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Professional burnout associated with physicians limiting practice

Date:
April 1, 2016
Source:
Mayo Clinic
Summary:
At a time when the nation is facing projected physician shortages, a study shows an association between burnout and declining professional satisfaction with physicians reducing the number of hours they devote to clinical practice.
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At a time when the nation is facing projected physician shortages, a Mayo Clinic study shows an association between burnout and declining professional satisfaction with physicians reducing the number of hours they devote to clinical practice. The findings appear in Mayo Clinic Proceedings.

"A dramatic increase in burnout has occurred among U.S. physicians over the last several years," says Tait Shanafelt, M.D., Mayo Clinic physician and lead author of the study. "Using independent payroll records, this study objectively found that the measured level of burnout today predicts whether physicians will cut their work hours over the next 12-24 months."

Researchers from Mayo Clinic and Sirota Survey Intelligence linked data from validated surveys assessing burnout and work satisfaction from physicians at Mayo Clinic to seven years of administrative and payroll records for doctors at the institution. Although none of the Mayo Clinic investigators had access to any identifying information, the Sirota team was able to pair the payroll data Mayo provided to survey responses. The investigators found that for every point increase in the seven-point scale measuring emotional exhaustion (a domain of burnout), there was a 40 percent greater likelihood a physician would cut back his or her work hours over the next 24 months. A similar relationship was observed for every one-point decrease in the five-point scale measuring professional satisfaction.

The longitudinal study used survey data from 1,856 physicians responding in 2011 and 2,132 physicians responding in 2013. The study included physicians on payroll at the Mayo Clinic campuses in Arizona, Florida and Minnesota. Results were adjusted for geographic site, age, sex and specialty.

"There is a societal imperative to provide physicians a better option than choosing between reducing clinical work or burning out," Dr. Shanafelt says. "Physicians reducing their professional effort due to burnout could exacerbate the already substantial U.S. physician workforce shortage as well as impact continuity of care for patients."

He says the link between burnout and cutting clinical work is particularly concerning for several primary care disciplines, such as family medicine and general internal medicine. These specialties already have the largest projected physician shortages and have some of the highest rates of burnout.

The researchers say more studies must be done to determine if the workforce reduction due to burnout is causal and to see if changes in the practice environment can reverse this trend.


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Materials provided by Mayo Clinic. Note: Content may be edited for style and length.


Journal Reference:

  1. Tait D. Shanafelt, Omar Hasan, Lotte N. Dyrbye, Christine Sinsky, Daniel Satele, Jeff Sloan, Colin P. West. Changes in Burnout and Satisfaction With Work-Life Balance in Physicians and the General US Working Population Between 2011 and 2014. Mayo Clinic Proceedings, 2015; 90 (12): 1600 DOI: 10.1016/j.mayocp.2015.08.023

Cite This Page:

Mayo Clinic. "Professional burnout associated with physicians limiting practice." ScienceDaily. ScienceDaily, 1 April 2016. <www.sciencedaily.com/releases/2016/04/160401073714.htm>.
Mayo Clinic. (2016, April 1). Professional burnout associated with physicians limiting practice. ScienceDaily. Retrieved May 23, 2017 from www.sciencedaily.com/releases/2016/04/160401073714.htm
Mayo Clinic. "Professional burnout associated with physicians limiting practice." ScienceDaily. www.sciencedaily.com/releases/2016/04/160401073714.htm (accessed May 23, 2017).

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