Relationship between Resident ACE (Adverse Childhood Experience) and Resilience Scores with Burnout
Objective: Novel study to
capture the percentage of resident physicians who have experienced ACES and to
determine the relationship between number of ACES and burnout. In addition,
will determine if resiliency is a protective factor against development of
burnout.
Methods: A cross-sectional pilot survey of Kaiser San Francisco residents in
OBGYN and internal medicine conducted in the 2022-2023 academic year.
Demographics were collected. Adverse Childhood Experiences (ACE) scores were
determined by a validated questionnaire. Resilience was measured using the
validated 2-item Connor-Davidson Resilience Scale (scores range from 0-8;
higher scores indicate greater resilience). Burnout was measured by the
validated 2-item Maslach Burnout Inventory for Medical Personal (higher scores
indicate burnout).
Results: TBD
Conclusion: Adverse Childhood Events (ACEs) have lasting effects on physical
and mental health1-2. Findings from a 2016 National Survey of Children’s Health
estimate that nearly half (46%) of US children have experienced at least 1 ACE
and almost one-third of US children have experienced two or more ACEs3.
Previous research has found that physicians who report higher ACE scores had
higher reported burnout4. For the field of OBGYN, there is a residency
attrition rate of 4.2%5and a reported
resident burnout rate of 48%6. Examining risks for burn out - including
possible ACEs - may help shed light on who makes it through their medical
training and who does not. With our results we examine the relationship between
ACE score and burnout, and if there is a protective effect for those with high
resilience on mitigating reported burnout.
References:
1.Petruccelli, K., Davis., J.,
and T. Berman. (2019) Adverse childhood experiences and associated health
outcomes: A systematic review and meta-analysis. Child Abuse & Neglet. 97.
2.Sonu, S., Post, S., and J.
Feinglass. (2019) Adverse childhood experiences and the onset of chronic
disease in young adulthood. Preventative Medicine, 123: 163-170.
3.Barnes, A. J., et al. (2020)
Identifying adverse childhood experiences in pediatrics to prevent chronic
health conditions. Pediatric Research, 87: 362-370.
4.Yellowlees P, Coate L,
Misquitta R, Wetzel AE, and M. Burke Parish. (2021) The Association Between
Adverse Childhood Experiences and Burnout in a Regional Sample of Physicians.
Academic Psychiatry. 45: 159-163.
5.Kennedy, K., et al. (2013)
Attrition Rates Between Residents in Obstetrics and Gynecology and Other
Clinical Specialties, 2000-2009. J Grad Med Educ, 5 (2): 267-271.
6.Winkel, A. F., et al. (2020) A
National Curriculum to Address Professional Fulfillment and Burnout in OB-GYN
Residents. J Grad Med Educ, 12 (4): 461-468.
