MP34-04 BURNOUT AND DOCUMENTATION BURDEN AMONG UROLOGY RESIDENTS AND ATTENDINGS AT THE UNIVERSITY OF ROCHESTER

Abstract

You have accessJournal of UrologyHealth Services Research: Quality Improvement & Patient Safety II (MP34)1 Sep 2021MP34-04 BURNOUT AND DOCUMENTATION BURDEN AMONG UROLOGY RESIDENTS AND ATTENDINGS AT THE UNIVERSITY OF ROCHESTER Thomas Osinski, Gareth Warren, Edward Messing, and Jeanne O'Brien Thomas OsinskiThomas Osinski More articles by this author , Gareth WarrenGareth Warren More articles by this author , Edward MessingEdward Messing More articles by this author , and Jeanne O'BrienJeanne O'Brien More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000002043.04AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: For the past several years Urology has consistently had among the highest rates of physician burnout when compared with other medical and surgical specialties. Physician burnout has been associated with significant personal consequences (such as higher levels of substance abuse, depression, and motor vehicle incidents). Physician burnout can also have negative patient care outcomes as burnout has been linked to increased rates of medical error. It is well known that the electronic medical record (EMR) has increased clinical documentation demands. We thus sought to determine the prevalence of burnout among urologic residents and attendings at our institution and how medical documentation may play a role in physician burnout. METHODS: An anonymous survey tool was created through Redcap. The survey included the Maslach Burnout Inventory (MBI), to assess burnout, and several questions pertaining to documentation. The Redcap survey was sent via email to urology residents and attendings at the University of Rochester Medical Center with data collected from January to March of 2020. RESULTS: Overall, 11/19 (58%) attendings and 7/13 (54%) residents responded to the survey. 46% of attendings and 71% of residents were found to have a high-risk of burnout in at least 1 component of the MBI. All respondents with a high-risk of burnout in 1 or more component of the MBI had a high-risk of burnout in the depersonalization component of the MBI. Furthermore, 91% of attendings and 100% of residents responded that they ‘sometimes’ or ‘often’ document on patients at home with 64% of attendings and 29% of residents spending 7 hours or more in a typical week documenting outside of ‘normal’ clinic and hospital hours. Critically, 73% of attendings and 72% of residents ‘sometimes’ or ‘often’ felt stress due to documentation requirements not being complete. When asked ‘Has documentation interfered with planned activities out of work?’, 100% of attendings and 86% residents replied ‘sometimes’ or ‘often’. Lastly, 91% of attendings and 86% of residents thought that documentation accurately reflected the care provided to patients less than 75% of the time. CONCLUSIONS: EMR documentation demands are likely disrupting activities outside of work more than is currently appreciated and contributing to burnout. Additionally, despite all the effort, many think documentation often does not reflect the actual care provided to patients. Finding ways to reduce the burden of documentation and making documentation more clinically focused for providers may help reduce burnout within urology. Finally, asking questions to better understand how specific clinical activities are perceived and impact life outside of work may help identify the stressors that have the biggest impact on burnout. Source of Funding: None © 2021 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 206Issue Supplement 3September 2021Page: e617-e617 Advertisement Copyright & Permissions© 2021 by American Urological Association Education and Research, Inc.MetricsAuthor Information Thomas Osinski More articles by this author Gareth Warren More articles by this author Edward Messing More articles by this author Jeanne O'Brien More articles by this author Expand All Advertisement Loading ...