High Incidence of Burnout in Academic Chairpersons of Anesthesiology Should We Be Taking Better Care of Our Leaders?

Burnout is a work-related psychologic syndrome characterized by emotional exhaustion, low personal accomplishment, and depersonalization. By using an instrument that included the MBI-HHS Burnout Inventory, we surveyed academic anesthesiology chairpersons in the United States. Current level of job sa...

Full description

Saved in:
Bibliographic Details
Published inAnesthesiology (Philadelphia) Vol. 114; no. 1; pp. 181 - 193
Main Authors De Oliveira, Gildàsio S., Ahmad, Shireen, Stock, M. Christine, Harter, Ronald L., Almeida, Marcela D., Fitzgerald, Paul C., McCarthy, Robert J.
Format Journal Article
LanguageEnglish
Published Hagerstown, MD Lippincott Williams & Wilkins 01.01.2011
Subjects
Online AccessGet full text
ISSN0003-3022
1528-1175
1528-1175
DOI10.1097/ALN.0b013e318201cf6c

Cover

Abstract Burnout is a work-related psychologic syndrome characterized by emotional exhaustion, low personal accomplishment, and depersonalization. By using an instrument that included the MBI-HHS Burnout Inventory, we surveyed academic anesthesiology chairpersons in the United States. Current level of job satisfaction compared with 1 and 5 yr before the survey, likelihood of stepping down as chair in the next 2 yr, and a high risk of burnout were the primary outcomes. Of the 117 chairs surveyed, 102 (87%) responded. Nine surveys had insufficient responses for assessment of burnout. Of 93 chairs, 32 (34%) reported high current job satisfaction, which represented a significant decline compared with that reported for 1 yr (P = 0.009) and 5 yr (P = 0.001) before the survey. Of 93 chairs, 26 (28%) reported extreme likelihood of stepping down as a chair in 1-2 yr. There was no association of age (P = 0.16), sex (P = 0.82), or self-reported effectiveness (P = 0.63) with anticipated likelihood of stepping down, but there was a negative association between the modified efficacy scale scoρrgr; = -0.303, P = 0.003) and likelihood of stepping down. Of 93 chairs, 26 (28%) met the criteria for high burnout and an additional 29 (31%) met the criteria for moderately high burnout. Decreased current job satisfaction and low self-reported spousal/significant other support were independent predictors of high burnout risk. Fifty-one percent of academic anesthesiology chairs exhibit a high incidence/risk of burnout. Age, sex, time as a chair, hours worked, and perceived effectiveness were not associated with high burnout; however, low job satisfaction and reduced self-reported spousal/significant other support significantly increased the risk.
AbstractList Burnout is a work-related psychologic syndrome characterized by emotional exhaustion, low personal accomplishment, and depersonalization. By using an instrument that included the MBI-HHS Burnout Inventory, we surveyed academic anesthesiology chairpersons in the United States. Current level of job satisfaction compared with 1 and 5 yr before the survey, likelihood of stepping down as chair in the next 2 yr, and a high risk of burnout were the primary outcomes. Of the 117 chairs surveyed, 102 (87%) responded. Nine surveys had insufficient responses for assessment of burnout. Of 93 chairs, 32 (34%) reported high current job satisfaction, which represented a significant decline compared with that reported for 1 yr (P = 0.009) and 5 yr (P = 0.001) before the survey. Of 93 chairs, 26 (28%) reported extreme likelihood of stepping down as a chair in 1-2 yr. There was no association of age (P = 0.16), sex (P = 0.82), or self-reported effectiveness (P = 0.63) with anticipated likelihood of stepping down, but there was a negative association between the modified efficacy scale scoρrgr; = -0.303, P = 0.003) and likelihood of stepping down. Of 93 chairs, 26 (28%) met the criteria for high burnout and an additional 29 (31%) met the criteria for moderately high burnout. Decreased current job satisfaction and low self-reported spousal/significant other support were independent predictors of high burnout risk. Fifty-one percent of academic anesthesiology chairs exhibit a high incidence/risk of burnout. Age, sex, time as a chair, hours worked, and perceived effectiveness were not associated with high burnout; however, low job satisfaction and reduced self-reported spousal/significant other support significantly increased the risk.
