Objective: The purpose of our cross-sectional study was to estimate the rate of burnout and identify its determinants among neurology residents in Attica, Greece.Methods: In total, 131 placements for neurology training over 18 hospitals were available. All residents were approached and were asked to participate in the study by anonymously completing a questionnaire. Job demands and resources (JD-R) were examined via a 31-item questionnaire assessing 8 factors based on the JD-R model. Burnout was measured with the Maslach Burnout Inventory (MBI). The emotional exhaustion 1 1 criterion was used to distinguish respondents with and without burnout.Results: A total of 116 residents participated in the study (response rate 88.5%). In total, 18.1% of the participants were experiencing burnout. Multivariate analysis showed that each increased point in the total score of the factor regarding opportunities for professional development was associated with lowering the odds of burnout by 28.7%.Conclusions: Burnout among neurology residents is associated with decreased professional development. Educators and program directors need to identify those residents at high risk of burnout and design interventions to promote residents' resilience and mental health. Awareness that trainee doctors are prone to burnout has grown over recent years.1 The consequences of burnout include less productive working hours, poor quality of life, poor mental health, and increased risk for medical errors. 2Several studies have focused on estimating the burnout rates among medical residents, showing that the rates vary among specialties. Neurology not only has a very high rate of burnout but also has the poorest work-life balance. 3As proposed by Demerouti et al.,4 in the job demands-resources (JD-R) model, burnout can develop where demands are increased and resources are limited, as such environments can lead to physical exhaustion and reduce the employees' motivation. Studies that have used the JD-R or similar models among health care professionals have shown that time pressure, 5 lack of autonomy, and lack of opportunities for professional development may lead to burnout 6 as well as increased psychological distress. The purpose of our cross-sectional study was to estimate the rate of burnout and identify its determinants among neurology trainees in Attica, Greece, using the JD-R model.METHODS Procedure and participants. Attica is a region covering the metropolitan area of Athens, the capital of Greece. About 3.8 million people live in the region (more than 35% of the total Greek population). Within Attica, 18 hospitals provide neurology training. In total, 131 such placements are available (more than 55% of the total neurology training placements in Greece).
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