Burnout During Residency Training: A Literature Review

IsHak, Waguih William; Lederer, Sara; Mandili, Carla; Nikravesh, Rose; Seligman, Laurie; Vasa, Monisha; Ogunyemi, Dotun; Bernstein, Carol A.

doi:10.4300/jgme-d-09-00054.1

Cited by 497 publications

(498 citation statements)

References 59 publications

(66 reference statements)

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“…13 Brazilian studies, on the other hand, reveal a prevalence between 20 and 50%, using the same instrument adopted by us in this study: the MBI questionnaire. Half of the residents of internal medicine at a philanthropic hospital in São Paulo met the criteria for burnout in 2012.…”

Section: Discussionmentioning

confidence: 72%

Factors associated with burnout syndrome in medical residents of a university hospital

Gouveia

Neta

Aschoff³

et al. 2017

Rev. Assoc. Med. Bras.

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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 Clínicas 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 stressful event in the last six months (PR: 8.10; 95CI 1.2-57.2) and being a student of surgical specialty (PR: 1.99; 95CI 1.2-3.3) were independently associated with burnout. Conclusion:The prevalence of burnout found in resident physicians is in accordance with previous Brazilian studies. Residents of surgical specialties and those who suffered some stressful event were identified as susceptible in this study. The early identification of risk factors is fundamental for the implementation of preventive measures against burnout syndrome.

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Section: Discussionmentioning

confidence: 72%

Factors associated with burnout syndrome in medical residents of a university hospital

Gouveia

Neta

Aschoff³

et al. 2017

Rev. Assoc. Med. Bras.

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“…Higher stress levels are more likely to be encountered during the head and neck oncology and junior years of residency. Identifying contributing factors, including lack of control, work planning/organization,3 lack of sleep, stress, and depression during training can potentially minimize further mental distress and medical error 1. By identifying otolaryngology residents at risk, program directors and the residents themselves may intervene earlier when patient care or resident well‐being is at risk.…”

Section: Resultsmentioning

confidence: 99%

“…There have been arguments for and against these changes, some believing that the number of procedures or experiences would increase and some arguing that they would decrease 31. Instituting mentoring programs, dedicated research, and/or dedicated teaching times have been found to improve resident satisfaction 3, 32. The Cedars‐Sinai Psychiatry Program has implemented a program via a wellness consultant to introduce cognitive‐, behavioral‐, and mindfulness‐based relaxation 3, 33, 34.…”

Section: Discussionmentioning

confidence: 99%

A study of otolaryngology resident quality of life and sleepiness

Garcia‐Rodriguez

Sanchez

et al. 2017

Laryngoscope Investig Oto

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ObjectivesThis study aimed to determine otolaryngology residents' quality of life and sleepiness.MethodsAn electronic survey was distributed to otolaryngology residents in the United States in October 2014 and May 2015. The survey included questions from the Physician Well‐Being Index (PWBI) and Epworth Sleepiness Scale (ESS). Data were analyzed using standard descriptive and frequency analyses, Spearman correlations, and Student's t‐test.ResultsThe 196 respondents (13% response rate) had a mean age of 29.9 years and worked an average of 70.88 hours/week. Higher PWBI score (lower quality of life) correlated with higher ESS (more sleepiness) for all respondents regardless of rotation (Spearman coefficient of .45; p = .001). PWBI scores were higher for head/neck oncology. Both PWBI and ESS scores were highest for postgraduate year two. PWBI showed a significant positive correlation with hours worked (correlation coefficient .35; p = .001) as well as a significant negative correlation with exercise time (correlation coefficient ‐.18; p = .010). There was a positive correlation between hours worked and ESS (correlation coefficient .48; p = .001).ConclusionFor the otolaryngology survey respondents, sleepiness and overall well‐being were better during the first year with a dramatic worsening during junior years followed by an improvement in the senior years. More work hours and poor quality of life was associated with less physically active residents. Focused interventions during these rotations may reduce distress, improve quality of life, and enhance learning.Level of EvidenceNA

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“…Several prior studies have attempted to determine the potential risk factors for burnout among residents. Excessive work hours [6,17,18] certain personality types [19,20] and depression [18,21,22] are among the correlates linked to higher rates of burnout. However, findings in the literature are inconsistent [6,23].…”

Section: Discussionmentioning

confidence: 99%

“…According to Maslach and Jackson burnout is a syndrome characterized by emotional exhaustion (EE), depersonalization (DP), and reduced sense of personal accomplishment (PA) [5]. Burnout in resident physicians ranges between 30% and 70%, depending on the specialty and the criteria used to define the condition [6,7]. Burned-out residents may feel emotionally depleted and unable to give of themselves such that they develop a cynical attitude, dehumanize their patients, and devalue their own clinical performance [8].…”

Section: Introductionmentioning

confidence: 99%

Stress and Burnout During the First Year of Residence Training in a University Teaching Hospital: Preliminary Date

Navinés¹,

Olive²,

Ariz³

et al. 2016

Dual Diagn Open Acc

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Burnout During Residency Training: A Literature Review

Abstract: Educators need to develop an active awareness of burnout and ought to consider incorporating relevant instruction and interventions during the process of training resident physicians.

Cited by 497 publications

References 59 publications

Factors associated with burnout syndrome in medical residents of a university hospital

Factors associated with burnout syndrome in medical residents of a university hospital

A study of otolaryngology resident quality of life and sleepiness

Stress and Burnout During the First Year of Residence Training in a University Teaching Hospital: Preliminary Date

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