Evidence map›Paper›PMID 34587948›Full record

ArticleBMC medical education2021

Factors influencing resilience and burnout among resident physicians - a National Survey.

Cristina Nituica, Oana Alina Bota, John Blebea, Chin-I Cheng, Gus J Slotman

Abstract read
In one paragraph

Article in BMC medical education, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 2 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

32 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Resilience enhancement interventions for disaster rescue workers: a systematic review.Scandinavian journal of trauma, resuscitation and emergency medicine · 2025
    Pooled it
  2. Pooled it
  3. Trial
  4. Predictors and contributors of burnout among hospitalists in central Michigan.Journal of healthcare risk management : the journal of the American Society for Healthcare Risk Management · 2026
    Article
  5. Care and Correct: A Rookie Approach to Resident Wellness.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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  13. The roots of resilience.Canadian medical education journal · 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

5 authors.

Cristina NituicaDepartment of Surgery, College of Medicine, Central Michigan University, 912 S Washington Ave, Suite 1, Saginaw, MI, 48601, USA. nitui1cm@cmich.edu.
Oana Alina BotaDepartment of Psychology, Education and Teacher Training, Faculty of Psychology and Education Sciences, Transylvania University, 56 Nicolae Balcescu, 500019, Brasov, BV, Romania.
John BlebeaDepartment of Surgery, College of Medicine, Central Michigan University, 912 S Washington Ave, Suite 1, Saginaw, MI, 48601, USA.
Chin-I ChengDepartment of Statistics, Actuarial, and Data Sciences, Central Michigan University, 1200 S. Franklin St., Mount Pleasant, Saginaw, MI, 48859, USA.
Gus J SlotmanDepartment of Surgery, Inspira Medical Center Vineland, Inspira Medical Group Surgical Oncology, 1505 West Sherman Avenue, Suite B, Vineland, NJ, 08360, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundResidency training exposes young physicians to a challenging and high-stress environment, making them vulnerable to burnout. Burnout syndrome not only compromises the health and wellness of resident physicians but has also been linked to prescription errors, reduction in the quality of medical care, and decreased professionalism. This study explored burnout and factors influencing resilience among U.S. resident physicians.

methodsA cross-sectional study was conducted through an online survey, which was distributed to all accredited residency programs by Accreditation Council of Graduate Medical Education (ACGME). The survey included the Connor-Davidson Resilience Scale (CD-RISC 25), Abbreviated Maslach Burnout Inventory, and socio-demographic characteristics questions. The association between burnout, resilience, and socio-demographic characteristics were examined.

resultsThe 682 respondents had a mean CD-RISC score of 72.41 (Standard Deviation = 12.1), which was equivalent to the bottom 25th percentile of the general population. Males and upper-level trainees were more resilient than females and junior residents. No significant differences in resilience were found associated with age, race, marital status, or training program type. Resilience positively correlated with personal achievement, family, and institutional support (p <  0.001) and negatively associated with emotional exhaustion and depersonalization (p <   0.001).

conclusionsHigh resilience, family, and institutional support were associated with a lower risk of burnout, supporting the need for developing a resilience training program to promote a lifetime of mental wellness for future physicians.

Indexed as

Burnout, ProfessionalInternship and ResidencyPhysiciansCross-Sectional StudiesFemaleHumansMaleSurveys and QuestionnairesBurnoutNationalResident physicianResilienceSurvey

Identifiers

PMID34587948
PMCPMC8479707

What OpenQuestion holds

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LicenceCC BY
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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.