title: Burnout, career satisfaction, and well-being among US neurologists in 2016.
abstract: OBJECTIVE
  To study prevalence of and factors that contribute to burnout, career satisfaction, and well-being in US neurologists.
  
  
  METHODS
  A total of 4,127 US American Academy of Neurology member neurologists who had finished training were surveyed using validated measures of burnout, career satisfaction, and well-being from January 19 to March 21, 2016.
  
  
  RESULTS
  Response rate was 40.5% (1,671 of 4,127). Average age of participants was 51 years, with 65.3% male and nearly equal representation across US geographic regions. Approximately 60% of respondents had at least one symptom of burnout. Hours worked/week, nights on call/week, number of outpatients seen/week, and amount of clerical work were associated with greater burnout risk. Effective support staff, job autonomy, meaningful work, age, and subspecializing in epilepsy were associated with lower risk. Academic practice (AP) neurologists had a lower burnout rate and higher rates of career satisfaction and quality of life than clinical practice (CP) neurologists. Some factors contributing to burnout were shared between AP and CP, but some risks were unique to practice setting. Factors independently associated with profession satisfaction included meaningfulness of work, job autonomy, effectiveness of support staff, age, practicing sleep medicine (inverse relationship), and percent time in clinical practice (inverse relationship). Burnout was strongly associated with decreased career satisfaction.
  
  
  CONCLUSIONS
  Burnout is common in all neurology practice settings and subspecialties. The largest driver of career satisfaction is the meaning neurologists find in their work. The results from this survey will inform approaches needed to reduce burnout and promote career satisfaction and well-being in US neurologists.
authors.affiliation: From the Department of Neurology (N.A.B.), University of Pittsburgh School of Medicine, PA; Division of Hematology (T.D.S.), Division of Biomedical Statistics and Informatics (J.A.S.), and Department of Neurology (T.L.C.), Mayo Clinic, Rochester, MN; Member Insights Department (C.M.K.), American Academy of Neurology, Minneapolis, MN; Department of Neurology (K.H.L.), Cleveland Clinic, OH; Department of Neurology (H.B.S.), University of Rochester Medical Center, NY; Department of Neurology and Rehabilitation (J.R.M.), University of Cincinnati, OH; Department of Neurology (T.R.V.), Elkhart Clinic, IN; Department of Neurology (J.S.K.), Baylor College of Medicine, Houston, TX; and Alberta Health Services Medicine (J.M.M.), University of Alberta, Canada. busisna@upmc.edu.
authors.forename: Neil A
authors.initials: NA
authors.lastname: Busis
authors.affiliation: From the Department of Neurology (N.A.B.), University of Pittsburgh School of Medicine, PA; Division of Hematology (T.D.S.), Division of Biomedical Statistics and Informatics (J.A.S.), and Department of Neurology (T.L.C.), Mayo Clinic, Rochester, MN; Member Insights Department (C.M.K.), American Academy of Neurology, Minneapolis, MN; Department of Neurology (K.H.L.), Cleveland Clinic, OH; Department of Neurology (H.B.S.), University of Rochester Medical Center, NY; Department of Neurology and Rehabilitation (J.R.M.), University of Cincinnati, OH; Department of Neurology (T.R.V.), Elkhart Clinic, IN; Department of Neurology (J.S.K.), Baylor College of Medicine, Houston, TX; and Alberta Health Services Medicine (J.M.M.), University of Alberta, Canada.
authors.forename: Tait D
authors.initials: TD
authors.lastname: Shanafelt
authors.affiliation: From the Department of Neurology (N.A.B.), University of Pittsburgh School of Medicine, PA; Division of Hematology (T.D.S.), Division of Biomedical Statistics and Informatics (J.A.S.), and Department of Neurology (T.L.C.), Mayo Clinic, Rochester, MN; Member Insights Department (C.M.K.), American Academy of Neurology, Minneapolis, MN; Department of Neurology (K.H.L.), Cleveland Clinic, OH; Department of Neurology (H.B.S.), University of Rochester Medical Center, NY; Department of Neurology and Rehabilitation (J.R.M.), University of Cincinnati, OH; Department of Neurology (T.R.V.), Elkhart Clinic, IN; Department of Neurology (J.S.K.), Baylor College of Medicine, Houston, TX; and Alberta Health Services Medicine (J.M.M.), University of Alberta, Canada.
