{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,10]],"date-time":"2026-07-10T18:46:46Z","timestamp":1783709206786,"version":"3.55.0"},"reference-count":38,"publisher":"MDPI AG","issue":"6","license":[{"start":{"date-parts":[[2020,5,27]],"date-time":"2020-05-27T00:00:00Z","timestamp":1590537600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Behavioral Sciences"],"abstract":"<jats:p>Burnout syndrome (BOS) in academic physicians is a psychological state resulting from prolonged exposure to job stressors. It leads to a decline in overall job performance, which could result in misjudgment and serious clinical errors. The current study identifies the prevalence, as well as the potential demographic and workload variables that contribute significantly to BOS in academic clinicians. We distributed a modified version of the Maslach Burnout Inventory (MBI) scale to the academic clinicians in our institution; 326\/900 responded, with 56.21% male and 43.46% female. The MBI scale comprised of three dimensions of burnout: emotional exhaustion (EE), depersonalization (DP), and personal accomplishment (PA). Higher scores in EE and DP and lower scores in PA were associated with a higher risk for burnout. In considering the work-life of academic clinicians, this study used a modified version of the MBI to reflect three hypothesized sources of burnout: interactions with students\/trainees, interactions with patients, and interactions with administration, as reflected in these three dimensions. Along both the EE and DP dimensions of the MBI, burnout was highest for interactions with administration (51% and 44.8%), moderate for interactions with patients (26.4% and 34.5%), and lowest for interactions with students (11.7% and 9.8%). The highest scores along the personal accomplishment component was found for interactions with students and patients (33.7% and 33.4%). Regression analyses identified several factors associated with higher scores on the EE and DP scales: younger age, surgical specialty, low academic rank, academic main practice, female gender, numerous night shifts, and living alone. Furthermore, higher patient volume contributed significantly to the increasing PA. This study suggests that administrative interaction contributes significantly to burnout amongst physicians, followed by patient care and trainees. Furthermore, surgeons, females, single, early career, and younger faculty staff members are at higher risk of suffering from burnout. Further studies are needed to characterize the nature of administrative interactions that contribute to burnout and to solidify other contributing variables.<\/jats:p>","DOI":"10.3390\/bs10060094","type":"journal-article","created":{"date-parts":[[2020,5,28]],"date-time":"2020-05-28T08:27:48Z","timestamp":1590654468000},"page":"94","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":44,"title":["Burnout among Academic Clinicians as It Correlates with Workload and Demographic Variables"],"prefix":"10.3390","volume":"10","author":[{"given":"Aussama K.","family":"Nassar","sequence":"first","affiliation":[{"name":"Department of Surgery, Stanford University, Stanford, CA 94305, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Susan","family":"Reid","sequence":"additional","affiliation":[{"name":"Department of Surgery, McMaster University, Hamilton, ON L8S4L8, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kamyar","family":"Kahnamoui","sequence":"additional","affiliation":[{"name":"Department of Surgery, McMaster University, Hamilton, ON L8S4L8, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Faiz","family":"Tuma","sequence":"additional","affiliation":[{"name":"Central Michigan, University College of Medicine, Mt Pleasant, MI 4885, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abdul","family":"Waheed","sequence":"additional","affiliation":[{"name":"Brandon Regional Hospital, Brandon, FL 33511, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Meghan","family":"McConnell","sequence":"additional","affiliation":[{"name":"Department of Innovation in Medical Education, University of Ottawa, Ottawa, ON K1N6N5, Canada"},{"name":"Department of Anesthesiology and Pain Medicine, University of Ottawa, Ontario, ON K1N6N5, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2020,5,27]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"159","DOI":"10.1111\/j.1540-4560.1974.tb00706.x","article-title":"Staff burn-out","volume":"30","author":"Freudenberger","year":"1974","journal-title":"J. Soc. Issues"},{"key":"ref_2","first-page":"163","article-title":"Burnout\u2014A new disease?","volume":"60","author":"Hillert","year":"2008","journal-title":"Versicherungsmedizin"},{"key":"ref_3","first-page":"16","article-title":"Burnout","volume":"5","author":"Maslach","year":"1976","journal-title":"Hum. Behav."