Abstract
Background
Many pediatric residents suffer from burnout. We aimed to describe the prevalence,
source, and epidemiology of bullying, discrimination, harassment, and physical violence,
and the relationship between these experiences and burnout.
Methods
We analyzed data from the Spring, 2019 Pediatric Resident Burnout and Resilience Study
Consortium's 72-item online survey. Surveys included screening questions about burnout;
residents’ characteristics and experiences, and attitudes about their learning environment.
Results
Nineteen hundred fifty-six residents (66% of those eligible) from 46 programs participated;
most (70%) were women and most (66%) were Caucasian. Overall 45% reported weekly or
more frequent burnout symptoms; 33% reported 1 or more of these experiences (“mistreatment”)
during the past year: 19% reported experiencing bullying; 18% reported discrimination;
5% reported sexual harassment; and 1% reported physical violence. The most frequent
sources of mistreatment were clinical staff (60%), patients’ families (54%), and faculty
(43%). Women were more likely than men to report mistreatment (36% vs 25%, P < .01) Residents who reported experiencing mistreatment were more likely than those
who did not to report symptoms of burnout (adjusted odds ratio 1.98; 95% confidence
interval, CI 1.62–2.42); they also reported higher stress levels, lower quality of
life, and were less likely to agree that their program prioritized collaboration,
education, or mentoring (P < .001 for all).
Conclusions
Mistreatment occurs frequently among pediatric residents, especially women; mistreatment
is associated with burnout, stress, lower quality of life, and worse attitudes about
the learning environment. Future studies could explore whether institutional efforts
to improve workplace civility improves resident well-being and attitudes about training.
Keywords
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Article Info
Publication History
Published online: February 27, 2020
Accepted:
February 21,
2020
Received:
December 6,
2019
Footnotes
The authors have no conflicts of interest to disclose.
Identification
Copyright
Copyright © 2020 by Academic Pediatric Association