Burnout is a work-related psychologic syndrome characterized by emotional exhaustion, low personal accomplishment, and depersonalization.BACKGROUNDBurnout is a work-related psychologic syndrome characterized by emotional exhaustion, low personal accomplishment, and depersonalization.By using an instrument that included the MBI-HHS Burnout Inventory, we surveyed academic anesthesiology chairpersons in the United States. Current level of job satisfaction compared with 1 and 5 yr before the survey, likelihood of stepping down as chair in the next 2 yr, and a high risk of burnout were the primary outcomes.METHODSBy using an instrument that included the MBI-HHS Burnout Inventory, we surveyed academic anesthesiology chairpersons in the United States. Current level of job satisfaction compared with 1 and 5 yr before the survey, likelihood of stepping down as chair in the next 2 yr, and a high risk of burnout were the primary outcomes.Of the 117 chairs surveyed, 102 (87%) responded. Nine surveys had insufficient responses for assessment of burnout. Of 93 chairs, 32 (34%) reported high current job satisfaction, which represented a significant decline compared with that reported for 1 yr (P = 0.009) and 5 yr (P = 0.001) before the survey. Of 93 chairs, 26 (28%) reported extreme likelihood of stepping down as a chair in 1-2 yr. There was no association of age (P = 0.16), sex (P = 0.82), or self-reported effectiveness (P = 0.63) with anticipated likelihood of stepping down, but there was a negative association between the modified efficacy scale scoρrgr; = -0.303, P = 0.003) and likelihood of stepping down. Of 93 chairs, 26 (28%) met the criteria for high burnout and an additional 29 (31%) met the criteria for moderately high burnout. Decreased current job satisfaction and low self-reported spousal/significant other support were independent predictors of high burnout risk.RESULTSOf the 117 chairs surveyed, 102 (87%) responded. Nine surveys had insufficient responses for assessment of burnout. Of 93 chairs, 32 (34%) reported high current job satisfaction, which represented a significant decline compared with that reported for 1 yr (P = 0.009) and 5 yr (P = 0.001) before the survey. Of 93 chairs, 26 (28%) reported extreme likelihood of stepping down as a chair in 1-2 yr. There was no association of age (P = 0.16), sex (P = 0.82), or self-reported effectiveness (P = 0.63) with anticipated likelihood of stepping down, but there was a negative association between the modified efficacy scale scoρrgr; = -0.303, P = 0.003) and likelihood of stepping down. Of 93 chairs, 26 (28%) met the criteria for high burnout and an additional 29 (31%) met the criteria for moderately high burnout. Decreased current job satisfaction and low self-reported spousal/significant other support were independent predictors of high burnout risk.Fifty-one percent of academic anesthesiology chairs exhibit a high incidence/risk of burnout. Age, sex, time as a chair, hours worked, and perceived effectiveness were not associated with high burnout; however, low job satisfaction and reduced self-reported spousal/significant other support significantly increased the risk.CONCLUSIONFifty-one percent of academic anesthesiology chairs exhibit a high incidence/risk of burnout. Age, sex, time as a chair, hours worked, and perceived effectiveness were not associated with high burnout; however, low job satisfaction and reduced self-reported spousal/significant other support significantly increased the risk.
Author De Oliveira, Gildàsio S.
Almeida, Marcela D.
Harter, Ronald L.
Fitzgerald, Paul C.
Ahmad, Shireen
McCarthy, Robert J.
