| Title |
A Brief Instrument to Assess Both Burnout and Professional Fulfillment in Physicians: Reliability and Validity, Including Correlation with Self-Reported Medical Errors, in a Sample of Resident and Practicing Physicians
|
|---|---|
| Published in |
Academic Psychiatry, December 2017
|
| DOI | 10.1007/s40596-017-0849-3 |
| Pubmed ID | |
| Authors |
Mickey Trockel, Bryan Bohman, Emi Lesure, Maryam S. Hamidi, Dana Welle, Laura Roberts, Tait Shanafelt |
| Abstract |
The objective of this study was to evaluate the performance of the Professional Fulfillment Index (PFI), a 16-item instrument to assess physicians' professional fulfillment and burnout, designed for sensitivity to change attributable to interventions or other factors affecting physician well-being. A sample of 250 physicians completed the PFI, a measure of self-reported medical errors, and previously validated measures including the Maslach Burnout Inventory (MBI), a one-item burnout measure, the World Health Organization's abbreviated quality of life assessment (WHOQOL-BREF), and PROMIS short-form depression, anxiety, and sleep-related impairment scales. Between 2 and 3 weeks later, 227 (91%) repeated the PFI and the sleep-related impairment scale. Principal components analysis justified PFI subscales for professional fulfillment, work exhaustion, and interpersonal disengagement. Test-retest reliability estimates were 0.82 for professional fulfillment (α = 0.91), 0.80 for work exhaustion (α = 0.86), 0.71 for interpersonal disengagement (α = 0.92), and 0.80 for overall burnout (α = 0.92). PFI burnout measures correlated highly (r ≥ 0.50) with their closest related MBI equivalents. Cohen's d effect size differences in self-reported medical errors for high versus low burnout classified using the PFI and the MBI were 0.55 and 0.44, respectively. PFI scales correlated in expected directions with sleep-related impairment, depression, anxiety, and WHOQOL-BREF scores. PFI scales demonstrated sufficient sensitivity to detect expected effects of a two-point (range 8-40) change in sleep-related impairment. PFI scales have good performance characteristics including sensitivity to change and offer a novel contribution by assessing professional fulfillment in addition to burnout. |
X Demographics
The data shown below were collected from the profiles of 38 X users who shared this research output. Click here to find out more about how the information was compiled.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| United States | 10 | 26% |
| Canada | 8 | 21% |
| Australia | 3 | 8% |
| United Kingdom | 3 | 8% |
| Chile | 1 | 3% |
| Unknown | 13 | 34% |
Demographic breakdown
| Type | Count | As % |
|---|---|---|
| Members of the public | 20 | 53% |
| Practitioners (doctors, other healthcare professionals) | 14 | 37% |
| Scientists | 4 | 11% |
Mendeley readers
The data shown below were compiled from readership statistics for 448 Mendeley readers of this research output. Click here to see the associated Mendeley record.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| Unknown | 448 | 100% |
Demographic breakdown
| Readers by professional status | Count | As % |
|---|---|---|
| Researcher | 49 | 11% |
| Student > Master | 38 | 8% |
| Student > Doctoral Student | 35 | 8% |
| Other | 31 | 7% |
| Student > Bachelor | 31 | 7% |
| Other | 119 | 27% |
| Unknown | 145 | 32% |
| Readers by discipline | Count | As % |
|---|---|---|
| Medicine and Dentistry | 131 | 29% |
| Psychology | 43 | 10% |
| Nursing and Health Professions | 28 | 6% |
| Social Sciences | 20 | 4% |
| Business, Management and Accounting | 15 | 3% |
| Other | 46 | 10% |
| Unknown | 165 | 37% |
Attention Score in Context
This research output has an Altmetric Attention Score of 80. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 19 January 2024.
All research outputs
#525,153
of 25,192,722 outputs
Outputs from Academic Psychiatry
#11
of 1,514 outputs
Outputs of similar age
#11,898
of 450,664 outputs
Outputs of similar age from Academic Psychiatry
#2
of 42 outputs
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