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PA and NP burnout in orthopedic surgery
Alexis V Drennen1, Jeremy C Heard, Nicholas D D'Antonio
1Alexis V. Drennen practices at the Rothman Orthopaedic Institute in Philadelphia, Pa. At the time this article was written, Jeremy C. Heard and Nicholas D. D'Antonio were research assistants at the Rothman Orthopaedic Institute. Mr. Heard is now a medical student at Thomas Jefferson University's Sidney Kimmel Medical College in Philadelphia, Pa. Mr. D'Antonio is now an orthopedic surgery resident at Cooper University Orthopaedic Surgery in Camden, N.J. Christopher K. Kepler is a spine surgeon at the Rothman Orthopaedic Institute. Dr. Kepler discloses that he receives royalties from Inion, Inc., and research support from RTI Surgical. The authors have disclosed no other potential conflicts of interest, financial or otherwise.
Objective:
To quantify the burnout rate among physician associates/assistants (PAs) and NPs in a large orthopedic surgery practice affiliated with an academic institution.
Methods:
The Maslach Burnout Inventory (MBI) and original research questions were given to all PAs and NPs in orthopedics at the facility. Burnout was defined as a high level of emotional exhaustion or depersonalization on the MBI subscale.
Results:
Of the 129 PAs and NPs in orthopedics at our institution, 91 (70.5%) completed all survey items. Nearly 42% of respondents were burned out, as defined by high depersonalization or emotional exhaustion. PAs and NPs who met the burnout criteria were significantly older than those who did not (41.8 ± 10 versus 36.5 ± 7.71 years, P = .007) and spent longer in practice (12.4 ± 6.66 versus 9.35 ± 6.41 years, P = .01).
Conclusions:
The prevalence of burnout is high among PAs and NPs in orthopedics who practice in an academic setting.
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