Introduction Burnout is experienced frequently by residents, especially during COVID-19 pandemic. Impacts of the pandemic on clinical workload and training program of the residents has also resulted in burnout, which may impact their clinical performance and safety. Therefore, this paper aims to assess burnout syndrome among surgical residents in Indonesia during COVID-19 pandemic. Methods A cross-sectional survey was conducted on 120 surgical residents (from orthopedics, general surgery, and urology department) of a tertiary referral teaching hospital in Malang using web-based questionnaire. Personal data form and Maslach Burnout Inventory (MBI) for medical personnel were used. There are 3 subscales of MBI: emotional exhaustion (EE), depersonalization (DP), and personal achievement (PA). Comparative and correlative analysis were performed to analyze the socio-demographic, academic, and work-related factors in relation to the subscales scores of MBI-HSS and the presence of burnout. Results Burnout were experienced by 56.67% of residents in this study. There were statistically significant association regarding burnout and marital status, residency specialty, year of residency, and working hours upon analysis of mean and classification of subscale scores of MBI with the examined factors. Conclusion This study showed that burnout is a major issue in surgical residents during COVID-19 pandemic and may be associated with certain socio-demographic, academic, and work-related factors. Further studies to identify factors contributing to burnout in residents during COVID-19 pandemic are needed. It is imperative to formulate resident-centered strategies to prevent and address burnout among residents to ensure their overall well-being during this pandemic.
Background & Objectives: Circumcision is a procedure that involves removing the prepuce, the fold of skin covering the head of the penis. Various medical and non-medical conditions are known indications for circumcision. Various medical benefits and complications are also known to be associated with circumcision. This study aims to provide an epidemiological characteristics of the indications and complications of circumcision. Materials and Methods: This research is a prospective follow up study conducted in the context of a community service project on November 28th-29th, 2020. Circumcision was carried out according to medical and non-medical indications. Circumcision is performed by means of the dorsumcision technique. The operators were urology residents, surgery resident, and urologists. Results: There were a total of 49 participants registered in this circumcision activity, but 5 people had not passed pre-screening conditions, so they were excluded. There were 44 participants who underwent circumcision with a mean age of 10.3 years, a BMI of 19.9 and a penis length of 5.26 cm. 14 participants (31.8%) did not experience phimosis, while the rest had phimosis to varying degrees. There were 6 participants who experienced bleeding after circumcision and 5 participants who experienced delayed wound healing at 1 week post-procedure monitoring. In the second week after the procedure, all participants experienced no symptoms of complications. Conclusion: Effective and safe circumcision is performed by medical and non-medical indications. There are no long-term complications associated with circumcision.
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