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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. ABFM Research Read all 2019 Comparison of AR, ITS, CBT, and Didactic Training and Evaluation of Retinopathy-Based Diagnosis Go to Comparison of AR, ITS, CBT, and Didactic Training and Evaluation of Retinopathy-Based Diagnosis 2015 Family Physicians with a Certificate of Added Qualifications (CAQs) in Sports Medicine Spend the Majority of Their Time Practicing Sports Medicine Go to Family Physicians with a Certificate of Added Qualifications (CAQs) in Sports Medicine Spend the Majority of Their Time Practicing Sports Medicine 2013 Specialty board certification in the United States: issues and evidence Go to Specialty board certification in the United States: issues and evidence 2025 Blueprinting the Future: Automatic Item Categorisation using Hierarchical Zero-Shot and Few-Shot Classifiers Go to Blueprinting the Future: Automatic Item Categorisation using Hierarchical Zero-Shot and Few-Shot Classifiers
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 2019 Comparison of AR, ITS, CBT, and Didactic Training and Evaluation of Retinopathy-Based Diagnosis Go to Comparison of AR, ITS, CBT, and Didactic Training and Evaluation of Retinopathy-Based Diagnosis 2015 Family Physicians with a Certificate of Added Qualifications (CAQs) in Sports Medicine Spend the Majority of Their Time Practicing Sports Medicine Go to Family Physicians with a Certificate of Added Qualifications (CAQs) in Sports Medicine Spend the Majority of Their Time Practicing Sports Medicine 2013 Specialty board certification in the United States: issues and evidence Go to Specialty board certification in the United States: issues and evidence 2025 Blueprinting the Future: Automatic Item Categorisation using Hierarchical Zero-Shot and Few-Shot Classifiers Go to Blueprinting the Future: Automatic Item Categorisation using Hierarchical Zero-Shot and Few-Shot Classifiers
2019 Comparison of AR, ITS, CBT, and Didactic Training and Evaluation of Retinopathy-Based Diagnosis Go to Comparison of AR, ITS, CBT, and Didactic Training and Evaluation of Retinopathy-Based Diagnosis
2015 Family Physicians with a Certificate of Added Qualifications (CAQs) in Sports Medicine Spend the Majority of Their Time Practicing Sports Medicine Go to Family Physicians with a Certificate of Added Qualifications (CAQs) in Sports Medicine Spend the Majority of Their Time Practicing Sports Medicine
2013 Specialty board certification in the United States: issues and evidence Go to Specialty board certification in the United States: issues and evidence
2025 Blueprinting the Future: Automatic Item Categorisation using Hierarchical Zero-Shot and Few-Shot Classifiers Go to Blueprinting the Future: Automatic Item Categorisation using Hierarchical Zero-Shot and Few-Shot Classifiers