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Help Us Help You: Engaging Emergency Physicians to Identify Organizational Strategies to Reduce Burnout

Help Us Help You: Engaging Emergency Physicians to Identify Organizational Strategies to Reduce Burnout

Authors :
Joshua J. Baugh
Ali S. Raja
James K. Takayesu
Source :
Western Journal of Emergency Medicine, Vol 22, Iss 3 (2021)
Publication Year :
2021
Publisher :
eScholarship Publishing, University of California, 2021.

Abstract

Introduction: Burnout is a major threat to patient care quality and physician career longevity in emergency medicine. We sought to develop and implement a quality improvement process to engage emergency department (ED) faculty in identifying sources of burnout and generating interventions targeted at improving the work environment. Methods: In this prospective interventional study conducted at a large, urban, academic medical center, we surveyed a 60-person faculty group using the Professional Fulfilment Index (PFI), as well as burnout-relevant questions from the American Medical Association’s Mini-Z survey and the Maslach-Leiter framework for organizational burnout, in order to identify organizational sources of burnout. We assessed the relationship between burnout scores and responses to the Maslach-Leiter framework using univariate regression analysis. In a two-hour facilitated session, we shared survey results and led the group in a process using the six Maslach-Leiter domains to develop a rank-ordered list of interventions to reduce burnout in each domain. Results: In total, 47 of 60 faculty (78.3%) completed the survey and 45 faculty (75%) attended the discussion session. Of the 47 survey respondents, 14 (30%) met criteria for moderate to severe burnout. The respondents’ answers to the Maslach-Leiter organizational burnout domain questions were significantly correlated with their burnout scores (P

Details

Language :
English
ISSN :
19369018
Volume :
22
Issue :
3
Database :
Directory of Open Access Journals
Journal :
Western Journal of Emergency Medicine
Publication Type :
Academic Journal
Accession number :
edsdoj.6460d7e449149ad9cca856dfa68d161
Document Type :
article
Full Text :
https://doi.org/10.5811/westjem.2020.49180