99: The difference in burnout between millennials and non-millennials among gynecologic surgeons

Abstract

Burnout is a psychological syndrome that develops secondary to prolonged job-related stressors and is especially common in the medical field. Our study aims to determine the burnout rate among Minimally Invasive Gynecologic Surgeons (MIGS) as well as the personal and professional factors associated with this condition. We conducted a cross-sectional study via an anonymous electronic survey among active members of the American Association of Gynecologic Laparoscopists (AAGL). Burnout related survey analysis of a sample of 216 active 2017 AAGL members. We compared Maslach Burnout Inventory-Human Services Survey (MBI) survey, validated Medical Outcomes Study Short Form- 12 questions (SF-12) questionnaire, CAGE questionnaire, and Primary Care Evaluation of Mental Disorders Patient Health Questionnaire-2 (PRIME-MD PHQ-2) between participants. Among responders, 111 participants (51%) did not have burnout, and 105 (49%) participants did have burnout. Risk factors included female gender (p=0.001), work in the private setting (p=0.024), practice general OB/GYN (P=0.004), and have an incentive-based productivity salary (p=0.048). Physicians affected by burnout had higher emotional burnout total scores (p<0.001), depersonalization total scores (p<0.001), and smaller personal accomplishment scores (p<0.001). They had a significant increase in depression screening on the PRIME-MD PHQ-2 (p=0.032) and also had a lower mental component summary score on SF-12 scores (p=0.034). When comparing millennials to non-millennials we found no difference in burnout scores (p=0.989). On regression analysis comparing millennials to non-millennials, we saw a significant difference in SF-12 scores (P<0.001). Insufficient amount of literature describes burnout within the field of obstetrics and gynecology, and even fewer studies investigate this issue within OBGYN subspecialties. In this work, we uncover risk factors pertinent to the AAGL community and the effect of burnout on AAGL providers.