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Burnout and Association With Resident Performance as Assessed by Pediatric Milestones: An Exploratory Study.

Publication ,  Journal Article
Staples, BB; Burke, AE; Batra, M; Kemper, KJ; Schwartz, A; Wilson, PM; Schubert, CJ; Mahan, JD; Serwint, JR ...
Published in: Acad Pediatr
March 2021

INTRODUCTION: Prior work demonstrating that burnout is associated with decreased performance in medical trainees has relied on self-report and/or single-site studies. We explored the relationship between burnout status and Milestones-based scores in pediatric residents nationally. METHODS: In April to June 2016, we confidentially surveyed residents using the Maslach Burnout Inventory. Separately, programs submitted resident Milestones scores in June 2016. We examined the relationship between burnout and performance as assessed by Milestones scores for each domain of competence. We performed multivariate analysis to determine which components of burnout (depersonalization [DP], emotional exhaustion, and lack of personal accomplishment [PA]) were most impactful. RESULTS: About 1494 of 2368 (63%) residents at 32 programs completed the Maslach Burnout Inventory and had Milestones scores submitted. Residents who scored positive for burnout scored lower in all Milestones domains. Subgroup analysis demonstrated that this association was only significant (P < .05) in the post-graduate year 1 (PGY1) categorical pediatric cohort. In the PGY1 residents (n = 442), those positive for burnout had lower Milestones scores in patient care (PC) (2.78 vs 2.98), systems-based practice (2.69 vs 2.87), practice-based learning and improvement (2.77 vs 2.93), professionalism (3.09 vs 3.24), and interpersonal and communication skills (2.95 vs 3.12), but not medical knowledge. Multivariate analysis demonstrated that, in PGY1 residents, lower PC score was associated with lower PA and higher DP. CONCLUSIONS: Burnout is associated with decreased Milestones performance for pediatric PGY1 residents. DP and low PA were associated with lower PC scores in PGY1 residents. Future research should address whether strategies to mitigate burnout improve PGY1 performance.

Duke Scholars

Published In

Acad Pediatr

DOI

EISSN

1876-2867

Publication Date

March 2021

Volume

21

Issue

2

Start / End Page

358 / 365

Location

United States

Related Subject Headings

  • Surveys and Questionnaires
  • Pediatrics
  • Internship and Residency
  • Humans
  • Cohort Studies
  • Child
  • Burnout, Psychological
  • Burnout, Professional
  • 3213 Paediatrics
  • 1114 Paediatrics and Reproductive Medicine
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Staples, B. B., Burke, A. E., Batra, M., Kemper, K. J., Schwartz, A., Wilson, P. M., … Pediatric Resident Burnout-Resilience Study Consortium, . (2021). Burnout and Association With Resident Performance as Assessed by Pediatric Milestones: An Exploratory Study. Acad Pediatr, 21(2), 358–365. https://doi.org/10.1016/j.acap.2020.08.006
Staples, Betty B., Ann E. Burke, Maneesh Batra, Kathi J. Kemper, Alan Schwartz, Paria M. Wilson, Charles J. Schubert, John D. Mahan, Janet R. Serwint, and Janet R. Pediatric Resident Burnout-Resilience Study Consortium. “Burnout and Association With Resident Performance as Assessed by Pediatric Milestones: An Exploratory Study.Acad Pediatr 21, no. 2 (March 2021): 358–65. https://doi.org/10.1016/j.acap.2020.08.006.
Staples BB, Burke AE, Batra M, Kemper KJ, Schwartz A, Wilson PM, et al. Burnout and Association With Resident Performance as Assessed by Pediatric Milestones: An Exploratory Study. Acad Pediatr. 2021 Mar;21(2):358–65.
Staples, Betty B., et al. “Burnout and Association With Resident Performance as Assessed by Pediatric Milestones: An Exploratory Study.Acad Pediatr, vol. 21, no. 2, Mar. 2021, pp. 358–65. Pubmed, doi:10.1016/j.acap.2020.08.006.
Staples BB, Burke AE, Batra M, Kemper KJ, Schwartz A, Wilson PM, Schubert CJ, Mahan JD, Serwint JR, Pediatric Resident Burnout-Resilience Study Consortium. Burnout and Association With Resident Performance as Assessed by Pediatric Milestones: An Exploratory Study. Acad Pediatr. 2021 Mar;21(2):358–365.
Journal cover image

Published In

Acad Pediatr

DOI

EISSN

1876-2867

Publication Date

March 2021

Volume

21

Issue

2

Start / End Page

358 / 365

Location

United States

Related Subject Headings

  • Surveys and Questionnaires
  • Pediatrics
  • Internship and Residency
  • Humans
  • Cohort Studies
  • Child
  • Burnout, Psychological
  • Burnout, Professional
  • 3213 Paediatrics
  • 1114 Paediatrics and Reproductive Medicine