Evidence map›Paper›PMID 33972345›Full record

ArticleBMJ open2021

Cross-sectional survey on physician burnout during the COVID-19 pandemic in Vancouver, Canada: the role of gender, ethnicity and sexual orientation.

Nadia Khan, Anita Palepu, Peter Dodek, Amy Salmon, Heather Leitch, Shannon Ruzycki, Andrea Townson, Diane Lacaille

Abstract read
In one paragraph

Article in BMJ open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 56 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
56citing papers in PubMed, 7 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

56 citing papers in PubMed, 7 syntheses or guidelines pooled it.

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  6. Physician's Burnout during the COVID-19 Pandemic: A Systematic Review and Meta-Analysis.International journal of environmental research and public health · 2023
    Pooled it
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  8. Trial
  9. Distress Profiles and Help-Seeking Behaviors Among Diverse Healthcare Workers Participating in a Mental Health Screening Program.Academic psychiatry : the journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry · 2026
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  17. Retiring trends The role of artificial intelligence in mitigating the urologist shortage in Canada.Canadian Urological Association journal = Journal de l'Association des urologues du Canada · 2025
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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.

Nadia KhanMedicine, The University of British Columbia Faculty of Medicine, Vancouver, British Columbia, Canada nakhanubc@gmail.com.ORCID 0000-0001-9823-6617
Anita PalepuMedicine, The University of British Columbia Faculty of Medicine, Vancouver, British Columbia, Canada.
Peter DodekMedicine, The University of British Columbia Faculty of Medicine, Vancouver, British Columbia, Canada.
Amy SalmonCenter for Health Evaluation and Outcomes Sciences, The University of British Columbia, Vancouver, British Columbia, Canada.
Heather LeitchMedicine, The University of British Columbia Faculty of Medicine, Vancouver, British Columbia, Canada.
Shannon RuzyckiDepartment of Medicine, Community Health Sciences, University of Calgary Cumming School of Medicine, Calgary, Alberta, Canada.
Andrea TownsonMedicine, The University of British Columbia Faculty of Medicine, Vancouver, British Columbia, Canada.
Diane LacailleDepartment of Medicine, Arthritis Research Canada, The University of British Columbia Faculty of Medicine, Vancouver, British Columbia, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo determine the prevalence of physician burnout during the pandemic and differences by gender, ethnicity or sexual orientation. DESIGN, SETTING AND

participantsWe conducted a cross-sectional survey (August-October in 2020) of internal medicine physicians at two academic hospitals in Vancouver, Canada. PRIMARY AND SECONDARY OUTCOMES: Physician burnout and its components, emotional exhaustion, depersonalisation and personal accomplishment were measured using the Maslach Burnout Inventory.

resultsThe response rate was 38% (n=302/803 respondents, 49% women,). The prevalence of burnout was 68% (emotional exhaustion 63%, depersonalisation 39%) and feeling low personal accomplishment 22%. In addition, 21% reported that they were considering quitting the profession or had quit a position. Women were more likely to report emotional exhaustion (OR 2.00, 95% CI: 1.07 to 3.73, p=0.03) and feeling low personal accomplishment (OR 2.26, 95% CI: 1.09 to 4.70, p=0.03) than men. Visible ethnic minority physicians were more likely to report feeling lower personal accomplishment than white physicians (OR 1.81, 95% CI: 1.28 to 2.55, p=0.001). There was no difference in emotional exhaustion or depersonalisation by ethnicity or sexual orientation. Physicians who reported that COVID-19 affected their burnout were more likely to report any burnout (OR: 3.74, 95% CI: 1.99 to 7.01, p<0.001) and consideration of quitting or quit (OR: 3.20, 95% CI: 1.34 to 7.66, p=0.009).

conclusionBurnout affects 2 out of 3 internal medicine physicians during the pandemic. Women, ethnic minority physicians and those who feel that COVID-19 affects burnout were more likely to report components of burnout. Further understanding of factors driving feelings of low personal accomplishment in women and ethnic minority physicians is needed.

Indexed as

Burnout, ProfessionalCOVID-19PhysiciansBurnout, PsychologicalCanadaCross-Sectional StudiesEthnicityFemaleHumansJob SatisfactionMaleMinority GroupsPandemicsSARS-CoV-2Sexual BehaviorSurveys and QuestionnairesCOVID-19general medicine (see internal medicine)human resource managementmental healthpublic health

Identifiers

PMID33972345
PMCPMC8111871

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.