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Médecine du travail du personnel hospitalier

Burnout, career satisfaction, and well-being among US neurology residents and fellows in 2016

Auteur     Kerry H. Levin
Auteur     Tait D. Shanafelt
Auteur     Christopher M. Keran
Auteur     Neil A. Busis
Auteur     Laura A. Foster
Auteur     Jennifer Rose V. Molano
Auteur     Cormac A. O’Donovan
Auteur     Jeffrey B. Ratliff
Auteur     Heidi B. Schwarz
Auteur     Jeff A. Sloan
Auteur     Terrence L. Cascino
Volume     89
Numéro     5
Pages     492-501
Publication     Neurology
ISSN     1526-632X
Date     Aug 01, 2017
Résumé     OBJECTIVE: To study prevalence of and factors contributing to burnout, career satisfaction, and well-being in US neurology residents and fellows. METHODS: A total of 938 US American Academy of Neurology member neurology residents and fellows were surveyed using standardized measures of burnout, career satisfaction, and well-being from January 19 to March 21, 2016. RESULTS: Response rate was 37.7% (354/938); about 2/3 of responders were residents and 1/3 were fellows. Median age of participants was 32 years and 51.1% were female. Seventy-three percent of residents and 55% of fellows had at least one symptom of burnout, the difference largely related to higher scores for depersonalization among residents. For residents, greater satisfaction with work-life balance, meaning in work, and older age were associated with lower risk of burnout; for fellows, greater satisfaction with work-life balance and effective support staff were associated with lower risk of burnout. Trainees experiencing burnout were less likely to report career satisfaction. Career satisfaction was more likely among those reporting meaning in work and more likely for those working in the Midwest compared with the Northeast region. CONCLUSIONS: Burnout is common in neurology residents and fellows. Lack of work-life balance and lack of meaning in work were associated with reduced career satisfaction and increased risk of burnout. These results should inform approaches to reduce burnout and promote career satisfaction and well-being in US neurology trainees.

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