“Necessary Compromises”: A Qualitative Exploration of the Influence of Burnout on Resident Education

Burnout is prevalent among resident physicians and has a negative impact on their well‐being and effectiveness at work. How burnout shapes residents’ educational experiences, attitudes, habits, and practices is not well understood. There is also a lack of research regarding self‐identified mitigation strategies for residents. The authors qualitatively explored burnout’s role in the educational experiences of resident physicians.

[1]  W. Lee,et al.  Wellness and Work: Mixed Messages in Residency Training , 2019, Journal of general internal medicine.

[2]  Daniel W. Robinson,et al.  High Prevalence of Burnout Among US Emergency Medicine Residents: Results From the 2017 National Emergency Medicine Wellness Survey. , 2019, Annals of emergency medicine.

[3]  K. Williamson,et al.  Comparing the Maslach Burnout Inventory to Other Well-Being Instruments in Emergency Medicine Residents. , 2018, Journal of graduate medical education.

[4]  R. Hardeman,et al.  Association of Clinical Specialty With Symptoms of Burnout and Career Choice Regret Among US Resident Physicians , 2018, JAMA.

[5]  Susanne Reventlow,et al.  Using a modified nominal group technique to develop general practice , 2018, BMC Family Practice.

[6]  Stephanie M. Smith,et al.  Creating a Culture of Wellness in Residency. , 2018, Academic medicine : journal of the Association of American Medical Colleges.

[7]  C. Marco,et al.  Well-Being among Emergency Medicine Resident Physicians: Results from the ABEM Longitudinal Study of Emergency Medicine Residents. , 2018, The Journal of emergency medicine.

[8]  L. Dyrbye,et al.  Physician burnout: contributors, consequences and solutions , 2018, Journal of internal medicine.

[9]  A. Winkel,et al.  Thriving in scrubs: a qualitative study of resident resilience , 2018, Reproductive Health.

[10]  A. Messman,et al.  An Evidence-based, Longitudinal Curriculum for Resident Physician Wellness: The 2017 Resident Wellness Consensus Summit , 2018, The western journal of emergency medicine.

[11]  K. Williamson,et al.  Development of an Emergency Medicine Wellness Curriculum , 2018, AEM education and training.

[12]  S. Stack,et al.  "It's Not Just Time Off": A Framework for Understanding Factors Promoting Recovery From Burnout Among Internal Medicine Residents. , 2017, Journal of graduate medical education.

[13]  Adaira Chou,et al.  Strategies to Enhance Wellness in Emergency Medicine Residency Training Programs , 2017, Annals of emergency medicine.

[14]  C. West,et al.  Well-Being in Graduate Medical Education: A Call for Action. , 2017, Academic medicine : journal of the Association of American Medical Colleges.

[15]  K. Steinhauser,et al.  "It Is Like Heart Failure. It Is Chronic … and It Will Kill You": A Qualitative Analysis of Burnout Among Hospice and Palliative Care Clinicians. , 2017, Journal of pain and symptom management.

[16]  P. Veinot,et al.  Changes in Personal Relationships During Residency and Their Effects on Resident Wellness: A Qualitative Study , 2017, Academic medicine : journal of the Association of American Medical Colleges.

[17]  D. Rubinow,et al.  Taking Care of Our Own: A Multispecialty Study of Resident and Program Director Perspectives on Contributors to Burnout and Potential Interventions , 2017, Academic Psychiatry.

[18]  Evangelos Kontopantelis,et al.  Controlled Interventions to Reduce Burnout in Physicians: A Systematic Review and Meta-analysis , 2017, JAMA internal medicine.

[19]  D. Lu,et al.  An Investigation of the Relationship Between Emergency Medicine Trainee Burnout and Clinical Performance in a High‐fidelity Simulation Environment , 2017, AEM education and training.

[20]  K. Raj,et al.  Well-Being in Residency: A Systematic Review. , 2016, Journal of graduate medical education.

[21]  Jeanette W. Chung,et al.  National Cluster-Randomized Trial of Duty-Hour Flexibility in Surgical Training , 2016 .

