7. ASSOCIATION OF SELF-REPORTED QUALITY OF CARE MEASURES AND BURNOUT: AN INVESTIGATION FROM THE PEDIATRIC RESIDENT BURNOUT-RESILIENCE STUDY CONSORTIUM

Abstract

Background The Pediatric Resident Burnout-Resilience Study Consortium (PRB-RSC), established in 2015, is committed to studying the epidemiology, natural history, and impact of interventions designed to address burnout and improve resilience in pediatric residents. Annual surveys demonstrate a prevalence of burnout of 40-55% over the last 4 years. Previous regional work has shown an association between resident burnout and sub-optimal patient care. Design/Methods The PRB-RSC distributed the annual survey to pediatric residents in participating programs in the spring of 2019. Data was de-identified, collected and maintained by the Association of Pediatric Program Directors’ Longitudinal Educational Assessment Research Network. Residents were classified as burned out on the basis of a 2-item screen for emotional exhaustion/depersonalization. An ordinal mixed effects generalized additive model regression was used to examine the effect of burnout on reported quality of care behaviors. For the ten behaviors queried, perceived stress scale (PSS), cognitive and affective mindfulness scale (CAMSR), and overall quality of life score (QOL) were compared between those with recent ( 12 months) poor quality behaviors reported. Results A total of 46 pediatric programs participated in the 2019 PRB-RSC survey, with an overall response rate of 62% (n=1648). The recency of reported sub-optimal behaviors between those with and without burnout is shown in the Figure. After controlling for training year, age, male gender, white race, program size and region, and clustering of learners in programs, each p-value is Conclusion(s) In this national survey, pediatric resident burnout is associated with sub-optimal care delivery, while recent experience with sub-optimal care is associated with higher stress, lower mindfulness, and decreased overall QOL.