World Congress at ACG2017

Presidential Plenary Session 2 (Free Paper/Abstract Presentations)

8 - A National Survey of Burnout in Gastroenterologists

Monday, October 16
9:54 AM - 10:06 AM
Location: Valencia Ballroom (Level 4)

Award: 2017 Naomi Nakao Gender-Based Research Award

Category: Practice Management       

Carol Burke, MD, FACG1, Christina M. Surawicz, MD, MACG2, Amy S. Oxentenko, MD, FACG3, Rocio Lopez, MS, MPH1, Shashank Sarvepalli, MD1, Joseph C. Anderson, MD, MHCDS4, Kenneth DeVault, MD5, Costas H. Kefalas, MD, MMM, FACG6, Daniel J. Pambianco, MD, FACG7, Sarah Richman, BA8, Harry E. Sarles, MD, FACG9, Anne-Louise B. Oliphant, MPP8, Ronald J. Vender, MD, FACG10
1Cleveland Clinic Foundation, Cleveland, OH; 2University of Washington, Seattle, WA; 3Mayo Clinic, Rochester, MN; 4Dartmouth College Geisel School of Medicine, Hanover, NH; 5Mayo Clinic, Jacksonville, FL; 6Akron Digestive Disease Consultants, Inc., Akron, OH; 7Charlottesville Gastroenterology Associates, Charlottesville, VA; 8American College of Gastroenterology, Bethesda, MD; 9Digestive Health Associates of Texas, Rockwall, TX; 10Yale University School of Medicine, New Haven, CT
Introduction: Levels of burnout (BO) have been reported in oncologists, surgeons, primary care physicians and other subspecialists. The study aim was to determine BO prevalence and factors associated with BO in gastroenterologists.

Methods: A 60-item survey was emailed to ACG members in 2014-2015 to assess BO. The 22-item Maslach Burnout Inventory (MBI) was used to measure BO, with the MBI subscales of emotional exhaustion (EE) and depersonalization (DP) used as indicators of BO. BO is defined with “high” DP or EE scores. Univariate and multivariate logistic regression was done.

Results: Of 1021/11080 (9.2%) surveys returned, 749 respondents completed all MBI questions andwere included with 49% of respondents having BO. The average age was 54 and 20 years post fellowship was 20 years. 93.5% were working full time and 61% were in private practice. An average of 8 hours/day was spent in direct patient care, 3 hours/day in administrative tasks at work, and 2 hours/day of work-related tasks performed at home. While most use an EMR, 47% rated it not being user friendly. 64% of respondents said they were considering leaving their current practice situation within 2 years; 18% likely or definitely, 17% moderately and 29% slightly considering it. Of those, 43.5% would look for a different practice, 7% would leave medicine, 28% would retire. 46% reported considering early retirement: practice regulations (31%), MOC (23%), declining reimbursement (Medicare: 23%; commercial 23%). Practice and personal factors are associated with BO (Tables).: female sex, younger age, childless or younger children, more hours spent on domestic chores and childcare, reporting EMR as “unfriendly”, spending more hours of patient-related work at home, having a spouse who spent more hours at work, spousal relationship viewed as neutral/dissatisfying, consideration of early retirement or leaving practice within 2 years, and eating breakfast and lunch < 50% of work days. Nearly 60% of respondents would utilize resources to promote professional and personal well-being.

Discussion: BO is reported in nearly half of gastroenterologists. Aspects of practice and personal life are associated with BO. Specific BO drivers may be mitigated by decreasing unfriendly EMR, practice regulations, MOC, declining reimbursement, time spent at home on work related tasks and domestic chores. A large proportion of respondents desire to retire or leave their practice. Resources are requested by gastroenterologists to combat BO.

Supported by Industry Grant: No

Citation: . A NATIONAL SURVEY OF BURNOUT IN GASTROENTEROLOGISTS. Program No. 8. World Congress of Gastroenterology at ACG2017 Meeting Abstracts. Orlando, FL: American College of Gastroenterology.

Carol A. Burke

Director, Center for Colon Polyp and Cancer Prevention; Vice Chair, Department of Gastroenterology and Hepatology
Cleveland Clinic Foundation
Cleveland, OH, US

Dr. Carol A. Burke, MD, FACG, is immediate past president of the American College of Gastroenterology and a past president of the Collaborative Group of the Americas on Inherited Colorectal Cancer. She is Vice Chair of the Department of Gastroenterology and Hepatology at Cleveland Clinic and has been a staff member there since 1993 after completion of her GI fellowship at the Clinic. She holds joint appointments in the Taussig Cancer Center and the Department of Colorectal Surgery. She is the Director of the Center for Colon Polyp and Cancer Prevention and leads the section of Polyposis in the Sanford R. Weiss MD Center for Hereditary Colorectal Neoplasia. She is internationally known for her expertise in inherited colon cancer syndromes and the prevention of colorectal neoplasia. Her clinical and research interests include prevention of colorectal neoplasia in sporadic individuals and those with inherited colorectal cancer syndromes. She has funded research through the NCI, NIH, USDA, and industry. She has been involved in the education of medical students, residents, and fellows since 1991, and has developed and coordinated the digestive disease curriculum for trainees in the in- and out-patient setting in the Department, was awarded Teacher of the Year in 2014 by the GI fellows, and is the Chair of the GI Fellowship Clinical Competency Committee. She has authored over 100 publications. She is a visiting professor and invited speaker at national and international conferences on the prevention of colorectal neoplasia and the inherited colon cancer syndromes. She is past associate editor for The American Journal of Gastroenterology, reviewer for many journals including Gut, Gastroenterology, Gastrointestinal Endoscopy, PLOS one, Alimentary Pharmacology and Therapeutics, Digestive Disease and Sciences, and The American Journal of Gastroenterology, to name a few. Her passions include her family, yoga, and improving the wellness of herself, patients, and co-workers.


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8 - A National Survey of Burnout in Gastroenterologists

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