Stock, M. Christine
Author_xml – sequence: 1
  givenname: Gildàsio S.
  surname: De Oliveira
  fullname: De Oliveira, Gildàsio S.
  organization: Instructor
– sequence: 2
  givenname: Shireen
  surname: Ahmad
  fullname: Ahmad, Shireen
  organization: Associate Professor
– sequence: 3
  givenname: M. Christine
  surname: Stock
  fullname: Stock, M. Christine
  organization: Professor and Chair
– sequence: 4
  givenname: Ronald L.
  surname: Harter
  fullname: Harter, Ronald L.
  organization: The Jay J. Jacoby, M.D., Ph.D. Professor and Chair, The Ohio State University College of Medicine, Columbus, Ohio
– sequence: 5
  givenname: Marcela D.
  surname: Almeida
  fullname: Almeida, Marcela D.
  organization: Clinical Associate, Department of Psychiatry, The University of Chicago, Chicago, Illinois
– sequence: 6
  givenname: Paul C.
  surname: Fitzgerald
  fullname: Fitzgerald, Paul C.
  organization: Research Associate
– sequence: 7
  givenname: Robert J.
  surname: McCarthy
  fullname: McCarthy, Robert J.
  organization: Research Professor, Department of Anesthesiology, Northwestern University Feinberg School of Medicine, Chicago, Illinois
BackLink http://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=23747703$$DView record in Pascal Francis
https://www.ncbi.nlm.nih.gov/pubmed/21178674$$D View this record in MEDLINE/PubMed
BookMark eNp9kUtPwzAQhC1URB_wDxDKBXEK2HFiu9xCebRSBRc4W45jt0aJXezk0H-Pq7ZC6oHTaqVvRjs7YzCwzioArhG8R3BKH8rl-z2sIMIKI5ZBJDWRZ2CEioylCNFiAEYQQpximGVDMA7hO660wOwCDLMIMELzEXiem9U6WVhpamWlSpxOnnpvXd8lxialFLVqjUxma2H8RvngbNgxpVWhW6tgXONW20twrkUT1NVhTsDX68vnbJ4uP94Ws3KZSoxJl1JWEUak0pVgOUNTWNdMSAzznBaU6KKqSEagIlpCRUmNa8gYlpnWOp5boRpPwN3ed-PdTx8v4K0JUjWNsMr1gbOYaxrzFpG8OZB91aqab7xphd_yY_AI3B4AEaRotBfxBeGPwzSnFOLIPe456V0IXmkuTSc642znhWk4gnzXBo9t8NM2ojg_ER_9_5X9ArsjjY8
CODEN ANESAV
CitedBy_id crossref_primary_10_1002_dch_30045
crossref_primary_10_1002_jac5_1256
crossref_primary_10_1007_s40664_022_00492_8
crossref_primary_10_1055_s_0042_1758566
crossref_primary_10_1016_j_ajog_2018_06_012
crossref_primary_10_1016_j_bjane_2018_02_006
crossref_primary_10_1016_j_acra_2018_12_006
crossref_primary_10_1097_EJA_0000000000000383
crossref_primary_10_1053_j_jvca_2018_05_016
crossref_primary_10_1016_j_acra_2019_03_002
crossref_primary_10_1213_ANE_0000000000002328
crossref_primary_10_1016_j_bja_2019_08_021
crossref_primary_10_1016_j_ijrobp_2013_09_027
crossref_primary_10_1016_j_jclinane_2021_110192
crossref_primary_10_1159_000475600
crossref_primary_10_1155_2014_601865
crossref_primary_10_1155_2017_8648925
crossref_primary_10_1097_AIA_0000000000000196
crossref_primary_10_1213_ANE_0000000000002298
crossref_primary_10_1016_j_pratan_2014_04_002
