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Burnout, career satisfaction, and well-being among US neurology residents and fellows in 2016.

Abstract To study prevalence of and factors contributing to burnout, career satisfaction, and well-being in US neurology residents and fellows.
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Journal Title neurology
Publication Year Start




PMID- 28667180
OWN - NLM
STAT- Publisher
DA  - 20170701
LR  - 20170701
IS  - 1526-632X (Electronic)
IS  - 0028-3878 (Linking)
DP  - 2017 Jun 30
TI  - Burnout, career satisfaction, and well-being among US neurology residents and
      fellows in 2016.
LID - 10.1212/WNL.0000000000004135 [pii]
LID - 10.1212/WNL.0000000000004135 [doi]
AB  - OBJECTIVE: To study prevalence of and factors contributing to burnout, career
      satisfaction, and well-being in US neurology residents and fellows. METHODS: A
      total of 938 US American Academy of Neurology member neurology residents and
      fellows were surveyed using standardized measures of burnout, career
      satisfaction, and well-being from January 19 to March 21, 2016. RESULTS: Response
      rate was 37.7% (354/938); about 2/3 of responders were residents and 1/3 were
      fellows. Median age of participants was 32 years and 51.1% were female.
      Seventy-three percent of residents and 55% of fellows had at least one symptom of
      burnout, the difference largely related to higher scores for depersonalization
      among residents. For residents, greater satisfaction with work-life balance,
      meaning in work, and older age were associated with lower risk of burnout; for
      fellows, greater satisfaction with work-life balance and effective support staff 
      were associated with lower risk of burnout. Trainees experiencing burnout were
      less likely to report career satisfaction. Career satisfaction was more likely
      among those reporting meaning in work and more likely for those working in the
      Midwest compared with the Northeast region. CONCLUSIONS: Burnout is common in
      neurology residents and fellows. Lack of work-life balance and lack of meaning in
      work were associated with reduced career satisfaction and increased risk of
      burnout. These results should inform approaches to reduce burnout and promote
      career satisfaction and well-being in US neurology trainees.
CI  - (c) 2017 American Academy of Neurology.
FAU - Levin, Kerry H
AU  - Levin KH
AD  - From the Department of Neurology (K.H.L.), Cleveland Clinic, OH; Division of
      Hematology (T.D.S.), Division of Biomedical Statistics and Informatics (J.A.S.), 
      and Department of Neurology (T.L.C.), Mayo Clinic, Rochester, MN; Member Insights
      Department (C.M.K.), American Academy of Neurology, Minneapolis, MN; Department
      of Neurology (N.A.B.), University of Pittsburgh School of Medicine, PA;
      Department of Neurology (L.A.F.), Brigham and Women's Hospital, Boston, MA;
      Department of Neurology and Rehabilitation Medicine (J.R.V.M.), University of
      Cincinnati College of Medicine, OH; Department of Neurology (C.A.O.), Wake Forest
      University, Winston-Salem, NC; Department of Neurology (J.B.R.), Thomas Jefferson
      University, Philadelphia, PA; and Department of Neurology (H.B.S.), University of
      Rochester School of Medicine and Dentistry, NY. [email protected]
FAU - Shanafelt, Tait D
AU  - Shanafelt TD
AD  - From the Department of Neurology (K.H.L.), Cleveland Clinic, OH; Division of
      Hematology (T.D.S.), Division of Biomedical Statistics and Informatics (J.A.S.), 
      and Department of Neurology (T.L.C.), Mayo Clinic, Rochester, MN; Member Insights
      Department (C.M.K.), American Academy of Neurology, Minneapolis, MN; Department
      of Neurology (N.A.B.), University of Pittsburgh School of Medicine, PA;
      Department of Neurology (L.A.F.), Brigham and Women's Hospital, Boston, MA;
      Department of Neurology and Rehabilitation Medicine (J.R.V.M.), University of
      Cincinnati College of Medicine, OH; Department of Neurology (C.A.O.), Wake Forest
      University, Winston-Salem, NC; Department of Neurology (J.B.R.), Thomas Jefferson
      University, Philadelphia, PA; and Department of Neurology (H.B.S.), University of
      Rochester School of Medicine and Dentistry, NY.
FAU - Keran, Christopher M
AU  - Keran CM
AD  - From the Department of Neurology (K.H.L.), Cleveland Clinic, OH; Division of
      Hematology (T.D.S.), Division of Biomedical Statistics and Informatics (J.A.S.), 
      and Department of Neurology (T.L.C.), Mayo Clinic, Rochester, MN; Member Insights
      Department (C.M.K.), American Academy of Neurology, Minneapolis, MN; Department
      of Neurology (N.A.B.), University of Pittsburgh School of Medicine, PA;
      Department of Neurology (L.A.F.), Brigham and Women's Hospital, Boston, MA;
      Department of Neurology and Rehabilitation Medicine (J.R.V.M.), University of
      Cincinnati College of Medicine, OH; Department of Neurology (C.A.O.), Wake Forest
      University, Winston-Salem, NC; Department of Neurology (J.B.R.), Thomas Jefferson
      University, Philadelphia, PA; and Department of Neurology (H.B.S.), University of
      Rochester School of Medicine and Dentistry, NY.
