A Longitudinal Survey on Canadian Emergency Physician Burnout - 20/05/24
, Anna Tran, BSc d, Natasha Clayton, CRA, RA a, b, e, Darshana Seeburruth, BSc f, Rodrick K. Lim, MD g, Patrick M. Archambault, MD, MSc h, i, Teresa M. Chan, MD, MHPE b, j, k, l, Louise C.F. Rang, MD a, Sara Gray, MD, MPH m, Kerri Ritchie, PhD n, Caroline Gérin-Lajoie, MD o, Mathew Mercuri, PhD, PhD a, p, qfor the
Network of Canadian Emergency Researchers
Abstract |
Study objective |
Since Canada eased pandemic restrictions, emergency departments have experienced record levels of patient attendance, wait times, bed blocking, and crowding. The aim of this study was to report Canadian emergency physician burnout rates compared with the same physicians in 2020 and to describe how emergency medicine work has affected emergency physician well-being.
Methods |
This longitudinal study on Canadian emergency physician wellness enrolled participants in April 2020. In September 2022, participants were invited to a follow-up survey consisting of the Maslach Burnout Inventory and an optional free-text explanation of their experience. The primary outcomes were emotional exhaustion and depersonalization levels, which were compared with the Maslach Burnout Inventory survey conducted at the end of 2020. A thematic analysis identified common stressors, challenges, emotions, and responses among participants.
Results |
The response rate to the 2022 survey was 381 (62%) of 615 between September 28 and October 28, 2022, representing all provinces or territories in Canada (except Yukon). The median participant age was 42 years. In total, 49% were men, and 93% were staff physicians with a median of 12 years of work experience. 59% of respondents reported high emotional exhaustion, and 64% reported high depersonalization. Burnout levels in 2022 were significantly higher compared with 2020. Prevalent themes included a broken health care system, a lack of societal support, and systemic workplace challenges leading to physician distress and loss of physicians from the emergency workforce.
Conclusion |
We found very high burnout levels in emergency physician respondents that have increased since 2020.
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| Supervising editor: Ambrose H. Wong, MD, MSEd. Specific detailed information about possible conflict of interest for individual editors is available at editors. |
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| Author contributions: All authors worked together to conceive and design the study. The study was conducted by KdW and NC. AT, DS and MM performed the analyses. All authors reviewed the results, drafted and approved the manuscript. KdW takes responsibility for the paper as a whole. |
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| Data sharing statement: Data are available on request to the corresponding author. |
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| All authors attest to meeting the four ICMJE.org authorship criteria: (1) Substantial contributions to the conception or design of the work; or the acquisition, analysis, or interpretation of data for the work; AND (2) Drafting the work or revising it critically for important intellectual content; AND (3) Final approval of the version to be published; AND (4) Agreement to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved. |
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| Funding and support: By Annals' policy, all authors are required to disclose any and all commercial, financial, and other relationships in any way related to the subject of this article as per ICMJE conflict of interest guidelines (see www.icmje.org). The authors report this article did not receive any outside funding or support. The authors have declared that no competing interests exist. |
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| Please see page 577 for the Editor’s Capsule Summary of this article. |
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Vol 83 - N° 6
P. 576-584 - juin 2024 Retour au numéro
Article précédent
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