A survey of burnout and professional satisfaction among United States neurointerventionalists
Kyle M Fargen1, Adam S Arthur2, Thabele Leslie-Mazwi3
1Neurosurgery, Wake Forest School of Medicine, Winston Salem, North Carolina, USA.
Background:
The toll of burnout on healthcare is significant and associated with physician depression and medical errors.
Objective:
To assess the prevalence and risk factors for burnout among neurointerventionalists.
Methods:
A 39-question online survey containing questions about neurointerventional practice and the Maslach Burnout Inventory-Human Services Survey for medical personnel was distributed to members of major US neurointerventional physician societies.
Results:
320 responses were received. Median (interquartile range) composite scores for emotional exhaustion were 25 (16-35), depersonalization 7 (4-12), and personal accomplishment 39 (35-44). 164/293 respondents (56%) met established criteria for burnout. There was no significant relationship between training background, practice setting, call frequency, or presence of a senior partner on burnout prevalence. Multiple logistic regression analysis showed that feeling underappreciated by hospital leadership (OR=3.71; p<0.001) and covering more than one hospital on call (OR=1.96; p=0.01) were strongly associated with burnout. Receiving additional compensation for a call was independently protective against burnout (OR= 0.70; p=0.005).
Conclusions:
This survey of United States neurointerventional physicians demonstrated a self-reported burnout prevalence of 56%, which is similar to the national average among physicians across other specialties. Additional compensation for a call was a significant protective factor against burnout. In addition, feeling underappreciated by departmental or hospital leadership and covering more than one hospital while on call were associated with greater odds of burnout.
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