Establishing Crosswalks Between Common Measures of Burnout in US Physicians

• DOI: 10.1007/s11606-021-06661-4
• Publication Date: 2021-03-31T22:45:40Z
• Authors: Keri J. S. Brady; Pengsheng Ni; Lindsey Carlasare; Tait D. Shanafelt; Christine A. Sinsky; Mark Linzer; Martin Stillman; Mickey T. Trockel
• Keywords: Raw score

Abstract Background Physician burnout is often assessed by healthcare organizations. Yet, scores from different measures cannot currently be directly compared, limiting the interpretation of results across organizations or studies. Objective To link common to a single metric in psychometric analyses such that group-level assessments can compared. Design Cross-sectional survey. Setting US practices. Participants A total 1355 physicians sampled American Medical Association Masterfile. Main Measures We linked Stanford Professional Fulfillment Index (PFI) and Mini-Z Single-Item Burnout (MZSIB) scale Maslach Inventory (MBI) item response theory (IRT) fixed-calibration equipercentile created crosswalks mapping PFI MZSIB corresponding MBI scores. evaluated accuracy comparing physicians’ actual those predicted linking described closest cut-point equivalencies scales same subscale using resulting crosswalks. Key Results IRT produced most accurate was used create (1) Work Exhaustion (PFI-WE) Emotional (MBI-EE) (2) Interpersonal Disengagement (PFI-ID) Depersonalization (MBI-DP) The commonly MBI-EE raw score ≥27 corresponded closely with respective PFI-WE cut-points ≥7 ≥3. MBI-DP ≥10 PFI-ID ≥9. Conclusions Our findings allow compare historical, regional, national (and vice-versa).