Professional Burnout, Career Choice Regret, and Unmet Needs for Well-Being Among Urology Residents

To measure burnout and career choice regret from the American Urological Association Census, a national sample of urology residents, and to identify unmet needs for well-being. This is a cross-sectional study describing U.S. urology residents’ responses to the 22-item Maslach Burnout Inventory and q...

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Bibliographic Details
Published in:Urology (Ridgewood, N.J.) N.J.), 2021-11, Vol.157, p.57-63
Main Authors: Koo, Kevin, Javier-DesLoges, Juan F., Fang, Raymond, North, Amanda C., Cone, Eugene B.
Format: Article
Language:English
Subjects:
Burnout, Professional
Career Choice
Emotions
Internship and Residency
Urology - education
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Summary:To measure burnout and career choice regret from the American Urological Association Census, a national sample of urology residents, and to identify unmet needs for well-being. This is a cross-sectional study describing U.S. urology residents’ responses to the 22-item Maslach Burnout Inventory and questions about career and specialty choice regret from the 2019 AUA Census. Respondents reported and prioritized unmet needs for resident well-being. Among 415 respondents (31% response), the prevalence of professional burnout was 47%. Burnout symptoms were significantly higher among second-year residents (65%) compared to other training levels (P = .02). Seventeen and 9% of respondents reported regretting their overall career and specialty choices, respectively. Among the 53% of respondents who had ever reconsidered career and specialty choice, a majority (54%) experienced this most frequently during the second year of residency, significantly more than other training levels (P = .04). Regarding unmet needs, 62% of respondents prioritized the ability to attend personal health appointments; the majority experienced difficulty attending such appointments during work hours, more so among women than men (70% vs 53%, P < .01). In the largest study of urology resident burnout to date, 47% of residents, including 65% of second-year residents, met criteria for professional burnout. One in 6 residents reported career choice regret. Targeting interventions to early-career residents and enabling access to medical and mental health care should be priorities for reform.
ISSN:0090-4295
1527-9995
DOI:10.1016/j.urology.2021.05.064