• Kerry H Levin, Tait D Shanafelt, Christopher M Keran, Neil A Busis, Laura A Foster, Jennifer Rose V Molano, Cormac A O'Donovan, Jeffrey B Ratliff, Heidi B Schwarz, Jeff A Sloan, and Terrence L Cascino.
• From the Department of Neurology (K.H.L.), Cleveland Clinic, OH; Division of Hematology (T.D.S.), Division of Biomedical Statistics and Informatics (J.A.S.), and Department of Neurology (T.L.C.), Mayo Clinic, Rochester, MN; Member Insights Department (C.M.K.), American Academy of Neurology, Minneapolis, MN; Department of Neurology (N.A.B.), University of Pittsburgh School of Medicine, PA; Department of Neurology (L.A.F.), Brigham and Women's Hospital, Boston, MA; Department of Neurology and Rehabilitation Medicine (J.R.V.M.), University of Cincinnati College of Medicine, OH; Department of Neurology (C.A.O.), Wake Forest University, Winston-Salem, NC; Department of Neurology (J.B.R.), Thomas Jefferson University, Philadelphia, PA; and Department of Neurology (H.B.S.), University of Rochester School of Medicine and Dentistry, NY. levink@ccf.org.
• Neurology. 2017 Aug 1; 89 (5): 492-501.

ObjectiveTo study prevalence of and factors contributing to burnout, career satisfaction, and well-being in US neurology residents and fellows.MethodsA total of 938 US American Academy of Neurology member neurology residents and fellows were surveyed using standardized measures of burnout, career satisfaction, and well-being from January 19 to March 21, 2016.ResultsResponse rate was 37.7% (354/938); about 2/3 of responders were residents and 1/3 were fellows. Median age of participants was 32 years and 51.1% were female. Seventy-three percent of residents and 55% of fellows had at least one symptom of burnout, the difference largely related to higher scores for depersonalization among residents. For residents, greater satisfaction with work-life balance, meaning in work, and older age were associated with lower risk of burnout; for fellows, greater satisfaction with work-life balance and effective support staff were associated with lower risk of burnout. Trainees experiencing burnout were less likely to report career satisfaction. Career satisfaction was more likely among those reporting meaning in work and more likely for those working in the Midwest compared with the Northeast region.ConclusionsBurnout is common in neurology residents and fellows. Lack of work-life balance and lack of meaning in work were associated with reduced career satisfaction and increased risk of burnout. These results should inform approaches to reduce burnout and promote career satisfaction and well-being in US neurology trainees.© 2017 American Academy of Neurology.

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