Discrimination-based trauma as a risk factor for burnout among women trainees in medicine

You have accessJournal of UrologyCME1 Apr 2023LBA01-06 DISCRIMINATION-BASED TRAUMA AS A RISK FACTOR FOR BURNOUT AMONG WOMEN TRAINEES IN MEDICINE Tyra Fainstad, Alexander Heilman, Pari Shah, Vall Vinaithirthan, Christine Jones, Adrienne Mann, and Kerri Thurmon Tyra FainstadTyra Fainstad More articles by this author , Alexander HeilmanAlexander Heilman More articles by this author , Pari ShahPari Shah More articles by this author , Vall VinaithirthanVall Vinaithirthan More articles by this author , Christine JonesChristine Jones More articles by this author , Adrienne MannAdrienne Mann More articles by this author , and Kerri ThurmonKerri Thurmon More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000003360.06AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Physician burnout starts early in training, disproportionately impacts women and those URM, and is detrimental personally and professionally. Recent data suggest burnout continues to be a growing problem in graduate medical education (GME), but is mainly specialty or institution specific. Our purpose is to describe the current prevalence and risk factors for burnout amongst female physician trainees across multiple institutions and specialties. METHODS: A multi-institutional randomized controlled trial involving 26 GME programs across America began in September 2022 to investigate the effectiveness of a professional coaching program. Baseline demographics and the Trauma Symptoms of Discrimination Scale (TSDS) of 1,017 volunteer female trainees were collected. The TSDS is a 21-item self-report measure focusing on trauma symptoms surrounding the experience of discrimination. All participants completed baseline surveys including the Maslach Burnout Inventory (MBI). Burnout was defined as scoring >27 for emotional exhaustion (EE) and/or >10 for depersonalization (DP). Multivariable logistic regression identified socio-demographic and/or professional covariates associated with burnout. RESULTS: All 1,017 trainees responded to the baseline survey. 207 were PGY-1, 198 were PGY-2, and 596 were PGY-3 and beyond, with 19% identifying as surgical trainees. Participants on average had high EE (m=30.58) and high DP (m=11.83). DP was more often present in higher PGYs (PGY2: OR 2.61, 95% Confidence Interval [CI] 1.52-4.52, p<0.001; >=PGY3: OR 2.33, 95% CI 1.45-3.78, p<0.001). Higher scores on the TSDS positively correlated with overall burnout (Odds Ratio [OR] 1.30 for 10 units of change, 95% CI 1.11-1.53, p=0.001), EE (OR 1.26 for 10 units of change, 95% CI 1.11-1.43, p<0.001), and DP (OR 1.12 for 10 units of change, 95% CI 1.00-1.26, p=0.058). CONCLUSIONS: Results from this large, multi-institutional cohort show ongoing and progressive burnout prevalence throughout medical training. There is also an association between discrimination-based trauma and burnout in trainees, which has been shown recently in practicing attending physicians as well. Interestingly, we found that EE seems to peak in PGY2 year, while DP increases with PGY level. Smaller studies have shown PGY2 as a burnout peak as well and may highlight a dark point in the GME training hierarchy, with more junior trainees being responsible for tedious tasks whilst taking more call and documentation burden. Future studies should explore interventions in trainee burnout, specifically in those who have experienced trauma from discrimination. Source of Funding: None © 2023 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 209Issue Supplement 4April 2023Page: e1178 Advertisement Copyright & Permissions© 2023 by American Urological Association Education and Research, Inc.MetricsAuthor Information Tyra Fainstad More articles by this author Alexander Heilman More articles by this author Pari Shah More articles by this author Vall Vinaithirthan More articles by this author Christine Jones More articles by this author Adrienne Mann More articles by this author Kerri Thurmon More articles by this author Expand All Advertisement PDF downloadLoading ...