title: Burnout in medical school deans: an uncommon problem.
abstract: OBJECTIVE
  To assess the burnout level among U.S. and Canadian medical school deans and to study how burnout relates to certain characteristics including hours worked, effectiveness, and support from family and colleagues.
  
  
  METHODS
  Questionnaires were sent in September 2006 to 100 deans who had served at least one year. The questionnaire included 13 questions from the Maslach Burnout Inventory-Human Services Survey (MBI-HSS), which measures three subcomponents of burnout: emotional exhaustion, depersonalization, and personal accomplishment.
  
  
  RESULTS
  The response rate was 90%. The median age of participants was 60; the median length of service at the current institution was four years; the median number of hours worked per week was 70.0. Deans most frequently identified school budget deficits, loss of funding, and departure of key faculty as stressors. Whereas only 11% reported being dissatisfied with their positions, 33% reported it was likely they would step down within the next two years. The predominant pattern of MBI-HSS subscale scores in participating deans was moderate emotional exhaustion, moderate depersonalization, and high personal accomplishment. Only 2% of respondents satisfied all three subscale scores for high burnout. Emotional exhaustion was significantly directly associated with work week length and number of weekend days worked and was inversely associated with spousal support, length of service, and age.
  
  
  CONCLUSIONS
  Despite having an "extreme" job, only 2% of deans exhibited high levels of burnout. A high sense of control and self-efficacy, a supportive family, increasing length of service, and increasing age may be factors which reduce burnout in deans.
authors.affiliation: Vanderbilt University School of Medicine, Nashville, Tennessee 37232-2104, USA. steven.gabbe@vanderbilt.edu
authors.forename: Steven G
authors.initials: SG
authors.lastname: Gabbe
authors.forename: Lynn E
authors.initials: LE
authors.lastname: Webb
authors.forename: Donald E
authors.initials: DE
authors.lastname: Moore
authors.forename: Frank E
authors.initials: FE
authors.lastname: Harrell
authors.forename: W Anderson
authors.initials: WA
authors.lastname: Spickard
authors.forename: Ralph
authors.initials: R
authors.lastname: Powell
mesh_terms: D000288:Administrative Personnel / Q000523:psychology*; D002055:Burnout, Professional / Q000453:epidemiology / Q000517:prevention & control* / Q000523:psychology; D002170:Canada / Q000453:epidemiology; D003430:Cross-Sectional Studies; D005180:Faculty, Medical; D005195:Family Relations; D005260:Female; D006801:Humans; D007389:Internal-External Control; D007588:Job Satisfaction; D008297:Male; D008875:Middle Aged; D015999:Multivariate Analysis; D012307:Risk Factors; D012577:Schools, Medical; D020377:Self Efficacy; D012944:Social Support; D014481:United States / Q000453:epidemiology