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Physician burnout is one of the biggest challenges healthcare systems face. For years, it’s been cited as a primary factor for surprise resignations and the ongoing physician shortage across the country. 

A new study from Atalan, co-authored by labor economist and Harvard University professor Richard Freeman, finds that the standard method health systems use to assess burnout, typically employee surveys, falls short in understanding patterns of burnout and predicting surprise resignation. 

The researchers identified 346 physicians and 143 advanced physicians as part of the study and had a 60-70% response rate for the survey they administered, which was approximately 30% higher than the standard industry survey. 

The study’s researchers used a mixed method approach, using surveys in conjunction with HR data and electronic health records to understand physician behavioural patterns and came to some illuminating conclusions. 

Firstly, the study found that there was a significant disparity between survey respondents and non-respondents. Advanced practitioner nonrespondents below the retirement age had a 12 times higher risk of resigning. 

“The fact that we’re only seeing those really significant differences for that subgroup who are below retirement age is quite the indicator that there is something going on with the nonrespondent group,” said Dr. Aubrey Rhodes, the lead author of the study who works at Atalan. 

The study also found that physician nonrespondents had a five-fold increased risk of resigning compared to respondents. 

Additionally, nonrespondents consistently showed lower productivity in their specific job roles when compared to survey respondents. 

These insights highlight that nonrespondents act differently from survey respondents, specifically there is a disparity in the resignation patterns between respondents and nonrespondents. 

Additionally, this pattern was identified as a result of the research method used. 

“What’s really unique and interesting about our results is that for the physicians studies, there was a total lack of demographic differences between the respondents and nonrespondents. So theoretically, we would expect that if we were to run a simulation based on demographics alone, we would not find differences in something like burnout,” said Dr. Rhodes. 

Freeman added to the discourse around physician burnout, highlighting that rising administrative costs and the threat of big business has been contributing to physician burnouts and surprise resignations. 

“One of the big things that is going on now in the medical area in the US, is that we are seeing cutbacks of money and increasing unionism among residents and postdocs. We’ve begun some work on understanding why they are unionizing,” said Freeman. 

He added that the study mixed methodology he and Dr. Rhodes can be used by a number of researchers to understand these patterns and other trends amongst physicians, as it tends to reveal information that traditional surveys miss.