TY  - JOUR
PY  - 2015//
TI  - Emergency psychiatry experience, resident burnout, and future plans to treat publicly funded patients
JO  - Psychiatric services
A1  - Dennis, Nora M.
A1  - Swartz, Marvin S.
SP  - 892
EP  - 895
VL  - 66
IS  - 8
N2  - 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>
LA  - en
SN  - 1075-2730
UR  - http://dx.doi.org/10.1176/appi.ps.201400234
ID  - ref1
ER  -