High rate of burnout among residents under standardized residency training in a tertiary teaching hospital of middle China

Abstract

Burnout has been commonly observed in health care workers. Though research has been conducted involving burnout among doctors in China, few studies have focused on residents during standardized residency training (SRT). The professional status of the residents during SRT remains largely unclear. The present study was conducted in order to clarify the prevalence and potential risk factors of burnout in residents during SRT. An electronic questionnaire comprised 2 parts. The first part was designed to collect some basic characteristic information. Maslach Burnout Inventory-Human Services Survey was included in the second part. As many as 71.05% residents had at least 1 scale of burnout. Emotional exhaustion (EE) was found in 55.6% residents, depersonalization (DP) in 29.7% and reduced personal accomplishment (RPA) in 41.6%. Being older than 27, senior SRT year, working time more than 60 hours per week and poor sleeping quality was independently associated with at least on scale of burnout. Being unable to receive timely supervisor support significantly increased the probability of DP and EE. Not having friends at work or feeling cared for by the hospital were independently related to all 3 symptoms of burnout as well as overall burnout. Burnout rate is high in residents under SRT from middle part of China. Organizational, professional, and social support was demonstrated critical by the potential roles in protecting against burnout. Residents with burnout were prone to considering turnover. Strategies for managing burnout related factors among residents should be focused in future studies.

Occupational Burnout Among Public Medical Officers During the Early Stage of Covid-19 Pandemic in Kota Kinabalu, Sabah

“…Doctors with more than 60 working hours per week and doing night shift would be expected to have a significantly much higher prevalence of burnout however in this study, however, there was no significant differences in the prevalence of burnout among them. The finding was contradicted with other studies done in various countries where long working hours and night shift were significantly associated with burnout [33][34][35] . The contradiction might be due to that those medical officers had already been able to cope with the long working hours and night shift as they have been experienced during their housemanship training years 36 .…”

Turnover intention and related factors among resident physicians in China under the standardised residency training programme: a cross-sectional survey

“…Nearly half (47.87%) of them were classified into ‘high’ and ‘very high’ turnover intention level, and 11.46% of them ‘often’ thought about quitting. The prevalence of high turnover intention among SRTP trainees (47.87%) was higher in our sample than that among residents in one teaching hospital in central China (37.8%), 35 and higher than that among psychiatry residents from a national sample (18.7%). 42 Compared with other Chinese physician populations, the average turnover intention score was lower than it was reported for general practitioners in Hubei (15.40, SD=3.43).…”

“… 34 Another study conducted in a single tertiary hospital in central China reported their standardised residents to have a high rate of burnout, and 37.8% of them reported having the turnover intention. 35 However, these two studies did not examine the reasons and related factors for the turnover intention.…”

Factors that affected the qualification of standardized residency training of internal medicine: a prospective longitudinal study

“…The present study analyzed the demographic and context data that could affect the performances of residents while ignoring factors related to burnout. A few studies on burnout indicated that it was universally existed in residency training [12,17,18] and might affect the residents' competency. It prompts us to pay attention on this issue and make some adjustments.…”