Workforce burnout

Read it this way The spike to 62.8 percent in 2021 and partial retreat to 45.2 percent by 2023 shows burnout does not climb steadily, it swings with events, here the pandemic. The 2023 level still sits above every pre-pandemic reading except 2014, so the retreat has not returned burnout to its historical floor. Use this chart to see whether the workforce risk is retention, workload, or replacement capacity, and why the recommendation addresses both burnout and the training pipeline.

Shanafelt et al., Mayo Clinic Proceedings (AMA / Mayo Clinic / Stanford national study) · 2011-2023 · source

Read it this way The ten specialties above the 45.2 national reference line, led by Emergency Medicine at 63 percent, are where burnout concentrates. The ten below it, down to Plastic Surgery at 37 percent, are relatively less affected. This is a different, opt-in survey than the national trend line, so use it to compare specialties against each other, not to update the national figure. Use this chart to see whether the workforce risk is retention, workload, or replacement capacity, and why the recommendation addresses both burnout and the training pipeline.

Caveat Medscape is a large opt-in online panel using a single self-report item, not comparable to the AMA / Mayo national instrument in the trend chart. The reference line is the AMA / Mayo national figure, shown for orientation only.

Medscape Physician Burnout and Depression Reports 2023 and 2024 · 2022-2023 · source

Read it this way Every one of these 15 specialties shows a lower or flat 2023 bar next to its 2022 bar, so the easing in burnout was broad rather than concentrated in one field. Internal Medicine's drop from 60 to 50 percent is the largest swing shown. This pairs only the specialties present in both survey waves, so it cannot speak to the three specialties dropped from the comparison. Use this chart to see whether the workforce risk is retention, workload, or replacement capacity, and why the recommendation addresses both burnout and the training pipeline.

Caveat Medscape is a large opt-in online panel using a single self-report item, not comparable to the AMA / Mayo national instrument in the trend chart. Three specialties with only a 2022 point are excluded from this paired view.

Medscape Physician Burnout and Depression Reports 2023 and 2024 · 2022-2023 · source

Read it this way Family Medicine and Internal Medicine sit at both the highest electronic-record time, 7.3 hours per 8 scheduled patient hours, and among the highest burnout, 57 and 60 percent, while Anesthesiology logs far less record time (2.5 hours) alongside comparable burnout, so the pattern is not uniform across every specialty. The two measures come from separately fielded surveys matched only by specialty label, so this shows an association worth noting, not a proven cause. Use this chart to see whether the workforce risk is retention, workload, or replacement capacity, and why the recommendation addresses both burnout and the training pipeline.

Caveat EHR time (Nov 2021 to Apr 2022) and burnout (Medscape wave fielded Jun to Oct 2022) are separately sourced and paired by specialty label. No correlation coefficient is claimed.

Holmgren et al., J Gen Intern Med 2024 (EHR time); Medscape 2023 (burnout) · 2022 · source

Read it this way All three health care groups sit above the general working population's rate of 12.6 per 100,000, with support workers highest at 21.4, so elevated suicide risk is not limited to physicians or nurses alone. The comparator group is other workers, not the full US population, which is a narrower baseline than it might first appear. Use this chart to see whether the workforce risk is retention, workload, or replacement capacity, and why the recommendation addresses both burnout and the training pipeline.

Caveat All four figures are from the same Olfson et al. study, whose comparator is non health care workers, not the total US population.

Olfson et al., JAMA 2023, Suicide Risks of Health Care Workers in the US · 2008-2019 · source

Read it this way Within both sexes, nurses' suicide rate exceeds the sex-matched general population: 10.0 versus 7.0 for women and 33.0 versus 27.0 for men, which rules out the elevated nurse rate elsewhere on this page being just an artifact of nursing's mostly-female workforce. This uses a different comparator and time window than the Olfson figures on this page, so the two should not be combined into one number. Use this chart to see whether the workforce risk is retention, workload, or replacement capacity, and why the recommendation addresses both burnout and the training pipeline.

Caveat Davidson et al. compares nurses to the sex-matched general population over 2005 to 2016. Do not combine with the Olfson figures, which use a different comparator and window.

Davidson et al., Worldviews on Evidence-Based Nursing 2020, A Longitudinal Analysis of Nurse Suicide in the US · 2005-2016 · source

Read it this way The line never drops below 56,000 turned away in any year and peaked at 91,938 in 2021, showing a decade-long, persistent bottleneck rather than a one-time problem. The 2023 figure of 65,766 is an improvement from the 2021 peak but still well above the 2017 low. Use this chart to see whether the workforce risk is retention, workload, or replacement capacity, and why the recommendation addresses both burnout and the training pipeline.

American Association of Colleges of Nursing, Enrollment and Graduations in Baccalaureate and Graduate Programs in Nursing · 2023 · source

Read it this way Faculty shortage's 64 percent share dwarfs every other listed constraint, including insufficient clinical sites at 14 percent, so a fix aimed only at classroom space or clinical placements would leave the largest driver untouched. These five categories are the reported drivers of capacity limits and sum to 100 percent, so there is no unlisted cause hiding outside this breakdown. Use this chart to see whether the workforce risk is retention, workload, or replacement capacity, and why the recommendation addresses both burnout and the training pipeline.

Caveat Shares are the reported drivers of program capacity limits and sum to 100 percent.

American Association of Colleges of Nursing, Enrollment and Graduations in Baccalaureate and Graduate Programs in Nursing · 2023 · source

Read it this way The $37,355 gap between what a nurse earns teaching ($87,325) versus practicing clinically ($124,680) is a direct incentive against becoming faculty, which lines up with faculty shortage being the dominant driver of turned-away applicants in the donut chart above. This is one salary comparison for one faculty rank, not a full accounting of every cost or benefit of an academic nursing career. Use this chart to see whether the workforce risk is retention, workload, or replacement capacity, and why the recommendation addresses both burnout and the training pipeline.

American Association of Colleges of Nursing, Salaries of Instructional and Administrative Nursing Faculty · 2023 · source