},{"key":"ref_4","unstructured":"Maslach, C., and Jackson, S.E. (1982). A social psychological analysis. Soc. Psychol. Health Illn., 227\u2013251. Available online: https:\/\/www.researchgate.net\/publication\/322937117_Burnout_in_Health_Professions_A_social_psychological_analysis."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"427","DOI":"10.1016\/j.jpsychores.2003.12.001","article-title":"Mental fatigue, work and sleep","volume":"57","author":"Akerstedt","year":"2004","journal-title":"J. Psychosom. Res."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"512","DOI":"10.1093\/occmed\/50.7.512","article-title":"Burnout syndrome: A disease of modern societies?","volume":"50","author":"Weber","year":"2000","journal-title":"Occup. Med. (Oxf. Engl.)"},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"93","DOI":"10.1016\/S0140-6736(19)31573-9","article-title":"Physician burnout: A global crisis","volume":"394","author":"Lancet","year":"2019","journal-title":"Lancet"},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"886","DOI":"10.1111\/j.1365-2834.2008.00883.x","article-title":"When does nursing burnout begin? An investigation of the fatigue experience of Australian nursing students","volume":"17","author":"Rella","year":"2009","journal-title":"J. Nurs. Manag."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"1357","DOI":"10.1016\/0277-9536(94)00267-W","article-title":"A longitudinal examination of the Cherniss model of psychological burnout","volume":"40","author":"Burke","year":"1995","journal-title":"Soc. Sci. Med."},{"key":"ref_10","first-page":"e6108","article-title":"Academic Clinicians\u2019 Workload Challenges and Burnout Analysis","volume":"11","author":"Nassar","year":"2019","journal-title":"Cureus"},{"key":"ref_11","doi-asserted-by":"crossref","unstructured":"Maslach, C. (2003). Burnout: The Cost of Caring, ISHK.","DOI":"10.1111\/1467-8721.01258"},{"key":"ref_12","unstructured":"Wilmar Schaufeli, D.E., and Dirk, E. (2016). The Burnout Companion to Study and Practice; A Critical Analysis, Taylor & Francis. [1st ed.]."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"239","DOI":"10.1097\/HCM.0000000000000277","article-title":"Work-Life Balance, Burnout, and Physician Wellness","volume":"38","author":"Yester","year":"2019","journal-title":"Health Care Manag."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"782","DOI":"10.1001\/archinternmed.2011.153","article-title":"Career satisfaction and burnout in academic hospital medicine","volume":"171","author":"Glasheen","year":"2011","journal-title":"Arch. Intern. Med."},{"key":"ref_15","doi-asserted-by":"crossref","unstructured":"Antoniou, A.S.G. (2009). Handbook of Managerial Behavior and Occupational Health, Edward Elgar Publishing.","DOI":"10.4337\/9781848447219"},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"282","DOI":"10.1086\/592308","article-title":"The relation of elementary teachers\u2019 experience, stress, and coping resources to burnout symptoms","volume":"103","author":"McCarthy","year":"2009","journal-title":"Elem. Sch. J."},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"181","DOI":"10.5539\/ies.v8n3p181","article-title":"Job Satisfaction, Stress and Coping Strategies in the Teaching Profession\u2014What Do Teachers Say?","volume":"8","author":"Skaalvik","year":"2015","journal-title":"Int. Educ. Stud."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"135","DOI":"10.1080\/00220979909598349","article-title":"Relations among achievement, self-concept and motivation in mathematics and language arts: A longitudinal study","volume":"67","author":"Skaalvik","year":"1999","journal-title":"J. Exp. Educ."},{"key":"ref_19","first-page":"51","article-title":"A Study of Job Burnout among University Teachers","volume":"20","author":"Azeem","year":"2008","journal-title":"Psychol. Dev. Soc."},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"1447","DOI":"10.1001\/jama.288.12.1447","article-title":"Mid-career burnout in generalist and specialist physicians","volume":"288","author":"Spickard","year":"2002","journal-title":"JAMA"},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"1004","DOI":"10.1007\/s11606-016-3720-4","article-title":"Worklife and Wellness in Academic General Internal Medicine: Results from a National Survey","volume":"31","author":"Linzer","year":"2016","journal-title":"J. Gen. Intern. Med."