Evidence map›Paper›PMID 32700730›Full record

ArticleFamily practice2020

A cross-sectional study of United States family medicine residency programme director burnout: implications for mitigation efforts and future research.

Tamatha M Psenka, John R Freedy, Lisa D Mims, Alec O DeCastro, Carole R Berini, Vanessa A Diaz, Jennie B Jarrett, Terrence E Steyer

Open access · greenAbstract read
In one paragraph

Article in Family practice, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
2.2field-weighted citation impact, top 10% 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

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 15 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Article
  6. Article
  7. Observational
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.

Tamatha M PsenkaDepartment of Family Medicine, Medical University of South Carolina, Charleston, SC, USA.
John R FreedyDepartment of Family Medicine, Medical University of South Carolina, Charleston, SC, USA.
Lisa D MimsDepartment of Family Medicine, Medical University of South Carolina, Charleston, SC, USA.
Alec O DeCastroDepartment of Family Medicine, Medical University of South Carolina, Charleston, SC, USA.
Carole R BeriniDepartment of Family Medicine, Medical University of South Carolina, Charleston, SC, USA.
Vanessa A DiazDepartment of Family Medicine, Medical University of South Carolina, Charleston, SC, USA.
Jennie B JarrettDepartment of Pharmacy Practice, University of Illinois at Chicago, Chicago, IL, USA.
Terrence E SteyerDepartment of Family Medicine, Medical University of South Carolina, Charleston, SC, USA.
Medical University of South Carolina · USUniversity of Illinois Chicago · US

Funding

Proteomics CoreP30DK123704 · NIDDK · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI DON C. ROCKEY · 2020 to 2026
$8.8M
NIDDK NIH HHS P30 DK123704
6 · The paper itself

Abstract

backgroundAcademic physician burnout is concerning. Too little is known about factors associated with residency programme director burnout. Continued uncertainty risks adverse outcomes including graduate medical education leadership turnover and negative impact on recruiting and retaining under-represented minority residency programme directors.

objectiveThis study assessed symptoms of burnout (emotional exhaustion, depersonalization) and depression along with evidence-based individual and environmental risk factors in a U.S. sample of family medicine residency programme directors.

methodsThe omnibus 2018 Council of Academic Family Medicine Education Research Alliance survey was used to contact programme directors at all Accreditation Council for Graduate Medical Education accredited U.S. family medicine residency programmes via email. Descriptive data included programme director and programme characteristics, Areas of Worklife (workload, values and control), loneliness (lack companionship, feel left out and feel isolated), burnout (emotional exhaustion, depersonalization) and depressive symptoms. Chi-square tests contrasted descriptive variables with burnout and depressive symptoms. Logistic regression (LR) modelled associations between significant descriptive variables and burnout and depressive symptoms.

resultsThe survey response rate was 45.2% (268/590). Programme directors reported: emotional exhaustion (25.0%), depersonalization (10.3%) and depressive symptoms (25.3%). LR models found significant associations with emotional exhaustion (Workload: lacking time and other work-related resources); lack of companionship, depersonalization (North West Central residency region; Workload and lack of companionship) and depressive symptoms (Black/African American ethnicity).

conclusionsOne-quarter of U.S. programme directors report burnout or depressive symptoms. Future research should consider associated variables as possible intervention targets to reduce programme director distress and turnover.

Indexed as

Burnout, ProfessionalInternship and ResidencyCross-Sectional StudiesEducation, Medical, GraduateFamily PracticeHumansSurveys and QuestionnairesUnited StatesBurnoutdepressionfaculty retentionfamily medicinegraduate medical educationleadershipresearchUnited States

Identifiers

PMID32700730
PMCPMC7973070
OpenAlexW3044853143

What OpenQuestion holds

Textmetadata
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.