416 - Establishing the Relationship Between Resiliency and Burnout in a Cohort of Emergency Medicine Residents
Friday, May 15, 2020
9:08 AM – 9:16 AM
Location: Savoy: Majestic Level
Participants should be aware of the following financial/non-financial relationships:
Jay Gopal: No financial relationships or conflicts of interest
Willaim Wallach: No disclosure data submitted.
Jason W. Wilson: No disclosure data submitted.
Heather Henderson: No financial relationships or conflicts of interest
Background and Objectives: Studies have shown that 60% of emergency medicine (EM) physicians experience burnout, compared to 38% among other physicians. There exists a lack of research comparing a quantitative measurement of resilience with burnout in resident physicians. The Short Grit Scale (Grit-S) is a two-factor survey that quantifies perseverance of individuals. The goal of this study is to assess whether there is a relationship between resiliency and burnout at a single point in time. In addition, we analyzed overall patterns of burnout and resiliency across residency training years.
Methods: The Maslach Burnout Inventory for Medical Personnel (MBI) and the Grit-S were administered to EM residents at a single institution. Participation was voluntary after informed consent and all responses were confidential (but not anonymous). Physicians provided the following: age, gender, and year in residency. We determined the relationship between Grit-S and MBI via linear regression analysis. Variation in grit and burnout among residents was calculated via single-factor ANOVA and student’s T-test.
Results: 24 out of a possible pool of 30 resident physicians at one institution were surveyed. For 1st year residents, mean MBI was 41 (95%CI 29.2-52.8) and mean Grit-S was 3.7 (95%CI 3.4-4.1). Among 2nd year residents, mean MBI was 26.6 (95%CI 17.5-35.7) and mean Grit-S was 3.75 (95%CI 3.4-4.1). Finally, among 3rd year residents, mean MBI was 54 (95%CI 22.6-85.4) and mean Grit-S was 3.4 (95%CI 2.7-4.0). Significant effect of resident year on burnout was demonstrated [F(2,20) = 3.8, p = 0.04]. T-test results yielded significant variation in burnout between residents in years 1 vs 2 (p = 0.04) and 2 vs 3 (p = 0.049). No significant effect of resident year on grit was found. Linear regression analysis demonstrated 44% of the variation in MBI can be significantly explained by Grit-S [R2 = 0.44, F(1,21) = 16.6, p < 0.01].
Conclusion: There is a relationship between resiliency and burnout (44% of MBI variation explained by Grit-S). In addition, burnout is higher among residents during years 1 and 3. Resilience, on the other hand, is a character trait and is, as expected, not correlated with year of training. This initial study was conducted to establish a relationship between resiliency and burnout. Future work will prospectively follow a cohort over time and examine changes in MBI related to baseline Grit-S scores.