Burned Out at the Bedside: Patient Perceptions of Physician Burnout in an Internal Medicine Resident Continuity Clinic

Journal of General Internal Medicine
Justin P LafreniereRachel B Levine

Abstract

Burnout is high among resident physicians and may be associated with suboptimal patient care and reduced empathy. To investigate the relationship between patient perceptions of empathy and enablement and physician burnout in internal medicine residents. Cross-sectional, survey-based observational study between December 2012 and March 2013 in a resident continuity clinic located within a large urban academic primary care practice in Baltimore, Maryland. Study participants were 44 PGY1-3 residents and a convenience sample of their English-speaking adult primary care patients (N = 244). Patients rated their resident physicians using the Consultation and Relational Empathy Measure (CARE) and the Patient Enablement Instrument (PEI). Residents completed the Maslach Burnout Inventory (MBI). We tested for associations between resident burnout and patients' perceptions of resident empathy (CARE) and enablement (PEI) using multilevel regression analysis. Multilevel regression analyses indicated significant positive associations between physician depersonalization scores on the MBI and patient ratings of empathy (B = 0.28, SE = 0.17, p < 0.001) and enablement (B = 0.11, SE = 0.11, p = 0.02). Emotional exhaustion scores on the MBI were not...Continue Reading

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Citations

Dec 23, 2015·Journal of General Internal Medicine·Malathi Srinivasan
Oct 8, 2019·Annals of Internal Medicine·Daniel S TawfikJohn P A Ioannidis
Apr 10, 2020·Academic Medicine : Journal of the Association of American Medical Colleges·Shaun PrenticeTaryn Elliott
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Aug 17, 2020·Academic Pediatrics·Betty B StaplesUNKNOWN Pediatric Resident Burnout-Resilience Study Consortium
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Dec 18, 2019·Pediatrics·Kathi J KemperUNKNOWN PEDIATRIC RESIDENT BURNOUT-RESILIENCE STUDY CONSORTIUM

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