Burnout in Canadian physiatrists: a national cross-sectional survey.

Abstract

Objective: The prevalence of burnout in Canadian Physiatrists is unknown. This study describes the prevalence of burnout in Canadian Physiatrists and explores predictors.

Design: This national cross-sectional web-based survey used convenience sampling, targeting Canadian physiatrists (staff, fellows, residents). The Checklist for Reporting Results of Internet E-Surveys was used to ensure reporting quality. Statistical analyses included descriptives, correlations, and logistic regressions. Survey items included personal and professional characteristics, and validated measures for burnout, relational compassion, emotion regulation, and moral injury.

Results: 118 responses were collected from a possible 501 Physiatrists across Canada. Majority were female (53%), White North American (55%), working in an urban setting (93%). 42% (n = 50) had burnout, 43% moral injury, and 40% difficulties regulating emotions. Burnout was more likely in females (p = 0.0064; OR 5.24, 95% CI 1.60-17.3), and White respondents (p = 0.0213; OR 0.24, 95% CI 0.07-0.81). Higher relational compassion conferred a lower risk of burnout (p = 0.0006; OR 0.80, 95% CI 0.71-0.91); greater difficulty regulating emotions predicted higher risk of burnout (p = 0.0406; OR 1.06, 95% CI 1.00-1.11), and moral injury (p < 0.0001; 95% OR 1.16, 95% CI 1.09-1.24).

Conclusion: Burnout affects 4 in 10 Canadian Physiatrists. Physiatrists who are female, White, and report greater difficulties regulating emotions are at greater risk.