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Abstract Details

An Analysis of ACGME Resident Well-being Survey data and Its Correlation to a Resident-administered Well-being Survey
Education, Research, and Methodology
P4 - Poster Session 4 (11:45 AM-12:45 PM)
Burnout research shows that the prevalence of burnout may peak during medical education, including medical school and residency, indicating a stronger need for change within the construct of graduate medical education. While the Accreditation Council of Graduate Medical Education (ACGME) provides a yearly survey to evaluate burnout symptoms in residency, it is unclear how valid this survey is in comparison to validated measures such as the MBI-HSS MP. 

To evaluate the validity of the ACGME Well-being survey by correlation with scores on the Maslach Burnout Inventory Human Services Survey for Medical Personnel (MBI-HSS (MP)), as well as to compare both surveys against validated inventories of depression.

Residents in adult neurology, child neurology, and adult psychiatry at the University of Kentucky were identified for administration of the MBI-HSS (MP), the PHQ-9, and the 2018-2019 ACGME Well-Being Survey questions. 
Out of 51 participants, there was a 56.8% response rate for a total of N = 29. 68.9% (20/29) of participants taking the MBI had emotional exhaustion, compared to 72.4% (21/29) on the ACGME survey. 75.9% (22/29) of participants rated moderate to high personal accomplishment on the MBI, compared to 93.1% (27/29) on the ACGME survey. 65.5% (19/29) of participants rated moderate to high levels of depersonalization on the MBI, compared to 17.2% (5/29) of participants on the ACGME. 37.9% (11/29) met criteria for mild depression, 10.3% (3/29) for moderate depression, and 3.4% (1/29) for severe depression.
While emotional exhaustion appears equal between both surveys, the validated MBI survey shows a lower level of personal accomplishment and higher level of depersonalization compared to the ACGME survey. Although both surveys can be used to address resident well-being, a more validated evaluation by the ACGME might provide a clearer answer to understand and thus better treat burnout in this population.
Lauren Bojarski, DO
Dr. Bojarski has nothing to disclose.
Timothy J. Ainger, PhD (University of Kentucky College of Medicine, Dept. of Neurology) Dr. Ainger has nothing to disclose.