crossref_primary_10_1016_j_annfar_2014_08_002
crossref_primary_10_1177_1359105315604377
crossref_primary_10_1016_j_ijrobp_2015_08_019
crossref_primary_10_1016_j_annfar_2012_12_004
crossref_primary_10_1007_s00101_011_1947_3
crossref_primary_10_1016_S0034_7094_12_70138_1
crossref_primary_10_1016_j_npbr_2019_12_002
crossref_primary_10_1097_JHM_D_16_00001
crossref_primary_10_1016_j_bjan_2018_02_007
crossref_primary_10_1016_j_amp_2016_02_017
crossref_primary_10_1016_j_jclinane_2011_02_001
crossref_primary_10_1097_AIA_0000000000000230
crossref_primary_10_1108_JOEPP_01_2015_0002
crossref_primary_10_1016_j_jclinane_2016_06_015
crossref_primary_10_1111_pan_14037
crossref_primary_10_1016_j_annfar_2011_08_015
crossref_primary_10_1080_13548506_2016_1139143
crossref_primary_10_1097_ACO_0000000000000423
crossref_primary_10_1097_01_ASM_0001072328_05755_29
crossref_primary_10_1007_s12144_021_01781_w
crossref_primary_10_1016_j_acra_2019_12_029
crossref_primary_10_1016_j_annfar_2014_05_008
crossref_primary_10_2147_AMEP_S286546
crossref_primary_10_1016_j_admp_2014_09_003
crossref_primary_10_1016_j_lpm_2012_09_003
crossref_primary_10_1016_j_amjsurg_2016_08_003
crossref_primary_10_1016_j_ajme_2011_08_004
crossref_primary_10_1016_j_amp_2012_02_024
crossref_primary_10_22159_ajpcr_2021_v14i7_41224
crossref_primary_10_1007_s12262_019_01923_2
crossref_primary_10_1016_j_jclinane_2017_06_011
crossref_primary_10_1007_s10389_018_0929_1
crossref_primary_10_1097_EJA_0b013e328352816d
crossref_primary_10_1155_2015_903597
crossref_primary_10_1016_j_annfar_2011_05_011
crossref_primary_10_1080_11101849_2021_1891704
crossref_primary_10_1590_1806_9282_65_11_1356
crossref_primary_10_1016_j_aan_2021_07_009
crossref_primary_10_1097_EJA_0000000000000375
crossref_primary_10_3390_jcm9010061
crossref_primary_10_1088_1757_899X_640_1_012128
crossref_primary_10_1097_AIA_0000000000000335
crossref_primary_10_1016_j_jclinane_2020_110084
ContentType Journal Article
Copyright 2015 INIST-CNRS
Copyright_xml – notice: 2015 INIST-CNRS
DBID AAYXX
CITATION
IQODW
CGR
CUY
CVF
ECM
EIF
NPM
7X8
DOI 10.1097/ALN.0b013e318201cf6c
DatabaseName CrossRef
Pascal-Francis
Medline
MEDLINE
MEDLINE (Ovid)
MEDLINE
MEDLINE
PubMed
MEDLINE - Academic
DatabaseTitle CrossRef
MEDLINE
Medline Complete
MEDLINE with Full Text
PubMed
MEDLINE (Ovid)
MEDLINE - Academic
DatabaseTitleList MEDLINE
MEDLINE - Academic
Database_xml – sequence: 1
  dbid: NPM
  name: PubMed
  url: https://proxy.k.utb.cz/login?url=http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed
  sourceTypes: Index Database
– sequence: 2
  dbid: EIF
  name: MEDLINE
  url: https://proxy.k.utb.cz/login?url=https://www.webofscience.com/wos/medline/basic-search
