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Assessing Burnout in Emergency Medicine Residents
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Emma Nash MD, Patrick Barlow PhD, Danial Runde MD, MME, FACEP
University of Iowa, Iowa City, IA
3 symptoms of burnout on a scale from 1-18, with a high score in emotional exhaustion and depersonalization categories indicating higher levers of burnout, while a higher score in personal accomplishment indicates a lower level.
Objectives
Results
Conclusions & Future Directions
To assess burnout in emergency medicine residents and compare burnout levels between ED and “off service” rotations, as well as throughout PGY years.
Hypothesis:
Burnout rates are higher:
After more intensive rotations, (Trauma Surgery, ICU, etc)
AND
Higher in more senior PGY years.
The initial month of this data collection had a 80.8% (21/26) response rate.
Data points across PGY years and comparing ED to the “off service” rotations are summarized below.
Trend toward higher rates of emotional exhaustion and depersonalization in higher PGY years
emotional exhaustion doubling by second year
Depersonalization Tripled
Personal accomplishment remained stable
2. This initial data also shows higher levels of emotional exhaustion and depersonalization on off service rotations
We anticipate as we gather more data points during this longitudinal study, statistical differences will become evident. 
Background
Burnout is a syndrome of depersonalization, emotional exhaustion, and sense of low personal accomplishment at work.
Wellness curriculums are becoming more standard as part of resident education
Burnout rates in attending physicians range from 35-60%; this number is even higher in residents.
Study Design
Acknowledgments
Prospective observational study
Surveys a group of emergency medicine residents at the University of Iowa through a monthly survey.
Burnout levels were assessed using the abbreviated Maslach Burnout Index
University of Iowa Emergency Medicine Residents
Kari Harland
Dr. Emilie Fowlkes and Dr. Natasha Wheaton