Document Type

Conference Proceeding

Publication Date

2023

Abstract

Project objective/background Physician burnout is an occupational hazard that is multifactorial. Prior research has found that health care leadership qualities impact physician well-being and role satisfaction. However, this research was conducted in a fully employed physician model health system. The current study seeks to further understand the associations of physician satisfaction with their direct leaders and physician burnout and wellbeing in a mixed employed and private practice physician sample. Methods/approach Cross-sectional sample of 1300 physicians in both employed and private practice models received email invitations to take an anonymous survey in mid-2019. The physicians represented specialties providing care at inpatient and outpatient services at a large tertiary care hospital in SE Michigan. Physicians completed the Mini-Z Burnout Survey and the Mayo Clinic Leader Index. Results 270 (21% response rate) physicians completed the surveys. 62% of respondents identified as male, 58% were employed physicians, and 53% practiced a majority of their clinical time in the outpatient clinic. 78% indicated that they agreed or strongly agreed that they were satisfied with their current position, 46% indicated that they felt a great deal of stress related to their current position, 29% indicated that they were experiencing at least one persistent symptom of burnout, with 2% indicating they were completely burned out. The mean Leadership Index score was 45.2 (SD=14.6) and Mini-Z was 33.7 (SD=5.0). Leadership Index scores were correlated with Mini-Z scores (r=.47, p< .001) and the burnout question of the Mini-Z (r=.19, p=.003). Scores on Leadership Index, Mini-Z, report of burnout or satisfaction with current position were not significantly associated with gender (p=.5-.06). Private practice physicians reported lower burnout (p< .001) and higher position satisfaction (p=.001) compared to employed physicians, though there was no significant difference between these groups on the Leadership Index (p=.20). Primarily outpatient physicians were more satisfied with their position (p=.01). Conclusion Overall, Leadership Index scores were associated with burnout and satisfaction with position in physicians surveyed. Private practice physicians report lower burnout and greater position satisfaction compared to their employed colleagues, though there was no difference in ratings of their leadership. Outpatient physicians were more satisfied with their position compared to their inpatient colleagues, however there was no difference in ratings of their leaders or burnout levels.

First Page

242

Comments

American Conference on Physician Health (ACPH), October 11-13, 2023, Palm Desert, CA

Last Page

242

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