Changes in Burnout and Satisfaction with Work-Life Balance in Physicians and the General US Working Population between 2011 and 2014

Mayo Clinic Proceedings

Volumn 90, Issue 12, 2015, Pages 1600-1613

  Shanafelt, Tait D ^a   Hasan, Omar ^b   Dyrbye, Lotte N ^a   Sinsky, Christine ^b   Satele, Daniel ^a   Sloan, Jeff ^a   West, Colin P ^a  

^a MAYO CLINIC   (United States)

^b AMERICAN MEDICAL ASSOCIATION   (United States)

Author keywords

Abbreviations and Acronyms AMA American Medical Association; MBI Maslach Burnout Inventory; PMF Physician Master File; WLB work life balance

Indexed keywords

ADULT; BURNOUT; HUMAN; HUMAN TISSUE; MAJOR CLINICAL STUDY; MULTIVARIATE ANALYSIS; ODDS RATIO; PHYSICIAN; PROBABILITY; SATISFACTION; SYMPTOM; ADAPTIVE BEHAVIOR; DEPRESSION; FEMALE; JOB SATISFACTION; MALE; PREVALENCE; PSYCHOLOGY; QUESTIONNAIRE; STATISTICS AND NUMERICAL DATA; SUICIDAL IDEATION; UNITED STATES;

ADAPTATION, PSYCHOLOGICAL; ADULT; BURNOUT, PROFESSIONAL; DEPRESSION; FEMALE; HUMANS; JOB SATISFACTION; MALE; PERSONAL SATISFACTION; PHYSICIANS; PREVALENCE; SUICIDAL IDEATION; SURVEYS AND QUESTIONNAIRES; UNITED STATES;

EID: 84952838914     PISSN: 00256196     EISSN: 19425546     Source Type: Journal    
DOI: 10.1016/j.mayocp.2015.08.023     Document Type: Article

References (65)

