Stress and Burnout in Department Chairs   F. Bruder Stapleton, MD President, AMSPDC AMSPDC Annual Meeting March 12, 2007 S...
Study of Stress and Burnout in  Pediatric Department Chairs <ul><li>McPhillips H, Stanton B, Zuckerman B,  </li></ul><ul><...
Pediatric Chairs have a high degree of job satisfaction.  65% are highly satisfied and 30% somewhat satisfied
Pediatric Chairs Compared to Others <ul><li>Satisfaction scores   Emotional Exhaustion   Depersonalization   Personal Achi...
Selected Data from Survey <ul><li>1.  No gender differences found </li></ul><ul><li>2.  No relationship to children’s hosp...
What do Pediatric Chairs find  most  satisfying? <ul><li>1.  Teaching 65% very </li></ul><ul><li>2.  Mentoring Students 65...
What are areas of  least  satisfaction? <ul><li>1.  Fund Raising   33% not </li></ul><ul><li>2.  Research and writing   31...
High Burnout was found in  30% of Pediatric Chairs
Burnout in Pediatric Chairs  is associated with: <ul><li>1.  Being Chair < 5 years </li></ul><ul><li>2.  More hours worked...
Burnout in Pediatric Chairs <ul><li>years as chair wks attending/year </li></ul><ul><li><5  >5   0  1-8   9+  </li></ul><u...
Work Hours and Burnout <ul><li>hours/week evening events/week vacation weeks </li></ul><ul><li><50 >60   0-1   2+     <2  ...
Burnout and Work Place Climate for Pediatric Chairs <ul><li>Supportive  Receptive </li></ul><ul><li>  low 38% </li></ul><u...
Burnout in Chairs of OB/GYN  Gabbe et al. AJOG 2002: 186; 601-612
Burnout in OB/GYN Chairs <ul><li>1.  Younger chairs worked longer hours </li></ul><ul><li>2.  Women worked longer hours th...
Burnout in OB/GYN Chairs <ul><li>4.  22% were somewhat or very dissatisfied </li></ul><ul><li>5.  High emotional exhaustio...
Internal Medicine Department Chairs:  Where they come from, Why they leave, Where they go. Nettleman M, Schuester BL. Am J...
Internal Medicine Chairs <ul><li>18% annual turnover </li></ul><ul><li>Were usually division chiefs </li></ul><ul><li>Left...
Advice from former IM Chairs <ul><li>Maintain skills </li></ul><ul><li>Stay clinically active </li></ul><ul><li>Obtain lea...
What can be done about  burnout in Pediatric Chairs?
Burnout in Pediatric Chairs  in office  ≤ 5years <ul><li>1.  Higher burnout 29% vs. 15% </li></ul><ul><li>2.  Worked longe...
Burnout in Pediatric Department Chairs <ul><li>0% of chairs with high work-life balance  </li></ul><ul><li>satisfaction ha...
Opportunities to reduce burnout in Pediatric Chairs <ul><li>1.  Encourage more balanced workload (Improve  </li></ul><ul><...
 
Upcoming SlideShare
Loading in …5
×

Stress and Burnout in Department Chairs Stress and Burnout in Department Chairs

964 views

Published on

Published in: Health & Medicine
0 Comments
0 Likes
Statistics
Notes
  • Be the first to comment

  • Be the first to like this

No Downloads
Views
Total views
964
On SlideShare
0
From Embeds
0
Number of Embeds
10
Actions
Shares
0
Downloads
24
Comments
0
Likes
0
Embeds 0
No embeds