[22]  William M Spinelli,et al.  "Seeing the Patient Is the Joy:" A Focus Group Analysis of Burnout in Outpatient Providers. , 2016, Family medicine.

[23]  Jeanette W. Chung,et al.  National Cluster-Randomized Trial of Duty-Hour Flexibility in Surgical Training. , 2016, The New England journal of medicine.

[24]  L. Dyrbye,et al.  A narrative review on burnout experienced by medical students and residents , 2016, Medical education.

[25]  M. Gisondi,et al.  Impact of Burnout on Self-Reported Patient Care Among Emergency Physicians , 2015, The western journal of emergency medicine.

[26]  Christine A. Sinsky,et al.  Changes in Burnout and Satisfaction With Work-Life Balance in Physicians and the General US Working Population Between 2011 and 2014. , 2015, Mayo Clinic proceedings.

[27]  Brian C. Stagg,et al.  Promotion of Wellness and Mental Health Awareness Among Physicians in Training: Perspective of a National, Multispecialty Panel of Residents and Fellows. , 2015, Journal of graduate medical education.

[28]  D. Berwick,et al.  Graduate Medical Education That Meets the Nation's Health Needs , 2014 .

[29]  Yuchiao Chang,et al.  Factors associated with burnout during emergency medicine residency. , 2014, Academic Emergency Medicine.

[30]  D. M. Elnicki,et al.  Identifying and Overcoming the Barriers to Bedside Rounds: A Multicenter Qualitative Study , 2014, Academic medicine : journal of the Association of American Medical Colleges.

[31]  R. McCarthy,et al.  The Prevalence of Burnout and Depression and Their Association with Adherence to Safety and Practice Standards: A Survey of United States Anesthesiology Trainees , 2013, Anesthesia and analgesia.

[32]  L. Lingard,et al.  Grounded theory in medical education research: AMEE Guide No. 70 , 2012, Medical teacher.

[33]  T. Shanafelt,et al.  Resident Physician Well-Being and Assessments of Their Knowledge and Clinical Performance , 2012, Journal of General Internal Medicine.

[34]  J. Kolars,et al.  Quality of life, burnout, educational debt, and medical knowledge among internal medicine residents. , 2011, JAMA.

[35]  L. Dyrbye,et al.  Defining Burnout as a Dichotomous Variable , 2009, Journal of General Internal Medicine.

[36]  A. Bakker,et al.  Suicidal Thoughts Among Medical Residents with Burnout , 2008, Archives of suicide research : official journal of the International Academy for Suicide Research.

[37]  N. Ratanawongsa,et al.  Well-being in residency: effects on relationships with patients, interactions with colleagues, performance, and motivation. , 2008, Patient education and counseling.

[38]  H. V. D. van de Wiel,et al.  Burnout in medical residents: a review , 2007, Medical education.

[39]  S. Straus,et al.  Career choice in academic medicine , 2006 .

[40]  K. Francis,et al.  The Development of Constructivist Grounded Theory , 2006 .

[41]  Lyn Richards,et al.  Readme First for a User's Guide to Qualitative Methods , 2002 .

[42]  N. Hoffart Basics of Qualitative Research: Techniques and Procedures for Developing Grounded Theory , 2000 .

[43]  Gale,et al.  Qualitative Data Analysis: An Expanded Sourcebook , 1994 .

[44]  Lull Gf The American Medical Association. , 1947, Kentucky medical journal.

[45]  M. F. Sharon E. Straus MD,et al.  Career choice in academic medicine , 2007, Journal of General Internal Medicine.

[46]  J. M. Billson Focus Groups: A Practical Guide for Applied Research , 1989 .

[47]  E. Guba,et al.  Naturalistic inquiry: Beverly Hills, CA: Sage Publications, 1985, 416 pp., $25.00 (Cloth) , 1985 .

[48]  V. Braun,et al.  Please Scroll down for Article Qualitative Research in Psychology Using Thematic Analysis in Psychology , 2022 .

[49]  Western Medicine: Integrating Emergency Care with Population Health Does Implementation of a Corporate Wellness Initiative Improve Burnout? , 2022 .