Critical care rotation impact on pediatric resident mental health and burnout
Abstract Background Burnout and depression are common among medical trainees and intensive care unit providers, negatively impacting both providers and patients. We hypothesized that at the end of the pediatric intensive care unit (PICU) rotation, there would be an increased prevalence of depression...
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| Format: | Article |
| Language: | English |
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BMC
2017-10-01
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| Series: | BMC Medical Education |
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| Online Access: | http://link.springer.com/article/10.1186/s12909-017-1021-1 |
| _version_ | 1811214297787793408 |
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| author | Katie K. Wolfe Sharon M. Unti |
| author_facet | Katie K. Wolfe Sharon M. Unti |
| author_sort | Katie K. Wolfe |
| collection | DOAJ |
| description | Abstract Background Burnout and depression are common among medical trainees and intensive care unit providers, negatively impacting both providers and patients. We hypothesized that at the end of the pediatric intensive care unit (PICU) rotation, there would be an increased prevalence of depression and burnout in pediatric residents when compared to the beginning. Methods Pediatric residents were assessed prior to and following their PICU rotation using the Maslach Burnout Inventory, the Center for Epidemiologic Studies Depression Screen and a survey assessing positive and negative aspects of the rotation. Results Sixty residents were eligible to participate and initial response rate was 40%. The prevalence of positive depression screen increased from 4% to 41% during the PICU rotation. Regarding burnout, the prevalence of residents meeting criteria for emotional exhaustion increased from 41% to 59% and depersonalization increased from 41% to 53%. Fewer residents had low personal accomplishment scores at the end of the rotation, 13% to 0%. Autonomy, procedural opportunities, and interactions with non-trainee PICU providers were commonly cited negative aspects of the rotation. Resident education, patient acuity, and nursing-integrated rounding were consistently rated positively. Conclusion Compared to the beginning, at the end of the PICU rotation there is a significantly higher prevalence of depression, emotional exhaustion, and depersonalization among pediatric residents. Pediatric residents may have a more favorable PICU experience if they feel involved in procedural aspects of patient care, are allowed more autonomy in decision making, and there is a continued focus on resident education and team-based care. |
| first_indexed | 2024-04-12T06:02:05Z |
| format | Article |
| id | doaj.art-d96875d5ff7a4cf3b67226f1bf36d010 |
| institution | Directory Open Access Journal |
| issn | 1472-6920 |
| language | English |
| last_indexed | 2024-04-12T06:02:05Z |
| publishDate | 2017-10-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Medical Education |
| spelling | doaj.art-d96875d5ff7a4cf3b67226f1bf36d0102022-12-22T03:45:01ZengBMCBMC Medical Education1472-69202017-10-011711410.1186/s12909-017-1021-1Critical care rotation impact on pediatric resident mental health and burnoutKatie K. Wolfe0Sharon M. Unti1Division of Critical Care Medicine, Department of Pediatrics, McGaw Medical Center/Northwestern University Feinberg School of MedicineDivision of Critical Care Medicine, Department of Pediatrics, McGaw Medical Center/Northwestern University Feinberg School of MedicineAbstract Background Burnout and depression are common among medical trainees and intensive care unit providers, negatively impacting both providers and patients. We hypothesized that at the end of the pediatric intensive care unit (PICU) rotation, there would be an increased prevalence of depression and burnout in pediatric residents when compared to the beginning. Methods Pediatric residents were assessed prior to and following their PICU rotation using the Maslach Burnout Inventory, the Center for Epidemiologic Studies Depression Screen and a survey assessing positive and negative aspects of the rotation. Results Sixty residents were eligible to participate and initial response rate was 40%. The prevalence of positive depression screen increased from 4% to 41% during the PICU rotation. Regarding burnout, the prevalence of residents meeting criteria for emotional exhaustion increased from 41% to 59% and depersonalization increased from 41% to 53%. Fewer residents had low personal accomplishment scores at the end of the rotation, 13% to 0%. Autonomy, procedural opportunities, and interactions with non-trainee PICU providers were commonly cited negative aspects of the rotation. Resident education, patient acuity, and nursing-integrated rounding were consistently rated positively. Conclusion Compared to the beginning, at the end of the PICU rotation there is a significantly higher prevalence of depression, emotional exhaustion, and depersonalization among pediatric residents. Pediatric residents may have a more favorable PICU experience if they feel involved in procedural aspects of patient care, are allowed more autonomy in decision making, and there is a continued focus on resident education and team-based care.http://link.springer.com/article/10.1186/s12909-017-1021-1ResidentBurnoutDepressionICU |
| spellingShingle | Katie K. Wolfe Sharon M. Unti Critical care rotation impact on pediatric resident mental health and burnout BMC Medical Education Resident Burnout Depression ICU |
| title | Critical care rotation impact on pediatric resident mental health and burnout |
| title_full | Critical care rotation impact on pediatric resident mental health and burnout |
| title_fullStr | Critical care rotation impact on pediatric resident mental health and burnout |
| title_full_unstemmed | Critical care rotation impact on pediatric resident mental health and burnout |
| title_short | Critical care rotation impact on pediatric resident mental health and burnout |
| title_sort | critical care rotation impact on pediatric resident mental health and burnout |
| topic | Resident Burnout Depression ICU |
| url | http://link.springer.com/article/10.1186/s12909-017-1021-1 |
| work_keys_str_mv | AT katiekwolfe criticalcarerotationimpactonpediatricresidentmentalhealthandburnout AT sharonmunti criticalcarerotationimpactonpediatricresidentmentalhealthandburnout |