authors.forename: Christopher M
authors.initials: CM
authors.lastname: Keran
authors.affiliation: From the Department of Neurology (N.A.B.), University of Pittsburgh School of Medicine, PA; Division of Hematology (T.D.S.), Division of Biomedical Statistics and Informatics (J.A.S.), and Department of Neurology (T.L.C.), Mayo Clinic, Rochester, MN; Member Insights Department (C.M.K.), American Academy of Neurology, Minneapolis, MN; Department of Neurology (K.H.L.), Cleveland Clinic, OH; Department of Neurology (H.B.S.), University of Rochester Medical Center, NY; Department of Neurology and Rehabilitation (J.R.M.), University of Cincinnati, OH; Department of Neurology (T.R.V.), Elkhart Clinic, IN; Department of Neurology (J.S.K.), Baylor College of Medicine, Houston, TX; and Alberta Health Services Medicine (J.M.M.), University of Alberta, Canada.
authors.forename: Kerry H
authors.initials: KH
authors.lastname: Levin
authors.affiliation: From the Department of Neurology (N.A.B.), University of Pittsburgh School of Medicine, PA; Division of Hematology (T.D.S.), Division of Biomedical Statistics and Informatics (J.A.S.), and Department of Neurology (T.L.C.), Mayo Clinic, Rochester, MN; Member Insights Department (C.M.K.), American Academy of Neurology, Minneapolis, MN; Department of Neurology (K.H.L.), Cleveland Clinic, OH; Department of Neurology (H.B.S.), University of Rochester Medical Center, NY; Department of Neurology and Rehabilitation (J.R.M.), University of Cincinnati, OH; Department of Neurology (T.R.V.), Elkhart Clinic, IN; Department of Neurology (J.S.K.), Baylor College of Medicine, Houston, TX; and Alberta Health Services Medicine (J.M.M.), University of Alberta, Canada.
authors.forename: Heidi B
authors.initials: HB
authors.lastname: Schwarz
authors.affiliation: From the Department of Neurology (N.A.B.), University of Pittsburgh School of Medicine, PA; Division of Hematology (T.D.S.), Division of Biomedical Statistics and Informatics (J.A.S.), and Department of Neurology (T.L.C.), Mayo Clinic, Rochester, MN; Member Insights Department (C.M.K.), American Academy of Neurology, Minneapolis, MN; Department of Neurology (K.H.L.), Cleveland Clinic, OH; Department of Neurology (H.B.S.), University of Rochester Medical Center, NY; Department of Neurology and Rehabilitation (J.R.M.), University of Cincinnati, OH; Department of Neurology (T.R.V.), Elkhart Clinic, IN; Department of Neurology (J.S.K.), Baylor College of Medicine, Houston, TX; and Alberta Health Services Medicine (J.M.M.), University of Alberta, Canada.
authors.forename: Jennifer R
authors.initials: JR
authors.lastname: Molano
authors.affiliation: From the Department of Neurology (N.A.B.), University of Pittsburgh School of Medicine, PA; Division of Hematology (T.D.S.), Division of Biomedical Statistics and Informatics (J.A.S.), and Department of Neurology (T.L.C.), Mayo Clinic, Rochester, MN; Member Insights Department (C.M.K.), American Academy of Neurology, Minneapolis, MN; Department of Neurology (K.H.L.), Cleveland Clinic, OH; Department of Neurology (H.B.S.), University of Rochester Medical Center, NY; Department of Neurology and Rehabilitation (J.R.M.), University of Cincinnati, OH; Department of Neurology (T.R.V.), Elkhart Clinic, IN; Department of Neurology (J.S.K.), Baylor College of Medicine, Houston, TX; and Alberta Health Services Medicine (J.M.M.), University of Alberta, Canada.
