Abstract Details

Title Keeping the Flame Alive: Burnout and Perception of Value in the Role of Neurology Residency Program Director

Topic Education, Research, and Methodology

Presentation(s) S39 - Broadening the Scope of Medical Education in Neurology (4:42 PM-4:54 PM)

Poster/Presentation
Number 007

Background Although the question, are PDs more burnt out than their physician colleagues is an important one, the existing literature is limited with mixed results in other specialties. To date, there are no dedicated studies that have specifically assessed burnout in neurology residency PDs. A study of residency and fellowship directors across 37 specialties found neurology residency PDs had the highest work-related Copenhagen Burnout Inventory (CBI) score (63.0 points on a 100-point scale), which may reflect the high-level burnout in neurology in general. Indeed, the AAN Burnout Task Force reported burnout in 57% of academic practice neurologists. Burnout is clearly a problem amongst neurologists, but we hypothesize that the role of neurology residency PD is associated with lower-level burnout, and that feeling valued in the PD role is a factor associated with less burnout.

Objective To determine the level of burnout amongst adult and pediatric neurology residency program directors (PDs), and to determine whether a positive perception of value by one’s institution is associated with lower-level burnout.

Design/Methods In an IRB-approved study, 184 neurology residency PDs were emailed an anonymous survey consisting of the CBI and 8 other items. Data were analyzed via ordinal logistic regression and binomial frequency methods.

Results

85 PDs (46%) responded to the survey. The average±SEM personal, work-related, and patient-related CBI scores were 41.8±2.2, 39.7±2.2, and 32.4±2.2, respectively. Higher personal and work-related CBI scores were associated with less positive perception of value (proportional OR: 1.03; 95% CI: [1.01, 1.06],p=0.004 and proportional OR: 1.04; 95% CI: [1.01, 1.06], p=0.003, respectively).

Conclusions High-level burnout is less frequent amongst neurology residency PDs compared to academic practice neurologists in the literature. A high percentage of neurology residency PDs reported feeling valued in their role by their institution which was associated with lower-level burnout scores and may represent a key target for reflection and burnout intervention.

Authors/Disclosures
Alissa S. Higinbotham, MD (University of Virginia Medical Center) PRESENTER	Dr. Higinbotham has received personal compensation in the range of $500-$4,999 for serving as a Consultant for Amneal.
Katherine B. Peters, MD, PhD, FAAN (Duke University Medical Center)	Dr. Peters has received personal compensation in the range of $5,000-$9,999 for serving on a Scientific Advisory or Data Safety Monitoring board for Servier. Dr. Peters has received personal compensation in the range of $500-$4,999 for serving on a Scientific Advisory or Data Safety Monitoring board for Sapience. Dr. Peters has received personal compensation in the range of $0-$499 for serving on a Scientific Advisory or Data Safety Monitoring board for NuVox Therapeutics. Dr. Peters has received personal compensation in the range of $500-$4,999 for serving on a Scientific Advisory or Data Safety Monitoring board for ONO Pharmaceutical. Dr. Peters has received personal compensation in the range of $500-$4,999 for serving on a Scientific Advisory or Data Safety Monitoring board for Telix. Dr. Peters has received personal compensation in the range of $500-$4,999 for serving on a Scientific Advisory or Data Safety Monitoring board for AnHeart. Dr. Peters has received personal compensation in the range of $0-$499 for serving on a Scientific Advisory or Data Safety Monitoring board for Rigel. The institution of Dr. Peters has received research support from Biomimetix. The institution of Dr. Peters has received research support from Servier. The institution of Dr. Peters has received research support from Varian. The institution of Dr. Peters has received research support from Sapience. The institution of Dr. Peters has received research support from Ono Pharmaceuticals.