Tolerance for Uncertainty, Burnout, and Satisfaction With the Career of Emergency Medicine - 14/09/13
, Richard Goldberg, MD b, Scott Compton, PhD a
Address for reprints: Gloria Kuhn, DO, PhD, Department of Emergency Medicine, Wayne State University, 6-G, UHC, 201 St Antoine, Detroit, MI 48201; 313-745-3030, fax 313-993-7703Résumé |
Study objective |
Questions about burnout, career satisfaction, and longevity of emergency physicians have been raised but no studies have examined tolerance for uncertainty as a risk factor for burnout. Primary objectives of this study are to assess the role of uncertainty tolerance in predicting career burnout and to estimate the proportion of emergency physicians who exhibit high levels of career burnout.
Methods |
A mail survey incorporating validated measures of career satisfaction, tolerance for uncertainty, and burnout was sent to a random sample of members of the American College of Emergency Physicians. Best- and worst-case scenarios of point estimates are provided to assess for the effect of nonresponse bias, and multivariable logistic regression was used to predict evidence of career burnout.
Results |
One hundred ninety-three surveys were returned (response rate 43.1%). A high level of career burnout was exhibited in 62 (32.1%; best-worst case 13.8% to 64.1%) respondents. No demographic variables were associated with burnout status. The final model identified that high anxiety caused by concern for bad outcomes (odds ratio=6.35) was the strongest predictor of career burnout, controlling for all other variables.
Conclusion |
A large percentage of emergency physicians in this study, 32.1%, exhibited emotional exhaustion, which is the core symptom of burnout. Emotional exhaustion was not related to age or type of practice and was not mitigated by training in emergency medicine. Physicians studied did not feel anxiety because of general uncertainty, difficulty in disclosing uncertainty to patients, or admitting errors to other physicians. High anxiety caused by concern for bad outcomes was the strongest predictor of burnout. Despite exhibiting emotional exhaustion, the majority of respondents are satisfied with the career of emergency medicine.
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| Provide process.asp?qs_id=4410 on this article at the journal's Web site, www.annemergmed.com. |
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| Supervising editor: Debra E. Houry, MD, MPH |
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| Author contributions: GK conceived, designed, and wrote the study. RG assisted in obtaining fund, suggested elements of the design, and assisted in writing the article. SC assisted with design of the study, analysis of the data, and writing of the article. GK takes responsibility for the paper as a whole. |
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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 that might create any potential conflict of interest. See the Manuscript Submission Agreement in this issue for examples of specific conflicts covered by this statement. Funding by ACEP was through a Section Grant to the Wellness Section and funding by Blue Cross Blue Shield was by a foundation grant. Neither funding body had any influence on the design of the study or the reported findings and manuscript. |
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| Publication date: Available online February 3, 2009. |
Vol 54 - N° 1
P. 106 - juillet 2009 Retour au numéro
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