ArticleBMJ open2022
Impact of leadership behaviour on physician well-being, burnout, professional fulfilment and intent to leave: a multicentre cross-sectional survey study.
Article in BMJ open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 43 papers, 1 of them a synthesis that pooled it.
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Who cites it
43 citing papers in PubMed, 1 synthesis or guideline pooled it.
- A global prevalence of turnover intention among doctors: a systematic review and meta-analysis.Scientific reports · 2025Pooled it
- Leadership Behavior, Values Alignment, and Future Objective Turnover Among Physicians.JAMA network open · 2026Article
- Professional Fulfillment as a Strategic Imperative for Brain Health in Neurology.Neurology. Clinical practice · 2026Review
- Perceived Social and Emotional Support from Co-Workers and Supervisors and Occupational Stress in Emergency Physicians: A Pre-Pandemic National Cross-Sectional Study from Slovenia.Journal of clinical medicine · 2026Article
- Qualitative study identifying leadership challenges encountered in real-world scholarly projects within a faculty development program.BMC medical education · 2026Article
- Radiologist burnout: AI's true black box.European radiology · 2026Review
- Factors Associated with Burnout, Low Professional Fulfillment, and Intention to Leave Among Biomedical Research Faculty.Journal of occupational and environmental medicine · 2026Article
- Insights into immunization practices: community health nurses' experiences at Fanteakwa North District child welfare clinics.BMC pediatrics · 2026Article
- A Self-Determination Perspective in Healthcare: Leader-Member Exchange and Job Satisfaction in an Italian Sample.Healthcare (Basel, Switzerland) · 2026Article
- Promoting Well-Being Among Gastroenterologists - A Call for Systemic Action.United European gastroenterology journal · 2026Review
- Post-traumatic growth and professional fulfillment among health care workers after the COVID-19 pandemic: a 2-wave longitudinal study in Japan.Journal of occupational health · 2026Article
- Short-Form Measures of Well-Being Centered Leadership for Matrixed Healthcare Systems.Journal of healthcare leadership · 2026Article
- Unethical Leadership in Critical Care Teams Can Increase Burnout Among Healthcare Professionals.Medical science monitor : international medical journal of experimental and clinical research · 2025Article
- Workplace stressors and burnout among healthcare professionals: Insights from the pandemic and implications for future public health crises.Scientific reports · 2025Article
- Why orthopaedics and trauma surgery loses part of its future workforce - a cross-sectional study of gender differences in medical students' specialty choice.BMC medical education · 2025Article
- Faculty Perspectives on Appreciation Strategies in a Neurology Department.Neurology. Clinical practice · 2025Article
- "Invert the Pyramid, Let Internists Design the Job as Pilots Do a Cockpit": The Views of General Internal Medicine Physicians on Enhancing Well-Being Through Human Factors Engineering.Journal of patient safety · 2025Article
- Is there an elephant in the Room? Burnout in orthopaedic training: A scoping review.Journal of clinical orthopaedics and trauma · 2025Article
- Ambient Documentation Technology in Clinician Experience of Documentation Burden and Burnout.JAMA network open · 2025Article
- Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo examine how perceived leadership behaviours affect burnout, professional fulfilment and intent to leave the organisation among physicians.
designAnonymous cross-sectional survey study from November 2016 to October 2018.
setting12 036 attending and resident physicians at 11 healthcare organisations participating in the Physician Wellness Academic Consortium (PWAC) were surveyed to assess burnout and professional fulfilment and their drivers.
participantsA sample of 5416 attending physicians with complete data on gender, specialty, leadership, burnout and professional fulfilment. MAIN OUTCOMES AND MEASURES: The leadership behaviour of each physician's supervisor was assessed using the Mayo Clinic Participatory Management Leadership Index and categorised in tertiles. Multivariable logistic regression analyses examined the effect of leadership behaviour rating of each physician's supervisor on burnout, professional fulfilment and intent to leave controlling for gender and specialty.
resultsThe response rate was 45% across 11 institutions. Half of the respondents were female. Professional fulfilment increased with increasing tertiles of leadership behaviour rating (19%, 34%, 47%, p<0.001). The odds of professional fulfilment were 5.8 times higher (OR=5.8, 95% CI: 5.1 to 6.59) for physicians in the top tertile compared with those in the lowest tertile. Physicians in the top tertile were also 48% less likely to be burned out (OR=0.52, 95% CI: 0.45 to 0.61) and reported 66% lower intent to leave (OR=0.34, 95% CI: 0.26 to 0.44). Individuals who rated their supervisor's leadership in upper tertiles relative to lower tertiles exhibited lower levels of burnout (18% vs 35% vs 47%, p<0.001), and intent to leave (16% vs 24% vs 50% p<0.001).
conclusionPerceived leadership behaviours have a strong relationship with burnout, professional fulfilment and intent to leave among physicians. Organisations should consider leadership development as a potential vehicle to improve physician wellness and prevent costly physician departures.
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