA. 2004;292(23):2880-2889. (Pubitemid 39628236)
17. Shanafelt TD, Bradley KA, Wipf JE, Back AL. Burnout and self-reported patient care in an internal medicine residency program. Ann Intern Med. 2002;136(5):358-367. (Pubitemid 34183994)
18. Rosen IM, Gimotty PA, Shea JA, Bellini LM. Evolution of sleep quantity, sleep deprivation, mood disturbances, empathy, and burnout among interns. Acad Med. 2006;81(1):82-85. (Pubitemid 44366098)
19. West CP, Dyrbye LN, Sloan JA, Shanafelt TD. Single item measures of emotional exhaustion and depersonalization are useful for assessing burnout in medical professionals. J Gen Intern Med. 2009;24(12):1318-1321.
20. West CP, Dyrbye LN, Satele DV, Sloan JA, Shanafelt TD. Concurrent validity of single-item measures of emotional exhaustion and depersonalization in burnout assessment [published online February 24, 2012]. J Gen Intern Med. doi:10.1007/s11606-012-2015-7.
21. West CP, Shanafelt TD, Kolars JC. Quality of life, burnout, educational debt, and medical knowledge among internal medicine residents. JAMA. 2011;306(9):952-960.
22. Spitzer RL, Williams JB, Kroenke K, et al. Utility of a new procedure for diagnosing mental disorders in primary care: the PRIME-MD 1000 study. JAMA. 1994;272(22):1749-1756. (Pubitemid 24372002)
23. Whooley MA, Avins AL, Miranda J, Browner WS. Case-finding instruments for depression: two questions are as good as many. J Gen Intern Med. 1997;12(7):439-445. (Pubitemid 27300561)
24. Meehan PJ, Lamb JA, Saltzman LE, O'Carroll PW. Attempted suicide among young adults: progress toward a meaningful estimate of prevalence. Am J Psychiatry. 1992;149(1):41-44.
25. Kessler RC, Borges G, Walters EE. Prevalence of and risk factors for lifetime suicide attempts in the National Comorbidity Survey. Arch Gen Psychiatry. 1999;56(7):617-626. (Pubitemid 29315633)
26. Kessler RC, Berglund P, Borges G, Nock M, Wang PS. Trends in suicide ideation, plans, gestures, and attempts in the United States, 1990-1992 to 2001-2003. JAMA. 2005;293(20):2487-2495. (Pubitemid 40705730)
27. Cooper-Patrick L, Crum RM, Ford DE. Identifying suicidal ideation in general medical patients. JAMA. 1994;272(22):1757-1762. (Pubitemid 24372003)
28. Warde CM, Moonesinghe K, Allen W, Gelberg L. Marital and parental satisfaction of married physicians with children. J Gen Intern Med. 1999;14(3):157-165. (Pubitemid 29161773)
29. West CP, Huschka MM, Novotny PJ, et al. Association of perceived medical errors with resident distress and empathy: a prospective longitudinal study. JAMA. 2006;296(9):1071-1078. (Pubitemid 44343527)
30. Grol R, Mokkink H, Smits A, et al. Work satisfaction of general practitioners and the quality of patient care. Fam Pract. 1985;2(3):128-135. (Pubitemid 15017587)
31. Linn LS, Brook RH, Clark VA, Davies AR, Fink A, Kosecoff J. Physician and patient satisfaction as factors related to the organization of internal medicine group practices. Med Care. 1985;23(10):1171-1178. (Pubitemid 16255032)
32. Haas JS, Cook EF, Puopolo AL, Burstin HR, Cleary PD, Brennan TA. Is the professional satisfaction of general internists associated with patient satisfaction? J Gen Intern Med. 2000;15(2):122-128. (Pubitemid 30100225)
33. Firth-Cozens J, Greenhalgh J. Doctors' perceptions of the links between stress and lowered clinical care. Soc Sci Med. 1997;44(7):1017-1022. (Pubitemid 27129936)
34. Melville A. Job satisfaction in general practice: implications for prescribing. Soc Sci Med Med Psychol Med Sociol. 1980;14A(6):495-499. (Pubitemid 11178913)
35. DiMatteo MR, Sherbourne CD, Hays RD, et al. Physicians' characteristics influence patients' adherence to medical treatment: results from the Medical Outcomes Study. Health Psychol. 1993;12(2):93-102.
36. Dyrbye LN, Shanafelt TD. Physician burnout: a potential threat to successful health care reform. JAMA. 2011;305(19):2009-2010.
37. McCue JD, Sachs CL. A stress management workshop improves residents' coping skills. Arch Intern Med. 1991;151(11):2273-2277.
38. Jones JW, Barge BN, Steffy BD, Fay LM, Kunz LK, Wuebker LJ. Stress and medical malpractice: organizational risk assessment and intervention. J Appl Psychol. 1988;73(4):727-735.
39. Dunn PM, Arnetz BB, Christensen JF, Homer L. Meeting the imperative to improve physician well-being: assessment of an innovative program. J Gen Intern Med. 2007;22(11):1544-1552. (Pubitemid 47568693)
40. Shapiro SL, Astin JA, Bishop SR, Cordova M. Mindfulness-based stress reduction for health care professionals: results from a randomized trial. Int J Stress Manag. 2005;12:164-176. (Pubitemid 40855671)
41. Epstein RM. Mindful practice. JAMA. 1999;282(9):833-839. (Pubitemid 29408934)
42. Krasner MS, Epstein RM, Beckman H, et al. Association of an educational program in mindful communication with burnout, empathy, and attitudes among primary care physicians. JAMA. 2009;302(12):1284-1293.
43. Rabow MW, McPhee SJ. Doctoring to Heal: fostering well-being among physicians through personal reflection. West J Med. 2001;174(1):66-69. (Pubitemid 32110982)
44. Allegra CJ, Hall R, Yothers G. Prevalence of burnout in the U.S. oncology community: results of a 2003 survey. J Oncol Pract. 2005;1(4):140-147.
45. Kuerer HM, Eberlein TJ, Pollock RE, et al. Career satisfaction, practice patterns and burnout among surgical oncologists: report on the quality of life of members of the Society of Surgical Oncology. Ann Surg Oncol. 2007;14(11):3043-3053. (Pubitemid 47594298)
46. Asch DA, Jedrziewski MK, Christakis NA. Response rates to mail surveys published in medical journals. J Clin Epidemiol. 1997;50(10):1129-1136. (Pubitemid 27477990)
47. Kellerman SE, Herold J. Physician response to surveys: a review of the literature. Am J Prev Med. 2001;20(1):61-67. (Pubitemid 32013069)
48. Ramirez AJ, Graham J, Richards MA, Cull A, Gregory WM. Mental health of hospital consultants: the effects of stress and satisfaction at work. Lancet. 1996;347(9003):724-728. (Pubitemid 26085647)
49. Soler JK, Yaman H, Esteva M, et al European General Practice Research Network Burnout Study Group. Burnout in European family doctors: the EGPRN study. Fam Pract. 2008;25(4):245-265.
50. Thommasen HV, Lavanchy M, Connelly I, Berkowitz J, Grzybowski S. Mental health, job satisfaction, and intention to relocate: opinions of physicians in rural British Columbia. Can Fam Physician. 2001;47:737-744. (Pubitemid 126484581)