title: The Burden of Burnout.
abstract: This study sought to determine burnout prevalence and factors associated with burnout in internal medicine residents after introduction of the 2011 ACGME duty hour rules. Burnout was evaluated using an anonymized, abbreviated version of the Maslach Burnout Inventory. Surveys were collected biweekly for 48 weeks during the 2013-2014 academic year. Burnout severity was compared across subgroups and time. A score of 3 or higher signified burnout. Overall, 944 of 3936 (24%) surveys were completed. The mean burnout score across all surveys was 2.8. Categorical residents had higher burnout severity than noncategorical residents (2.9 vs 2.7, P = .005). Postgraduate year 2 residents had the highest burnout severity by year (3.1, P < .001). Residents on inpatient rotations had higher burnout severity than residents on outpatient or consultation rotations (3.1 vs 2.2 vs 2.2, P < .001). Night float rotations had the highest severity (3.8). Burnout remains a significant problem even with recent duty hour modifications.
authors.affiliation: 1 Duke University Medical Center, Durham, NC.
authors.forename: Hany
authors.initials: H
authors.lastname: Elmariah
authors.affiliation: 2 Duke University, Durham, NC.
authors.forename: Samantha
authors.initials: S
authors.lastname: Thomas
authors.affiliation: 1 Duke University Medical Center, Durham, NC.|3 Durham Veterans Affairs Medical Center, Durham, NC.
authors.forename: Joel C
authors.initials: JC
authors.lastname: Boggan
authors.affiliation: 1 Duke University Medical Center, Durham, NC.
authors.forename: Aimee
authors.initials: A
authors.lastname: Zaas
authors.affiliation: 1 Duke University Medical Center, Durham, NC.
authors.forename: Jonathan
authors.initials: J
authors.lastname: Bae
mesh_terms: D002055:Burnout, Professional / Q000453:epidemiology*; D017281:Cost of Illness; D006801:Humans; D007388:Internal Medicine / Q000193:education / Q000706:statistics & numerical data; D007396:Internship and Residency / Q000706:statistics & numerical data*; D008137:Longitudinal Studies; D009657:North Carolina / Q000453:epidemiology; D010561:Personnel Staffing and Scheduling / Q000706:statistics & numerical data; D015995:Prevalence; D011795:Surveys and Questionnaires
keywords: burnout; duty hours; medical education; resident fatigue