title: A survey of U.S. physicians and their partners regarding the impact of work-home conflict.
abstract: BACKGROUND
  Work-home conflicts (WHC) threaten work-life balance among physicians, especially those in dual career relationships. In this study, we analyzed factors associated with WHC for physicians and their employed partners.
  
  
  METHODS
  We surveyed 89,831 physicians from all specialty disciplines listed in the Physician Masterfile. Of the 7,288 (27.7 %) physicians who completed the survey, 1,644 provided the e-mail contact information of their partner. We surveyed these partners and 891 (54 %) responded. Burnout, quality of life (QOL), and depression were measured using validated instruments in both surveys. Satisfaction with career, work-life balance, and personal relationships, as well as experience of WHC were also evaluated.
  
  
  RESULTS
  WHC within the previous 3 weeks were commonly experienced by physicians and their employed partners (44.3 % and 55.7 %, respectively). On multivariate analysis, greater work hours for physicians and their employed partners were independently associated with WHC (OR 1.31 and 1.23 for each additional 10 h, respectively, both p < 0.0001). Physicians and partners who had experienced a recent WHC were more likely to have symptoms of burnout (47.1 % vs. 26.6 % for physicians with and without WHC; 42.4 % vs. 23.8 % for partners with and without WHC, both p < 0.0001).
  
