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Although some studies investigating physician burnout suggest that trends are overall improving, emergency medicine (EM) physicians remain particularly vulnerable to burnout, with reported rates of more than 60% [1, 2, 3]. A recent study focusing on the wellbeing of emergency medicine (EM) residents identified nearly 76% of residents as meeting criteria for burnout [4]. The Life Orientation Test-Revised (LOT-R) is a 10-item tool that measures levels of optimism and pessimism and can be used to assess the relationship with personality factors [5, 6]. Three of the items measure optimism, three measure pessimism, and four serve as fillers (not used in the calculation of a final score) [6]. This revised instrument is considered a good measure of optimism in relation to self-esteem and personality factors [7]. The scale originally assessed optimism only, but over time it has been modified and validated to fit a two factor model [8]. In contrast to burnout, optimism is broadly defined as a tendency to expect good things. It is a mental attitude associated with a variety of positive health behaviors including regular physical activity, moderate alcohol consumption, and decreased incidence of smoking [9]. It is also correlated with decreased risk of depressive symptoms, suicidal ideation, and increased tendency toward feeling hopeful about the future. Optimists tend to use active, problem-focused coping tactics, facilitating success in everyday social and working life [7]. Large population studies have identified factors that influence LOT-R scores including gender and age. Education, professional situation, and income are substantial predictors of optimism, with the highest levels of optimism among well educated people with high income, working full-time [8]. No study to date has used a validated tool to measure the degree of optimism in resident physicians. We aim to describe the level of optimism and examine the relationship between optimism and burnout in the EM resident population.

Optimist Prime- Emergency Medicine Residents are an Optimistic Group