The association between objectively-measured activity, sleep, call responsibilities, and burnout in a resident cohort

• Main Authors: Ashley P. Marek, Rachel M. Nygaard, Ellen T. Liang, Nicholas S. Roetker, Mary DeLaquil, Sandy Gregorich, Chad J. Richardson, Joan M. Van Camp
• Format: Article
• Language: English
• Published: BMC 2019-05-01
• Series: BMC Medical Education
• Subjects: Exercise; Burnout; Resident training; Physician wellness; Fitness tracking
• Online Access: http://link.springer.com/article/10.1186/s12909-019-1592-0

Abstract Background When compared to the general US working population, physicians are more likely to experience burnout and dissatisfaction with work-life balance. Our aim was to examine the association of objectively-measured sleep, activity, call load, and gender with reported resident burnout and wellness factors. Methods Residents were recruited to wear activity tracker bands and complete interval blinded surveys. Results Of the 30 residents recruited, 28 (93%) completed the study. Based on survey results, residents who reported high amounts of call reported equivalent levels of wellness factors to those who reported low call loads. There was no association between amount of call on training satisfaction, emotional exhaustion, self-reported burnout, or sleep quality. Analysis of sleep tracker data showed that there was no significant association with time in bed, time asleep, times awakened or sleep latency and call load or self-reported burnout. Female gender, however, was found to be associated with self-reported burnout. No significant associations were found between objectively-measured activity and burnout. Conclusions Based on the results of our study, there was no association with burnout and objectively-measured sleep, call volume, or activity. Increased call demands had no negative association with training satisfaction or professional fulfillment. This would suggest that more hours worked does not necessarily equate to increased burnout.