Evidence map›Paper›PMID 31959669›Full record

ArticleClinical medicine & research2020

Physician Burnout, Engagement and Career Satisfaction in a Large Academic Medical Practice.

Sandhya Rao, Timothy G Ferris, Michael K Hidrue, Sara R Lehrhoff, Sara Lenz, James Heffernan, Kathleen E McKee, Marcela G Del Carmen

Abstract read
In one paragraph

Article in Clinical medicine & research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

25 citing papers in PubMed, 1 synthesis or guideline pooled it.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors.

Sandhya RaoSenior Medical Director for Population Health Management, Partners Health; Assistant Professor of Psychiatry, Harvard Medical School, Boston, MA.
Timothy G FerrisChief Executive Officer, Massachusetts General Physicians Organization; Professor of Medicine, Harvard Medical School, Boston, MA.
Michael K HidrueSenior Health Economist, Massachusetts General Physicians Organization, Boston, MA.
Sara R LehrhoffDirector of Physician Programs, Massachusetts General Hospital Physicians Organization, Boston, MA.
Sara LenzChief of Staff, Massachusetts General Physicians Organization, Boston, MA.
James HeffernanChief Financial Officer, Massachusetts General Physicians Organization, Boston, MA.
Kathleen E McKeeMassachusetts General Physicians Organization; Department of Neurology, Massachusetts General Hospital, Boston, MA.
Marcela G Del CarmenChief Medical Officer, Massachusetts General Physicians Organization; Professor of Obstetrics, Gynecology and Reproductive Biology, Harvard Medical School, Boston, MA mdelcarmen@partners.org.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo determine (1) if engagement among physicians impacted plans to stay in current role and job satisfaction, (2) what factors impact engagement and burnout, and (3) the relationship between engagement and burnout. Burnout has been described as a syndrome characterized by depersonalization, emotional exhaustion, and a sense of low personal accomplishment resulting in decreased effectiveness at work. Engagement may be regarded as the antonym to burnout and has been described as a connection to one's work characterized by dedication, vigor, and absorption.

designWe extracted data from an academic practice-wide survey conducted at two time-points and evaluated physician burnout and engagement. We used the Maslach Burnout Inventory and the Utrecht Work Engagement Scale to evaluate the association between burnout and engagement and the impact of engagement on mitigating the effect of burnout in a large physician academic faculty practice.

settingLarge academic practice

participantsAcademic physicians

methodsThe authors conducted a hospital-wide physician practice survey in 2014 and 2017 assessing physician burnout and engagement.

resultsOf eligible physicians (n=1882), 92.0% completed a survey. High levels of engagement and burnout were shown in 59.5% and 45.6%, respectively. Compared to physicians with high levels of engagement and low levels of burnout, physicians with low engagement and low burnout were less satisfied with their career (OR=0.20, 95% CI=0.11-0.35) and less likely to stay in their current role (OR=0.52, 95% CI= 0.37-0.73). Among physicians with high levels of burnout, highly engaged physicians were more satisfied (OR=0.21; 95% CI=0.12-0.36 vs OR=0.08; 95% CI=0.05-0.12) and more likely to stay in their career (OR=0.34; 95% CI=0.25-0.45 vs OR=0.27; 95% CI=0.21-0.34) than non-engaged physicians.

conclusionEngaged physicians have higher career satisfaction. There are many actionable ways to improve engagement.

Indexed as

Hospitals, TeachingJob SatisfactionPhysiciansAdultBurnout, ProfessionalFemaleHumansMaleMiddle AgedBurnoutCareer satisfactionEngagementPhysicians

Identifiers

PMID31959669
PMCPMC7153796

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.