@article{ref1,
title="Emergency psychiatry experience, resident burnout, and future plans to treat publicly funded patients",
journal="Psychiatric services",
year="2015",
author="Dennis, Nora M. and Swartz, Marvin S.",
volume="66",
number="8",
pages="892-895",
abstract="OBJECTIVE: This study examined psychiatry resident burnout in emergency departments and its association with residents' posttraining plans to care for Medicaid patients and others publicly insured. <br><br>METHODS: Between November and December 2013, psychiatry residents in North Carolina were recruited for a cross-sectional, Internet-based survey concerning emergency department experiences, attitudes about their roles, feelings of burnout, and posttraining intentions to treat Medicaid patients. The completion rate was 51% (N=91). <br><br>RESULTS: In bivariate analyses (N=82 with an emergency psychiatry rotation), burnout was positively associated with frequent exhaustion (p<.001) and perceived suboptimal supervision by the attending physician (p<.01). Compared with other residents, residents planning to accept Medicaid after training had significantly lower burnout scores (p<.05). Experiencing assault in the emergency department indicated decreased likelihood of treating publicly insured patients after training (Medicaid, odds ratio=.09, p<.05). <br><br>CONCLUSIONS: Adverse experiences with patient care in the emergency department during psychiatry residency appear to be linked to professional burnout and threaten to shape long-term plans regarding care for publicly insured patients.<p /> <p>Language: en</p>",
language="en",
issn="1075-2730",
doi="10.1176/appi.ps.201400234",
url="http://dx.doi.org/10.1176/appi.ps.201400234"
}