Abstract

Assessing mid-career female physician burnout in the military health system

Lisa Shaw, MD1, Miranda Janvrin, MPH2, Jessica Korona-Bailey, MPH3 and Tracey P. Koehlmoos, PhD, MHA4
(1)Uniformed Services University, Bethesda, MD, (2)Washington, DC, (3)Henry M. Jackson Foundation for the Advancement of Military Medicine, Inc., Bethesda, MD, (4)Uniformed Services University of the Health Sciences, Bethesda, MD

APHA 2023 Annual Meeting and Expo

Physician burnout is a mental health condition characterized by increased mental and emotional exhaustion, depersonalization, reduced sense of personal accomplishment, increased absenteeism, and decreased productivity that results in worsened health outcomes for patients. Rates of physician burnout have increased during the COVID-19 pandemic and are expected to continue to rise. Falling into the intersection of already identified highly vulnerable groups this study will conduct key informant interviews with mid-career physicians who are female and serving on active duty in the US military. This IRB approved study will examine strategies to mitigate physician burnout among this high risk population using a tool based on the Institute for Healthcare Improvement (IHI) Framework for Improving Joy in Work. We seek to identify factors contributing to burnout, understand what health system changes need to occur to bring joy, improve morale and resiliency, and mitigate burnout in the Military Health System (MHS) for mid-career female military physicians. At present we are conducting 25 virtual interviews with mid-career female physicians who worked in the MHS during the COVID-19 pandemic, defined for the purpose of this study as the time period from March 2020 to December 2021. Participants will be asked which preventative strategies they used on the individual level or experienced on an organizational level to bring joy to the workplace. Deductive thematic analysis of responses will be conducted using NVivo. The results of the analysis will be used to provide insight on how the MHS as an organization can support the mental wellbeing of mid-career female military physicians.

Occupational health and safety Social and behavioral sciences Systems thinking models (conceptual and theoretical models), applications related to public health