Burnout and Self-Reported Patient Care in an Internal Medicine Residency Program
Annals of Internal MedicinePublished 5 March 2002
Tait D. Shanafelt, Katharine A. Bradley, Joyce E. Wipf, Anthony L. Back
Citations2,163
SJR quartileQ1
SJR score3.38
SNIP3.27
Generate an AI Snapshot to get a quick, structured summary of this paper.
Study Snapshot
ObjectiveStudy objective
MethodsResearch methodology
PopulationPopulation studied
Sample sizeSample sizes
OutcomesStudy outcomes here
ResultsStudy results comes here
LimitationsResearch study limitations comes here
A concise AI-generated summary of the paper will appear here once you click Generate AI Snapshot.
TL;DR
The prevalence of burn out among internal medicine residents in a single university-based program is evaluated and the relationship of burnout to self-reported patient care practices is evaluated.
Abstract
Burnout was common among resident physicians and was associated with self-reported suboptimal patient care practices.
Keywords
PsychologyMedicineHealth Professions
National Academies Press eBooksTo Err Is Human
14,096 Citations2000Institute of Medicine
A process for the preparation of prostaglandins which are known pharmaceutically active compounds and then R alpha , R omega -cyclopentenoids is described.
AddictionDevelopment of the Alcohol Use Disorders Identification Test (AUDIT): WHO Collaborative Project on Early Detection of Persons with Harmful Alcohol Consumption‐II
13,260 Citations1993John B. Saunders, Olaf Gjerløw Aasland +3 more
The AUDIT provides a simple method of early detection of hazardous and harmful alcohol use in primary health care settings and is the first instrument of its type to be derived on the basis of a cross-national study.
Annual Review of PsychologyJob Burnout
12,387 Citations2001Christina Maslach, Wilmar B. Schaufeli +1 more
The focus on engagement, the positive antithesis of burnout, promises to yield new perspectives on interventions to alleviate burnout.
Maslach burnout inventory manual
7,600 Citations1996Christina Maslach, Sue Jackson +1 more
Archives of Internal MedicineThe AUDIT Alcohol Consumption Questions (AUDIT-C)<subtitle>An Effective Brief Screening Test for Problem Drinking</subtitle>
6,191 Citations1998Kristen Bush
Results: Of 393 eligible patients, 243 (62%) completed AUDIT-C and interviews, and the 2 questionnaires performed similarly for detecting heavy drinking and/or active abuse or dependence.
Journal of Applied PsychologyA meta-analytic examination of the correlates of the three dimensions of job burnout.
3,137 Citations1996Raymond T. Lee, Blake E. Ashforth
This meta-analysis examined how demand and resource correlates and behavioral and attitudinal correlates were related to each of the 3 dimensions of job burnout, finding that emotional exhaustion was more strongly related to the demand correlates than to the resource correlates.
JAMAUtility of a new procedure for diagnosing mental disorders in primary care. The PRIME-MD 1000 study
2,324 Citations1994Robert L. Spitzer
Journal of Clinical EpidemiologyResponse rates to mail surveys published in medical journals
2,098 Citations1997David A. Asch, M.Kathryn Jedrziewski +1 more
Although several mail survey techniques are associated with higher response rates, response rates to published mail surveys tend to be moderate, and investigators, journal editors, and readers should devote more attention to assessments of bias, and less to specific response rate thresholds.
JAMAUtility of a New Procedure for Diagnosing Mental Disorders in Primary Care
1,861 Citations1994Robert L. Spitzer
Primary Care Evaluation of Mental Disorders appears to be a useful tool for identifying mental disorders in primary care practice and research.
Journal of General Internal MedicineCase-finding instruments for depression
1,827 Citations1997Mary A. Whooley, Andrew L. Avins +2 more
The two-question case-finding instrument is a useful measure for detecting depression in primary care and has similar test characteristics to other case- finding instruments and is less time-consuming.
Academic MedicineThe hidden curriculum, ethics teaching, and the structure of medical education
1,693 Citations1994Frederic W. Hafferty, Rita A. Franks
The authors challenge a prevailing belief within the culture of medicine that while it may be possible to teach information about ethics, course material or even an entire curriculum can in no way decisively influence a student's personality or ensure ethical conduct.
British Journal of CancerBurnout and psychiatric disorder among cancer clinicians
630 Citations1995AJ Ramirez, Jonathon J. Graham +6 more
If 'burnout' and psychiatric disorder among cancer clinicians are to be reduced, increased resources will be required to lessen overload and to improve training in communication and management skills.
