2019 APA Wellbeing Self-Assessment 2.0

APA Well-Being Self-Assessment 2.0
INTRODUCTION

Welcome to the APA Well-Being Self-Assessment 2.0. We’re glad you’re visiting.

This survey is designed for all psychiatrists and includes questions about your background and identifications, as well as the climate of your workplace. We hope to learn more about well-being and burnout among psychiatrists in general and among minority and underrepresented psychiatrists, specifically.

We know a lot about burnout, but we don’t know much about the rates or causes of burnout in minority and underrepresented psychiatrists. If you belong to one or more minority or underrepresented groups -- for example, if you are a woman, belong to a racial or ethnic minority, are an international medical graduate, identify as LGBTQ+ or belong to another group -- your voice may not have been heard in this national conversation.

Understanding more about this question and developing potential strategies to address it are important for the field of psychiatry, and for all of us in it. Our preliminary discussions with APA stakeholders, including many minority and underrepresented psychiatrist leaders, have guided the creation of this survey.

The data you provide will be anonymous and will be aggregated to assist APA in creating a strategic plan to address these issues. The APA Institutional Review Board approved this study and provided a waiver of both written and verbal consent.

This portal includes an assessment tool and links to the APA resources on well-being and burnout. If you conclude that you are dealing with burnout and/or depression, you are not alone, and there are things you can do to enhance your well-being.

We look forward to working together as a community to enhance our well-being and professional satisfaction.
Terms of Use
These scales are available for public use and are used in research on burnout and depression. Ratings from the scales alone are not indicative of any significant problems but can be indicators that the physician should take further steps to evaluate their health condition. They are available here for your use to increase your self-awareness about how you are feeling and to compare your responses with data from other physicians. Based on the information you provide, you will be directed to resources which may help you consider your options in addressing any symptoms you report. Your de-identified data may be used in aggregate by the APA Committee on Psychiatrist Well-being and Burnout. *

I agree
About Me
Age *
What is your assigned birth sex? *

Male Female Intersex
What is your gender/gender identity? *

Man Woman Transgender Genderqueer
What is your racial/ethnic identity? (If you are of a multi-racial / multi-ethnic / multi-cultural identity, mark all that apply) *

American Indian / Alaskan Native Asian / Asian American African American / African/ Black Hispanic / Latino Middle Eastern / Southwest Asian / North African Pacific Islander White Prefer not to disclose
Which term best describes your sexual orientation? *

Asexual Bisexual Gay Heterosexual Lesbian Queer Questioning
Do you have substantial parenting or caregiving responsibility for any of the following people? (Mark all that apply) *

No one Children 18 years of age or under Children over 18 years of age, but still legally dependent (in college, disabled, etc.) Independent adult children over 18 years of age Sick or disabled partner Senior or other family member
Are/were you a member of the U.S. armed forces (Army, Navy, Air Force, Marine Corps, Coast Guard)? *

No, I have not been in the military Yes, I am presently in the Active military Yes, I am presently in the Guard/Reserve Yes, I am presently a veteran of service with Active, Guard, or Reserve
Year graduated from medical school *
Please use XXXX format
Are you an international medical graduate? *

Yes No
Are you an APA member? *

Yes No
In which state are you located? *
Work Setting *

Community Mental Health Center Correctional or Forensic Facility Federal Setting (excluding military and VA) Fully Retired Group Model HMO Clinic Group Office Practice, Traditional Inpatient Unit - Private General Hospital Inpatient Unit - Private Psych Hospital Inpatient Unit - Public General Hospital Inpatient Unit - Public Psych Hospital Medical School, University Military Setting Nursing Home Outpatient Clinic - Private or Freestanding Facility Outpatient Clinic - Public Hospital or Freestanding Facility Residential Treatment Center Solo Office Practice Student/College Mental Health Veterans Administration
I control my own work schedule *

Yes No
Work Schedule *

Full-time psychiatry Part-time psychiatry Fully retired
Is this your first time taking an APA Well-being Self-Assessment? *

Yes No
Oldenburg Burnout Inventory

Below you will find a series of statements with which you may agree or disagree. Using the provided scale, please indicate the degree of your agreement by selecting the number that corresponds with each statement.
1. I always find new and interesting aspects in my work. *

