
Background: 
Studies have shown that burnout can begin as early as medical school and can worsen in residency. Research from the National Institute of Health (NIH) shows burnout rates as high as 50% in the resident population. The Accreditation Council of Graduate Medical Education (ACGME) and the American Medical Association (AMA) have developed recovery plans to fight system level drivers of burnout, promote physician wellbeing, and advocate for better learning environments for trainees. The Maslach Burnout Inventory (MBI), and its subscales; Occupational Exhaustion (OE), Depersonalization (DP), and Professional Accomplishment (PA), are commonly used to determine levels of burnout among resident physicians. A common problem among residency administration is how to incorporate meaningful, longitudinal changes that decrease burnout. The MBI is reliable in determining if burnout exists, but less reliable in assessing if interventions are useful, as burnout often rebounds and is typically resistant to interventions longitudinally. The authors developed and co-led quarterly focus groups, which were compared to simultaneously collected aggregate MBI scores to evaluate the reliability and potential benefits of focus groups in assessing burnout and developing interventions.   

Methods:
Semi-structured focus groups (8) for psychiatry residents were led from July 2022 to July 2023, separated by PGY level (PGY1 or PGY2). The residents completed an online MBI prior to the scheduled focus group. A quantitative analysis was completed quarterly and burnout scores were calculated and compared in aggregate longitudinally, averaged by (burnout subscale x PGY cohort x quarter). The focus groups were transcribed and analyzed for positive longitudinal themes, negative longitudinal themes and actionable items to combat burnout. The content was also analyzed for similarities to the MBI questionnaire. 

Results: 
Longitudinal trends in MBI scores were found among the PGY cohorts which showed differences in burnout severity. The PGY1 residents showed worse levels of OE, DP and PA, suggestive of more severe burnout. PGY2 residents’ rates of OE and DP also worsened but less significantly, while PA stayed level throughout the year. The content expressed in the focus groups were comparable to the MBI, with an additional 19 to 30% additional data on longitudinal themes and actionable items. These themes were further analyzed and organized into nine major themes. 

Conclusion: 
The differences in severity of burnout between cohorts were dependent on PGY year and quarter. The focus groups demonstrated actionable items and positive longitudinal themes that could be beneficial in shifting the discussion of implementing interventions to combat resident burnout.  

The MSBI Psychiatry Residency Burnout Pilot Study: Longitudinal Trends and Themes of Burnout Through Focus Groups

 Psychiatry

poster

Welcome to the **largest national, multi-specialty research** event featuring research from nearly 700 medical students, residents, fellows, and international medical graduates.

Use the buttons below or navigation menu to access the event.
 


[![](https://assets.underline.io/uploads/markdown_image/1/image/3e33a8c754cc49610b30950617d813e7.png)](https://underline.io/events/434/sessions?searchGroup=all)
 
[![](https://assets.underline.io/uploads/markdown_image/1/image/551404d429c4e274f9a54cbdd7081918.png)](https://underline.io/events/434/posters?searchGroup=all)
 
[![](https://assets.underline.io/uploads/markdown_image/1/image/677d92f566b880cebd36905fc738fc10.png)](https://underline.io/events/434/lounge)
 
[![](https://assets.underline.io/uploads/markdown_image/1/image/c7392833c7261c3874c5b43fa2f4df19.png)](https://underline.io/events/434/help-desk)
 

#### Event Details

The 2023 American Medical Association Research Challenge includes a poster symposium hall and a semifinals hall with the top scored research. **Log in at any time throughout the event to:**

* **View posters and presentations** on a variety of topics and specialties
* **Score posters in the semifinals** to help decide the top five finalists (AMA member exclusive opportunity)
* **Connect with participants** and provide feedback to help advance their research
* **Attend education sessions** with physician experts on key research topics

At the conclusion of this event, the AMA will announce the top five finalists who will advance to the AMA Research Challenge finals, present their research to an elite panel of judges, and compete to win a $10,000 grand prize sponsored by Laurel Road. 

### Grand Prize Sponsor

AMA would like to thank Laurel Road for sponsoring a $10,000 grand prize for the winner of the AMA Research Challenge. Laurel Road is not involved in the judging or scoring process to select the winner. The winner will be announced on February 4, 2024 during the AMA Research Challenge finals. Payment of the grand prize will be directly from Laurel Road. See the AMA Research Challenge Official Rules for terms and conditions.

![](https://assets.underline.io/uploads/markdown_image/1/image/611e331d4a0eba0920f240cfc04b4d77.png)

**There is no registration fee for this event! **

Register to explore research in a variety of topics. AMA members get exclusive access to score posters in the semifinals.

**Please use this link [here](https://www.ama-assn.org/about/events/ama-research-challenge) to register for free.**

Registration Is Required

AMA Research Challenge 2023

Join the AMA Research Challenge poster symposium and semifinals to explore top research posters, score posters in the semifinals (an AMA member exclusive opportunity) and attend education sessions with experienced physicians to learn tips to advance your research and career. 

Quentin Reynolds

1

SHORT BIO

Presentations

The MSBI Psychiatry Residency Burnout Pilot Study: Longitudinal Trends and Themes of Burnout Through Focus Groups

Stay up to date with the latest Underline news!

PRESENTATIONS

CONFERENCES

COMPANY

RESOURCES