2Д¬orresponding Author: Reshma Jagsi, MD, DPhil, Department of Radiation Oncology, University of Michigan, 1500 E Medical Center Dr, UHB2C490, SPC 5010, Ann Arbor, MI 48109-5010 ( Online: October 14, 2019. However, the fact that many of those with considerable support for career development experience burnout suggests that those without such support may experience even higher levels of burnout than the sample described in this article. Our findings may not be generalizable to physician-scientists who do not hold career development awards. 1ДЄs in any observational study, associations may not necessarily imply causation it is possible that a common underlying confounding factor led to a negative appraisal of work climates and to an endorsement of burnout, although the longitudinal design mitigates this concern. These findings suggest that mitigating competing demands and improving work climates might alleviate burnout and that such interventions may be particularly important for women, who are more likely to experience burnout than their male peers. Specifically, we observed burnout to be associated with early-career reports of substantial competing demands (at home and work) and early-career perceptions of work climates. The finding that sex was significantly associated with burnout on bivariable analysis but not on multivariable analysis suggests that the greater prevalence of burnout among women is driven by other differences in the experiences of men and women early in their careers.

We observed work-related burnout in many men and women physician-scientists. Men were more likely to provide a positive appraisal of their work climate (scores of >4 among 35.8% of women vs 49.4% of men PвЂ‰4-в‰¤5). The mean (SD) age of the 816 participants at baseline was 40.2 (3.7) years other sample characteristics are detailed by sex in Table 1. 4, 5 Analyses were conducted using SAS, version 9.4 (SAS Institute) and statistical significance was set at PвЂ‰<вЂ‰.05. Multivariable logistic regression modeling evaluated individual, job, and environmental independent variables measured at baseline that were associated with the dependent variable of work-related burnout measured at follow-up using the validated Copenhagen Burnout Inventory subscale, 4 with scores of 50 or greater taken to signify burnout, as in prior work. We report analyses from the 816 physician-respondents who remained in academic positions at the time of follow-up. In 2014, we conducted a follow-up survey that was administered exclusively to respondents to the initial questionnaire 1066 (62.0% of the originally targeted population) responded to both surveys. Between August 2010 and February 2011, we surveyed 1708 individuals who received new K08 and K23 awards from the National Institutes of Health during 2006 to 2009.

Shared Decision Making and CommunicationДЄs detailed elsewhere, 3 the University of Michigan institutional review board provided approval and a waiver of documentation of consent.

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