{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,10]],"date-time":"2026-10-10T23:18:57Z","timestamp":1791674337826,"version":"4.3.4"},"reference-count":16,"publisher":"The Journal of Rheumatology","issue":"12","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Rheumatol"],"published-print":{"date-parts":[[2020,12,1]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Burnout among physicians is common and has important implications. We assessed the extent of burnout among rheumatology practitioners and its associations.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods.<\/jats:title>\n                    <jats:p>One hundred twenty-eight attendees at the 2019 Rheumatology Winter Clinical Symposium were surveyed using the Maslach Burnout Index (MBI) and a demographics questionnaire. Scores for emotional exhaustion (EE) \u2265 27, depersonalization (DP) \u2265 10, and personal accomplishment (PA) \u2264 33 were considered positive for burnout. Data regarding practitioner characteristics including age, sex, years in practice, and other demographics of interest were also collected. These data were used to determine prevalence and interactions of interest between practitioner characteristics and the risk of burnout.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results.<\/jats:title>\n                    <jats:p>\n                      Of the 128 respondents, 50.8% demonstrated burnout in at least 1 MBI domain. Dissatisfaction with electronic health records was associated with a 2.86-times increased likelihood of burnout (OR 2.86, 95% CI 1.23\u20136.65,\n                      <jats:italic>P<\/jats:italic>\n                      = 0.015). Similar results were found for lack of exercise (OR 5.00, 95% CI 1.3\u201318.5,\n                      <jats:italic>P<\/jats:italic>\n                      = 0.016) and work hours &gt; 60 per week (OR 2.6, 95% CI 1.16\u20135.6,\n                      <jats:italic>P<\/jats:italic>\n                      = 0.019). Practitioners in group practice were 57% less likely to burn out (OR 0.43, 95% CI 0.20\u20130.92,\n                      <jats:italic>P<\/jats:italic>\n                      = 0.029), as were those who spend &gt; 20% of their time in personally satisfying work (OR 0.32, 95% CI 0.15\u20130.71,\n                      <jats:italic>P<\/jats:italic>\n                      = 0.005).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion.<\/jats:title>\n                    <jats:p>In what we believe to be one of the largest studies regarding burnout among rheumatology practitioners, we found a substantial prevalence of burnout, with 51% of all respondents meeting criteria in at least 1 domain defined by the MBI and 54% of physicians meeting these same criteria.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3899\/jrheum.191110","type":"journal-article","created":{"date-parts":[[2020,4,1]],"date-time":"2020-04-01T12:19:28Z","timestamp":1585743568000},"page":"1831-1834","source":"Crossref","is-referenced-by-count":23,"title":["High Burden of Burnout on Rheumatology Practitioners"],"prefix":"10.3899","volume":"47","author":[{"given":"Vivekanand","family":"Tiwari","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arthur","family":"Kavanaugh","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"George","family":"Martin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Martin","family":"Bergman","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2262","published-online":{"date-parts":[[2020,4,1]]},"reference":[{"key":"2022062017050870000_47.12.1831.1","doi-asserted-by":"crossref","first-page":"1681","DOI":"10.1016\/j.mayocp.2018.10.023","article-title":"Changes in burnout and satisfaction with work-life integration in physicians and the general US working population between 2011 and 2017","volume":"94","author":"Shanafelt","year":"2019","journal-title":"Mayo Clin Proc"},{"key":"2022062017050870000_47.12.1831.2","unstructured":"World Health Organization . Burnout an \u201coccupational phenomenon\u201d: International Classification of Diseases [Internet. Accessed September 10, 2020.] Available from: www.who.int\/mental_health\/evidence\/burn-out\/en"},{"key":"2022062017050870000_47.12.1831.3","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9343(03)00117-7"},{"key":"2022062017050870000_47.12.1831.4","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0b013e3181bfdab3"},{"key":"2022062017050870000_47.12.1831.5","doi-asserted-by":"publisher","DOI":"10.1186\/1472-6963-14-325"},{"key":"2022062017050870000_47.12.1831.6","doi-asserted-by":"crossref","first-page":"784","DOI":"10.7326\/M18-1422","article-title":"Estimating the attributable cost of physician burnout in the United States","volume":"170","author":"Han","year":"2019","journal-title":"Ann Intern Med"},{"key":"2022062017050870000_47.12.1831.7","doi-asserted-by":"publisher","DOI":"10.1016\/j.mayocp.2015.08.023"},{"key":"2022062017050870000_47.12.1831.8","unstructured":"Medscape . Medscape Rheumatologist Lifestyle, Happiness & Burnout Report 2019 [Internet. Accessed September 10, 2020.] Available from: medscape.com\/slideshow\/2019-lifestyle-rheumatologist-6011152"},{"key":"2022062017050870000_47.12.1831.9","doi-asserted-by":"publisher","DOI":"10.1016\/j.mayocp.2016.05.007"},{"key":"2022062017050870000_47.12.1831.10","doi-asserted-by":"publisher","DOI":"10.1001\/archinternmed.2009.70"},{"key":"2022062017050870000_47.12.1831.11","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2009.1384"},{"key":"2022062017050870000_47.12.1831.12","doi-asserted-by":"crossref","first-page":"1406","DOI":"10.1001\/jamainternmed.2019.2425","article-title":"Effect of a professional coaching intervention on the well-being and distress of physicians: a pilot randomized clinical trial","volume":"179","author":"Dyrbye","year":"2019","journal-title":"JAMA Intern Med"},{"key":"2022062017050870000_47.12.1831.13","doi-asserted-by":"crossref","first-page":"1006","DOI":"10.1097\/ACM.0000000000001540","article-title":"Healthy exercise habits are associated with lower risk of burnout and higher quality of life among U.S. medical students","volume":"92","author":"Dyrbye","year":"2017","journal-title":"Acad Med"},{"key":"2022062017050870000_47.12.1831.14","first-page":"E1","article-title":"Can medical scribes improve quality measure documentation?","volume":"68","author":"Platt","year":"2019","journal-title":"J Fam Pract"},{"key":"2022062017050870000_47.12.1831.15","first-page":"11","article-title":"A streamlined approach to prescription management","volume":"19","author":"Sinsky","year":"2012","journal-title":"Fam Pract Manag"},{"key":"2022062017050870000_47.12.1831.16","doi-asserted-by":"crossref","first-page":"514","DOI":"10.1097\/JOM.0000000000000715","article-title":"The associations between long working hours, physical inactivity, and burnout","volume":"58","author":"Hu","year":"2016","journal-title":"J Occup Environ Med"}],"container-title":["The Journal of Rheumatology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.3899\/jrheum.191110","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,6,20]],"date-time":"2022-06-20T20:05:59Z","timestamp":1655755559000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.jrheum.org\/lookup\/doi\/10.3899\/jrheum.191110"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,4,1]]},"references-count":16,"journal-issue":{"issue":"12","published-online":{"date-parts":[[2020,12,1]]},"published-print":{"date-parts":[[2020,12,1]]}},"alternative-id":["10.3899\/jrheum.191110"],"URL":"https:\/\/doi.org\/10.3899\/jrheum.191110","relation":{},"ISSN":["0315-162X","1499-2752"],"issn-type":[{"value":"0315-162X","type":"print"},{"value":"1499-2752","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,4,1]]}}}