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Original Investigation
Oct 8, 2012

Burnout and Satisfaction With Work-Life Balance Among US Physicians Relative to the General US Population

Author Affiliations

Author Affiliations: Department of Internal Medicine, Mayo Clinic, Rochester, Minnesota (Drs Shanafelt, Dyrbye, West, and Sloan and Mr Satele); American Medical Association, Chicago, Illinois (Drs Boone and Tan); Department of Orthopaedics, Tulane University School of Medicine, New Orleans, Louisiana (Dr Sotile); and Department of Psychiatry and Behavioral Sciences, University of Washington, Seattle (Dr Oreskovich).

Arch Intern Med. 2012;172(18):1377-1385. doi:10.1001/archinternmed.2012.3199
Abstract

Background Despite extensive data about physician burnout, to our knowledge, no national study has evaluated rates of burnout among US physicians, explored differences by specialty, or compared physicians with US workers in other fields.

Methods We conducted a national study of burnout in a large sample of US physicians from all specialty disciplines using the American Medical Association Physician Masterfile and surveyed a probability-based sample of the general US population for comparison. Burnout was measured using validated instruments. Satisfaction with work-life balance was explored.

Results Of 27 276 physicians who received an invitation to participate, 7288 (26.7%) completed surveys. When assessed using the Maslach Burnout Inventory, 45.8% of physicians reported at least 1 symptom of burnout. Substantial differences in burnout were observed by specialty, with the highest rates among physicians at the front line of care access (family medicine, general internal medicine, and emergency medicine). Compared with a probability-based sample of 3442 working US adults, physicians were more likely to have symptoms of burnout (37.9% vs 27.8%) and to be dissatisfied with work-life balance (40.2% vs 23.2%) (P < .001 for both). Highest level of education completed also related to burnout in a pooled multivariate analysis adjusted for age, sex, relationship status, and hours worked per week. Compared with high school graduates, individuals with an MD or DO degree were at increased risk for burnout (odds ratio [OR], 1.36; P < .001), whereas individuals with a bachelor's degree (OR, 0.80; P = .048), master's degree (OR, 0.71; P = .01), or professional or doctoral degree other than an MD or DO degree (OR, 0.64; P = .04) were at lower risk for burnout.

Conclusions Burnout is more common among physicians than among other US workers. Physicians in specialties at the front line of care access seem to be at greatest risk.

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