In an academic medical practice, physician burnout, engagement, and career satisfaction

Abstract

Background:
Physician burnout is a widespread issue in healthcare, characterized by emotional exhaustion, depersonalization, and reduced professional efficacy, all of which compromise patient care. Research has shown that burnout negatively impacts the quality and safety of care. Conversely, engagement, defined as a positive emotional connection to work, can help reduce burnout's harmful effects. This study explores the relationship between burnout and engagement in a large academic medical practice and how engagement may mitigate the adverse effects of burnout on career satisfaction and retention.
Methods:
Data were obtained from a biennial survey conducted among physicians in an academic faculty practice. The survey assessed burnout, engagement, career satisfaction, and intention to remain in the role. Burnout was measured using the Maslach Burnout Inventory, and engagement was assessed through the Utrecht Work Engagement Scale. Demographic and workplace factors were adjusted for in multivariate models, and statistical analyses were conducted using SAS version 9.4.
Results:
Of the 2,031 physicians invited, 92.66% (1,882) completed the survey. The results indicated that 43.8% of respondents reported low burnout and high engagement, while 30.0% reported high burnout and low engagement. Early-career physicians and primary care physicians were more likely to experience burnout. Greater satisfaction with Continuing Medical Education, manageable workloads, and access to peer support were associated with lower burnout and higher engagement. Additionally, engagement positively influenced career satisfaction and retention, with engaged physicians reporting higher satisfaction and greater intent to remain in their roles, even when experiencing burnout.
Conclusion:
This study highlights the critical role of engagement in combating burnout and enhancing career satisfaction and retention among physicians. Healthcare organizations should focus on promoting engagement by offering opportunities for continuous learning, career fulfillment, and support to help mitigate the negative impacts of burnout.