30 Burnout In London Gps: Characteristics That Help Identify Gps At Risk

Patrick White
Burnout is an important obstacle to the development of services and to change in primary care. This study has examined burnout in London GPs and sought relationships between burnout and personal and workplace characteristics with a view to identifying GPs at risk.
Method: 710 GP principals in inner and suburban London were mailed the Maslach Burnout Inventory (MBI) together with a purpose designed questionnaire of personal and practice details. Association and correlation were sought between the three elements of burnout (emotional exhaustion -EE, depersonalisation - DP, and personal accomplishment - PA) and the GPs` characteristics.
Results: 486 GPs (68%) returned the questionnaire. 55% were under 45 years. 50% were male. High burnout was reported with 47% reporting high levels of EE, 44% reporting high levels of DP, and 32% reporting low PA. No association was found between the prevalence of burnout and the number of patients seen per session, the GP’s list size, or the rating of the work environment. Trainers, training practices and undergraduate teachers had a significantly higher sense of personal accomplishment. High levels of depersonalisation were more commonly reported in GPs under 35 years. Analysis by logistic regression is underway.
There are few clues in the analysis of the personal and workplace characteristics to explain the high levels of burnout. Nonetheless the results point to characteristics which may enable the identification of GPs at risk. The findings do not augur well for the capacity of these GPs to take on the major changes of the new NHS plan.
30 Burnout in London GPs: Characteristics that Help Identify GPs at Risk