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A survey of burnout and professional satisfaction among United States neurointerventionalists
  1. Kyle M Fargen1,
  2. Adam S Arthur2,
  3. Thabele Leslie-Mazwi3,
  4. Rebecca M Garner1,
  5. Carol A Aschenbrenner4,
  6. Stacey Q Wolfe1,
  7. Sameer A Ansari5,
  8. Guilherme Dabus6,
  9. Alejandro Spiotta7,
  10. Maxim Mokin8,
  11. Italo Linfante9,
  12. J Mocco10,
  13. Joshua A Hirsch11
  1. 1 Neurosurgery, Wake Forest School of Medicine, Winston Salem, North Carolina, USA
  2. 2 UT Department of Neurosurgery/Semmes-Murphey Clinic, Memphis, Tennessee, USA
  3. 3 Neurosurgery, Massachusetts General Hospital, Boston, Massachusetts, USA
  4. 4 Biostatistics, Wake Forest University School of Medicine, Winston-Salem, North Carolina, USA
  5. 5 Radiology, Neurology, and Neurological Surgery, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA
  6. 6 Interventional Neuroradiology and Neuroendovascular Surgery, Miami Cardiac & Vascular Institute and Baptist Neuroscience Center, Miami, Florida, USA
  7. 7 Neurosciences, Medical University of South Carolina, Charleston, South Carolina, USA
  8. 8 Neurosurgery, University of South Florida, Tampa, Florida, USA
  9. 9 Baptist Cardiac and Vascular Institute, Miami, Florida, USA
  10. 10 The Mount Sinai Health System, New York, New York, USA
  11. 11 Interventional Neuroradiology, Massachusetts General Hospital, Boston, Massachusetts, USA
  1. Correspondence to Dr Kyle M Fargen, Neurosurgery, Wake Forest University, Winston-Salem, NC 27109, USA; kfargen{at}


Background The toll of burnout on healthcare is significant and associated with physician depression and medical errors.

Objective To assess the prevalence and risk factors for burnout among neurointerventionalists.

Methods A 39-question online survey containing questions about neurointerventional practice and the Maslach Burnout Inventory-Human Services Survey for medical personnel was distributed to members of major US neurointerventional physician societies.

Results 320 responses were received. Median (interquartile range) composite scores for emotional exhaustion were 25 (16–35), depersonalization 7 (4–12), and personal accomplishment 39 (35–44). 164/293 respondents (56%) met established criteria for burnout. There was no significant relationship between training background, practice setting, call frequency, or presence of a senior partner on burnout prevalence. Multiple logistic regression analysis showed that feeling underappreciated by hospital leadership (OR=3.71; p<0.001) and covering more than one hospital on call (OR=1.96; p=0.01) were strongly associated with burnout. Receiving additional compensation for a call was independently protective against burnout (OR= 0.70; p=0.005).

Conclusions This survey of United States neurointerventional physicians demonstrated a self-reported burnout prevalence of 56%, which is similar to the national average among physicians across other specialties. Additional compensation for a call was a significant protective factor against burnout. In addition, feeling underappreciated by departmental or hospital leadership and covering more than one hospital while on call were associated with greater odds of burnout.

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  • Contributors Concept design: KF, JH. Data collection: KF. Data review: all authors. Manuscript composition: aqll authors. Final approval of article: all authors.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Disclaimer Dr. Spiotta serves as a consultant for Penumbra and Cerenovus. Dr. Hirsch receives grant support from the Neiman Health Policy Institute.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

  • Data sharing statement There are no additional data available.

  • Patient consent for publication Not required.