},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"157","DOI":"10.1002\/smi.2849","article-title":"Cross-sectional survey of workplace stressors associated with physician burnout measured by the Mini-Z and the Maslach Burnout Inventory","volume":"35","author":"Olson","year":"2019","journal-title":"Stress Health J. Int. Soc. Investig. Stress"},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"990","DOI":"10.1001\/archinternmed.2009.70","article-title":"Career fit and burnout among academic faculty","volume":"169","author":"Shanafelt","year":"2009","journal-title":"Arch. Intern. Med."},{"key":"ref_24","first-page":"136","article-title":"Burnout and EHR use among academic primary care physicians with varied clinical workloads","volume":"2019","author":"Tran","year":"2019","journal-title":"AMIA Jt. Summits Transl. Sci. Proc."},{"key":"ref_25","doi-asserted-by":"crossref","unstructured":"Maslach, C. (2003). Job Burnout: New Directions in Research and Intervention. Assoc. Psycol. Sci.","DOI":"10.1037\/e316652004-001"},{"key":"ref_26","doi-asserted-by":"crossref","unstructured":"Galaiya, R., Kinross, J., and Arulampalam, T. (2020). Factors associated with burnout syndrome in surgeons: A systematic review. Ann. R. Coll. Surg. Engl., 1\u20138.","DOI":"10.1308\/rcsann.2020.0040"},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"335","DOI":"10.3928\/00904481-20120727-14","article-title":"Avoidance of burnout in the young athlete","volume":"41","author":"Breuner","year":"2012","journal-title":"Pediatr. Ann."},{"key":"ref_28","doi-asserted-by":"crossref","unstructured":"Adam, S., Mohos, A., Kalabay, L., and Torzsa, P. (2018). Potential correlates of burnout among general practitioners and residents in Hungary: The significant role of gender, age, dependant care and experience. BMC Fam. Pract., 19.","DOI":"10.1186\/s12875-018-0886-3"},{"key":"ref_29","first-page":"372","article-title":"The Work Lives of Women Physicians","volume":"15","author":"McMurray","year":"2000","journal-title":"J. Gen. Intern. Med."},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"37","DOI":"10.1136\/ewjm.174.1.37","article-title":"Women in medicine: Stresses and solutions","volume":"174","author":"Gautam","year":"2001","journal-title":"West. J. Med."},{"key":"ref_31","doi-asserted-by":"crossref","unstructured":"Cathelain, A., Merlier, M., Estrade, J.P., Duhamel, A., Phalippou, J., Kerbage, Y., and Collinet, P. (2020). Assessment of the Quality of Life of Gynecologic Surgeons: A National Survey in France. J. Gynecol. Obstet. Hum. Reprod., 101791.","DOI":"10.1016\/j.jogoh.2020.101791"},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"696","DOI":"10.1067\/msy.2001.116676","article-title":"Burnout among American surgeons","volume":"130","author":"Campbell","year":"2001","journal-title":"Surgery"},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"371","DOI":"10.1001\/archsurg.2008.575","article-title":"Stress and burnout among surgeons: Understanding and managing the syndrome and avoiding the adverse consequences","volume":"144","author":"Balch","year":"2009","journal-title":"Arch. Surg. (Chicago, Ill: 1960)"},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"979","DOI":"10.1097\/ACM.0b013e318149e29c","article-title":"Early clinical experiences from students\u2019 perspectives: A qualitative study of narratives","volume":"82","author":"Dyrbye","year":"2007","journal-title":"Acad. Med. J. Assoc. Am. Med. Coll."},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"341","DOI":"10.1007\/s10488-011-0352-1","article-title":"Burnout in mental health services: A review of the problem and its remediation","volume":"39","author":"Morse","year":"2012","journal-title":"Adm. Policy Ment. Health"},{"key":"ref_36","first-page":"235","article-title":"Conflicting demands in surgical practice","volume":"77","author":"Kent","year":"1995","journal-title":"Ann. R. Coll. Surg. Engl."},{"key":"ref_37","first-page":"41","article-title":"Principles to promote physician satisfaction and work-life balance","volume":"91","author":"Shanafelt","year":"2008","journal-title":"Minn. Med."},{"key":"ref_38","doi-asserted-by":"crossref","first-page":"463","DOI":"10.1097\/SLA.0b013e3181ac4dfd","article-title":"Burnout and career satisfaction among American surgeons","volume":"250","author":"Shanafelt","year":"2009","journal-title":"Ann. 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