Strongly Agree Agree Disagree Strongly Disagree
2. There are days when I feel tired before I arrive at work. *

Strongly Agree Agree Disagree Strongly Disagree
3. It happens more and more often that I talk about my work in a negative way. *

Strongly Agree Agree Disagree Strongly Disagree
4. After work, I tend to need more time than in the past in order to relax and feel better. *

Strongly Agree Agree Disagree Strongly Disagree
5. I can tolerate the pressure of my work very well. *

Strongly Agree Agree Disagree Strongly Disagree
6. Lately, I tend to think less at work and do my job almost mechanically. *

Strongly Agree Agree Disagree Strongly Disagree
7. I find my work to be a positive challenge. *

Strongly Agree Agree Disagree Strongly Disagree
8. During my work, I often feel emotionally drained. *

Strongly Agree Agree Disagree Strongly Disagree
9. Over time, one can become disconnected from this type of work. *

Strongly Agree Agree Disagree Strongly Disagree
10. After working, I have enough energy for my leisure activities. *

Strongly Agree Agree Disagree Strongly Disagree
11. Sometimes I feel sickened by my work tasks. *

Strongly Agree Agree Disagree Strongly Disagree
12. After my work, I usually feel worn out and weary. *

Strongly Agree Agree Disagree Strongly Disagree
13. This is the only type of work that I can imagine myself doing. *

Strongly Agree Agree Disagree Strongly Disagree
14. Usually I can manage the amount of my work well. *

Strongly Agree Agree Disagree Strongly Disagree
15. I feel more and more engaged in my work. *

Strongly Agree Agree Disagree Strongly Disagree
16. When I work, I usually feel energized. *

Strongly Agree Agree Disagree Strongly Disagree
Thank you for completing the Oldenburg Burnout Inventory. We will show you your score in a moment, but first complete the PHQ-9 below.

PHQ-9

Over the last 2 weeks, how often have you been bothered by any of the following problems?
1. Little interest or pleasure in doing things *

Not at all Several days More than half the days Nearly every day
2. Feeling down, depressed, or hopeless *

Not at all Several days More than half the days Nearly every day
3. Trouble falling or staying asleep, or sleeping too much *

Not at all Several days More than half the days Nearly every day
4. Feeling tired or having little energy *

Not at all Several days More than half the days Nearly every day
5. Poor appetite or overeating *

Not at all Several days More than half the days Nearly every day
6. Feeling bad about yourself or that you are a failure or have let yourself or your family down *

Not at all Several days More than half the days Nearly every day
7. Trouble concentrating on things such as reading the newspaper or watching television *

Not at all Several days More than half the days Nearly every day
8. Moving or speaking so slowly that other people could have noticed. Or the opposite- being so fidgety or restless that you have been moving around a lot more than usual *

Not at all Several days More than half the days Nearly every day
9.Thoughts that you would be better off dead, or of hurting yourself in some way *

Not at all Several days More than half the days Nearly every day

Discriminatory Climate and Behaviors Survey
1. Using a scale of 1-5, please rate the overall climate at your workplace on the following dimensions:

(Note: As an example, for the first item, “Positive for persons with disabilities—Negative for persons with disabilities,” 1=very positive, 2=somewhat positive, 3=neither positive nor negative, 4=somewhat negative, and 5=very negative)

	1	2	3	4	5

1 is Positive for persons with disabilities, 5 is Negative for persons with disabilities

	1	2	3	4	5

1 is Positive for people who identify as lesbian, gay, or bisexual, 5 is Negative for people who identify as lesbian, gay, or bisexual

	1	2	3	4	5

1 is Positive for people who identify as transgender, 5 is Negative for people who identify as transgender

	1	2	3	4	5

1 is Positive for People of Color, 5 is Negative for People of Color

	1	2	3	4	5

1 is Positive for men, 5 is Negative for men

	1	2	3	4	5

1 is Positive for women, 5 is Negative for women

	1	2	3	4	5

1 is Positive for people who speak English as a second language, 5 is Negative for people who speak English as a second language