FAU - Busis, Neil A
AU  - Busis NA
AD  - From the Department of Neurology (K.H.L.), Cleveland Clinic, OH; Division of
      Hematology (T.D.S.), Division of Biomedical Statistics and Informatics (J.A.S.), 
      and Department of Neurology (T.L.C.), Mayo Clinic, Rochester, MN; Member Insights
      Department (C.M.K.), American Academy of Neurology, Minneapolis, MN; Department
      of Neurology (N.A.B.), University of Pittsburgh School of Medicine, PA;
      Department of Neurology (L.A.F.), Brigham and Women's Hospital, Boston, MA;
      Department of Neurology and Rehabilitation Medicine (J.R.V.M.), University of
      Cincinnati College of Medicine, OH; Department of Neurology (C.A.O.), Wake Forest
      University, Winston-Salem, NC; Department of Neurology (J.B.R.), Thomas Jefferson
      University, Philadelphia, PA; and Department of Neurology (H.B.S.), University of
      Rochester School of Medicine and Dentistry, NY.
FAU - Foster, Laura A
AU  - Foster LA
AD  - From the Department of Neurology (K.H.L.), Cleveland Clinic, OH; Division of
      Hematology (T.D.S.), Division of Biomedical Statistics and Informatics (J.A.S.), 
      and Department of Neurology (T.L.C.), Mayo Clinic, Rochester, MN; Member Insights
      Department (C.M.K.), American Academy of Neurology, Minneapolis, MN; Department
      of Neurology (N.A.B.), University of Pittsburgh School of Medicine, PA;
      Department of Neurology (L.A.F.), Brigham and Women's Hospital, Boston, MA;
      Department of Neurology and Rehabilitation Medicine (J.R.V.M.), University of
      Cincinnati College of Medicine, OH; Department of Neurology (C.A.O.), Wake Forest
      University, Winston-Salem, NC; Department of Neurology (J.B.R.), Thomas Jefferson
      University, Philadelphia, PA; and Department of Neurology (H.B.S.), University of
      Rochester School of Medicine and Dentistry, NY.
FAU - Molano, Jennifer Rose V
AU  - Molano JRV
AD  - From the Department of Neurology (K.H.L.), Cleveland Clinic, OH; Division of
      Hematology (T.D.S.), Division of Biomedical Statistics and Informatics (J.A.S.), 
      and Department of Neurology (T.L.C.), Mayo Clinic, Rochester, MN; Member Insights
      Department (C.M.K.), American Academy of Neurology, Minneapolis, MN; Department
      of Neurology (N.A.B.), University of Pittsburgh School of Medicine, PA;
      Department of Neurology (L.A.F.), Brigham and Women's Hospital, Boston, MA;
      Department of Neurology and Rehabilitation Medicine (J.R.V.M.), University of
      Cincinnati College of Medicine, OH; Department of Neurology (C.A.O.), Wake Forest
      University, Winston-Salem, NC; Department of Neurology (J.B.R.), Thomas Jefferson
      University, Philadelphia, PA; and Department of Neurology (H.B.S.), University of
      Rochester School of Medicine and Dentistry, NY.
FAU - O'Donovan, Cormac A
AU  - O'Donovan CA
AD  - From the Department of Neurology (K.H.L.), Cleveland Clinic, OH; Division of
      Hematology (T.D.S.), Division of Biomedical Statistics and Informatics (J.A.S.), 
      and Department of Neurology (T.L.C.), Mayo Clinic, Rochester, MN; Member Insights
      Department (C.M.K.), American Academy of Neurology, Minneapolis, MN; Department
      of Neurology (N.A.B.), University of Pittsburgh School of Medicine, PA;
      Department of Neurology (L.A.F.), Brigham and Women's Hospital, Boston, MA;
      Department of Neurology and Rehabilitation Medicine (J.R.V.M.), University of
      Cincinnati College of Medicine, OH; Department of Neurology (C.A.O.), Wake Forest
      University, Winston-Salem, NC; Department of Neurology (J.B.R.), Thomas Jefferson
      University, Philadelphia, PA; and Department of Neurology (H.B.S.), University of
      Rochester School of Medicine and Dentistry, NY.
