Abstract Details

Title Neurology Resident Burnout and Wellness: A Quality Assessment Inventory Tool

Topic Practice, Policy, and Ethics

Presentation(s) P18 - Poster Session 18 (5:30 PM-6:30 PM)

Poster/Presentation
Number 1-002

Background

Nearly three quarters of neurology residents report signs of burnout while the specialty constantly ranks highest for burnout. With the expanding scope of practice, it is crucial to obtain a vital on the source of burden on the trainees. A targeted assessment to evaluate the training environment is lacking. We propose an inventory tool to systematically evaluate burnout and identify source of wellness. We hypothesize that physical burnout is more common than other categories of burnout.

Objective

Design/Methods An anonymous survey was sent to 18 neurology residents in a single academic training hospital in 2021. Likert scale questions included training settings inpatient primary, critical care, ED consult services, and outpatient clinics and the types of burnout such as physical fatigue, social isolation, moral injury (desensitization, feeling used), lack of evidence based learning, and lack of direct supervision. The survey also asked about source of wellness (protected downtime in hospital, outside social gatherings, free food, guided wellness sessions). We assess for significance using Mann U Whitney test one-tail test, significance level 0.05.

Results

16 out of 18 residents responded to the survey. Most common type was physical burnout (87.5% with sometimes, often, or always) throughout all services. Physical burnout was reported 59.4% in the inpatient floor, 50% in critical care, and 44% in ED consult. Physical burnout was significantly more common compared to lack of evidence-based learning (P=0.013, CI 95%) or direct supervision (P=0.0049, CI 95%). 81.3% of residents chose outside social gatherings as their preferred source of wellness.

Conclusions

Resident burnout is an ongoing challenge. Physical burnout stood out as the most common type of burnout among other types. Outside social gathering was identified as dominant source of wellness. Each residency program ought to utilize targeted tools to address types of burnout and promote wellness in an effective manner.

Authors/Disclosures
Daniel M. Oh, MD (Department of Neurology) PRESENTER	Dr. Oh has nothing to disclose.
Jennifer S. Hui, MD (University of Southern California)	Dr. Hui has received personal compensation in the range of $500-$4,999 for serving as a Consultant for Sunovion. Dr. Hui has received personal compensation in the range of $500-$4,999 for serving on a Speakers Bureau for Sunovion. The institution of Dr. Hui has received research support from Roche. The institution of Dr. Hui has received research support from Abbvie. Dr. Hui has received personal compensation in the range of $500-$4,999 for serving as a Roundtable speaker with Medscape .