  
  CONCLUSIONS
  WHC are commonly experienced by physicians and their employed partners. These conflicts may be a major contributor to personal distress for physicians and their partners.
authors.affiliation: Mayo Clinic, 200 First Street SW, Rochester, MN, 55905, USA, Dyrbye.liselotte@mayo.edu.
authors.forename: Liselotte N
authors.initials: LN
authors.lastname: Dyrbye
authors.forename: Wayne
authors.initials: W
authors.lastname: Sotile
authors.forename: Sonja
authors.initials: S
authors.lastname: Boone
authors.forename: Colin P
authors.initials: CP
authors.lastname: West
authors.forename: Litjen
authors.initials: L
authors.lastname: Tan
authors.forename: Daniel
authors.initials: D
authors.lastname: Satele
authors.forename: Jeff
authors.initials: J
authors.lastname: Sloan
authors.forename: Mick
authors.initials: M
authors.lastname: Oreskovich
authors.forename: Tait
authors.initials: T
authors.lastname: Shanafelt
mesh_terms: D002055:Burnout, Professional / Q000453:epidemiology*; D003220:Conflict, Psychological; D003863:Depression / Q000453:epidemiology / Q000209:etiology; D005192:Family Health / Q000706:statistics & numerical data; D005195:Family Relations; D005260:Female; D006306:Health Surveys; D006801:Humans; D007588:Job Satisfaction; D008297:Male; D008875:Middle Aged; D016272:Occupational Health; D010820:Physicians / Q000523:psychology*; D011788:Quality of Life; D018454:Spouses / Q000523:psychology*; D014481:United States / Q000453:epidemiology; D014940:Work Schedule Tolerance; D016526:Workload / Q000706:statistics & numerical data
references.citation: JAMA. 2002 Sep 25;288(12):1447-50
references.pmid: 12243624
references.citation: Psychosomatics. 1999 Jul-Aug;40(4):309-13
references.pmid: 10402876
references.citation: Qual Life Res. 1996 Feb;5(1):65-72
references.pmid: 8901368
references.citation: J Gen Intern Med. 2009 Dec;24(12):1318-21
references.pmid: 19802645
references.citation: Oncology. 2005;68(1):23-32
references.pmid: 15775690
references.citation: Expert Rev Pharmacoecon Outcomes Res. 2004 Oct;4(5):581-5
references.pmid: 19807551
references.citation: Lancet. 2009 Nov 14;374(9702):1714-21
references.pmid: 19914516
references.citation: JAMA. 1994 Dec 14;272(22):1749-56
references.pmid: 7966923
references.citation: Ann Surg Oncol. 2007 Nov;14(11):3043-53
references.pmid: 17828575
references.citation: JAMA. 2011 Sep 7;306(9):952-60
references.pmid: 21900135
references.citation: J Pain Symptom Manage. 2007 Dec;34(6):628-38
references.pmid: 17703910
references.citation: J Gen Intern Med. 1997 Jul;12(7):439-45
references.pmid: 9229283
references.citation: Am Sociol Rev. 2011 Apr;76(2):265-290
references.pmid: 21580799
references.citation: JAMA. 2009 Sep 23;302(12):1294-300
references.pmid: 19773564
references.citation: Qual Life Res. 1996 Dec;5(6):521-31
references.pmid: 8993098
references.citation: Bull Menninger Clin. 1993 Fall;57(4):458-65
references.pmid: 8287014
references.citation: J Gen Intern Med. 1996 Dec;11(12):729-35
references.pmid: 9016419
references.citation: Qual Life Res. 1996 Oct;5(5):469-80
references.pmid: 8973126
references.citation: Arch Surg. 2012 Oct;147(10):933-9
references.pmid: 23117833
references.citation: Surgery. 1990 Aug;108(2):125-38
references.pmid: 2382214
references.citation: Clin Pharmacol Ther. 1983 Aug;34(2):234-9
references.pmid: 6872418
references.citation: J Surg Res. 1989 Nov;47(5):379-82
references.pmid: 2811353
references.citation: Arch Intern Med. 2011 Jul 11;171(13):1207-9
references.pmid: 21747018
references.citation: Ann Intern Med. 1993 Oct 1;119(7 Pt 1):628-30
references.pmid: 8363175
references.citation: J Oncol Pract. 2005 Nov;1(4):140-7
references.pmid: 20871697
references.citation: Bull Menninger Clin. 2004 Winter;68(1):39-59
references.pmid: 15113033
references.citation: JAMA. 2006 Sep 6;296(9):1071-8
references.pmid: 16954486
references.citation: J Gen Intern Med. 1999 Mar;14(3):157-65
references.pmid: 10203621
references.citation: Ann Surg. 1993 Jul;218(1):37-46
references.pmid: 8328828
references.citation: Surgery. 2001 Oct;130(4):696-702; discussion 702-5
references.pmid: 11602901
references.citation: J Gen Intern Med. 2012 Nov;27(11):1445-52
references.pmid: 22362127
references.citation: Ann Intern Med. 2002 Mar 5;136(5):358-67
references.pmid: 11874308
references.citation: Am J Prev Med. 2001 Jan;20(1):61-7
references.pmid: 11137777
references.citation: J Clin Oncol. 2006 Feb 1;24(4):635-42
references.pmid: 16446335
references.citation: Obstet Gynecol. 2007 Apr;109(4):949-55
references.pmid: 17400859
references.citation: J Clin Epidemiol. 1997 Oct;50(10):1129-36
references.pmid: 9368521
references.citation: West J Med. 2001 Jan;174(1):37-41
references.pmid: 11154666
references.citation: Mayo Clin Proc. 2013 Mar;88(3):216-25
references.pmid: 23489448
references.citation: Arch Surg. 2009 Apr;144(4):371-6
references.pmid: 19380652
references.citation: N Engl J Med. 1989 Nov 30;321(22):1511-7
references.pmid: 2811971
references.citation: Am J Psychiatry. 1987 May;144(5):567-72
references.pmid: 3578565
references.citation: JAMA. 2012 Jun 13;307(22):2410-7
references.pmid: 22692173
references.citation: Arch Surg. 2011 Feb;146(2):211-7
references.pmid: 21339435
references.citation: Arch Intern Med. 2012 Oct 8;172(18):1377-85
references.pmid: 22911330
references.citation: Res Nurs Health. 1990 Aug;13(4):227-36
references.pmid: 2197679
references.citation: Acad Med. 1990 Sep;65(9):599-603
references.pmid: 2400480