Background and Goal of Study: Burnout occurs frequently amongst healthcare professionals. Recent works have shown an association between burnout and suicidal ideations, decreased quality of life and increased medical errors. For anesthesiologists, data are poor. To improve our knowledge in our specialty, we investigated factors associated with burnout among anesthesiologists.
Materials and Methods: Practitioners recorded at the French Society of Anesthesia and Intensive Care (SFAR) were invited by mail to answer a survey published on the website of the SFAR in 2009 (http://www.SFAR.org). It collected demographic data, data on workload and the rest for safety, a burnout score (Maslach Burnout Inventory with 3 dimensions: emotional exhaustion, depersonalization and reduced personal accomplishment ), data on mental and physical health, items related to the experience of work and personal life. The diagnosis of severe burnout was retained if 1 of the 3 dimensions' score was high. Variables with p<0.1 were included in logistic regression (1 for global burnout and 1 for each dimension). This was completed with factorial analysis.
Results and Discussion: 1014 anesthesiologists completed the questionnaire. The median age was 49, 63% were male and 37% female, 40% worked in a university hospital, 36% in a private institution, 15% in a general hospital. 60% where in burnout for at least 1 dimension. 36% had poor accomplishment, 36% severe depersonalization and 22% severe exhaustion. In logistic regression, burnout was associated with evaluation of private life, of work, of fatigue and feeling guilty to take rest for safety. Poor accomplishment was associated with age, being divorced, evaluation of work and private life, entertainment and being guilty to take rest for safety. Severe depersonalization was associated with non clinical activity instead of rest for safety, evaluation of work, coffee consumption, self-evaluation of fatigue, feeling guilty to take rest for safety, positive depression screening and having being sued. For exhaustion, being divorced, being married, evaluation of work, hobbies, age, self-evaluation of fatigue, anxiety, positive depression screening, being Pr and suicidal ideations were associated with burnout.
Conclusion: In our speciality, burnout is associated with several factors. Factorial analysis identified 5 profiles of anesthesiologists: quiet, tonic, married to work, stressed and on the brink of the abyss.