Social Science & MedicineThe correspondence of patient satisfaction and nurse burnout
499 Citations1998Michael P. Leiter, Phyllis Harvie +1 more
Although nurse cynicism was reflected in lower patient satisfaction with interactions with nursing staff, the correlations between cynicism and other aspects of care fell below statistical significance and no significant correlations were found between nurse professional efficacy and any of the patient satisfaction components measured.
BMJEmotional distress in junior house officers.
407 Citations1987Jenny Firth‐Cozens
Overwork was the most stressful aspect of their jobs, though the number of hours worked was not related to stress levels, unlike diet and sleep, and the more stressed they were the more unfavourably they viewed aspects of their job.
Journal of Behavioral MedicineBurnout, self- and supervisor-rated job performance, and absenteeism among nurses
312 Citations1995Patricia A. Parker, James A. Kulik
It is suggested that level of burnout served as a mediator of the relationships between social support and self-rated job performance, absences for mental health reasons, and intentions to quit.
Anxiety Stress & CopingThe discriminant validity of burnout and depression: A confirmatory factor analytic study
294 Citations1994Michael P. Leiter, Josette Durup
Academic MedicineSources of Stress for Residents and Recommendations for Programs to Assist Them
290 Citations2001Robert E. Levey
The author outlines essential elements of an assistance program, states how important such problems can be in saving both residents and their institutions needless difficulties and costs, and presents important issues for the consideration of all involved in residents' training.
Journal of Clinical PsychologyValidity of the Maslach burnout inventory for family practice physicians
282 Citations1986James P. Rafferty, Jeanne Parr Lemkau +2 more
Independent observers were most sensitive to residents' emotional exhaustion and less likely to assess accurately the less visible aspects of burnout related to depersonalization and lack of achievement, which suggests the usefulness of multiple measures for assessing the burnout phenomenon.
Journal of Advanced NursingBurnout in psychiatric nursing
270 Citations2001Catherine Kilfedder, Kevin G. Power +1 more
The paper discusses the implications of the findings in terms of a comprehensive approach to intervention aimed at minimizing the risk of burnout in psychiatric nurses.
Academic Emergency MedicineBurnout and Its Correlates in Emergency Physicians: Four Years' Experience with a Wellness Booth
257 Citations1996Richard M. Goldberg, R. Wayne Boss +6 more
There is evidence for a "survivor" category of practitioners for whom burnout either does not develop or is a reversible process and the projected attrition rate over 5 and 10 years appears to be no greater than that of the average medical specialty.
JAMAService Quality in Health Care
257 Citations1999John W. Kenagy
This article illustrates service quality principles by analyzing a routine encounter in health care from a service quality point of view and concludes that if high-quality service had a greater presence in practices and institutions, it would improve clinical outcomes and patient and physician satisfaction while reducing cost.
American Journal of PsychiatryPrevalence of depression and distress in a large sample of Canadian residents, interns, and fellows
214 Citations1987Kuang‐Hung Hsu, Victor F. Marshall
The prevalence of symptoms measured by the Center for Epidemiologic Studies Depression Scale (CES-D) was reported, and depression was most prevalent in the first year of postgraduate training.
Psychotherapy and PsychosomaticsPsychiatric Morbidity and Burnout in the Medical Profession: An Italian Study of General Practitioners and Hospital Physicians
197 Citations2000Luigi Grassi, Katia Magnani
The study underscores the significant problem of stress among physicians and indicates the need for supporting health professionals in order to improve their psychological well-being and, possibly, the quality of their relationship with the patients.
Annals of Internal MedicinePhysician Burnout
193 Citations2001Linda Gundersen
For the most part, burn out in physicians does not differ from that in other professions, but physicians' reactions may be unique in some respects, in part because burnout in physicians can have devastating consequences for patients.
JAMANational Survey of Internal Medicine Residency Program Directors Regarding Problem Residents
183 Citations2000David Yao
Nearly all internal medicine residency programs in this sample had problem residents, whose presenting characteristics and underlying issues were diverse and complex.
Archives of Internal MedicineA Stress Management Workshop Improves Residents' Coping Skills
182 Citations1991Jack D. McCue
It is concluded that a modest, inexpensive stress management workshop was received positively, and can lead to significant short-term improvement in stress and burnout test scores for medicine and pediatrics residents.
Journal of General Internal MedicineTeaching compassion and respect
181 Citations1999Jeffrey H. Burack, David M. Irby +3 more
Attending physicians were reluctant to respond to perceived disrespect, uncaring, or hostility toward patients by members of their medical team, and to respond in ways that avoided moral language, did not address underlying attitudes, and left room for face-saving reinterpretations.
New England Journal of MedicinePsychoactive Drug Use among Practicing Physicians and Medical Students
158 Citations1986William McAuliffe, Mary Rohman +5 more
A need for renewed professional education about the risks of drug misuse is suggested, as more physicians and medical students had used psychoactive drugs at some time than had comparable samples of pharmacists and pharmacy students.
