Imperial College London
Alternate

Professor Tom Bourne

Faculty of Medicine, Department of Metabolism, Digestion and Reproduction

Chair in Gynaecology
 
 
 
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Contact

 

+44 (0)20 3313 5131t.bourne Website

 
 
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Location

 

Early pregnancy and acute gynaecologyInstitute of Reproductive and Developmental BiologyHammersmith Campus

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Summary

 

Publications

Citation

BibTex format

@article{Bourne:2019:10.1136/bmjopen-2019-030968,
author = {Bourne, T and Shah, H and Falconieri, N and Timmerman, D and Lees, C and Wright, A and Lumsden, M-A and Regan, L and Van, Calster B},
doi = {10.1136/bmjopen-2019-030968},
journal = {BMJ Open},
title = {Burnout, well-being and defensive medical practice among obstetricians and gynaecologists in the UK: cross-sectional survey study},
url = {http://dx.doi.org/10.1136/bmjopen-2019-030968},
volume = {9},
year = {2019}
}
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RIS format (EndNote, RefMan)

TY  - JOUR
AB  - Objectives: To determine the prevalence of burnout in doctors practising obstetrics and gynaecology, and assess the association with defensive medical practice and self-reported wellbeing.Design: Nationwide online cross-sectional survey study; December 2017-March 2018. Setting: Hospitals in the United KingdomParticipants: 5661 practising Obstetrics and Gynaecology consultants, specialty and associate specialist doctors and trainees registered with the Royal College of Obstetricians and Gynaecologists Primary and Secondary Outcome Measures: Prevalence of burnout using the Maslach Burnout Inventory and defensive medical practice (avoiding cases or procedures, overprescribing, over-referral) using a 12-item questionnaire. The odds ratios of burnout with defensive medical practice and self-reported wellbeing.Results: 3102/5661 doctors (55%) completed the survey. 3073/3102 (99%) met the inclusion criteria (1462 consultants, 1357 trainees and 254 specialty and associate specialist doctors). 1116/3073 (36%) doctors met the burnout criteria, with levels highest amongst trainees (580/1357 [43%]). 258/1116 (23%) doctors with burnout reported increased defensive practice compared to 142/1957 (7%) without (adjusted odds ratio 4.35, 95% CI 3.46 to 5.49). Odds ratios of burnout with wellbeing items varied between 1.38 and 6.37, and were highest for anxiety (3.59, 95% CI 3.07 to 4.21), depression (4.05, 95% CI 3.26 to 5.04), and suicidal thoughts (6.37, 95% CI 95% CI 3.95 to 10.7). In multivariable logistic regression, being of younger age, white or ‘other’ ethnicity, and graduating with a medical degree from the UK or Ireland had the strongest associations with burnout.Conclusions: High levels of burnout were observed in obstetricians and gynaecologists and particularly amongst trainees. Burnout was associated with both increased defensive medical practice and worse doctor wellbeing. These findings have implications for the wellbeing and retention of doctors as well a
AU  - Bourne,T
AU  - Shah,H
AU  - Falconieri,N
AU  - Timmerman,D
AU  - Lees,C
AU  - Wright,A
AU  - Lumsden,M-A
AU  - Regan,L
AU  - Van,Calster B
DO  - 10.1136/bmjopen-2019-030968
PY  - 2019///
SN  - 2044-6055
TI  - Burnout, well-being and defensive medical practice among obstetricians and gynaecologists in the UK: cross-sectional survey study
T2  - BMJ Open
UR  - http://dx.doi.org/10.1136/bmjopen-2019-030968
UR  - http://hdl.handle.net/10044/1/74516
VL  - 9
ER  -
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