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Psychiatr Serv. 2015 Aug 1;66(8):892-5. doi: 10.1176/appi.ps.201400234. Epub 2015 Apr 15.

Emergency Psychiatry Experience, Resident Burnout, and Future Plans to Treat Publicly Funded Patients.

Author information

1
The authors are with the Department of Psychiatry, Duke University Medical Center, Durham, North Carolina (e-mail: nora.dennis@dm.duke.edu ). Dr. Dennis is also with the Mental Health Service Line, Durham Veterans Affairs Medical Center.

Abstract

OBJECTIVE:

This study examined psychiatry resident burnout in emergency departments and its association with residents' posttraining plans to care for Medicaid patients and others publicly insured.

METHODS:

Between November and December 2013, psychiatry residents in North Carolina were recruited for a cross-sectional, Internet-based survey concerning emergency department experiences, attitudes about their roles, feelings of burnout, and posttraining intentions to treat Medicaid patients. The completion rate was 51% (N=91).

RESULTS:

In bivariate analyses (N=82 with an emergency psychiatry rotation), burnout was positively associated with frequent exhaustion (p<.001) and perceived suboptimal supervision by the attending physician (p<.01). Compared with other residents, residents planning to accept Medicaid after training had significantly lower burnout scores (p<.05). Experiencing assault in the emergency department indicated decreased likelihood of treating publicly insured patients after training (Medicaid, odds ratio=.09, p<.05).

CONCLUSIONS:

Adverse experiences with patient care in the emergency department during psychiatry residency appear to be linked to professional burnout and threaten to shape long-term plans regarding care for publicly insured patients.

PMID:
25873026
DOI:
10.1176/appi.ps.201400234
[Indexed for MEDLINE]

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