Burnout Among Nephrologists in the United States: A Survey Study

• DOI: 10.1016/j.xkme.2022.100407
• Publication Date: 2022-01-12T02:55:48Z
• Authors: Devika Nair; Laura Brereton; Courtney Hoge; Laura C. Plantinga; Varun Agrawal; Sandeep S. Soman; Michael J. Choi; Bernard G. Jaar; S. Soman; B. Jaar; K. Abdel-Kader; D. Adey; V. Agrawal; K. Beers; K. Cavanaugh; M.J. Choi; C.J. Diamantidis; M. Estrella; R. Greer; N. Krishnan; D. Nair; L. Plantinga; J. Schell; J. Simon; J. Sperati
• Keywords: Cross-sectional study

Burnout decreases job satisfaction and leads to poor patient outcomes but remains underinvestigated in nephrology. We explored the prevalence determinants of burnout among a sample nephrologists.Cross-sectional.The nephrologists were approached via American Medical Association Physicians Masterfile, National Kidney Foundation listserv, email, social media between April August 2019. The predictors demographics practice characteristics. outcome was burnout, defined as responding "once week" or more on either 1 2 validated measures emotional exhaustion depersonalization both.Participant characteristics tabulated. Responses compared using χ2 tests. Multivariable logistic regression used estimate odds ratios (ORs) for risk factors. Free text responses thematically analyzed.About half 457 respondents 40-59 years old (n=225; 49.2%), predominantly men (n=296; 64.8%), US medical graduates (n=285; 62.4%), academic (n=286; 62.6%). Overall, 106 (23.2%) reported burnout. most commonly primary drivers number hours worked (n=27; 25.5%) electronic health record requirements (n=26; 24.5%). Caring ≤25 versus 26-75 patients per week (OR, 0.34; 95% confidence interval [95% CI], 0.15-0.77), practicing nonacademic settings 0.33; CI, 0.21-0.54), spending time other responsibilities care 0.32; 0.17-0.61) each independently associated with nearly 70% lower after adjusting age, sex, race, international graduate status. free emphasized disinterested systems dissatisfaction remuneration burnout.Inability precisely capture response rate.Nearly one-quarter our Future studies should qualitatively investigate how setting, spent records, clinical drive explore system-level