FAU - Ratliff, Jeffrey B
AU  - Ratliff JB
AD  - From the Department of Neurology (K.H.L.), Cleveland Clinic, OH; Division of
      Hematology (T.D.S.), Division of Biomedical Statistics and Informatics (J.A.S.), 
      and Department of Neurology (T.L.C.), Mayo Clinic, Rochester, MN; Member Insights
      Department (C.M.K.), American Academy of Neurology, Minneapolis, MN; Department
      of Neurology (N.A.B.), University of Pittsburgh School of Medicine, PA;
      Department of Neurology (L.A.F.), Brigham and Women's Hospital, Boston, MA;
      Department of Neurology and Rehabilitation Medicine (J.R.V.M.), University of
      Cincinnati College of Medicine, OH; Department of Neurology (C.A.O.), Wake Forest
      University, Winston-Salem, NC; Department of Neurology (J.B.R.), Thomas Jefferson
      University, Philadelphia, PA; and Department of Neurology (H.B.S.), University of
      Rochester School of Medicine and Dentistry, NY.
FAU - Schwarz, Heidi B
AU  - Schwarz HB
AD  - From the Department of Neurology (K.H.L.), Cleveland Clinic, OH; Division of
      Hematology (T.D.S.), Division of Biomedical Statistics and Informatics (J.A.S.), 
      and Department of Neurology (T.L.C.), Mayo Clinic, Rochester, MN; Member Insights
      Department (C.M.K.), American Academy of Neurology, Minneapolis, MN; Department
      of Neurology (N.A.B.), University of Pittsburgh School of Medicine, PA;
      Department of Neurology (L.A.F.), Brigham and Women's Hospital, Boston, MA;
      Department of Neurology and Rehabilitation Medicine (J.R.V.M.), University of
      Cincinnati College of Medicine, OH; Department of Neurology (C.A.O.), Wake Forest
      University, Winston-Salem, NC; Department of Neurology (J.B.R.), Thomas Jefferson
      University, Philadelphia, PA; and Department of Neurology (H.B.S.), University of
      Rochester School of Medicine and Dentistry, NY.
FAU - Sloan, Jeff A
AU  - Sloan JA
AD  - From the Department of Neurology (K.H.L.), Cleveland Clinic, OH; Division of
      Hematology (T.D.S.), Division of Biomedical Statistics and Informatics (J.A.S.), 
      and Department of Neurology (T.L.C.), Mayo Clinic, Rochester, MN; Member Insights
      Department (C.M.K.), American Academy of Neurology, Minneapolis, MN; Department
      of Neurology (N.A.B.), University of Pittsburgh School of Medicine, PA;
      Department of Neurology (L.A.F.), Brigham and Women's Hospital, Boston, MA;
      Department of Neurology and Rehabilitation Medicine (J.R.V.M.), University of
      Cincinnati College of Medicine, OH; Department of Neurology (C.A.O.), Wake Forest
      University, Winston-Salem, NC; Department of Neurology (J.B.R.), Thomas Jefferson
      University, Philadelphia, PA; and Department of Neurology (H.B.S.), University of
      Rochester School of Medicine and Dentistry, NY.
FAU - Cascino, Terrence L
AU  - Cascino TL
AD  - From the Department of Neurology (K.H.L.), Cleveland Clinic, OH; Division of
      Hematology (T.D.S.), Division of Biomedical Statistics and Informatics (J.A.S.), 
      and Department of Neurology (T.L.C.), Mayo Clinic, Rochester, MN; Member Insights
      Department (C.M.K.), American Academy of Neurology, Minneapolis, MN; Department
      of Neurology (N.A.B.), University of Pittsburgh School of Medicine, PA;
      Department of Neurology (L.A.F.), Brigham and Women's Hospital, Boston, MA;
      Department of Neurology and Rehabilitation Medicine (J.R.V.M.), University of
      Cincinnati College of Medicine, OH; Department of Neurology (C.A.O.), Wake Forest
      University, Winston-Salem, NC; Department of Neurology (J.B.R.), Thomas Jefferson
      University, Philadelphia, PA; and Department of Neurology (H.B.S.), University of
      Rochester School of Medicine and Dentistry, NY.
LA  - eng
PT  - Journal Article
DEP - 20170630
PL  - United States
TA  - Neurology
JT  - Neurology
JID - 0401060
EDAT- 2017/07/02 06:00
MHDA- 2017/07/02 06:00
CRDT- 2017/07/02 06:00
PHST- 2016/12/19 [received]
PHST- 2017/04/03 [accepted]
AID - WNL.0000000000004135 [pii]
AID - 10.1212/WNL.0000000000004135 [doi]
PST - aheadofprint
SO  - Neurology. 2017 Jun 30. pii: 10.1212/WNL.0000000000004135. doi:
      10.1212/WNL.0000000000004135.

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