  sourceTypes: Index Database
DeliveryMethod fulltext_linktorsrc
EISSN 1528-1175
EndPage 193
ExternalDocumentID 21178674
23747703
10_1097_ALN_0b013e318201cf6c
Genre Journal Article
GeographicLocations United States
GeographicLocations_xml – name: United States
GroupedDBID ---
-~X
.-D
.55
.XZ
.Z2
01R
026
0R~
1CY
1J1
23M
2WC
354
40H
4Q1
4Q2
4Q3
53G
5GY
5RE
5VS
6J9
71W
77Y
7O~
AAAAV
AAAXR
AAEJM
AAFWJ
AAGIX
AAHPQ
AAIQE
AAJCS
AAMOA
AAMTA
AARTV
AASOK
AAUEB
AAWTL
AAXQO
AAYXX
ABBUW
ABDIG
ABJNI
ABOCM
ABPXF
ABXVJ
ABZAD
ACCJW
ACDDN
ACDOF
ACEWG
ACGFO
ACGFS
ACILI
ACOAL
ACWDW
ACWRI
ACXNZ
ACZKN
ADBBV
ADGGA
ADGHP
ADHPY
ADKSD
ADNKB
AE3
AE6
AEETU
AENEX
AFDTB
AFEXH
AFFNX
AFNMH
AFUWQ
AGINI
AHOMT
AHQNM
AHVBC
AHXIK
AIJEX
AINUH
AJCLO
AJIOK
AJJEV
AJNWD
AJNYG
AJZMW
ALKUP
ALMA_UNASSIGNED_HOLDINGS
AMJPA
AMNEI
BAWUL
BCGUY
BOYCO
BQLVK
BYPQX
C45
CITATION
CS3
DIK
DIWNM
DUNZO
E.X
EBS
EX3
F2K
F2L
F2M
F2N
F5P
FCALG
FL-
FW0
GX1
H0~
HZ~
IKREB
IKYAY
IN~
JF7
JF9
JG8
JK3
JK8
K-A
K-F
K8S
KD2
KMI
L-C
L7B
N9A
N~7
N~B
O9-
OAG
OAH
OB3
OBH
ODMTH
ODZKP
OGROG
OHH
OHYEH
OK1
OL1
OLB
OLG
OLH
OLL
OLU
OLV
OLY
OLZ
OPUJH
OUVQU
OVD
OVDNE
OVIDH
OVLEI
OVOZU
OWU
OWV
OWW
OWX
OWY
OWZ
OXXIT
P2P
RLZ
S4R
S4S
TEORI
TR2
TWZ
V2I
W2D
W3M
WH7
WOQ
WOW
X3V
X3W
X7M
XXN
XYM
YFH
YOC
ZFV
ZY1
ZZMQN
.3C
.GJ
AAQKA
AAQQT
AASCR
AASXQ
ABASU
ABVCZ
ABXYN
ABZZY
ACIJW
ACLDA
ACLED
ACRZS
ACXJB
ADFPA
AEBDS
AFBFQ
AFMBP
AFSOK
AHQVU
AHRYX
AJRGT
AKCTQ
AKULP
ALMTX
AMKUR
AOHHW
AOQMC
BS7
EEVPB
EJD
ERAAH
GNXGY
GQDEL
HLJTE
IPNFZ
IQODW
J5H
M18
N4W
N~M
OCUKA
ODA
ORVUJ
P-K
R58
RIG
T8P
TSPGW
YQI
YQJ
ZGI
ZXP
CGR
CUY
CVF
ECM
EIF
NPM
7X8
ID FETCH-LOGICAL-c336t-78b686cefba848190dd8ac30447576f5bb6260e6fc0e76d3d0883c2fff117b1d3
ISSN 0003-3022
1528-1175
IngestDate Sun Sep 28 07:40:24 EDT 2025
Mon Jul 21 05:36:34 EDT 2025
Wed Apr 02 07:17:08 EDT 2025
Thu Apr 24 22:56:45 EDT 2025
Wed Oct 01 06:06:29 EDT 2025
IsPeerReviewed true
IsScholarly true
Issue 1
Keywords Anesthesia
Occupational burnout
Incidence
Language English
License CC BY 4.0
LinkModel OpenURL
MergedId FETCHMERGED-LOGICAL-c336t-78b686cefba848190dd8ac30447576f5bb6260e6fc0e76d3d0883c2fff117b1d3
Notes ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
content type line 23
PMID 21178674
PQID 821193025
PQPubID 23479
PageCount 13
ParticipantIDs proquest_miscellaneous_821193025
pubmed_primary_21178674
pascalfrancis_primary_23747703
crossref_citationtrail_10_1097_ALN_0b013e318201cf6c
crossref_primary_10_1097_ALN_0b013e318201cf6c
ProviderPackageCode CITATION
AAYXX
PublicationCentury 2000
PublicationDate 2011-1-1
2011
2011-Jan
20110101
PublicationDateYYYYMMDD 2011-01-01
PublicationDate_xml – month: 01
  year: 2011
  text: 2011-1-1
  day: 01