1. T.D. Shanafelt, S. Boone, L. Tan, and et al. Burnout and satisfaction with work-life balance among US physicians relative to the general US population Arch Intern Med 172 18 2012 1377 1385
2. C.R. Horowitz, A.L. Suchman, W.T. Branch Jr.; and R.M. Frankel What do doctors find meaningful about their work? Ann Intern Med 138 9 2003 772 775
3. L.H. Clever Some things have not changed Ann Intern Med 132 1 2000 85 89
4. J.E. McMurray, E. Williams, M.D. Schwartz, and et al. Physician job satisfaction: developing a model using qualitative data. SGIM Career Satisfaction Study Group J Gen Intern Med 12 11 1997 711 714
5. C.M. Brazeau, T. Shanafelt, S.J. Durning, and et al. Distress among matriculating medical students relative to the general population Acad Med 89 11 2014 1520 1525
6. L.N. Dyrbye, C.P. West, D. Satele, and et al. Burnout among U.S. medical students, residents, and early career physicians relative to the general U.S. population Acad Med 89 3 2014 443 451
7. T.D. Shanafelt, C.M. Balch, G.J. Bechamps, and et al. Burnout and career satisfaction among American surgeons Ann Surg 250 3 2009 463 471
8. C. Maslach, S. Jackson, and M. Leiter Maslach Burnout Inventory Manual 3rd ed. 1996 Consulting Psychologists Press Palo Alto, CA
9. L.N. Dyrbye, A. Schwartz, S.M. Downing, D.W. Szydlo, J.A. Sloan, and T.D. Shanafelt Efficacy of a brief screening tool to identify medical students in distress Acad Med 86 7 2011 907 914
10. T.D. Shanafelt, S.L. Boone, L.N. Dyrbye, and et al. The medical marriage: a national survey of the spouses/partners of US physicians Mayo Clin Proc 88 3 2013 216 225
11. C.P. West, M.M. Huschka, P.J. Novotny, and et al. Association of perceived medical errors with resident distress and empathy: a prospective longitudinal study JAMA 296 9 2006 1071 1078
12. T.D. Shanafelt, C.M. Balch, G. Bechamps, and et al. Burnout and medical errors among American surgeons Ann Surg 251 6 2010 995 1000
13. C.P. West, A.D. Tan, T.M. Habermann, J.A. Sloan, and T.D. Shanafelt Association of resident fatigue and distress with perceived medical errors JAMA 302 12 2009 1294 1300
14. J. Firth-Cozens, and J. Greenhalgh Doctors' perceptions of the links between stress and lowered clinical care Soc Sci Med 44 7 1997 1017 1022
15. R. Grol, H. Mokkink, A. Smits, and et al. Work satisfaction of general practitioners and the quality of patient care Fam Pract 2 3 1985 128 135
16. J.S. Haas, E.F. Cook, A.L. Puopolo, H.R. Burstin, P.D. Cleary, and T.A. Brennan Is the professional satisfaction of general internists associated with patient satisfaction? J Gen Intern Med 15 2 2000 122 128
17. T. Shanafelt, J. Sloan, D. Satele, and C. Balch Why do surgeons consider leaving practice? J Am Coll Surg 212 3 2011 421 422
18. T.D. Shanafelt, M. Raymond, M. Kosty, and et al. Satisfaction with work-life balance and the career and retirement plans of US oncologists J Clin Oncol 32 11 2014 1127 1135
19. J.E. Wallace, J.B. Lemaire, and W.A. Ghali Physician wellness: a missing quality indicator Lancet 374 9702 2009 1714 1721
20. L.N. Dyrbye, and T.D. Shanafelt Physician burnout: a potential threat to successful health care reform JAMA 305 19 2011 2009 2010
21. L.N. Dyrbye, P. Varkey, S.L. Boone, D.V. Satele, J.A. Sloan, and T.D. Shanafelt Physician satisfaction and burnout at different career stages Mayo Clin Proc 88 12 2013 1358 1367
22. Friedberg MW, Chen PG, Van Busum KR, et al. Factors affecting physician professional satisfaction and their implications for patient care, health systems, and health policy. 2013. http://www.rand.org/content/dam/rand/pubs/research-reports/RR400/RR439/RAND-RR439.pdf. Accessed December 31, 2015.
23. (AAPOR): Aafpor. 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 December 3, 2012.
24. J.P. Rafferty, J.P. Lemkau, R.R. Purdy, and J.R. Rudisill Validity of the Maslach Burnout Inventory for family practice physicians J Clin Psychol 42 3 1986 488 492
25. R.T. Lee, and B.E. Ashforth A meta-analytic examination of the correlates of the three dimensions of job burnout J Appl Psychol 81 2 1996 123 133
26. M.P. Leiter, and J. Durup The discriminant validity of burnout and depression: a confirmatory factor analytic study Anxiety Stress Copin 7 4 1994 357 373
27. N.K. Thomas Resident burnout JAMA 292 23 2004 2880 2889
28. T.D. Shanafelt, K.A. Bradley, J.E. Wipf, and A.L. Back Burnout and self-reported patient care in an internal medicine residency program Ann Intern Med 136 5 2002 358 367
29. I.M. Rosen, P.A. Gimotty, J.A. Shea, and L.M. Bellini Evolution of sleep quantity, sleep deprivation, mood disturbances, empathy, and burnout among interns Acad Med 81 1 2006 82 85
30. C.P. West, L.N. Dyrbye, J.A. Sloan, and T.D. Shanafelt Single item measures of emotional exhaustion and depersonalization are useful for assessing burnout in medical professionals J Gen Intern Med 24 12 2009 1318 1321
31. C.P. West, L.N. Dyrbye, D.V. Satele, J.A. Sloan, and T.D. Shanafelt Concurrent validity of single-item measures of emotional exhaustion and depersonalization in burnout assessment J Gen Intern Med 27 11 2012 1445 1452
32. C.P. West, T.D. Shanafelt, and J.C. Kolars Quality of life, burnout, educational debt, and medical knowledge among internal medicine residents JAMA 306 9 2011 952 960
33. R.L. Spitzer, J.B. Williams, K. Kroenke, and et al. Utility of a new procedure for diagnosing mental disorders in primary care. The PRIME-MD 1000 study JAMA 272 22 1994 1749 1756
