• Suzanne Reed, Kathi J Kemper, Alan Schwartz, Maneesh Batra, Betty B Staples, Janet R Serwint, Hilary McClafferty, Charles J Schubert, Paria M Wilson, Alex Rakowsky, Margaret Chase, and John D Mahan.
• 1 The Ohio State University, Columbus, OH, USA.
• J Evid Based Integr Med. 2018 Jan 1; 23: 2515690X18804779.

AbstractResidency is a high-risk period for physician burnout. We aimed to determine the short-term stability of factors associated with burnout, application of these data to previous conceptual models, and the relationship of these factors over 3 months. Physician wellness questionnaire results were analyzed at 2 time points 3 months apart. Associations among variables within and across time points were analyzed. Logistic regression was used to predict burnout and compassionate care. A total of 74% of residents completed surveys. Over 3 months, burnout ( P = .005) and empathy ( P = .04) worsened. The most significant cross-sectional relationship was between stress and emotional exhaustion (time 1 r = 0.61, time 2 r = 0.68). Resilience was predictive of increased compassionate care and decreased burnout ( P < .05). Mindfulness was predictive of decreased burnout ( P < .05). Mitigating stress and fostering mindfulness and resilience longitudinally may be key areas of focus for improved wellness in pediatric residents. Larger studies are needed to better develop targeted wellness interventions.

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