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    Burnout rate lower than believed, but still too high

    Two of five urologists burned out, raising concerns about impact on work force shortage


    Sampling bias in earlier study

    “When we looked at the age group that was shown in the Mayo Clinic data—ages 29 to 65—the burnout rate went up to 41.3%,” which was similar to the Mayo group’s 2011 figure, Dr. North said. “So we think there must have been a sampling bias in the 2014 data.”

    The AUA Census study represents 2,300 urologists, whereas the 2014 Mayo study was based on a sample of 119 urologists.

    Recommended - Burnout, biopsy, BPH, and more: Post-AUA review

    Study results showed no difference in burnout rates by practitioner gender or race. However, certain factors, including practice type, subspecialty area, and age groups were associated with burnout. On multivariate analysis, burnout factors included greater number of patient visits in a typical week, younger physician age group, practicing in a subspecialty other than pediatric urology or oncology, in either a solo or multispecialty setting, practice size of more than two, and greater number of work hours in a typical week.

    “We’re still saying that two out of every five urologists is burned out. Obviously, that’s too high a number,” Dr. North said. “One of our concerns is that urologists are projected to have among the worst work force shortages in the future. We know that burned-out doctors tend to stop practicing. So we really need to work hard to improve our burnout rate, even though it is lower than previously reported.”

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