34. M.A. Whooley, A.L. Avins, J. Miranda, and W.S. Browner Case-finding instruments for depression: two questions are as good as many J Gen Intern Med 12 7 1997 439 445
35. P.J. Meehan, J.A. Lamb, L.E. Saltzman, and P.W. O'Carroll Attempted suicide among young adults: progress toward a meaningful estimate of prevalence Am J Psychiatry 149 1 1992 41 44
36. R.C. Kessler, G. Borges, and E.E. Walters Prevalence of and risk factors for lifetime suicide attempts in the National Comorbidity Survey Arch Gen Psychiatry 56 7 1999 617 626
37. R.C. Kessler, P. Berglund, G. Borges, M. Nock, and P.S. Wang Trends in suicide ideation, plans, gestures, and attempts in the United States, 1990-1992 to 2001-2003 JAMA 293 20 2005 2487 2495
38. L. Cooper-Patrick, R.M. Crum, and D.E. Ford Identifying suicidal ideation in general medical patients JAMA 272 22 1994 1757 1762
39. T.D. Shanafelt, C.M. Balch, L. Dyrbye, and et al. Special report: suicidal ideation among American surgeons Arch Surg 146 1 2011 54 62
40. Hawkins M. 2012 Review of physician recruiting incentives. 2012. http://www.merritthawkins.com/uploadedFiles/MerrittHawkins/Pdf/mha2012incentivesurveyPDF.pdf. Accessed May 5, 2014.
41. C.A. Sinsky, R. Willard-Grace, A.M. Schutzbank, T.A. Sinsky, D. Margolius, and T. Bodenheimer In search of joy in practice: a report of 23 high-functioning primary care practices Ann Fam Med 11 3 2013 272 278
42. M. Linzer, R. Levine, D. Meltzer, S. Poplau, C. Warde, and C.P. West 10 bold steps to prevent burnout in general internal medicine J Gen Intern Med 29 1 2014 18 20
43. M. Linzer, L. Baier Manwell, M. Mundt, and et al. Organizational climate, stress, and error in primary care: the MEMO study K. Henriksen, J.B. Battles, E.S. Marks, D.I. Lewin, Advances in Patient Safety: From Research to Implementation (Volume 1: Research Findings) 2005 Agency for Healthcare Research and Quality (US) Rockville, MD
44. T.D. Shanafelt, G. Gorringe, R. Menaker, and et al. Impact of organizational leadership on physician burnout and satisfaction Mayo Clin Proc 90 4 2015 432 440
45. T.D. Shanafelt, C.P. West, J.A. Sloan, and et al. Career fit and burnout among academic faculty Arch Intern Med 169 10 2009 990 995
46. C.P. West, L.N. Dyrbye, J.T. Rabatin, and et al. Intervention to promote physician well-being, job satisfaction, and professionalism: a randomized clinical trial JAMA Intern Med 174 4 2014 527 533
47. T.D. Shanafelt, J.A. Sloan, and T.M. Habermann The well-being of physicians Am J Med 114 6 2003 513 519
48. T.D. Shanafelt, C.P. West, G.A. Poland, N.F. LaRusso, R. Menaker, and R.S. Bahn Principles to promote physician satisfaction and work-life balance Minn Med 91 12 2008 41 43
49. L.N. Dyrbye, D. Satele, J. Sloan, and T.D. Shanafelt Utility of a brief screening tool to identify physicians in distress J Gen Intern Med 28 3 2013 421 427
50. T.D. Shanafelt, K.L. Kaups, H. Nelson, and et al. An interactive individualized intervention to promote behavioral change to increase personal well-being in US surgeons Ann Surg 259 1 2014 82 88
51. T.E. Quill, and P.R. Williamson Healthy approaches to physician stress Arch Intern Med 150 9 1990 1857 1861
52. L.H. Clever A checklist for making good choices in trying - or tranquil - times West J Med 174 1 2001 41 43
53. T. Shanafelt, H. Chung, H. White, and L.J. Lyckholm Shaping your career to maximize personal satisfaction in the practice of oncology J Clin Oncol 24 24 2006 4020 4026
54. M.S. Krasner, R.M. Epstein, H. Beckman, and et al. Association of an educational program in mindful communication with burnout, empathy, and attitudes among primary care physicians JAMA 302 12 2009 1284 1293
55. L. Fortney, C. Luchterhand, L. Zakletskaia, A. Zgierska, and D. Rakel Abbreviated mindfulness intervention for job satisfaction, quality of life, and compassion in primary care clinicians: a pilot study Ann Fam Med 11 5 2013 412 420
56. H.B. Beckman, M. Wendland, C. Mooney, and et al. The impact of a program in mindful communication on primary care physicians Acad Med 87 6 2012 815 819
57. S.M. Southwick, and D.S. Charney Resilience: The Science of Mastering Life's Greatest Challenges 2012 Cambridge University Press Cambridge, UK
58. J. Zwack, and J. Schweitzer If every fifth physician is affected by burnout, what about the other four? Resilience strategies of experienced physicians Acad Med 88 3 2013 382 389
59. T.D. Shanafelt, M.R. Oreskovich, L.N. Dyrbye, and et al. Avoiding burnout: the personal health habits and wellness practices of US surgeons Ann Surg 255 4 2012 625 633
60. C.J. Allegra, R. Hall, and G. Yothers Prevalence of burnout in the U.S. oncology community: results of a 2003 survey J Oncol Pract 1 4 2005 140 147
61. H.M. Kuerer, T.J. Eberlein, R.E. Pollock, and 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 14 11 2007 3043 3053
62. D.A. Asch, M.K. Jedrziewski, and N.A. Christakis Response rates to mail surveys published in medical journals J Clin Epidemiol 50 10 1997 1129 1136
63. D. Kasprzyk, D.E. Montaño, J.S. St Lawrence, and W.R. Phillips The effects of variations in mode of delivery and monetary incentive on physicians' responses to a mailed survey assessing STD practice patterns Eval Health Prof 24 1 2001 3 17
64. S.E. Kellerman, and J. Herold Physician response to surveys: a review of the literature Am J Prev Med 20 1 2001 61 71
65. E. Puleo, J. Zapka, M.J. White, J. Mouchawar, C. Somkin, and S. Taplin Caffeine, cajoling, and other strategies to maximize clinician survey response rates Eval Health Prof 25 2 2002 169 184