UPJ INSIGHT Professional Burnout of Advanced Practice Providers Based on 2019 American Urological Association Census Data

By: Kavita Gupta, MD; Kevin Tang, MS; Justin Loloi, MD; Raymond Fang; William Meeks; Amanda North, MD | Posted on: 01 Oct 2022

Gupta K, Tang K, Loloi J, Fang R, Meeks W, North A. Professional burnout of advanced practice providers based on 2019 American Urological Association census data. Urol Pract. 2022;9(5)491-497.

Study Need and Importance

Burnout has been recognized as an occupational hazard among health care professionals. Advanced practice providers (APPs), specifically nurse practitioners or physician assistants, have increased in both number and practice responsibilities in urological care in the past 20 years. However, unlike physician burnout, there is a relative paucity of information regarding incidence and factors associated with burnout among APPs. The increasing presence of APPs in medical practice has prompted a need to investigate burnout in this population.

What We Found

We found that in 199 APPs, slightly more than 1 in 4 APPs experienced professional burnout. Observed higher burnout rates were seen in APPs who were aged 45 to 54 (34.3%), women (29.6% vs 10.8% in men, p value <0.05), non-White (33.3% vs 24.9% in White), those who had 4–9 years of practice (32.4%) and those who practiced in academic medical centers (31.7%). Except for gender, none of the above observed differences were statistically significant. Using a multivariate logistic regression model, gender remained the only significant factor associated with burnout.


First, samples from APPs were directly analyzed without the adjustment for nonresponse bias. Therefore, the rates of burnout may be underrepresented due to the nonresponses. Second, there was a relatively small sample size, which may only help draw conclusions on the APPs who participated in the American Urological Association Census. Thus, the findings in this report may not be generalizable to APPs in other specialties or APPs in urology at large.

Interpretation for Patient Care

Burnout has been well recognized as a problem in urology. APPs, who have played an important role in the fight against physician burnout, are also prone to burnout. Thus, addressing burnout among APPs will be an important part of retaining APPs in the workforce, especially as there is an increased demand for APPs to provide care for patients.