Eyeworld

N EWS 26 | EYEWORLD | OCTOBER 2019 Contact information Das: drsudeepdas@gmail.com PRESENTATION SPOTLIGHT by Stefanie Petrou Binder, MD EyeWorld Contributing Writer of residents depending on their specialty and recommended the incorporation of instruction and interventions for resident physicians. 1 Scope of the problem Burnout among physicians needs to be taken seriously. According to the literature, all med- ical specialties have more burnout than the general population. Ophthalmology, specifi- cally, demonstrated burnout rates of between 40–50% among specialists over the last 6 years. 2 Evidence suggests that burnout is considered to be more of a systemic or organizational prob- lem rather than an issue that stems from the individual physician. 3 There is little to no data regarding the rates of burnout among ophthalmologists in academ- ics vs. those in private practice, as well as a lack of studies looking at burnout at various levels of training. Comparing burnout between resi- dents and attendings within the same institution might shed light on its sources. U nderstanding the factors that contribute to burnout among physicians is not only import- ant for a physician's personal and professional well-be- ing but it allows them to take measures to correct the problem and provide the best possible patient care. A new survey conducted at the Medical University of South Carolina (MUSC) deter- mined and compared the prevalence and characteristics of burnout among ophthalmology residents and attending physicians within a single institution. It revealed that more than 40% of the number of currently active residents and university faculty members met the criteria for burnout. Institutional review of burnout Sudeep Das, MD, first author of the e-poster, "Prevalence and Characteristics of Burnout Among Residents Versus Practicing Ophthal- mologists, An Institutional Review" shown at the 2019 ASCRS ASOA Annual Meeting, implemented the Maslach Burnout Inventory to determine the prevalence, components, and severity of burnout among residents and prac- ticing ophthalmologists. Dr. Das and coauthor Rupal Trivedi, MD, defined burnout as a mental and physical state of exhaustion and described it as having three components: emotional ex- haustion, depersonalization or cynicism, and a low sense of personal achievement. His survey revealed that residents trended toward higher depersonalization while faculty trended toward higher emotional exhaustion at MUSC. Physician burnout is a warning sign that can be associated with poor patient care, decreased job satisfaction, depression, and suicidal ideation, with important implications for the wellness of both patients and health- care providers. A literature review on burnout experienced in residency training programs from 1974–2009 noted burnout in 27–75% Are physicians burning out? About the doctor Sudeep Das, MD Medical University of South Carolina (MUSC) Health Storm Eye Institute Charleston, South Carolina References 1. Ishak WW, et al. Burnout during residency training: a literature review. J Grad Med Educ. 2009;1:236–42. 2. Shanafelt TD, et al. Changes in burnout and satisfaction with work-life integration in physicians and the general U.S. working population between 2011 and 2017. Mayo Clin Proc. 2019. Epub ahead of print. 3. Shanafelt TD, Noseworthy JH. Executive leadership and physi- cian well-being: nine organi- zational strategies to promote engagement and reduce burnout. Mayo Clin Proc. 2017;92:129– 146. Relevant financial interests Das: None

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