Evidence map›Paper›PMID 32488344›Full record

ArticleJournal of patient-reported outcomes2020

Describing the emotional exhaustion, depersonalization, and low personal accomplishment symptoms associated with Maslach Burnout Inventory subscale scores in US physicians: an item response theory analysis.

Keri J S Brady, Pengsheng Ni, R Christopher Sheldrick, Mickey T Trockel, Tait D Shanafelt, Susannah G Rowe, Jeffrey I Schneider, Lewis E Kazis

Open access · goldAbstract read
In one paragraph

Article in Journal of patient-reported outcomes, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed, 1 pooled it
12.9field-weighted citation impact, top 1% of its field
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

37 citing papers in PubMed, 1 synthesis or guideline pooled it, 87 citations in OpenAlex.

  1. Pooled it
  2. Understanding Work-Related Burnout and Its Determinants Among Healthcare Professionals in Saudi Arabia: A Cross-Sectional Study.Medical science monitor : international medical journal of experimental and clinical research · 2026
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  3. Observational
  4. Review
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  16. The Impact of a Commensality Intervention on Physician Burnout.Hawai'i journal of health & social welfare · 2024
    Article
  17. Article
  18. Article
  19. Resident Burnout on the Internal Medicine Ward.Journal of general internal medicine · 2024
    Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 2 institutions in 1 country.

Keri J S BradyHealth Law, Policy & Management Department, Boston University School of Public Health, 715 Albany Street, Boston, MA, USA. kjbrady@bu.edu.ORCID https://orcid.org/0000-0001-6417-0840
Pengsheng NiHealth Law, Policy & Management Department, Boston University School of Public Health, 715 Albany Street, Boston, MA, USA.
R Christopher SheldrickHealth Law, Policy & Management Department, Boston University School of Public Health, 715 Albany Street, Boston, MA, USA.
Mickey T TrockelDepartment of Psychiatry and Behavioral Sciences, Stanford University, 401 Quarry Road, Stanford, CA, USA.
Tait D ShanafeltStanford Medicine WellMD Center, Stanford University, 300 Pasteur Drive, Suite H3215, Stanford, CA, USA.
Susannah G RoweBoston Medical Center, 1 Boston Medical Center Place, Boston, MA, USA.
Jeffrey I SchneiderBoston Medical Center, 1 Boston Medical Center Place, Boston, MA, USA.
Lewis E KazisHealth Law, Policy & Management Department, Boston University School of Public Health, 715 Albany Street, Boston, MA, USA.
Boston University · USStanford Medicine · US

Funding

Health Assessment Lab 2018-2019 Alvin R. Tarlov & John E. Ware Jr. Doctoral Dissertation Award in Patient Reported Outcomes
6 · The paper itself

Abstract

purposeCurrent US health policy discussions regarding physician burnout have largely been informed by studies employing the Maslach Burnout Inventory (MBI); yet, there is little in the literature focused on interpreting MBI scores. We described the burnout symptoms and precision associated with MBI scores in US physicians.

methodsUsing item response theory (IRT) analyses of secondary, cross-sectional survey data, we created response profiles describing the probability of burnout symptoms associated with US physicians' MBI emotional exhaustion (EE), depersonalization (DP), and personal accomplishment (PA) subscale scores. Response profiles were mapped to raw subscale scores and used to predict symptom endorsements at mean scores and commonly used cut-points.

resultsThe average US physician was likely to endorse feeling he/she is emotionally drained, used up, frustrated, and working too hard and all PA indicators once weekly or more but was unlikely to endorse feeling any DP symptoms once weekly or more. At the commonly used EE and DP cut-points of 27 and 10, respectively, a physician was unlikely to endorse feeling burned out or any DP symptoms once weekly or more. Each subscale assessed the majority of sample score ranges with ≥ 0.70 reliability.

conclusionsWe produced a crosswalk mapping raw MBI subscale scores to scaled scores and response profiles calibrated in a US physician sample. Our results can be used to better understand the meaning and precision of MBI scores in US physicians; compare individual/group MBI scores against a reference population of US physicians; and inform the selection of subscale cut-points for defining categorical physician burnout outcomes.

Indexed as

Burnout measurementHealth outcome measurementPerson-centered outcome measurementPhysician burnoutPhysician well-being

Identifiers

PMID32488344
PMCPMC7266903
OpenAlexW3030255254

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.