![]() ![]() While there is a lack of consensus in the existing literature, this study provides additional evidence that burnout is negatively associated with 1 aspect of overall resident performance. Increased levels of the 3 components of burnout were associated with worse performance on the OITE. In this study of orthopaedic surgery residents at a large academic training program, burnout was present among residents in all PGYs of training it was most prevalent during the second year of training. Each of the 3 MBI indices of burnout was associated with worse OITE performance when controlling for general test-taking ability. Postgraduate year (PGY)-2 residents had the highest emotional exhaustion and depersonalization scores compared with residents in other years of training. Sixteen (25.8%) of the residents experienced at least moderate emotional exhaustion, while 32 (51.6%) of the residents experienced at least moderate depersonalization and 8 (12.9%) of the residents experienced a moderate sense of impaired personal accomplishment. ![]() The analysis included 100% of the 62 orthopaedic surgery residents in training at our institution. The relationship between the MBI subscale scores and OITE performance was evaluated. To control for individual test-taking skills, United States Medical Licensing Examination (USMLE) Step-1 and Step-2 scores also were documented for each resident. ![]() The results of the 2016 OITE were documented for each resident, including the percentage of correctly answered questions and OITE percentile ranking. In a cross-sectional study of the orthopaedic surgery residents at a single large academic institution, the MBI was completed by all trainees in May 2016. The current investigation sought to evaluate whether an association exists between indices of orthopaedic surgery resident burnout as assessed by the Maslach Burnout Inventory (MBI) and performance on the OITE. To our knowledge, no previous study has examined the relationship between resident burnout and performance on the Orthopaedic In-Training Examination (OITE). Resident burnout-the state of exhaustion, maladaptive detachment, and low sense of accomplishment-is a widely documented phenomenon that affects between 27% and 75% of residents in the United States. ![]()
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