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Changes in Burnout and Satisfaction With Work-Life Balance in Physicians and the General US Working Population Between 2011 and 2014

      Abstract

      Objective

      To evaluate the prevalence of burnout and satisfaction with work-life balance in physicians and US workers in 2014 relative to 2011.

      Patients and Methods

      From August 28, 2014, to October 6, 2014, we surveyed both US physicians and a probability-based sample of the general US population using the methods and measures used in our 2011 study. Burnout was measured using validated metrics, and satisfaction with work-life balance was assessed using standard tools.

      Results

      Of the 35,922 physicians who received an invitation to participate, 6880 (19.2%) completed surveys. When assessed using the Maslach Burnout Inventory, 54.4% (n=3680) of the physicians reported at least 1 symptom of burnout in 2014 compared with 45.5% (n=3310) in 2011 (P<.001). Satisfaction with work-life balance also declined in physicians between 2011 and 2014 (48.5% vs 40.9%; P<.001). Substantial differences in rates of burnout and satisfaction with work-life balance were observed by specialty. In contrast to the trends in physicians, minimal changes in burnout or satisfaction with work-life balance were observed between 2011 and 2014 in probability-based samples of working US adults, resulting in an increasing disparity in burnout and satisfaction with work-life balance in physicians relative to the general US working population. After pooled multivariate analysis adjusting for age, sex, relationship status, and hours worked per week, physicians remained at an increased risk of burnout (odds ratio, 1.97; 95% CI, 1.80-2.16; P<.001) and were less likely to be satisfied with work-life balance (odds ratio, 0.68; 95% CI, 0.62-0.75; P<.001).

      Conclusion

      Burnout and satisfaction with work-life balance in US physicians worsened from 2011 to 2014. More than half of US physicians are now experiencing professional burnout.

      Abbreviations and Acronyms:

      AMA (American Medical Association), MBI (Maslach Burnout Inventory), PMF (Physician Master File), WLB (work-life balance)
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      Linked Article

      • Correction
        Mayo Clinic ProceedingsVol. 91Issue 2
        • Preview
          In the Original Article entitled “Changes in Burnout and Satisfaction With Work-Life Balance in Physicians and the General US Working Population Between 2011 and 2014” published in the December 2015 issue of Mayo Clinic Proceedings (Mayo Clin Proc. 2015;90(12):1600-1613), the term ophthalmology was spelled incorrectly in Figure 1.
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      • Factors Affecting Burnout in Physicians
        Mayo Clinic ProceedingsVol. 91Issue 4
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          I appreciated the insightful data presented by Shanafelt et al1 in their article in the December 2015 issue of Mayo Clinic Proceedings, and I share the concerns about burnout rates among physicians in the United States. Although burnout is undoubtedly a multifactorial issue, one wonders about the role of recent federal mandates.
        • Full-Text
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      • Burnout and the Ethos of Medical Practice
        Mayo Clinic ProceedingsVol. 91Issue 4
        • Preview
          The article by Shanafelt et al1 published in the December 2015 issue of Mayo Clinic Proceedings describes the very serious and worsening problem of burnout among American physicians, and the editorial by Ariely and Lanier2 attempts to elucidate the causes, noting asymmetrical awards, loss of autonomy, and cognitive scarcity. I could not agree more on one point that Ariely and Lanier made, that the “micromanaging of physicians' time and decisions” in the name of productivity by their corporate overseers is a major factor in the burnout and that it needs to be addressed.
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