Challenges Facing Medical Residents' Satisfaction in the Middle East: A Report From United Arab Emirates

Abdulrahman, Mahera; Qayed, Khalil I.; AlHammadi, Hisham H.; Julfar, Adnan; Griffiths, Jane; Frederick, Carrick

doi:10.1080/10401334.2015.1077125

Cited by 10 publications

(11 citation statements)

References 19 publications

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“…[ 28 29 ] The country has two main medical residency training programs, one in Abu Dhabi and the other in Dubai; both being accredited by Arab Board of Health Specializations. [ 30 31 32 ] Several factors related to career choices among medical students,[ 28 29 33 ] accreditation perception among residents and resident’ satisfaction of the residency program in Dubai and Abu Dhabi were recently addressed. [ 30 34 ] In spite, a concerted nationwide study to understand and address burnout and depression in the medical residency program has not been conducted not only in the UAE but also the region in general.…”

Section: Introductionmentioning

confidence: 99%

“…[ 30 31 32 ] Several factors related to career choices among medical students,[ 28 29 33 ] accreditation perception among residents and resident’ satisfaction of the residency program in Dubai and Abu Dhabi were recently addressed. [ 30 34 ] In spite, a concerted nationwide study to understand and address burnout and depression in the medical residency program has not been conducted not only in the UAE but also the region in general. To address this gap, a nationwide, multicenter, cross-sectional study was designed to evaluate professional burnout and depression among medical residents in the UAE.…”

Section: Introductionmentioning

confidence: 99%

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Burnout and depression among medical residents in the United Arab Emirates: A Multicenter study

Abdulrahman

Farooq

Kharmiri

et al. 2018

J Family Med Prim Care

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Introduction:Persistent imbalance between work demands and resources seems to be a crucial contributor to the development of burnout among medical professionals. Yet, it seems that Middle East is lacking studies analyzing psychological well-being's of medical residents. Hence, we aimed to conduct a nationwide study to understand and address burnout and depression in medical residents in the UAE.Methods:A multicenter, cross-sectional study was designed to evaluate professional burnout and depression among medical residents to address the gap.Results:Our results indicate that 75.5% (216/286) of UAE medical residents had moderate-to-high emotional exhaustion (EE), 84% (249/298) had high depersonalization (DP), and 74% (216/291) had a low sense of personal accomplishment. In aggregate, 70% (212/302) of medical residents were considered to be experiencing at least one symptom of burnout based on a high EE score or a high DP score. Depression ranging from 6% to 22%, depending on the specialty was also noted. Noticeably, 83% (40/48) of medical residents who had high scores for depression also reported burnout.Conclusions:This study shows that burnout and depression are high among medical residents in UAE. There is a crucial need to address burnout through effective interventions at both the individual and institutional levels. Professional counseling services for residents will certainly be a step forward to manage resident burnout provided the social stigma associated with counseling can be eliminated with awareness. The work hour regulations suggested by the Accreditation Council for Graduate Medical Education partly provides a solution to improve patient safety and care quality. There is an urge to reconfigure the approach to medical training for the well-being of the next generation of physicians in the Arab world.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Burnout and depression among medical residents in the United Arab Emirates: A Multicenter study

Abdulrahman

Farooq

Kharmiri

et al. 2018

J Family Med Prim Care

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“…A multiregional study involving medical practitioners from UK, Europe, North America, and Asia suggested that the variation in aspects of professionalism might be due to diverse cultural and socio-economic backgrounds. [5]…”

Section: Introductionmentioning

confidence: 99%

Professionalism among multicultural medical students in the United Arab Emirates

Abdulrahman

Alsalehi

Husain

et al. 2017

Medical Education Online

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Background: Moral competencies and ethical practices of medical professionals are among the desired outcomes of academic training. Unfortunately, academic dishonesty and misconduct are reported from medical colleges across the world. This study investigates the level of academic dishonesty/misconduct among multicultural medical students. Objective: The aim of this study is to investigate the level of academic dishonesty/misconduct among multicultural medical students. Design: Validated and customized version of Dundee Polyprofessionalism Inventory-1 detailing lapses of professionalism in undergraduate health professions education was used to determine the perceived prevalence and self-reported lapses of academic integrity in this study. Results: This study shows that the majority (458/554, 83%) of medical students have admitted to acts of academic dishonesty mentioned in the questionnaire. Approximately 42% (231/554) of the students have given proxy for attendance and 71% of them considered this as an offense. Similarly, 12% (66/554) have copied from the record books of others, and 86% (477/554) have considered it unethical. In addition, 5% (28/554) of the students revealed forging a teacher’s signature in their record or logbooks, with 16% (91/554) of them reporting that they have seen others forge signatures. Conclusion: This is the first multi-center, multi-cultural and multi-ethnic study involving a large number of participants that addresses academic professionalism among medical students in the Middle East. Certainly, the paucity of data limits definitive conclusions about the best approach to prevent academic misconduct in the UAE medical schools. Yet, the results of our study are anticipated not only to benefit the UAE but also to find application in the Arab world, with similar medical school programs, values, culture and tradition.

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“…High-risk cases, such as multiple CS and multiparity are commonly handled by the Dubai Health Authority (DHA), a public sector healthcare provider in Dubai with four hospitals and 16 primary health care centers. Dubai public hospitals, governed by the DHA are accredited by the Joint Commission International and serve as teaching hospitals for medical students and residency training ( 12 , 13 ) . A vast majority of the physicians in the DHA network are either trained in the United States or Europe.…”

Section: Introductionmentioning

confidence: 99%

Emergency peripartum hysterectomy in the Dubai health system: A fifteen year experience

Tahlak¹,

Abdulrahman²,

Hubaishi³

et al. 2018

tjod

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Objective:To determine the incidence, demographic data, risk factors, indications, outcome and complications of emergency peripartum hysterectomy (EPH) performed in two major tertiary care hospitals in Dubai, and to compare the results with the literature.Materials and Methods:The records of all women who underwent EPH from January 2000 to December 2015 in two major tertiary care hospitals in Dubai were accessed and reviewed. Maternal characteristics, hysterectomy indications, outcomes, and postoperative complications were recorded using descriptive statistics to describe the cohort.Results:There were 79 EPH out of 168.293 deliveries, a rate of 0.47/1000 deliveries. The most common indications for hysterectomy were abnormal placentation (previa and/or accreta) and uterine atony. The majority of hysterectomies were subtotal (70%). The complications were dominated by massive transfusion, urinary tract injuries, one case of maternal death, and one case of neonatal death.Conclusion:The main indication for EPH was abnormal placentation in scarred uterus and uterine atony. The major method of prevention of EPH is to assess women’s risks and to reduce the number of cesarean section deliveries, by limiting the rate of primary cesareans. This is challenging in the United Arab Emirates (UAE) where the culture is for high gravidity and high parity. Recommendations to act to reduce primary and repeated cesareans should be included on the national agenda in UAE.

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Challenges Facing Medical Residents' Satisfaction in the Middle East: A Report From United Arab Emirates

Cited by 10 publications

References 19 publications

Burnout and depression among medical residents in the United Arab Emirates: A Multicenter study

Burnout and depression among medical residents in the United Arab Emirates: A Multicenter study

Professionalism among multicultural medical students in the United Arab Emirates

Emergency peripartum hysterectomy in the Dubai health system: A fifteen year experience

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