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Home Research Research Library Lower Likelihood of Burnout Among Family Physicians From Underrepresented Racial-Ethnic Groups Lower Likelihood of Burnout Among Family Physicians From Underrepresented Racial-Ethnic Groups 2021 Author(s) Douglas, Montgomery, Coman, Emil, Eden, Aimee R, Abiola, Suleiman, and Grumbach, Kevin Topic(s) Role of Primary Care Keyword(s) Practice Innovations, and Practice Organization / Ownership Volume Annals of Family Medicine Source Annals of Family Medicine PURPOSE We investigated whether physician race and ethnicity were associated with burnout among a nationally representative sample of family physicians.METHODS We undertook a cross-sectional observational study using survey data from 1,510 American Board of Family Medicine recertification applicants in 2017 and 1,586 respondents to the 2017 National Graduate Survey. Of the 3,096 total family physicians, 450 (15%) were from racial and ethnic groups underrepresented in medicine. We used structural equation models to test the effects of underrepresented status on single-item measures of emotional exhaustion and depersonalization.RESULTS Family physicians underrepresented in medicine were significantly less likely than their non-underrepresented counterparts to report emotional exhaustion (adjusted odds ratio = 0.82; 95% CI, 0.69-0.99; total effect) and depersonalization (adjusted odds ratio = 0.54; 95% CI, 0.41-0.71; total effect). The underrepresented physicians were more likely than non-underrepresented peers to practice in more racially and ethnically diverse counties and less likely to practice obstetrics, both of which partly mediated the protective effect of underrepresented status on depersonalization.CONCLUSIONS Although factors such as racism might be expected to adversely affect the well-being of underrepresented clinicians, underrepresented family physicians reported a lower frequency of emotional exhaustion and depersonalization. The mediating protective effect of working in more racially and ethnically diverse counties is consistent with evidence of the beneficial effect of cultural diversity on health outcomes for minorities. Because physician burnout is a known predictor of job turnover and may also be associated with poorer quality of care, the lower burnout observed among underrepresented family physicians may be an asset for the health care system as a whole. ABFM Research Read all 2018 Adherence to clinical guidelines for monitoring diabetes in primary care settings. Go to Adherence to clinical guidelines for monitoring diabetes in primary care settings. 2023 Accounting for Social Risks in Medicare and Medicaid Payments Go to Accounting for Social Risks in Medicare and Medicaid Payments 2016 “Community vital signs”: incorporating geocoded social determinants into electronic records to promote patient and population health Go to “Community vital signs”: incorporating geocoded social determinants into electronic records to promote patient and population health 2019 Report from the FMAHealth Practice Core Team: Achieving the Quadruple Aim through Practice Transformation Go to Report from the FMAHealth Practice Core Team: Achieving the Quadruple Aim through Practice Transformation
Author(s) Douglas, Montgomery, Coman, Emil, Eden, Aimee R, Abiola, Suleiman, and Grumbach, Kevin Topic(s) Role of Primary Care Keyword(s) Practice Innovations, and Practice Organization / Ownership Volume Annals of Family Medicine Source Annals of Family Medicine
ABFM Research Read all 2018 Adherence to clinical guidelines for monitoring diabetes in primary care settings. Go to Adherence to clinical guidelines for monitoring diabetes in primary care settings. 2023 Accounting for Social Risks in Medicare and Medicaid Payments Go to Accounting for Social Risks in Medicare and Medicaid Payments 2016 “Community vital signs”: incorporating geocoded social determinants into electronic records to promote patient and population health Go to “Community vital signs”: incorporating geocoded social determinants into electronic records to promote patient and population health 2019 Report from the FMAHealth Practice Core Team: Achieving the Quadruple Aim through Practice Transformation Go to Report from the FMAHealth Practice Core Team: Achieving the Quadruple Aim through Practice Transformation
2018 Adherence to clinical guidelines for monitoring diabetes in primary care settings. Go to Adherence to clinical guidelines for monitoring diabetes in primary care settings.
2023 Accounting for Social Risks in Medicare and Medicaid Payments Go to Accounting for Social Risks in Medicare and Medicaid Payments
2016 “Community vital signs”: incorporating geocoded social determinants into electronic records to promote patient and population health Go to “Community vital signs”: incorporating geocoded social determinants into electronic records to promote patient and population health
2019 Report from the FMAHealth Practice Core Team: Achieving the Quadruple Aim through Practice Transformation Go to Report from the FMAHealth Practice Core Team: Achieving the Quadruple Aim through Practice Transformation