Beyond Burnout: Helping Teachers, Nurses, Therapists and Lawyers Recover From Stress and Disillusionment
155 Citations1995Cary Cherniss
Archives of Internal MedicineDepressive Symptoms in Medical House Officers
135 Citations1985David B. Reuben
Prevalence rates fell with each successive year of training, and responses from PGY-1 and PGy-2 residents on intensive care rotations indicated prevalence rates of depressive symptoms for both groups of greater than 33%.
JAMAResident Physician Substance Use in the United States
130 Citations1991Patrick H. Hughes
Current users of benzodiazepines and opiates used these drugs primarily for self-treatment rather than recreation, and these two substances are often associated with impairment at later stages in the physician's career.
Medical CareMeasuring the Job Satisfaction of Physicians in Organized Settings
126 Citations1984Richard Lichtenstein
New measures of physician job satisfaction were developed and field tested on a population of physicians working in highly bureaucratic settings—prison health programs across the United States and demonstrated their reliability, validity, and ability to predict physicians' intentions to leave the job.
Annals of Emergency MedicineA study of occupational stress and depression among emergency physicians
115 Citations1992Michael E. Gallery, Theodore W. Whitley +3 more
The number of individuals planning to leave appeared to be greater than the number that will be replaced through residency training, and a disproportionate number reported high levels of stress and depression and plan on leaving the specialty of emergency medicine.
Annals of Internal MedicineStress and Impairment during Residency Training: Strategies for Reduction, Identification, and Management
111 Citations1988
Normal and abnormal responses to the stresses of residency training are described, and guidelines are provided for recognizing the impaired resident early and making recommendations for managing the residency program and treating the resident, should he or she become impaired.
Annals of Emergency MedicineManagement of stress and prevention of burnout in emergency physicians
104 Citations1989Kathleen Lahr Keller, William Koenig
A study to measure participating practitioners' burnout levels and to identify coping methods used by these physicians to manage stress revealed that Physicians who reported high levels of job satisfaction and personal accomplishment use a balanced number of short- and long-term coping methods in dealing with stress.
PubMedEmotional impairment in internal medicine house staff. Results of a national survey.
95 Citations1986Jay W. Smith, W F Denny +1 more
JAMAThe Ravelled Sleeve of Care
91 Citations1989John M. Colford
The literature describing the stresses experienced by residents in training, the toll these stresses may take on residents, and the suggestions that have been made for reducing these stresses are reviewed.
JAMAAlcohol-Use Patterns Through Medical School
83 Citations1987David C. Clark
Although male students consistently drank more than their female counterparts during the preclinical years, the men reduced their alcohol intake during the clinical years to converge on the lower, more consistent intake rates of their female classmates.
PubMedBurnout and career-choice regret among family practice physicians in early practice.
79 Citations1994Jeanne Parr Lemkau, James P. Rafferty +1 more
This sample of physicians in early practice reported slightly less burnout and less specialty-choice regret than a comparable sample of family practice residents, suggesting possible attenuation of burnout with the transition from training to practice.
The Journal of Infectious DiseasesFrom the Infectious Diseases Society of America. The Occurrence and Distribution of Burnout among Infectious Diseases Physicians
77 Citations1992Gloria J. Deckard, Lanis L. Hicks +1 more
The high percentage of infectious diseases physicians experiencing burnout suggests the need for further research to establish trends, to determine if other types of physicians experience similar levels of burnout, to identify casual factors, and to develop avenues to reduce stress and facilitate coping.
PubMedResident physicians in family practice: who's burned out and who knows?
57 Citations1987R R Purdy, J P Lemkau +2 more
The prevalence and patterns of burnout and difficulties in identifying affected residents are discussed in terms of the demands of residency training programs and the investment of residents and faculty in current models of medical education.
PsychosomaticsA comprehensive support system for reducing house staff distress
49 Citations1984David B. Reuben, Dennis H. Novack +2 more
The goal of the Rhode Island Hospital House Staff Support System is to reduce stress among residents by providing them with a forum for their views and by offering counseling to those who need it.
PubMedThe internship--a prospective investigation of emotions and attitudes.
48 Citations1986Donald E. Girard, Diane L. Elliot +5 more
Satisfaction with the decision to become a physician decreased during the 1982-1983 academic year, a change that correlated directly with depression and fatigue and inversely with excitement and importance.
PubMedHouse staff well-being.
39 Citations1988Martín Keller, Iris F. Litt
From a survey of 281 house-staff members of a university medical center, it was found that nearly half the respondents were afraid to complain about their training programs and were concerned that their relationship with their partner would not survive the residency.