The Maslach Burnout Inventory (MBI) is considered the "gold standard" for measuring burnout, encompassing 3 scales: emotional exhaustion, depersonalization, and personal accomplishment. Other well-being instruments have shown utility in various settings, and correlations between MBI and these instruments could provide evidence of relationships among key variables to guide well-being efforts.We explored correlations between the MBI and other well-being instruments.We fielded a multicenter survey of 9 emergency medicine (EM) residencies, administering the MBI and 4 published well-being instruments: a quality-of-life assessment, a work-life balance rating, an appraisal of career satisfaction, and the Primary Care Evaluation of Mental Disorders Patient Health Questionnaire 2 question screen. Consistent with the Maslach definition, burnout was defined by high emotional exhaustion (> 26) and high depersonalization (> 12).Of 334 residents, 261 (78%) responded. Residents who reported lower quality of life had higher emotional exhaustion (ρ = -0.437, P < .0001), higher depersonalization (ρ = -0.18, P < .005), and lower personal accomplishment (ρ = 0.347, P < .001). Residents who reported a negative work-life balance had emotional exhaustion (P < .001) and depersonalization (P < .009). Positive career satisfaction was associated with lower emotional exhaustion (P < .0001), lower depersonalization (P < .005), and higher personal accomplishment (P < .05). A positive depression screen was associated with higher emotional exhaustion, higher depersonalization, and lower personal achievement (all P < .0001).Our multicenter study of EM residents demonstrated that assessments using the MBI correlate with other well-being instruments.
Background: The healthcare workers are leading the fight against the coronavirus pandemic and are at great risk of acquiring the infection. The information on the knowledge and attitude of healthcare workers towards SARS‐CoV-2 is useful to plan awareness and educational programs. Aim: To assess the knowledge and attitude of healthcare workers toward SARS‐CoV-2 in Mirpur, AJK, Pakistan. Material and Methods: A cross-sectional study was performed during March and April 2020, on 468 healthcare workers in a tertiary care divisional headquarters teaching hospital of Mirpur, Azad Jammu and Kashmir, Pakistan. A self-administered questionnaire was used to collect the data through a face to face approach. The data were organized and statistically analyzed through SPSS version 21.0. Results: A total of 520 healthcare workers were approached and 468 of them filled and returned the questionnaire, giving a response rate of 90.0%. The age range of the participants was 18 to 59 years with a mean of 31.5 ± 4.9 years. The majority of respondents were males (62.4%) and more than half of the participants (62.1%) had knowledge of the SARS‐CoV-2 outbreak and their main source of information was television (51.2%). Overall, 60.6% had sufficient knowledge of the disease and 79.7% had a positive attitude towards SARS‐CoV-2. Conclusion: The outcomes of our study revealed that overall healthcare workers had an acceptable level of knowledge and a positive attitude towards the SARS‐CoV-2 outbreak.
While burnout is occupation-specific, depression affects individuals comprehensively. Research on interventions for depression in emergency medicine (EM) residents is limited.We sought to obtain longitudinal data on positive depression screens in EM residents, assess their association with burnout, and determine whether implementation of a wellness curriculum affected the rate of positive screens.In February 2017, we administered the Maslach Burnout Inventory and the Primary Care Evaluation of Mental Disorders Patient Health Questionnaire two-question depression screen at 10 EM residencies. At five intervention sites, a year-long wellness curriculum was then introduced while five control sites agreed not to introduce new wellness initiatives during the study period. Study instruments were re-administered in August 2017 and February 2018.Of 382 residents, 285 participated in February 2017; 40% screened positive for depression. In August 2017, 247/386 residents participated; 27.9% screened positive for depression. In February 2018, 228/386 residents participated; 36.2% screened positive. A positive depression screen was associated with higher burnout. There were similar rates of positive screens at the intervention and control sites.Rates of positive depression screens in EM residents ranged between 27.9% and 40%. Residents with a positive screen reported higher levels of burnout. Rates of a positive screen were unaffected by introduction of a wellness curriculum.
While the Accreditation Council for Graduate Medical Education (ACGME) mandates that emergency medicine residencies provide an educational curriculum that includes administrative seminars and morbidity and mortality conference, there is significant variation as to how administrative topics are implemented into training programs. We seek to determine the prevalence of dedicated administrative rotations and details about the components of the curriculum.
