The Relationship Between Residents' Perceptions of Residency Program Leadership Team Behaviors and Resident Burnout and Satisfaction.

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Tytuł:: The Relationship Between Residents' Perceptions of Residency Program Leadership Team Behaviors and Resident Burnout and Satisfaction.
Autorzy:: Dyrbye LN; L.N. Dyrbye is professor of medicine and medical education, and co-director, Mayo Clinic Program on Physician Well-Being, Mayo Clinic, Rochester, Minnesota.
Leep Hunderfund AN; A.N. Leep Hunderfund is assistant professor of neurology, Mayo Clinic, and director for learning environment and educational culture, Mayo Clinic Alix School of Medicine, Rochester, Minnesota.
Winters RC; R.C. Winters is assistant professor of emergency medicine and medical director of professional leadership development, Mayo Clinic Care Network, Mayo Clinic, Rochester, Minnesota.
Moeschler SM; S.M. Moeschler is associate professor of anesthesiology, Mayo Clinic, Rochester, Minnesota.
Vaa Stelling BE; B.E. Vaa Stelling is assistant professor of medicine, Mayo Clinic, Rochester, Minnesota.
Dozois EJ; E.J. Dozois is professor of surgery, Mayo Clinic, Rochester, Minnesota.
Satele DV; D.V. Satele is statistician, Department of Health Sciences Research, Mayo Clinic, Rochester, Minnesota.
West CP; C.P. West is professor of medicine, medical education, and biostatistics, and co-director, Mayo Clinic Program on Physician Well-Being, Mayo Clinic, Rochester, Minnesota.
Źródło:: Academic medicine : journal of the Association of American Medical Colleges [Acad Med] 2020 Sep; Vol. 95 (9), pp. 1428-1434.
Typ publikacji:: Journal Article
Język:: English
Imprint Name(s):: Publication: Philadelphia, PA : Published for the Association of American Medical Colleges by Lippincott Williams & Wilkins
Original Publication: [Philadelphia, Pa. : Hanley & Belfus, c1989-
MeSH Terms:: Burnout, Professional*/epidemiology
Job Satisfaction*
Leadership*
Internship and Residency/*organization & administration
Physicians/*psychology
Female ; Humans ; Male ; Patient Care Team/organization & administration ; Surveys and Questionnaires ; United States
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Entry Date(s):: Date Created: 20200611 Date Completed: 20201119 Latest Revision: 20210505
Update Code:: 20240104
DOI:: 10.1097/ACM.0000000000003538
PMID:: 32520754
: Czasopismo naukowe

Purpose: To explore the relationship between residents' perceptions of residency program leadership team behaviors and resident burnout and satisfaction.
Method: In February 2019, the authors surveyed all residents across the 77 graduate medical education training programs at Mayo Clinic's multiple sites. Survey items measured residents' perceptions of program director and associate program director behaviors (using a composite residency program leadership team score), resident burnout, and resident satisfaction with the program and organization. Multivariable logistic regression was performed to evaluate relationships between these variables at the individual resident (adjusting for age, sex, postgraduate training year, program location, and specialty) and program (including only programs with at least 5 respondents) levels.
Results: Of the 1,146 residents surveyed, 762 (66.5%) responded. At the individual resident level, higher composite leadership team scores were associated with lower emotional exhaustion and depersonalization and higher overall satisfaction with the residency program and organization (all P < .001). In adjusted logistic regression models, each 1-point gain in composite leadership team score was associated with 9% lower odds of burnout, 20% higher odds of program satisfaction, and 19% higher odds of satisfaction with the organization (all P < .001). At the residency program level, higher mean composite leadership team scores were associated with a lower rate of burnout (r = -0.35, P = .03) and higher program and organization satisfaction (r = 0.67 and 0.74, respectively, both P < .001).
Conclusions: The behaviors of residency program leadership teams influence residents' burnout and satisfaction. Additional studies are needed to determine if leadership training results in improved resident well-being and satisfaction.

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