Burnout plagues residency program directors

In 2016, one third of medicine residency directors were burned out and about half had considered resigning in the preceding year, recent research shows.

Residency director burnout and turnover can have several negative consequences for health systems, hospitals, and physician practices, including lower educational program effectiveness and long-term adverse effects on physicians in training.

"Turnover of a residency program director impacts not just the physician and clinical practice, but the residency program and residents in it." researchers wrote in the American Journal of Medicine.

The researchers examined residency program director survey data from 2012 to 2016. The study focused on questions related to emotional exhaustion, depersonalization, and whether program directors had considered resigning in the previous year.

• Less than half of residency program directors in 2012 remained program directors in 2016.
   
• In 2016, 33% of program directors were burned out and 48% had contemplated resignation in the prior year.
   
• In strong indicators of a relationship between burnout and resignation, 85% of the program directors who were burned out in 2016 had considered resigning, but only 30% of other program directors had mulled resignation.
   
• The rate of burnout among program directors is lower than reported physician burnout, which rose from 46% in 2011 to 54% in 2014.

For residency program directors, the level of support from department chair and hospital leaders is likely a significant contributor to burnout, the lead author of the American Journal of Medicine research told HealthLeaders this week.

"This has many important practical manifestations, including the amount of administrative (non-clinical) time protected for the program director and the receptiveness of the chair to helping fix the highest priority problems facing the residency program," said Alec O'Connor, MD, MPH, professor of medicine and director of the Internal Medicine Residency Program at the University of Rochester School of Medicine and Dentistry in New York.

Lack of support from department chairmen can fuel burnout, he said.

"Ultimately, if the program director feels like he or she has to fight with the department chair every time a critical issue has to be addressed—and loses some or all of these critical issue fights—then frustration and feelings of being put into an impossible position will outstrip feelings of accomplishment, leading to burnout and resignation," O'Connor said.

Source: HealthLeaders