Burnout in Pediatric Residents: Comparing Brief Screening Questions to the Maslach Burnout Inventory

Authors

Kathi J. Kemper, The Ohio State University College of Medicine
Paria M. Wilson, Children's Hospital of Pittsburgh of UPMC
Alan Schwartz, University of Cincinnati
John D. Mahan, Children's Hospital of Pittsburgh of UPMC
Maneesh Batra, University of Washington
Betty B. Staples, Duke University Medical Center
Hiliary McClafferty, Duke University
Charles J. Schubert, Cincinnati Children's Hospital Medical Center
Janet R. Serwint, Johns Hopkins University
Megan E. McCabe, Albert Einstein College of Medicine of Yeshiva University
Molly Shane, Ann and Robert Lurie Children’s Hospital
Sharon M. Unti, Ann and Robert Lurie Children’s Hospital
Sanghamitra Misra, Baylor College of Medicine
Colin Sox, Boston Children's Hospital
Violet Borowitcz, Virginia Tech
Sydney Primis, Carolinas Medical Center
Ross Myers, Case Western Reserve University
Kathy Mason, Case Western Reserve University
Miriam Stewart, Children's Hospital of Philadelphia
Lisa Zaoutis, Children's Hospital of Philadelphia
Oana Tomescu, Children's Hospital of Philadelphia
Charles J. Schubert, Cincinnati Children's Hospital Medical Center
Frances Zappalla, Crozer-Chester Medical Center
Kimberly A. Gifford, Children's Hospital at Dartmouth
Betty B. Staples, Duke University Medical Center
Jerry Rushton, Indiana University-Purdue University Indianapolis
Adam Hill, Indiana University
Kim Schneider, Indiana University
Kathleen M. Donnelly, Inova Children's Hospital
Jordan Watson, Jefferson Medical College
Janet R. Serwint, Johns Hopkins University
Jerussa Levy, Louisiana State University School of Medicine
Ann E. Burke, Wright State UniversityFollow

Document Type

Article

Publication Date

4-1-2019

Identifier/URL

41681808 (Pure); 85058647885 (Scopus)

Abstract

Background: Measuring burnout symptoms is important, but the Maslach Burnout Inventory (MBI) has 22 items. This project compared 3 single-item measures with the MBI and other factors related to burnout.Methods: Data were analyzed from the 2016 and 2017 Pediatric Resident Burnout-Resilience Study Consortium surveys, which included standard measures of perceived stress, mindfulness, resilience, and self-compassion; the MBI; and the 1- and 2-item screening questions.Results: In 2016 and 2017, data were collected from 1785/2723 (65%) and 2148/3273 (66%) eligible pediatric residents, respectively. Burnout rates on the MBI were 56% in 2016 and 54% in 2017. The Physician Work Life Study item generated estimates of burnout prevalence of 43% to 49% and, compared with the MBI for 2016 and 2017, had sensitivities of 69% to 72%, specificities of 79% to 82%, positive likelihood ratios of 3.4 to 3.8, and negative likelihood ratios of 0.35 to 0.38. The combination of an emotional exhaustion item and a depersonalization item generated burnout estimates of 53% in both years and, compared with the full MBI, had sensitivities of 85% to 87%, specificities of 84% to 85%, positive likelihood ratios of 5.7 to 6.4, and negative likelihood ratios of 0.18 for both years. Both items were significantly correlated with their parent subscales. The single items were significantly correlated with stress, mindfulness, resilience, and self-compassion.Conclusions: The 1- and 2-item screens generated prevalence estimates similar to the MBI and were correlated with variables associated with burnout. The 1- and 2-item screens may be useful for pediatric residency training programs tracking burnout symptoms and response to interventions.

DOI

10.1016/j.acap.2018.11.003

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