Internal Medicine Residency Program Director Burnout and Program Director Turnover: Results of a National Survey Alec B. O'Connor, MD, MPH, Andrew J.

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Internal Medicine Residency Program Director Burnout and Program Director Turnover: Results of a National Survey Alec B. O'Connor, MD, MPH, Andrew J. Halvorsen, MS, John M. Cmar, MD, Kathleen M. Finn, MD, MPhil, Kathlyn E. Fletcher, MD, MA, Lisa Kearns, MD, Furman S. McDonald, MD, MPH, Sara L. Swenson, MD, Sandhya Wahi-Gururaj, MD, MPH, Colin P. West, MD, PhD, Lisa L. Willett, MD, MACM The American Journal of Medicine Volume 132, Issue 2, Pages 252-261 (February 2019) DOI: 10.1016/j.amjmed.2018.10.020 Copyright © 2018 Terms and Conditions

Figure 1 “Survival” in the program director (PD) role: Cox proportional hazards models to assess potential effects of (A) PD burnout and (B) considering resigning in the prior 12 months on hazard rates for a change in PD in the following year. The American Journal of Medicine 2019 132, 252-261DOI: (10.1016/j.amjmed.2018.10.020) Copyright © 2018 Terms and Conditions

Figure 2 Outcomes over time for program directors (PDs) in the 2012 survey who (A) met criteria for burnout, (B) did not meet criteria for burnout, (C) had considered resigning, and (D) had not considered resigning. There were 4 possible outcomes for each cohort: remain in original classification, switch to alternate classification, be “unknown” (no survey response data), or no longer be the PD of the same program. The American Journal of Medicine 2019 132, 252-261DOI: (10.1016/j.amjmed.2018.10.020) Copyright © 2018 Terms and Conditions

Figure 2 Continued. The American Journal of Medicine 2019 132, 252-261DOI: (10.1016/j.amjmed.2018.10.020) Copyright © 2018 Terms and Conditions