No notes for slide

Stress and Burnout in Department Chairs Stress and Burnout in Department Chairs

  1. 1. Stress and Burnout in Department Chairs F. Bruder Stapleton, MD President, AMSPDC AMSPDC Annual Meeting March 12, 2007 San Antonio, Texas
  2. 2. Study of Stress and Burnout in Pediatric Department Chairs <ul><li>McPhillips H, Stanton B, Zuckerman B, </li></ul><ul><li>Stapleton FB. J Pediatr 2007, In Press </li></ul>
  3. 3. Pediatric Chairs have a high degree of job satisfaction. 65% are highly satisfied and 30% somewhat satisfied
  4. 4. Pediatric Chairs Compared to Others <ul><li>Satisfaction scores Emotional Exhaustion Depersonalization Personal Achievement </li></ul><ul><li>Pediatric Chairs 17.1 4.7 40 </li></ul><ul><li>OB/GYN Chairs 29.9 9.1 41.5 </li></ul><ul><li>Otolaryngology Chairs 17.5 3.9 32.8 </li></ul><ul><li>Medicine Residents 26.4 12.7 36.2 </li></ul><ul><li>All Physicians 22.2 7.1 36.5 </li></ul><ul><li>EE, DP scores- lower is better. PA scores- higher is better </li></ul>
  5. 5. Selected Data from Survey <ul><li>1. No gender differences found </li></ul><ul><li>2. No relationship to children’s hospitals </li></ul><ul><li>3. 19/148 worked > 60hrs; 75/148 > 50 hrs </li></ul><ul><li>4. 90/148 were away ≥ 2 nights/week </li></ul><ul><li>5. 67/148 took ≤ 2 weeks vacation/year </li></ul><ul><li>6. 37/148 did no hospital clinical work </li></ul>
  6. 6. What do Pediatric Chairs find most satisfying? <ul><li>1. Teaching 65% very </li></ul><ul><li>2. Mentoring Students 65% very </li></ul><ul><li>3. Mentoring Faculty 65% very </li></ul><ul><li>4. Improving Child Health 52% very </li></ul>
  7. 7. What are areas of least satisfaction? <ul><li>1. Fund Raising 33% not </li></ul><ul><li>2. Research and writing 31% not </li></ul><ul><li>3. Work-life balance 19% not </li></ul>
  8. 8. High Burnout was found in 30% of Pediatric Chairs
  9. 9. Burnout in Pediatric Chairs is associated with: <ul><li>1. Being Chair < 5 years </li></ul><ul><li>2. More hours worked/week </li></ul><ul><li>3. High work load </li></ul><ul><li>4. Lack of supportive work environment </li></ul><ul><li>5. Failing to meet expectations of Dean and/or </li></ul><ul><li> Hospital Administration </li></ul>
  10. 10. Burnout in Pediatric Chairs <ul><li>years as chair wks attending/year </li></ul><ul><li><5 >5 0 1-8 9+ </li></ul><ul><li>Burnout 29% 15% 32% 13% 21% </li></ul><ul><li>No Burnout 71% 85% 68% 87% 79% </li></ul>
  11. 11. Work Hours and Burnout <ul><li>hours/week evening events/week vacation weeks </li></ul><ul><li><50 >60 0-1 2+ <2 3+ </li></ul><ul><li>Burnout 12% 42% 7% 26% 25% 14% </li></ul><ul><li>No Burnout 88% 58% 93% 74% 75% 86% </li></ul>
  12. 12. Burnout and Work Place Climate for Pediatric Chairs <ul><li>Supportive Receptive </li></ul><ul><li> low 38% </li></ul><ul><li> med 19% </li></ul><ul><li> high 11% </li></ul><ul><li>Choice Independence </li></ul><ul><li> low 43% </li></ul><ul><li> med 19% </li></ul><ul><li> high 8% </li></ul>
  13. 13. Burnout in Chairs of OB/GYN Gabbe et al. AJOG 2002: 186; 601-612
  14. 14. Burnout in OB/GYN Chairs <ul><li>1. Younger chairs worked longer hours </li></ul><ul><li>2. Women worked longer hours than men </li></ul><ul><li>3. The most significant stressors were budgeting, </li></ul><ul><li> Medicaid audits, loss of key faculty and </li></ul><ul><li> dismissing faculty </li></ul>
  15. 15. Burnout in OB/GYN Chairs <ul><li>4. 22% were somewhat or very dissatisfied </li></ul><ul><li>5. High emotional exhaustion was more common </li></ul><ul><li> in younger chairs </li></ul><ul><li>6. Burnout was more common in new chairs </li></ul>
  16. 16. Internal Medicine Department Chairs: Where they come from, Why they leave, Where they go. Nettleman M, Schuester BL. Am J Med 2007: 120; 186-190
  17. 17. Internal Medicine Chairs <ul><li>18% annual turnover </li></ul><ul><li>Were usually division chiefs </li></ul><ul><li>Left being chair because </li></ul><ul><ul><li>Wanted new challenges </li></ul></ul><ul><ul><li>Disagreed with Dean/University </li></ul></ul><ul><ul><li>Were burned out </li></ul></ul>
  18. 18. Advice from former IM Chairs <ul><li>Maintain skills </li></ul><ul><li>Stay clinically active </li></ul><ul><li>Obtain leadership training </li></ul><ul><li>Remain active nationally </li></ul>
  19. 19. What can be done about burnout in Pediatric Chairs?
  20. 20. Burnout in Pediatric Chairs in office ≤ 5years <ul><li>1. Higher burnout 29% vs. 15% </li></ul><ul><li>2. Worked longer hours: </li></ul><ul><li> 80% worked >70 hours </li></ul><ul><li> compared to 56% in more experienced chairs </li></ul>
  21. 21. Burnout in Pediatric Department Chairs <ul><li>0% of chairs with high work-life balance </li></ul><ul><li>satisfaction had high burnout </li></ul><ul><li>50% of chairs with high burnout plan to step </li></ul><ul><li>down in next year </li></ul>
  22. 22. Opportunities to reduce burnout in Pediatric Chairs <ul><li>1. Encourage more balanced workload (Improve </li></ul><ul><li>efficiency) </li></ul><ul><li>2. Improve recruiting and fund-raising skills </li></ul><ul><li>3. Develop better work-life balance </li></ul><ul><li>4. Build in more escape time </li></ul><ul><li>5. Enhance ability to work with Dean </li></ul><ul><li>6. Enhance ability to cope with non-supportive work environments </li></ul>

×