Burnout, depression, non-modifiable factors, & work environment in osteopathic family medicine residents

Objective: To improve the well-being of residents, several initiatives, including work-hour restrictions, have been implemented. The efficacy of these initiatives has not been widely studied. As such, the purpose of the current study was to evaluate burnout and depression in Osteopathic family medicine residents, examine non-modifiable factors influencing burnout, and assess the relationship of the work environment as it relates to burnout. Methods: The current study used a cross-sectional study design and an anonymous, web-based survey to assess burnout and depression in Osteopathic family medicine residents. Residents received invitations to participate in the survey via e-mail. The survey was created specifically for the current study. Results: In total, 316 Osteopathic family medicine residents completed the survey. Burnout was present in 69.0% of residents, and 87.9% met criteria for depression. Females were 1.8 times more likely than males to be burned out. No significant difference was found for overall burnout when examining, age, sexual orientation or relationship status. Residents who worked more than 80 hours per week had increased emotional exhaustion and decreased personal accomplishment. Finally, 23.0% of residents reported being very satisfied about balance between personal and professional life and 58.3% reported being very satisfied about family medicine as a career choice. Conclusions: The current study suggested that Osteopathic family medicine residents experience high burnout and depression. These negative constituents of mental well-being still exist despite the changes instituted for work-hour restrictions. Additional research is needed to determine effective interventions for this ongoing problem.