Association of Clinical Specialty With Symptoms of Burnout and Career Choice Regret Among US Resident Physicians

作者：Liselotte N. Dyrbye, Sara Emily Burke, Rachel R. Hardeman, Jeph S. Herrin, Natalie Markowitz Wittlin, Mark W. Yeazel, John F. Dovidio, Brooke A. Cunningham, Richard O. White, Sean M. Phelan, Daniel Satele, Tait D. Shanafelt, Michelle van Ryn · 发表于：JAMA · 年份：2018 · DOI：10.1001/jama.2018.12615 · 被引用次数：476 · 研究领域：Healthcare professionals’ stress and burnout、Diversity and Career in Medicine、Innovations in Medical Education

Importance: Burnout among physicians is common and has been associated with medical errors and lapses in professionalism. It is unknown whether rates for symptoms of burnout among resident physicians vary by clinical specialty and if individual factors measured during medical school relate to the risk of burnout and career choice regret during residency. Objective: To explore factors associated with symptoms of burnout and career choice regret during residency. Design, Setting, and Participants: Prospective cohort study of 4732 US resident physicians. First-year medical students were enrolled between October 2010 and January 2011 and completed the baseline questionnaire. Participants were invited to respond to 2 questionnaires; one during year 4 of medical school (January-March 2014) and the other during the second year of residency (spring of 2016). The last follow-up was on July 31, 2016. Exposures: Clinical specialty, demographic characteristics, educational debt, US Medical Licensing Examination Step 1 score, and reported levels of anxiety, empathy, and social support during medical school. Main Outcomes and Measures: Prevalence during second year of residency of reported symptoms of burnout measured by 2 single-item measures (adapted from the Maslach Burnout Inventory) and an additional item that evaluated career choice regret (defined as whether, if able to revisit career choice, the resident would choose to become a physician again). Results: Among 4696 resident physic...