Number: Mo1073
HOW MUCH IS TOO MUCH? THE IMPACT OF ROTATION LENGTH ON HEPATOLOGY ATTENDING PHYSICIAN WELLNESS AND ITS EFFECT ON RESIDENT LEARNERS
Society: AGA
Track: Education and Training
BACKGROUND: Studies have shown that longer rotation lengths on inpatient services are associated with higher rates of physician burnout. While many variables contribute to burnout, the effect of attending burnout on residents has not been thoroughly studied. This study evaluated attending burnout on an inpatient hepatology teaching service and its impact on residents. We hypothesized that attendings would experience burnout over the course of a 14-day rotation and that this would lead to decreased teaching over time.
METHODS: We performed a cross sectional survey of hepatology attendings after 7- and 14-days on service. We used two validated tools to measure burnout and professional fulfillment: the Stanford Professional Fulfillment Index (SPFI) and the Well-Being Index (WBI). Fulfillment was defined as a SPFI score of ≥ 3, and burnout was defined as a SPFI score of ≥ 1.33 and/or WBI score of ≥ 4. Additionally, we surveyed residents after completion of their rotation to assess perception of attending burnout and attending availability for teaching and mentorship.
RESULTS: Of 14 surveys distributed to 7 attendings between July and November 2023, 6 were completed (35%). All respondents were married with children, in an Academic Clinician track, and an attending for < 10 years. Both fulfillment (mean 3.05, SD 0.437) and burnout (SPFI mean 1.43, SD 0.834; WBI mean 2.33, SD 1.247) were present in 33% of attendings who responded after 7 days on service. After 14 days, burnout was present in 66%, but only as measured by the SPFI (mean 3, SD 0.235; WBI mean 1, SD 1.632). Fulfillment remained the same after 14 days (mean 3, SD 0.235). Some factors identified as contributing to decreased wellness included nighttime calls, team dynamics, outpatient responsibilities, charting, and personal obligations.
19 surveys were completed by residents for a 48% (19/39) completion rate. Overall, residents were satisfied with the teaching (78%, 15/19) and mentorship (73%, 14/19) on the rotation. Only 10% (2/19) of residents perceived their attending to be experiencing burnout after the first 7 days of the rotation, while 31% (6/19) felt that this was true after 14 days. Residents reported that the number of formal teaching experiences was the same throughout the rotation. However, they noticed a decrease in informal teaching experiences (e.g., teaching on rounds or at bedside) over time (mean 8.31 at 7 days, mean 7 at 14 days).
CONCLUSION: This study characterized attending burnout on an inpatient hepatology service and its impact on resident education. We found that rates of burnout increased over time on service, while levels of fulfillment remained the same. Attending burnout was apparent to trainees and directly correlated with rotation duration. Length of time on service was inversely correlated to the quantity of informal teaching experiences during the rotation.
Number: Mo1073
HOW MUCH IS TOO MUCH? THE IMPACT OF ROTATION LENGTH ON HEPATOLOGY ATTENDING PHYSICIAN WELLNESS AND ITS EFFECT ON RESIDENT LEARNERS
Society: AGA
Track: Education and Training
BACKGROUND: Studies have shown that longer rotation lengths on inpatient services are associated with higher rates of physician burnout. While many variables contribute to burnout, the effect of attending burnout on residents has not been thoroughly studied. This study evaluated attending burnout on an inpatient hepatology teaching service and its impact on residents. We hypothesized that attendings would experience burnout over the course of a 14-day rotation and that this would lead to decreased teaching over time.
METHODS: We performed a cross sectional survey of hepatology attendings after 7- and 14-days on service. We used two validated tools to measure burnout and professional fulfillment: the Stanford Professional Fulfillment Index (SPFI) and the Well-Being Index (WBI). Fulfillment was defined as a SPFI score of ≥ 3, and burnout was defined as a SPFI score of ≥ 1.33 and/or WBI score of ≥ 4. Additionally, we surveyed residents after completion of their rotation to assess perception of attending burnout and attending availability for teaching and mentorship.
RESULTS: Of 14 surveys distributed to 7 attendings between July and November 2023, 6 were completed (35%). All respondents were married with children, in an Academic Clinician track, and an attending for < 10 years. Both fulfillment (mean 3.05, SD 0.437) and burnout (SPFI mean 1.43, SD 0.834; WBI mean 2.33, SD 1.247) were present in 33% of attendings who responded after 7 days on service. After 14 days, burnout was present in 66%, but only as measured by the SPFI (mean 3, SD 0.235; WBI mean 1, SD 1.632). Fulfillment remained the same after 14 days (mean 3, SD 0.235). Some factors identified as contributing to decreased wellness included nighttime calls, team dynamics, outpatient responsibilities, charting, and personal obligations.
19 surveys were completed by residents for a 48% (19/39) completion rate. Overall, residents were satisfied with the teaching (78%, 15/19) and mentorship (73%, 14/19) on the rotation. Only 10% (2/19) of residents perceived their attending to be experiencing burnout after the first 7 days of the rotation, while 31% (6/19) felt that this was true after 14 days. Residents reported that the number of formal teaching experiences was the same throughout the rotation. However, they noticed a decrease in informal teaching experiences (e.g., teaching on rounds or at bedside) over time (mean 8.31 at 7 days, mean 7 at 14 days).
CONCLUSION: This study characterized attending burnout on an inpatient hepatology service and its impact on resident education. We found that rates of burnout increased over time on service, while levels of fulfillment remained the same. Attending burnout was apparent to trainees and directly correlated with rotation duration. Length of time on service was inversely correlated to the quantity of informal teaching experiences during the rotation.