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Does Personal Care Impact Burnout? An Academic Institution’s Exemplar
Purpose: To assess resident compliance with routine health
maintenance and risk of burnout at a single midwestern institution
Background: Resident physician burnout is a concern facing medical
education. It has been linked to depression, inversely correlates with job
satisfaction, and has a cumulative effect as the years of residency progress.
Correlations between suspected burnout and reduced resident personal care have
been sparsely assessed.
Methods: Residents in all specialties at the University of
Toledo were surveyed in the last academic year through an anonymous 27-item
online survey addressing health care compliance and risk of burnout (using a
non-validated index). A total of 75 surveys were completed.
Results: Up to 40% of residents had neither seen a primary care
provider nor had routine eye exams in >24 months while >30% had no dental
care in the previous 12 months. 80% of residents reported clinical duties
preceded personal wellness. 50% reported financial concerns as a contributor to
decreased wellness. 100% of residents were at risk of burnout with only 25% in
the low-risk category. Of those in the severe risk category, 80% addressed
their condition by ignoring it and had the least mental health service
Discussions: Un-aligned resident priorities may result in ignoring
oneself and one’s needs. This in turn may result in increased predisposition to
burnout. Mental, physical and financial wellness need to be assessed and
addressed by institutions regularly. Mitigation modalities, as implemented
at our institution following the survey, will need to be in place to enhance
personal care, subsequently reducing risk of burnout.
CREOG & APGO Annual Meeting, 2020, Resident, Faculty, Residency Director, Residency Coordinator, Systems-Based Practice & Improvement, Interpersonal & Communication Skills, GME, Advocacy,