"It's Not Just Time Off": A Framework for Understanding Factors Promoting Recovery From Burnout Among Internal Medicine Residents

Journal of Graduate Medical Education
Nauzley C AbediniKenneth P Steinberg

Abstract

Burnout rates for internal medicine residents are among the highest of all specialties, yet little is known about how residents recover from burnout. We identified factors promoting recovery from burnout and factors that assist with the subsequent avoidance of burnout among internal medicine residents. A purposive sample of postgraduate year 2 (PGY-2), PGY-3, and recent graduates who experienced and recovered from burnout during residency participated in semistructured, 60-minute interviews from June to August 2016. Using qualitative methods derived from grounded theory, saturation of themes occurred after 25 interviews. Coding was performed in an iterative fashion and consensus was reached on major themes. Coding revealed 2 different categories of resident burnout-circumstantial and existential-with differing recovery and avoidance methods. Circumstantial burnout stemmed from self-limited circumstances and environmental triggers. Recovery from, and subsequent avoidance of, circumstantial burnout arose from (1) resolving workplace challenges; (2) nurturing personal lives; and (3) taking time off. In contrast, existential burnout stemmed from a loss of meaning in medicine and an uncertain professional role. These themes were ide...Continue Reading

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Citations

Jun 28, 2018·Emergency Medicine Journal : EMJ·Esther MurrayDanë Goodsman
Mar 8, 2019·BMJ Quality & Safety·Nathan HouchensJennifer Meddings
Feb 23, 2018·Journal of Graduate Medical Education·Abigail Ford Winkel
Nov 1, 2018·Telemedicine Journal and E-health : the Official Journal of the American Telemedicine Association·Aaron Reliford, Blessing Adebanjo
Jun 28, 2018·Journal of Graduate Medical Education·Lauren Licatino, Susan Moeschler
Jan 16, 2019·The Western Journal of Emergency Medicine·Danielle HartRochelle Zarzar
Apr 2, 2020·Journal of General Internal Medicine·Kendra A MooreLarissa R Thomas
Mar 20, 2020·The Western Journal of Emergency Medicine·Melissa ParsonsMichael Gottlieb
Jun 11, 2020·Digestive Diseases and Sciences·Andrew Ming-Liang Ong
Mar 30, 2019·Journal of General Internal Medicine·Lisa M MeeksWei Wei Lee
Jun 29, 2021·Journal of Graduate Medical Education·Tammy Hua, Jeffrey W Fuchs

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