Sexual Orientation and Burnout Among Emergency Medicine Residents - Summary - MDSpire

Burnout Levels in Emergency Medicine Residents Related to Sexual Orientation

  • By

  • David Rudolph

  • Kirlos Haroun

  • Michael Gottlieb

  • Susan Farrell

  • Yvette Calderon

  • Kayla Iuliucci

  • Lea Moujaes

  • Blake Denley

  • P. Logan Weygandt

  • July 20, 2026

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Objective:

To examine burnout among sexual minority emergency medicine (EM) residents while controlling for individual and program characteristics.

Approach:
  • Study Design: Cross-sectional study utilizing survey data from the 2024 In-Training Exam (ITE) postexamination survey developed by the American Board of Emergency Medicine (ABEM).
  • Participants: 9478 active EM residents completed the ITE and postexamination survey, with analysis including those who answered questions about sexual orientation.
  • Burnout Assessment: Burnout was assessed using a 6-item abbreviated Copenhagen Burnout Inventory (CBI), measuring internal and external burnout.
Key Findings:
  • Burnout prevalence in EM residents is high, with previous studies indicating rates as high as 76.1% (source needed).
  • Sexual minority trainees reported higher burnout in previous studies, with an adjusted odds ratio of 1.47 (source needed).
  • The intersection of EM's demanding environment and unique stressors faced by sexual minorities may amplify burnout risk (source needed).
Interpretation:

Understanding the unique stressors faced by sexual minority EM residents is crucial for addressing their well-being and burnout risk.

Limitations:
  • The survey did not include questions about gender identity related to sex assigned at birth, limiting analysis on transgender and gender nonconforming individuals.
  • The study is based on self-reported data, which may be subject to bias.
Conclusion:

The study highlights the need for further investigation into burnout among sexual minority EM residents to inform support and intervention strategies.

Sources:

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