authors.forename: Thomas R
authors.initials: TR
authors.lastname: Vidic
authors.affiliation: From the Department of Neurology (N.A.B.), University of Pittsburgh School of Medicine, PA; Division of Hematology (T.D.S.), Division of Biomedical Statistics and Informatics (J.A.S.), and Department of Neurology (T.L.C.), Mayo Clinic, Rochester, MN; Member Insights Department (C.M.K.), American Academy of Neurology, Minneapolis, MN; Department of Neurology (K.H.L.), Cleveland Clinic, OH; Department of Neurology (H.B.S.), University of Rochester Medical Center, NY; Department of Neurology and Rehabilitation (J.R.M.), University of Cincinnati, OH; Department of Neurology (T.R.V.), Elkhart Clinic, IN; Department of Neurology (J.S.K.), Baylor College of Medicine, Houston, TX; and Alberta Health Services Medicine (J.M.M.), University of Alberta, Canada.
authors.forename: Joseph S
authors.initials: JS
authors.lastname: Kass
authors.affiliation: From the Department of Neurology (N.A.B.), University of Pittsburgh School of Medicine, PA; Division of Hematology (T.D.S.), Division of Biomedical Statistics and Informatics (J.A.S.), and Department of Neurology (T.L.C.), Mayo Clinic, Rochester, MN; Member Insights Department (C.M.K.), American Academy of Neurology, Minneapolis, MN; Department of Neurology (K.H.L.), Cleveland Clinic, OH; Department of Neurology (H.B.S.), University of Rochester Medical Center, NY; Department of Neurology and Rehabilitation (J.R.M.), University of Cincinnati, OH; Department of Neurology (T.R.V.), Elkhart Clinic, IN; Department of Neurology (J.S.K.), Baylor College of Medicine, Houston, TX; and Alberta Health Services Medicine (J.M.M.), University of Alberta, Canada.
authors.forename: Janis M
authors.initials: JM
authors.lastname: Miyasaki
authors.affiliation: From the Department of Neurology (N.A.B.), University of Pittsburgh School of Medicine, PA; Division of Hematology (T.D.S.), Division of Biomedical Statistics and Informatics (J.A.S.), and Department of Neurology (T.L.C.), Mayo Clinic, Rochester, MN; Member Insights Department (C.M.K.), American Academy of Neurology, Minneapolis, MN; Department of Neurology (K.H.L.), Cleveland Clinic, OH; Department of Neurology (H.B.S.), University of Rochester Medical Center, NY; Department of Neurology and Rehabilitation (J.R.M.), University of Cincinnati, OH; Department of Neurology (T.R.V.), Elkhart Clinic, IN; Department of Neurology (J.S.K.), Baylor College of Medicine, Houston, TX; and Alberta Health Services Medicine (J.M.M.), University of Alberta, Canada.
authors.forename: Jeff A
authors.initials: JA
authors.lastname: Sloan
authors.affiliation: From the Department of Neurology (N.A.B.), University of Pittsburgh School of Medicine, PA; Division of Hematology (T.D.S.), Division of Biomedical Statistics and Informatics (J.A.S.), and Department of Neurology (T.L.C.), Mayo Clinic, Rochester, MN; Member Insights Department (C.M.K.), American Academy of Neurology, Minneapolis, MN; Department of Neurology (K.H.L.), Cleveland Clinic, OH; Department of Neurology (H.B.S.), University of Rochester Medical Center, NY; Department of Neurology and Rehabilitation (J.R.M.), University of Cincinnati, OH; Department of Neurology (T.R.V.), Elkhart Clinic, IN; Department of Neurology (J.S.K.), Baylor College of Medicine, Houston, TX; and Alberta Health Services Medicine (J.M.M.), University of Alberta, Canada.
authors.forename: Terrence L
authors.initials: TL
authors.lastname: Cascino
mesh_terms: D000046:Academic Medical Centers; D000328:Adult; D000367:Age Factors; D000368:Aged; D001291:Attitude of Health Personnel; D002055:Burnout, Professional / Q000453:epidemiology* / Q000209:etiology / Q000523:psychology; D003861:Depersonalization / Q000453:epidemiology; D005221:Fatigue / Q000453:epidemiology / Q000523:psychology; D005260:Female; D006801:Humans; D007588:Job Satisfaction; D008297:Male; D008875:Middle Aged; D015999:Multivariate Analysis; D000072141:Neurologists / Q000523:psychology* / Q000706:statistics & numerical data*; D026684:Personal Autonomy; D015995:Prevalence; D011788:Quality of Life; D014481:United States / Q000453:epidemiology