Burnout and Health Related Quality of Life Among Resident Physicians in Zagazig University Hospitals (original) (raw)
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Evaluation of the quality of life and general health of medical residents
Indian Journal of Medical Specialities, 2017
Introduction This study was conducted to determine the mental health and quality of life (QoL) of residents receiving education in preclinical, internal medical, and surgical medical sciences at Akdeniz University Medical School (AUMS). The participants were compared according to their fields of specialization. Additional factors were also assessed. Method A total of 120 residents were chosen by drawing lots. The questionnaire used in the study encompassed personal characteristics and fields of specialization, and also included a general health questionnaire and the World Health Organization Quality of Life scale. T-tests, variation and regression analysis were used for statistical testing. Results Residents in surgical medical sciences had lower scores for QoL and mental health compared with those undergoing education in internal medical sciences and preclinical science (p Conclusion Residents working in surgical medical sciences had lower QoL scores in the physical health and soci...
The Egyptian Journal of Hospital Medicine, 2023
Background: Emotional exhaustion (EE), depersonalization (DP), as well as a diminished sense of personal accomplishment (PA) was identified as the three subscales defining the burnout syndrome, all of which contribute to a person's inefficiency on the job. More than half of all physicians experience severe burnout. Objectives: The aim of the current study was to evaluate burnout rates among resident physicians in Suez Canal University hospitals and to evaluate their relationship with self-reported suboptimal patient care practices. Subjects and methods: A convenience sample of 150 hospital resident physicians was used for the present crosssectional study. Six items relating to self-reported suboptimal patient care practices as well as the Maslach Burnout Inventory were used to collect data. Results: Nearly two-thirds of the participants fulfilled the diagnostic criteria of burnout. Prevalence of burnout among female physicians was significantly higher than among males (71.3% versus 44.9%), especially in the EE subscale (20.00±1.67 versus 13.8 ±4.22, P<0.000) and DP subscale (22.59±9.22 versus 14.69±10.30, P=0.009). The highest burnout rates were reported among residents in the third year of residency (76.9%). Suboptimal care showed a higher significant report by residents with burnout than non-burnout participants. Conclusions: Burnout is frequent among hospital resident physicians. Significant effect of burnout on the high occurrence of suboptimal care among hospital residents was observed. Attention should be paid to identifying policies to decrease the occurrence of burnout among the affected groups and to reduce suboptimal patient care.
Prevalence of Burnout Syndrome Among Medical Residents of Various Specialties in Makkah
2020
Background: Burnout syndrome is defined by the World Health Organization as "a result from chronic workplace stress that has not been successfully managed". It is characterized according to MBI (Maslach burnout inventory) by three dimensions: emotional exhaustion, depersonalization, and personal accomplishment. Objectives: We aim to determine the prevalence of burnout syndrome among medical residents of various specialties in Makkah in addition to measuring its association with sociodemographic characteristics of the sample. We also aim to compare the prevalence of burnout among different specialties. Methods: This was a cross-sectional study conducted on 181 residents in Makkah using a valid questionnaire composed of two parts: the first part includes questions about the personal and professional characteristics of Medical residents. The second part includes the Maslach burnout inventory (MBI) English version (5), there are three components in the questionnaire: burnout, depersonalization, and personal achievement. It was distributed by Co-investigators and completed by medical residents. Results: In the assessment of the three burnout domains (Burnout, Depersonalization, and personal achievements), High-level burnout was found among 38.1%, 75.1%, and 48.1% of the residents in the three domains respectively. Burnout score mean was 25±9.4, Depersonalization score mean was 20.2±10.4, and Personal achievements score mean was 34±8.7. No significant association was found between gender and any of the domains. However, a significant association was found between specialty and burnout domain. Conclusion: Our study supports previous results in the prevalence of burnout among residents, most common among neurology residents. These findings highly recommend serious strategies to be implemented to lessen the burden among residents.
Factors associated with burnout syndrome in medical residents of a university hospital
Revista Da Associacao Medica Brasileira, 2017
Objective: To determine the prevalence of burnout syndrome among resident physicians of various specialties and to evaluate associated factors. Method: The Maslach Burnout Inventory questionnaire and a sociodemographic questionnaire were used to evaluate factors associated with the syndrome. Burnout was defined as the association of high emotional exhaustion, depersonalization and low professional achievement. Multivariate analysis was performed after adjustment of the Poisson model with the identification of risk factors and calculation of prevalence ratios (PR). Of the 250 resident physicians registered with Hospital das Clinicas of Pernambuco, 129 participated in the study. Results: In the three domains that characterize burnout syndrome, we found a low level of professional achievement in 94.6% of resident physicians interviewed, a high level of depersonalization in 31.8%, and 59.7% with a high level of emotional exhaustion. The prevalence of burnout was 27.9%. Having suffered a...
