Survey Questions | Response Options |
---|---|
Please tell us with which gender you identify, optional (select all that apply) | Cisgender Male (assigned male at birth) Cisgender Female (assigned female at birth) Non-binary Transgender Other/Prefer not to answer |
Are you a (select only one)… | Physician Psychologist Chiropractor Certified Nurse Practitioner Physician Assistant Certified Registered Nurse Anesthetist Certified Nurse Midwife Clinical Nurse Specialist Other Clinician |
Please describe your race/ethnicity, optional (select all that apply) | White Black or African American Latino/a Asian Native Hawaiian or Other Pacific Islander Native American or Alaska Native Middle Eastern or North African Other |
Using your own definition, are you full time or part time? | Full time Part time |
In which clinical site do you practice most? | [healthcare system facilities by market] |
Mini Z 1.0 Items The Mini Z was developed by Dr. Mark Linzer and team at Hennepin Healthcare, Minneapolis MN. The Mini Z survey tools can be used for research, program evaluation and education capacities without restriction. Permission for commercial or revenue-generating applications of the Mini Z must be obtained from Mark Linzer, MD or the Hennepin Healthcare Institute for Professional Worklife before use: Available at: www.professionalworklife.com. Questions drawn mainly from the Physician Worklife Study, MEMO study, and the Healthy Workplace study. | |
Overall I am satisfied with my job* | Strongly agree = 1 Agree = 1 Neither agree nor disagree = 0 Disagree = 0 Disagree strongly = 0 |
I feel a great deal of stress because of my job | Strongly agree = 1 Agree = 1 Neither agree nor disagree = 0 Disagree = 0 Disagree strongly = 0 |
Using your own definition of “burnout,” please select one of the answers below | I enjoy my work. I have no symptoms of burnout. = 0 I am under stress, and don’t always have as much energy as I did, but I don’t feel burned out. = 0 I am definitely burning out and have one or more symptoms of burnout, e.g. emotional exhaustion. = 1 The symptoms of burnout that I’m experiencing won’t go away. I think about work frustrations a lot. = 1 I feel completely burned out. I am at the point where I may need to seek help. = 1 |
My control over my workload is | Poor = 1 Marginal = 1 Satisfactory = 0 Good = 0 Optimal = 0 |
My sufficiency of time for documentation is | Poor = 1 Marginal = 1 Satisfactory = 0 Good = 0 Optimal = 0 |
Which number best describes the atmosphere in your primary work area? | Calm = 0 Not too busy = 0 Busy, but reasonable = 0 Very busy = 1 Hectic, chaotic = 1 |
My professional values are well aligned with those of my department leader / immediate supervisor* | Strongly agree = 1 Agree = 1 Neither agree nor disagree = 0 Disagree = 0 Disagree strongly = 0 |
The degree to which my patient care team works efficiently together is* | Poor = 0 Marginal = 0 Satisfactory = 1 Good = 1 Optimal = 1 |
The amount of time I spend on the electronic medical record (EMR) at home is | Excessive = 1 Moderately high = 1 Satisfactory = 0 Modest = 0 Minimal/none = 0 |
What is the likelihood that you will leave your current practice within TWO YEARS? | None = 0 Slight = 0 Moderate = 1 Likely = 1 Definite = 1 |
How often do you encounter negative experiences at work due to your gender (e.g. being denied work opportunities, being isolated or treated as if you were not competent, experiencing repeated, small slights at work, or other forms of discrimination)? | Frequently = 1 Fairly Often = 1 Infrequently = 0 Rarely = 0 Never = 0 |
How often do you encounter negative experiences at work due to your race (e.g. being denied work opportunities, being isolated or treated as if you were not competent, experiencing repeated, small slights at work, or other forms of discrimination)? | Frequently = 1 Fairly Often = 1 Infrequently = 0 Rarely = 0 Never = 0 |
Note: Bolded versus non-bolded response options indicate responses that were combined to create binary variables, denoted “1” or “0.”
↵*Reverse coded.