	1	2	3	4	5

1 is Positive for people who are immigrants, 5 is Negative for people who are immigrants

	1	2	3	4	5

1 is Positive for people of high socioeconomic status, 5 is Negative for people of high socioeconomic status

	1	2	3	4	5

1 is Positive for people of low socioeconomic status, 5 is Negative for people of low socioeconomic status

	1	2	3	4	5

1 is Positive for people of older age, 5 is Negative for people of older age

	1	2	3	4	5

1 is Positive for international medical graduates, 5 is Negative for international medical graduates

	1	2	3	4	5

1 is Positive for people who are pregnant or take parental leave, 5 is Negative for people who are pregnant or take parental leave

	1	2	3	4	5

1 is Positive for people who are breastfeeding, 5 is Negative for people who are breastfeeding

	1	2	3	4	5

1 is Positive for people with mental health problems, 5 is Negative for people with mental health problems

2. Using a scale of 1-5, please rate if you have personally experienced discrimination at your workplace based on the following factors:

(Note: As an example, for the first item, “discrimination on the basis of having a disability,” 1=no discrimination, 2=rare discrimination, 3=mild discrimination, 4=moderate discrimination, and 5=severe discrimination)

If an item is not applicable to you, please select N/A.

	N/A	1. No discrimination	2. Rare discrimination	3. Mild discrimination	4. Moderate discrimination	5. Severe discrimination
Having a disability
Identifying as lesbian, gay, or bisexual
Identifying as transgender
People of color
Men
Women
Speaking English as a second language
Being an immigrant
High socioeconomic status
Low socioeconomic status
Older age
Being an international medical graduate
Being pregnant or taking parental leave
Breastfeeding
Having mental health problems

3. Have you ever experienced any of the following forms of discrimination at your workplace? (Mark all that apply)

My pay or benefits were not equivalent to my peers I was not fairly considered for a promotion or senior management I was treated with disrespect by nursing or other support staff I was held to a higher standard of performance than my peers I was not included in administrative decision-making
4. Please identify the three workplace changes that would be most important to you to address burnout and depression. (Select up to three)

More flexible work schedule Higher salary Paid or longer paid parental leave Ability to work part-time without negative impact on career Support with home services (e.g., cleaning, meals, errands) Child care on site Option not to work on weekends More vacation days Option not to take night calls Option to work from home or remotely Option to do telepsychiatry More support for breast milk pumping More sick days Decreased productivity demands Decreased administrative burdens Accessible mental health services Opportunities for community building with peers Protected time for academic, administrative, professional development, or other activities

Work and Family Conflict Scale

For the following scale please rate how much you agree with the following statements by circling the appropriate number. *

	Very strongly agree	Strongly agree	Agree	Neither agree nor disagree	Disagree	Strongly disagree	Very strongly disagree
1. My work prevents me spending sufficient quality time with my family.
2. There is no time left at the end of the day to do the things I’d like at home (e.g., chores and leisure activities).
3. My family misses out because of my work commitments.
4. My work has a negative impact on my family life.
5. Working often makes me irritable or short tempered at home.
6. My work performance suffers because of my personal and family commitments.
7. Family related concerns or responsibilities often distract me at work.
8. If I did not have a family I’d be a better employee.
9. My family has a negative impact on my day to day work duties.
10. It is difficult to concentrate at work because I am so exhausted by family responsibilities.

Three-Item Loneliness Scale

The next questions are about how you feel about different aspects of your life. For each one, indicate how often you feel that way. (Response options: 1=hardly ever, 2=some of the time, 3=often) *

	Hardly ever	Some of the time	Often
1. First, how often do you feel that you lack companionship?
2. How often do you feel left out?
3. How often do you feel isolated from others?

Thank you for completing this survey. Please use the text box below to let us know your reactions to this survey and any suggestions you have for the committee.
Disengagement Subscale
Emotional Exhaustion Subscale
Burnout Calculation
PHQ-9 Calculation
Should be Empty:

APA Well-Being Self-Assessment 2.0

Terms of Use

About Me

Oldenburg Burnout Inventory

PHQ-9

Discriminatory Climate and Behaviors Survey

Work and Family Conflict Scale

Three-Item Loneliness Scale