Quality of Life, Burnout, Educational Debt, and Medical Knowledge Among Internal Medicine Residents
JAMA, 2011
Context Physician distress is common and has been associated with negative effects on patient care. However, factors associated with resident distress and wellbeing have not been well described at a national level. Objectives To measure well-being in a national sample of internal medicine residents and to evaluate relationships with demographics, educational debt, and medical knowledge. Design, Setting, and Participants Study of internal medicine residents using data collected on 2008 and 2009 Internal Medicine In-Training Examination (IM-ITE) scores and the 2008 IM-ITE survey. Participants were 16 394 residents, representing 74.1% of all eligible US internal medicine residents in the 2008-2009 academic year. This total included 7743 US medical graduates and 8571 international medical graduates. Main Outcome Measures Quality of life (QOL) and symptoms of burnout were assessed, as were year of training, sex, medical school location, educational debt, and IM-ITE score reported as percentage of correct responses. Results Quality of life was rated "as bad as it can be" or "somewhat bad" by 2402 of 16 187 responding residents (14.8%). Overall burnout and high levels of emotional exhaustion and depersonalization were reported by 8343 of 16 192 (51.5%), 7394 of 16 154 (45.8%), and 4541 of 15 737 (28.9%) responding residents, respectively. In multivariable models, burnout was less common among international medical graduates than among US medical graduates (45.1% vs 58.7%; odds ratio, 0.70 [99% CI, 0.63-0.77]; PϽ.001). Greater educational debt was associated with the presence of at least 1 symptom of burnout (61.5% vs 43.7%; odds ratio, 1.72 [99% CI, 1.49-1.99]; PϽ.001 for debt Ͼ$200 000 relative to no debt). Residents reporting QOL "as bad as it can be" and emotional exhaustion symptoms daily had mean IM-ITE scores 2.7 points (99% CI, 1.2-4.3; PϽ.001) and 4.2 points (99% CI, 2.5-5.9; PϽ.001) lower than those with QOL "as good as it can be" and no emotional exhaustion symptoms, respectively. Residents reporting debt greater than $200 000 had mean IM-ITE scores 5.0 points (99% CI, 4.4-5.6; PϽ.001) lower than those with no debt. These differences were similar in magnitude to the 4.1point (99% CI, 3.9-4.3) and 2.6-point (99% CI, 2.4-2.8) mean differences associated with progressing from first to second and second to third years of training, respectively. Conclusions In this national study of internal medicine residents, suboptimal QOL and symptoms of burnout were common. Symptoms of burnout were associated with higher debt and were less frequent among international medical graduates. Low QOL, emotional exhaustion, and educational debt were associated with lower IM-ITE scores.
Is Balint training associated with the reduced burnout among primary health care doctors?
Libyan Journal of Medicine, 2018
The aim of our study was to examine whether the participation in Balint group is associated with the reducing burnout syndrome among primary health care doctors. This investigation was conducted on a population of 210 doctors employed in primary health centers in Belgrade. Out of 210 doctors, 70 have completed Balint training for a period of at least 1 year, whereas 140 doctors have never attended this training (the Non-Balint group). The level of burnout among physicians was assessed with the Serbian translation of the original 22item version of the Maslach Burnout Inventory-Human Services Survey which defines burnout in relation to emotional exhaustion, depersonalization and personal accomplishment. We found that 45.0% of the Non-Balint participants and 7.1% of the Balint-trained participants responded with symptoms of high level of emotional exhaustion, with a statistically significant difference (p < 0.001). In relation to depersonalization, 20% of the Non-Balint subjects were highly depersonalized compared to 4.4% of the Balint-trained subjects, with a statistically significant difference (p < 0.001). Regarding the personal accomplishment, 21.4% of the Non-Balint subjects and 7.1% of the Balint-trained subjects had a perception of low personal accomplishment, with a statistical significance (p < 0.001). In the multiple ordinal logistic model, with emotional exhaustion as a dependent variable, statistically significant predictor was female gender (OR = 2.51; p = 0.021), while Balint training was obtained as a protective factor (OR = 0.12; p < 0.001). Non-specialists were detected as a risk factor for depersonalization (OR = 2.14; p = 0.026) while Balint group was found as a protective factor (OR = 0.10; p < 0.001), according to the multiple ordinal logistic regression analysis. Regarding the reduced personal accomplishment, our results indicated that nonspecialists were at risk for this subdimension (OR = 2.09; p = 0.025), whereas Balint participants were protected (OR = 0.18; p < 0.001). Participation in Balint groups is associated with the reduced burnout syndrome among primary health care doctors ARTICLE HISTORY
Quality of Life of Resident Physicians at a Public University Hospital
2020
Objective: compile a quality of life profile of medical residents in clinical and surgical specialties at a public university hospital in the city of Rio de Janeiro. Methodology: This is a cross-sectional study. The sample consisted of 74 doctors who enrolled in the 2015 residency program at the Graffrée Guinle University Hospital, in the city of Rio de Janeiro, Brazil. The data collection questionnaire used was the WHOQOL-100, developed by the World Health Organization Quality of Life group in an expanded format. Conclusion: The quality of life profile of resident physicians is unsatisfactory, since four of the quality of life domains were negative when evaluated by the WHOQOL-100 questionnaire. Religion (∆% = 16.6%) and social relations (∆% = 11.9%) can be considered protective factors related to better quality of life during the medical residency program.
