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Home Research Research Library Academic Achievement, Professionalism, and Burnout in Family Medicine Residents Academic Achievement, Professionalism, and Burnout in Family Medicine Residents 2021 Author(s) Davis, Caitlin S, Krishnasamy, Meenu, Morgan, Zachary J, Bazemore, Andrew W, and Peterson, Lars E Topic(s) Education & Training, Family Medicine Certification, and Achieving Health System Goals Keyword(s) Cognitive Expertise, Graduate Medical Education, In-Training Examination, Initial Certification Questionnaire, Physician Experience (Burnout / Satisfaction), Professionalism, and Visiting Scholar/Fellow Volume Family Medicine Source Family Medicine Background and Objectives: Physician burnout has been shown to have roots in training environments. Whether burnout in residency is associated with the attainment of critical educational milestones has not been studied, and is the subject of this investigation. Methods: We used data from a cohort of graduating family medicine residents registering for the 2019 American Board of Family Medicine initial certification examination with complete data from registration questionnaire, milestone data, in-training examination (ITE) scores, and residency characteristics. We used bivariate and multilevel multivariate analyses to measure the associations between four professionalism milestones ratings and ITE performance with burnout. Results: Our sample included 2,509 residents; 36.8% met the criteria for burnout. Multilevel regression modeling showed a correlation between burnout and failure to meet only one of four professionalism milestones, specifically professional conduct and accountability (OR 1.41, 95% CI 1.07-1.87), while no statistically significant relationship was demonstrated between burnout and being in the lowest quartile of ITE scores. Other factors negatively associated with burnout included international medical education (OR 0.60, 95% CI 0.48-0.76) and higher salary compared to cost of housing (OR 0.62, 95% CI 0.46-0.82). Conclusions: We found significant association between self-reported burnout and failing to meet expectations for professional conduct and accountability, but no relationship between burnout and medical knowledge as measured by lower ITE performance. Further investigation of how this impacts downstream conduct and accountability behaviors is needed, but educators can use this information to examine program-level interventions that can specifically address burnout and development of physician professionalism. Read More ABFM Research Read all 2021 Distribution of Physician Specialties by Rurality Go to Distribution of Physician Specialties by Rurality 2011 Performance on the American Board of Family Medicine (ABFM) certification examination: are superior test-taking skills alone sufficient to pass? Go to Performance on the American Board of Family Medicine (ABFM) certification examination: are superior test-taking skills alone sufficient to pass? 1998 Simulating Patients with Parallel Health State Networks Go to Simulating Patients with Parallel Health State Networks 2012 Diuretic of Choice in ABFM Hypertension Self-Assessment Module Simulations Go to Diuretic of Choice in ABFM Hypertension Self-Assessment Module Simulations
Author(s) Davis, Caitlin S, Krishnasamy, Meenu, Morgan, Zachary J, Bazemore, Andrew W, and Peterson, Lars E Topic(s) Education & Training, Family Medicine Certification, and Achieving Health System Goals Keyword(s) Cognitive Expertise, Graduate Medical Education, In-Training Examination, Initial Certification Questionnaire, Physician Experience (Burnout / Satisfaction), Professionalism, and Visiting Scholar/Fellow Volume Family Medicine Source Family Medicine
ABFM Research Read all 2021 Distribution of Physician Specialties by Rurality Go to Distribution of Physician Specialties by Rurality 2011 Performance on the American Board of Family Medicine (ABFM) certification examination: are superior test-taking skills alone sufficient to pass? Go to Performance on the American Board of Family Medicine (ABFM) certification examination: are superior test-taking skills alone sufficient to pass? 1998 Simulating Patients with Parallel Health State Networks Go to Simulating Patients with Parallel Health State Networks 2012 Diuretic of Choice in ABFM Hypertension Self-Assessment Module Simulations Go to Diuretic of Choice in ABFM Hypertension Self-Assessment Module Simulations
2021 Distribution of Physician Specialties by Rurality Go to Distribution of Physician Specialties by Rurality
2011 Performance on the American Board of Family Medicine (ABFM) certification examination: are superior test-taking skills alone sufficient to pass? Go to Performance on the American Board of Family Medicine (ABFM) certification examination: are superior test-taking skills alone sufficient to pass?
1998 Simulating Patients with Parallel Health State Networks Go to Simulating Patients with Parallel Health State Networks
2012 Diuretic of Choice in ABFM Hypertension Self-Assessment Module Simulations Go to Diuretic of Choice in ABFM Hypertension Self-Assessment Module Simulations
