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Background <p>Resident burnout harms learning and negatively affects patient care, physician retention, and healthcare costs. Programs are increasingly prioritizing resident well-being. However, literature focuses on resident burnout, often overlooking well-being, and post-pandemic well-being has not been evaluated across specialties. This study assessed post-pandemic burnout and well-being among frontline residents nationwide and examined associations with demographics.</p> Methods <p>A nationwide, cross-sectional survey in 2024 was conducted as part of a randomized controlled trial evaluating a well-being training among residents in high-burnout specialties (surgery, obstetrics-gynecology, family, internal, and emergency medicine). The survey assessed burnout and well-being outcomes. Prevalence rates of burnout or low well-being were calculated and compared across demographics. Regression models assessed associations with well-being, adjusting for demographic characteristics.</p> Results <p>540 residents responded. The sample was predominantly cisgender women (67%), White (67%), and in a non-surgical medical specialty (56%). Most residents (68%) had elevated stress, 83% had burnout, and 92% had elevated loneliness. Surgery residents and mid-level residents had higher burnout on the depersonalization subscale (<i>p</i>&lt;.01) while Black residents had lower depersonalization (<i>p</i>&lt;.01). Women had lower resilience (<i>p</i>&lt;.001), flourishing (<i>p</i>&lt;.001), and self-efficacy (<i>p</i>&lt;.001). Compared to those married or in long-term relationships, single residents had higher loneliness and lower meaning and purpose (<i>p</i>&lt;.001).</p> Conclusions <p>Evidence suggests worsening trends among resident physicians concerning various aspects of burnout and well-being, and certain demographic groups are at higher risk. Our findings underscore the critical need for targeted well-being interventions in residency.</p> Trial registration <p>clinicaltrails.gov Identifier NCT06149156, registered 11/28/2023.</p>

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Demographics in distress: a national study of burnout and well-being of resident physicians in high-burnout specialties

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2026年1月30日

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  • Sydney F Tan,
  • Hana Siddiqui,
  • Bridget Paur,
  • Srideepti Marada,
  • Lauren Cortright,
  • Natasha Ignatowski,
  • Dawn M Elfenbein,
  • Vincent Minichiello,
  • Bruce Barrett,
  • Richard J Davidson,
  • Simon B Goldberg

摘要

Background

Resident burnout harms learning and negatively affects patient care, physician retention, and healthcare costs. Programs are increasingly prioritizing resident well-being. However, literature focuses on resident burnout, often overlooking well-being, and post-pandemic well-being has not been evaluated across specialties. This study assessed post-pandemic burnout and well-being among frontline residents nationwide and examined associations with demographics.

Methods

A nationwide, cross-sectional survey in 2024 was conducted as part of a randomized controlled trial evaluating a well-being training among residents in high-burnout specialties (surgery, obstetrics-gynecology, family, internal, and emergency medicine). The survey assessed burnout and well-being outcomes. Prevalence rates of burnout or low well-being were calculated and compared across demographics. Regression models assessed associations with well-being, adjusting for demographic characteristics.

Results

540 residents responded. The sample was predominantly cisgender women (67%), White (67%), and in a non-surgical medical specialty (56%). Most residents (68%) had elevated stress, 83% had burnout, and 92% had elevated loneliness. Surgery residents and mid-level residents had higher burnout on the depersonalization subscale (p<.01) while Black residents had lower depersonalization (p<.01). Women had lower resilience (p<.001), flourishing (p<.001), and self-efficacy (p<.001). Compared to those married or in long-term relationships, single residents had higher loneliness and lower meaning and purpose (p<.001).

Conclusions

Evidence suggests worsening trends among resident physicians concerning various aspects of burnout and well-being, and certain demographic groups are at higher risk. Our findings underscore the critical need for targeted well-being interventions in residency.

Trial registration

clinicaltrails.gov Identifier NCT06149156, registered 11/28/2023.