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Brief ReportBrief Report

Gender Differences in Personal and Organizational Mechanisms to Address Burnout Among Family Physicians

Aimee R. Eden, Yalda Jabbarpour, Zachary J. Morgan, Mingliang Dai, Megan Coffman and Andrew Bazemore
The Journal of the American Board of Family Medicine May 2020, 33 (3) 446-451; DOI: https://doi.org/10.3122/jabfm.2020.03.190344
Aimee R. Eden
From American Board of Family Medicine, Lexington, KY (ARE, ZJM, MD, AB); Robert Graham Center for Policy Studies, Washington, DC (YJ, MC).
PhD, MPH
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Yalda Jabbarpour
From American Board of Family Medicine, Lexington, KY (ARE, ZJM, MD, AB); Robert Graham Center for Policy Studies, Washington, DC (YJ, MC).
MD
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Zachary J. Morgan
From American Board of Family Medicine, Lexington, KY (ARE, ZJM, MD, AB); Robert Graham Center for Policy Studies, Washington, DC (YJ, MC).
MS
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Mingliang Dai
From American Board of Family Medicine, Lexington, KY (ARE, ZJM, MD, AB); Robert Graham Center for Policy Studies, Washington, DC (YJ, MC).
PhD
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Megan Coffman
From American Board of Family Medicine, Lexington, KY (ARE, ZJM, MD, AB); Robert Graham Center for Policy Studies, Washington, DC (YJ, MC).
MS
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Andrew Bazemore
From American Board of Family Medicine, Lexington, KY (ARE, ZJM, MD, AB); Robert Graham Center for Policy Studies, Washington, DC (YJ, MC).
MD, MPH
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Article Figures & Data

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    Table 1.

    Demographic and Practice Characteristics of Family Physician Survey Participants (n = 2169)

    Demographic Characteristicsn (%)Practice Characteristicsn (%)
    Gender (n = 2169)Practice Site (n = 1941)
        Female1257 (58.0)    Hospital/health system-owned medical practice477 (24.6)
        Male912 (42.0)    Independently-owned medical practice352 (18.1)
    Age (n = 2146)    Managed care/HMO practice328 (16.9)
        Under 40459 (21.4)    Academic health center/faculty practice176 (9.1)
        40–49681 (31.7)    Government435 (22.4)
        50–59567 (26.4)    Workplace clinic18 (0.9)
        60 or Older439 (20.5)    Other155 (8.0)
    Degree Type (n = 2169)Practice Size (n = 1930)
        DO216 (10.0)    Solo practice132 (6.8)
        MD1953 (90.0)    2–5 providers449 (23.3)
    Race (n = 1930)    6–20 providers555 (28.8)
        American Indian/Alaska Native8 (0.4)    >20 providers794 (41.1)
        Asian463 (24.0)Practice Setting (n = 1935)
        Black or African American84 (4.4)    Urban (250,000+ population)985 (50.9)
        Native Hawaiian/Other Pacific Islander22 (1.1)    Micropolitan (20,000-250,000 population)681 (35.2)
        White1195 (61.9)    Large rural (2,500–19,999 population)221 (11.4)
        Other158 (8.2)    Small rural/remote (<2,500 population)48 (2.5)
    Ethnicity (n = 1910)Practice ownership (n = 1932)
        Hispanic or Latino237 (12.4)    No official ownership stake1197 (62.0)
        Non-Hispanic1673 (87.6)    Self-employed as a contractor82 (4.2)
    Burnout (n = 2115)    Partial owner or shareholder449 (23.2)
        Yes1124 (53.1)    Sole owner133 (6.9)
        No991 (46.9)    Other71 (3.7)
    • HMO, Health Maintenance Organization.

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    Table 2.

    Personal Steps Taken to Address Burnout by Gender

    Personal Steps TakenFemale (n = 1252)Male (n = 899)False Discovery Rate P Value
    n%n%
    Started/maintained a regular exercise or mindfulness regimen66653.248754.2.9016
    Reduced my overall work hours or went part time53843.027630.7<.0001
    Employed a housekeeper and/or nanny/babysitter43734.913715.2<.0001
    Reduced my clinical work hours specifically37429.925228.0.5898
    Spent more time on hobbies36729.332836.5.0028
    Talked to a professional therapist/counselor28522.812714.1<.0001
    Took time off/leave of absence26220.919321.5.9016
    Delegated job responsibilities24319.420122.4.2620
    Gave up job responsibilities22317.819922.1.0531
    Took on significant new job responsibilities which I enjoy22117.715817.6.9633
    Participated in formal wellness program13410.7798.8.3237
    None876.9758.3.4054
    Joined a support group594.7242.7.0545
    • View popup
    Table 3.

    Organizational Support Provided to Support Worker Well-Being, by Gender

    Organizational SupportFemale (n = 1130)Male (n = 810)False Discovery Rate P Value
    n%n%
    Appropriate ratio of physicians to nurses/medical assistants40535.829536.4.9016
    Access to behavioral health services39234.725932.0.4054
    Flexible work hours26623.519223.7.9633
    Protected time to complete nonclinical tasks24221.417922.1.9016
    Formal wellness program24221.417822.0.9016
    None (no support for worker well-being)23520.816019.8.8962
    Flexible paid time off22519.918623.0.2620
    Lactation room13411.9637.8.0167
    Exercise room968.58810.9.2472
    Scribe786.9688.4.4054
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The Journal of the American Board of Family     Medicine: 33 (3)
The Journal of the American Board of Family Medicine
Vol. 33, Issue 3
May/June 2020
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Gender Differences in Personal and Organizational Mechanisms to Address Burnout Among Family Physicians
Aimee R. Eden, Yalda Jabbarpour, Zachary J. Morgan, Mingliang Dai, Megan Coffman, Andrew Bazemore
The Journal of the American Board of Family Medicine May 2020, 33 (3) 446-451; DOI: 10.3122/jabfm.2020.03.190344

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Gender Differences in Personal and Organizational Mechanisms to Address Burnout Among Family Physicians
Aimee R. Eden, Yalda Jabbarpour, Zachary J. Morgan, Mingliang Dai, Megan Coffman, Andrew Bazemore
The Journal of the American Board of Family Medicine May 2020, 33 (3) 446-451; DOI: 10.3122/jabfm.2020.03.190344
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