Introduction: Burnout is a syndrome conceptualized as resulting from chronic workplace stress that has not been successfully managed. It is characterized by three dimensions: 1) Feelings of exhaustion, 2) Increased mental distance from one's job, or feelings of negativism related to one's job; and 3) Reduced professional efficacy. Emotional exhaustion includes feeling "used up" at the end of a workday. Depersonalization includes feelings of treating patients as objects and becoming more uncaring towards patients. A sense of reduced personal accomplishment encompasses feelings of ineffectiveness in helping patients and a lack of value of the results of professional activities such as patient care or professional achievements. Burnout is distinct from other related constructs such as job dissatisfaction, fatigue, occupational stress and depression. Although burnout correlates with these problems, it may be present in their absence or absent in their presence. Results: The total number of doctors enrolled in the study was 100 Physicians working in Ibrahim Malik Teaching Hospital as of October 2020. Most of the participants were female doctors, reaching up to 72% in comparison to 28% male doctors. Most of the participants belonged to the ER department, whereas the least belonged to the orthopaedic department. The majority of participants were house officers (42%) and the least were specialists (4%). Overall, all female doctors were found to have a variable risk of burnout, which ranged from moderate to severe. The highest degree of burnout that female doctors suffered from was within the "Serious" parameter (50.1%-75%), and the lowest belongs to the "severe" parameter (75%-100%). Unlike their counterparts, not all male doctors suffered from burnout, 4% having recorded exhibiting none-mild burnout symptoms. In male doctors' burnout, the majority belonged to the "serious (50.1%-75%)" parameter and the lowest belonged to the "non-mild (0%-25%)" and "severe (75.1%-100%)" parameters, which were 67%, 4% and 4% respectively. In male and female physician burnout, males recorded 4% (lowest) in the "non-mild", while females recorded a 0%. Female doctors scored a higher "serious burnout" (68%) than male doctors (67%). Both male and female doctors had similar record of the lowest percentage being the "severe" parameter (4%). Among professional levels, the highest percentage of burnout manifested in GPs (Medical Officers) (60%) and the lowest was seen in consultants (45.20%). In specialties, the highest percentage belongs to doctors working in the ER department (81%) and lowest belongs to the Surgery department (52%). In general, most physicians were within the "serious" parameter (68%) and the lowest belongs to "none-mild" parameter (1%). Personal accomplishment was most affected in general practitioners (38.12%) and least affected in consultants (35.28%). Emotional exhaustion was most prevalent in specialists (39%) and less affected in house-officers (35.69%). Depersonalization was the highest in consultants (27.70%) and lowest in specialists (24.30%). Male doctors were the most affected in their feeling of low personal accomplishment (49%) and emotional exhaustion (42%), in opposition to female doctors, who recorded (38%) and (36%) respectively. However, female doctors had a higher percentage of depersonalization (26%) than male doctors (9%). Emotional exhaustion was the highest in ICU (37.83%) and the lowest in orthopedic doctors (32.89%). Personal accomplishment was the highest in orthopedics (40.79%) and the lowest in OB/GYN doctors (36.38%). Depersonalization was the highest in OB/GYN (27.12%) and the lowest in ICU doctors (25.7%). Conclusion: In conclusion, our study showed that burn out is highly prevalent among Ibrahim Malik hospital doctors (68 %), while female doctors had a higher degree burnout than males. Among the different professional levels, the highest percentage of burnout belonged to GPs and the lowest belonged to consultant's .ER doctors suffered the most from burnout, whereas surgeons suffered the least. Several factors attributing to the burnout symptoms of these doctors have been identified. The first factor being personal accomplishment, which was the most affected factor in general practitioners and the least affected in consultants. Emotional exhaustion was the highest in specialist and the least in house-officers. Depersonalization was the highest in consultants and the least in specialists. In terms of the risk factors accrediting to burnout in terms of gender, our results concluded that males got a higher percentage of low personal accomplishment and emotional exhaustion than females. Meanwhile, females scored a higher percentage of depersonalization than males. In regards to the risk factors affecting the different specialties, results have shown that emotional exhaustion was the most affected in ICU doctors and least affected in orthopedic doctors. Low personal accomplishment was the highest in orthopedics and the lowest in OB/GYN. Depersonalization, was the highest in OB/GYN and the lowest in ICU. Finally, the prevalence of symptoms of Burnout Syndrome among doctors employed at Ibrahim Malik Teaching Hospital in October 2020 was found to be very high, constituting a pressing challenge that needs to be met by organizations, individuals and society at large. Recommendations: Further, large-scaled researches particular high equality studies are needed to broaden the understanding of the burnout syndrome. Target intervention at work place should be considered as one of the strategies to reduce negative impact of burn out. Interventions ranging from work health and mental health education to policy changes should be considered, as the knowledge of the existence of burnout syndrome was noticed to be low among physicians while distributing the paper questionnaire. Physicians and other healthcare providers should cooperate with and seek the identification of the risk and degree of burnout among themselves. Allotting a large time period to data collection.