How physician burnout compares to general working population

Staff Writer
AMA Wire
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Over just three years, physicians reported a nearly 9 percent increase in burnout rates. But how does physician burnout compare to that of the general working population? A recent national study provides insights, including key findings on work-life balance. 

Physicians compared to the general working population

Physician burnout experts at the AMA and the Mayo Clinic conducted a survey of 6,880 physicians to “evaluate the prevalence of burnout and physicians’ satisfaction with work-life balance compared to the general U.S. population relative to 2011 and 2014,” according to a study recently published in Mayo Clinic Proceedings.

Compared with the general U.S. population, physicians in 2014:

  • Were more likely to be married (82.9 percent for physicians versus 67.5 for the general U.S. working population). 
  • Worked a median of 10 hours more per week (50 hours versus 40 hours).
  • Displayed higher rates of emotional exhaustion (43.2 percent versus 24.8 percent), depersonalization (23.0 percent versus 14.0 percent) and overall burnout (48.8 percent versus 28.4 percent).
  • Reported lower satisfaction with work-life balance (36.0 percent of physicians reported being satisfied with their work-life balance, compared to 61.3 percent of the general U.S. working population).

“It is notable that the increase in burnout and decrease in satisfaction with work-life balance in physicians over the last three years runs counter to trends in the general U.S. working population over the same interval,” study authors noted.

Gap in work-life balance widens for physicians

Beyond increasing dissatisfaction among physicians, poor work-life balance weighs on physician spouses and families. This is especially true in medical marriages as more physicians continue to have children and juggle high-stakes priorities after training.

In fact, satisfaction with work-life balance declined in physicians between 2011 and 2014 (from 48.5 percent to 40.9 percent).

“Only 40.9 percent of the physicians felt that their work schedule left enough time for personal and family life, with 14.6 percent neutral and 44.5 percent disagreeing with this assertion,” the study said. Yet satisfaction with work-life balance for the general U.S. working population was slightly more favorable in 2014 than in 2011—up from 55.1 to 61.3 percent, according to the study.

“These disparate trends have resulted in a further widening in the rates of burnout and satisfaction with work-life balance among physicians relative to the U.S. working population, even after adjustment for differences in hours worked, age, sex and relationship status,” the study authors noted.

Burnout rates also are increasing across all specialties, underscoring the need for community-driven solutions that foster wellness among physicians and physicians in training.

“Students start medical school with stronger mental health profiles than their peers,” said Christine Sinsky, MD, AMA vice president of professional satisfaction and an author of the study. “It is especially concerning, then, that through the course of medical school, residency and practice physicians come to experience much higher rates of emotional exhaustion and burnout.”

Review part one of this post for additional observations on specialties with the highest burnout rates and a graphic that breaks down burnout rates across all specialties.

Also, don’t miss these resources on burnout and physician families

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Comments

A sad commentary on our plight and of the human condition, interface with regulatory agencies. We put years of our youth away to learn our craft then it is degraded by our sacrificing our principles by clicking little boxes to avoid penalties generating reams of meaningless data which others don't read while patients lose contact with their doctors. Two hundred doctor suicides a year. Is anyone listening? I watched Doctor Starks town hall meeting in Washington State: a litany of a bright future with EHR was the theme, but response was much sadness over our current experience.
Burnout comes from failure to equilibrate internal needs with our external environment. While it is common for us to blame the others-- the government, the insurers, our patients, our colleagues-- it is mostly because we fail to meet our own standards. If what we see as essential to being a physician is providing the right care for our patients, then we need remain advocates for our patients and make the epic and potentially disastrous undertakings like EHR, ICD-10, performance improvement actually workable. The best antidote to burnout is not winning but working with others who care about what we do.
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