PublicationDecade 2010
PublicationPlace Hagerstown, MD
PublicationPlace_xml – name: Hagerstown, MD
– name: United States
PublicationTitle Anesthesiology (Philadelphia)
PublicationTitleAlternate Anesthesiology
PublicationYear 2011
Publisher Lippincott Williams & Wilkins
Publisher_xml – name: Lippincott Williams & Wilkins
References R3-38-20250520
R14-38-20250520
R24-38-20250520
R25-38-20250520
R2-38-20250520
R4-38-20250520
R13-38-20250520
R15-38-20250520
R5-38-20250520
R7-38-20250520
R20-38-20250520
R6-38-20250520
R8-38-20250520
R17-38-20250520
R16-38-20250520
R26-38-20250520
R9-38-20250520
R10-38-20250520
R21-38-20250520
R11-38-20250520
R19-38-20250520
R12-38-20250520
R22-38-20250520
R23-38-20250520
21791997 - Anesthesiology. 2011 Aug;115(2):437; author reply 437
21139497 - Anesthesiology. 2011 Jan;114(1):1-2
References_xml – ident: R23-38-20250520
– ident: R10-38-20250520
– ident: R5-38-20250520
– ident: R12-38-20250520
– ident: R7-38-20250520
– ident: R25-38-20250520
– ident: R3-38-20250520
– ident: R20-38-20250520
– ident: R14-38-20250520
– ident: R6-38-20250520
– ident: R16-38-20250520
– ident: R11-38-20250520
– ident: R22-38-20250520
– ident: R8-38-20250520
– ident: R9-38-20250520
– ident: R24-38-20250520
– ident: R19-38-20250520
– ident: R26-38-20250520
– ident: R21-38-20250520
– ident: R4-38-20250520
– ident: R13-38-20250520
– ident: R2-38-20250520
– ident: R15-38-20250520
– ident: R17-38-20250520
– reference: 21139497 - Anesthesiology. 2011 Jan;114(1):1-2
– reference: 21791997 - Anesthesiology. 2011 Aug;115(2):437; author reply 437
SSID ssj0007538
Score 2.3235338
Snippet Burnout is a work-related psychologic syndrome characterized by emotional exhaustion, low personal accomplishment, and depersonalization. By using an...
Burnout is a work-related psychologic syndrome characterized by emotional exhaustion, low personal accomplishment, and depersonalization.BACKGROUNDBurnout is a...
SourceID proquest
pubmed
pascalfrancis
crossref
SourceType Aggregation Database
Index Database
Enrichment Source
StartPage 181
SubjectTerms Academic Medical Centers - statistics & numerical data
Administrative Personnel - statistics & numerical data
Age Distribution
Anesthesia
Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy
Anesthesiology
Biological and medical sciences
Burnout, Professional - epidemiology
Cross-Sectional Studies
Female
Humans
Incidence
Job Satisfaction
Male
Medical sciences
Middle Aged
Psychiatric Status Rating Scales - statistics & numerical data
Risk Factors
Severity of Illness Index
Sex Distribution
Social Support
Surveys and Questionnaires
United States - epidemiology
Subtitle Should We Be Taking Better Care of Our Leaders?
