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Pediatrician Burnout Before and After the COVID-19 Pandemic
Caroline A Lucy1, Julie Wojtaszek1, Leah LaLonde2
1Eastern Michigan University, Ypsilanti, MI, USA.
Insights
Physician burnout rates post-COVID-19 remain statistically similar to pre-pandemic levels. However, emotional exhaustion significantly increased, with over half of pediatricians experiencing it post-pandemic, highlighting a need for intervention.
Area of Science:
- Medical Research
- Public Health
- Physician Well-being
Background:
- Physician burnout significantly increased during the COVID-19 pandemic.
- The U.S. COVID-19 national emergency ended in spring 2023.
- Investigating a return to pre-pandemic burnout levels is crucial.
Purpose of the Study:
- To compare burnout dimensions among pediatricians before and after the COVID-19 pandemic.
- To assess if physician burnout has returned to pre-pandemic levels.
Main Methods:
- Data collected from 52 pediatricians pre-pandemic (2019) and 38 post-pandemic (2023).
- Participants completed online surveys during behavioral health trainings.
- Burnout assessed across emotional exhaustion, depersonalization, and personal accomplishment.
Main Results:
- No statistically significant differences in overall burnout scores pre- vs. post-pandemic.
- A clinically significant increase in emotional exhaustion was observed.
- Post-pandemic, 63% of pediatricians met the cutoff for emotional exhaustion, up from 35% pre-pandemic.
Conclusions:
- While overall burnout rates are statistically similar, emotional exhaustion presents a clinical concern.
- The healthcare system must address and mitigate physician burnout.
- Targeted interventions for emotional exhaustion are necessary for pediatricians.
Objective:
During the surge of the COVID-19 pandemic, burnout among physicians increased significantly. In the spring of 2023, the COVID national emergency was terminated in the U.S. To investigate whether provider burnout rates have returned to pre-pandemic levels, the current study compared dimensions of burnout among pediatricians pre- and post-pandemic.
Method:
As part of 2 separate behavioral health trainings held at a Midwest academic health center in 2019 and virtually in 2023, data on burnout was collected from 52 pediatricians pre-pandemic and 38 pediatricians post-pandemic. Participants completed an online survey during the trainings and responded to items reflecting 3 dimensions of burnout: emotional exhaustion, depersonalization, and personal accomplishment.
Results:
There were no statistically significant differences in pre- and post-pandemic burnout amongst pediatricians in terms of total scores, number of pediatricians who met the clinical cutoff for each dimension, number of cutoffs met, or number of providers reporting elevated burnout on at least 1 dimension (p > .05 for all comparisons). Participants were 1.77 times more likely to meet the cutoff for emotional exhaustion post-pandemic than pre-pandemic. Over half of providers met this cutoff post-pandemic, compared to only 35% pre-pandemic.
Conclusions:
While post-pandemic rates of burnout among pediatricians appear to be statistically similar to pre-pandemic levels, there appear to be clinically significant differences in emotional exhaustion between groups. With 63% of the post-pandemic group meeting the cutoff score for at least 1 dimension, it is imperative for the healthcare system to consider ways to mitigate burnout.
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