Title High Incidence of Burnout in Academic Chairpersons of Anesthesiology
URI https://www.ncbi.nlm.nih.gov/pubmed/21178674
https://www.proquest.com/docview/821193025
Volume 114
hasFullText 1
inHoldings 1
isFullTextHit
isPrint
journalDatabaseRights – providerCode: PRVBFR
  databaseName: Free Medical Journals
  customDbUrl:
  eissn: 1528-1175
  dateEnd: 20250405
  omitProxy: true
  ssIdentifier: ssj0007538
  issn: 0003-3022
  databaseCode: DIK
  dateStart: 19400101
  isFulltext: true
  titleUrlDefault: http://www.freemedicaljournals.com
  providerName: Flying Publisher
– providerCode: PRVFQY
  databaseName: GFMER Free Medical Journals
  customDbUrl:
  eissn: 1528-1175
  dateEnd: 99991231
  omitProxy: true
  ssIdentifier: ssj0007538
  issn: 0003-3022
  databaseCode: GX1
  dateStart: 19400101
  isFulltext: true
  titleUrlDefault: http://www.gfmer.ch/Medical_journals/Free_medical.php
  providerName: Geneva Foundation for Medical Education and Research
link http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwnV1Lb9NAEF5F5YKEEIhXeFR74Ga52LGztrkgJw2kUBqJpjS3yPtSIkVOlMeFv8ifYmbXjzgEFZAsK7I8GyfzeXZ29psZQt5y0dUaDlcolrghBzuYZFy7KmJYfQScCGVYvldseBN-nnQnrdbPPdbSbsvPxI-jeSX_o1W4BnrFLNl_0Gw1KFyAz6BfOIOG4fxXOkaSBr7htjEo-n09kEKmsekDUTDf-7Nsvl4Zz9rwNlKwbuD2bYpElSB1rmfY6Nq5VU5POWPTnwo-YZ6PyU9CodFu7dh2nJsDLmBzOPRYMUiD1SdXM2TiVpGG84Ezurz4Prj4lppo_HwhzTa9B6J1BDYdfk3PTUwWw-Z1otr1eNT_YsK3Z0VFhD1GwNC45ZYpjrHuIpdCluHZOo5xpB6FiWPMF0gWatjwwA28TtOG20zUBlitRfZtR5hicvdtO8bf5g1bjzi9vKoDw_B0QjNRz5MlN-Bg-qxIjZ0AlmYRVp6914lYiOb206TmG8G6MC7bN-Ljl3mcSfTu2Pc2_KQHq2wDr6y2vVb-vBgyTtH4EXlYrGZoaqH5mLRU_oTsEJa0giVdalrAks5zWsKS7sMS72ni6D21oKS3ivYUtaCkFpQUQYkiAEpagPLDU3LzcTDuD92iu4crgoBt3SjmLGZCaZ5hS4fEkzLOBFiHMII1sO5yjmttxbTwwHDIQMJ8GIiO1tr3I-7L4Bk5yZe5ekFooqJQcpklWsowCr1YJZ7AHXjlw4iatUlQ_pdTUZS-xw4si2lJwQANTA810CZuJbWypV_uuP-0oaZKqARGm9BSb1Mw4rgzl-VqudtMY6yzCKDotslzq89aGH5tzKLw5V2jvyL37X4HHq_JyXa9U2_AYd7yUwPEX5l2vpY
linkProvider Geneva Foundation for Medical Education and Research
openUrl ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=High+Incidence+of+Burnout+in+Academic+Chairpersons+of+Anesthesiology%3A+Should+We+Be+Taking+Better+Care+of+Our+Leaders%3F&rft.jtitle=Anesthesiology+%28Philadelphia%29&rft.au=DE+OLIVEIRA%2C+Gild%C3%A0sio+S&rft.au=AHMAD%2C+Shireen&rft.au=STOCK%2C+M.+Christine&rft.au=HARTER%2C+Ronald+L&rft.date=2011&rft.pub=Lippincott+Williams+%26+Wilkins&rft.issn=0003-3022&rft.volume=114&rft.issue=1&rft.spage=181&rft.epage=193&rft_id=info:doi/10.1097%2FALN.0b013e318201cf6c&rft.externalDBID=n%2Fa&rft.externalDocID=23747703
thumbnail_l http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/lc.gif&issn=0003-3022&client=summon
thumbnail_m http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/mc.gif&issn=0003-3022&client=summon
thumbnail_s http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/sc.gif&issn=0003-3022&client=summon