The Correlation of Burnout and Optimism among Medical Residents

Fowler, James B.; Kiessling, J. Willis; Khan, Yasir; Li, Chao; Quadri, Syed A.; Mahato, Deependra; Siddiqi, Javed

doi:10.7759/cureus.6860

Cited by 20 publications

(22 citation statements)

References 27 publications

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“…Além do mais foi observada maior vulnerabilidade frente ao estresse ocupacional observada durante o primeiro ano de residência, o que corrobora para que esses residentes sejam mais acometidos pela síndrome 25 . Também está descrita associação significativa entre burnout e arrependimento quanto a especialidade e a carreira.…”

Section: Discussionunclassified

Síndrome de Burnout em residentes médicos: uma revisão bibliográfica

Leandro

Oliveira

Barbosa

et al. 2020

BJHR

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A residência médica (RM) é uma modalidade de ensino de pós-graduação cobiçada por muitos médicos, pois é um dos meios para alcançar a especialização profissional. É também um período estressante, marcado por constante pressão, o que leva os profissionais a apresentarem cansaço extremo e medo de cometer erros-características apontadas como parte da etiologia da Síndrome de Burnout, genericamente chamada de esgotamento profissional. Tal síndrome é caracterizada como um quadro mental de despersonalização, sentimento de insatisfação profissional e principalmente exaustão emocional, motivo pelo qual o modelo atual de RM vem recebendo muitas críticas. Neste sentido, este estudo teve como objetivos revisar a produção científica acerca da Síndrome de Burnout em residentes médicos e discutir os fatores de risco que comprometem a saúde e a qualidade de vida do residente. Tratou-se de uma revisão integrativa da literatura, tendo como critérios de inclusão: artigos em língua portuguesa ou inglesa, publicados entre 2010 e 2020. A amostra final desta revisão contemplou 10 (dez) artigos. Observou-se que, apesar de regulamentada a carga horária dos programas de RM, grande parte dos residentes relata jornada semanal mais longa que a preconizada. Soma-se a isso o fato de que muitos médicos residentes possuem outro vínculo de trabalho além do oferecido pelo programa de RM e assim sacrificam horas que deveriam ser dedicadas ao lazer ou descanso. As longas jornadas de trabalho geram privação do sono e acarretam distúrbios do

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Section: Discussionunclassified

Síndrome de Burnout em residentes médicos: uma revisão bibliográfica

Leandro

Oliveira

Barbosa

et al. 2020

BJHR

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“…In addition, no studies have investigated large groups of resident physicians and their levels of optimism. One study surveyed residents from various departments and showed average LOT-R scores of 13.89 (neurology) -19.43 (neurosurgery), though the number of respondents were low [16]. Some studies looking at the association between various health concerns and levels of optimism have shown that generally, optimism is correlated with fewer health problems [17,18].…”

Section: Discussionmentioning

confidence: 99%

Optimist Prime- Emergency Medicine Residents are an Optimistic Group

Battaglioli¹

2020

JWellness

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Introduction: Few studies have been conducted on the level of optimism in emergency medicine residents and how it may be linked to resident burnout. This is the first national-level assessment of these personality factors. Methods: This was a prospective survey leveraging data obtained through the 2017 National Emergency Medicine Resident Wellness Survey, which included the Life Orientation Test-Revised (LOT-R). The Life Orientation Test-Revised (LOT-R) is a 10-item tool that measures levels of optimism. Results: We found that the majority of our resident respondents scored in the moderate category of the LOT-R. 12.4% fell into the more optimistic category. Additionally, we found that the LOT-R score was not a significant predictor of resident burnout. Conclusion: The results indicate that emergency medicine residents are generally optimistic, but levels of optimism are unlikely to affect resident burnout and emotional distress.

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“…There is early evidence suggesting that strategies to increase resilience can be effective in addressing burnout. 6,51,55 Importantly, there also is emerging literature that provides specific interventions to increase resilience. 47,50,52,54,56,57 The model we propose emphasizes the importance of addressing individual and organizational resilience in relationship with each other (Figure 2).…”

Section: A Way Forwardmentioning

confidence: 99%

“…tolerance to ambiguity), outlook (e.g., optimism), talents, skills, and reflective capacity. 51,55 Social capital is defined as the family or other social networks an individual has access to and could leverage if needed during adversity. Societal factors include the cultural background, community (including religious or educational), and institution to which they belong.…”

Section: A Way Forwardmentioning

confidence: 99%

Shifting Focus from Burnout and Wellness toward Individual and Organizational Resilience

Vercio

Loo

Green

et al. 2021

Teaching and Learning in Medicine

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Issue: Burnout is reported to be epidemic among physicians and medical trainees, and wellness has been the predominant target for intervention in academic medicine over the past several years. However, both burnout and wellness suffer from a lack of standardized definition, often making interventions difficult to generalize and extrapolate to different sites. Although well-meaning, current frameworks surrounding wellness and burnout have limitations in fully addressing the challenges of improving physician mental health. Wellness as a framework does not inherently acknowledge the adversity inevitably experienced in the practice of medicine and in the lives of medical trainees. During a crisis such as the current pandemic, wellness curricula often do not offer adequate frameworks to address the personal, organizational, or societal crises that may ensue. This leaves academic institutions and their leadership ill-equipped to appropriately address the factors that contribute to burnout. More recently, resilience has been explored as another framework to positively influence physician wellness and burnout. Resilience acknowledges the inevitable adversity individuals encounter in their life and work, allowing for a more open discussion on the tensions and flexibility between facets of life. However, emphasizing personal resiliency without addressing organizational resiliency may leave physicians feeling alienated or marginalized from critical support and resources that organizations can and should provide. Evidence: Despite intense focus on wellness and burnout, there have not been significant positive changes in physicians' mental health. Many interventions have aimed at the individual level with mindfulness or other reflective exercises; unfortunately these have demonstrated only marginal benefit. Systems level approaches have demonstrated more benefit but the ability of organizations to carry out any specific intervention is likely to be limited by their own unique constraints and may limit the spread of innovation. We believe the current use of these conceptual lenses (wellness and burnout) has been clouded by lack of uniformity of definitions, an array of measurement tools with no agreed-upon standard, a lack of understanding of the complex interaction between the constructs involved, and an over-emphasis on personal rather than organizational interventions and solutions. Implications: If the frameworks of burnout and wellness are limited, and personal resilience by itself is inadequate, what framework would be helpful? We believe that focusing on organizational resilience and the connecting dimensions between organizations and their physicians could be an additional framework helpful in addressing physician mental health. An organization connects with its members along multiple dimensions, including communication, recognition of gifts, shared vision, and sense of belonging. By finding ways to positively affect these dimensions, organizations can create change in the culture and mental health of physicians and tr...

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The Correlation of Burnout and Optimism among Medical Residents

Cited by 20 publications

References 27 publications

Síndrome de Burnout em residentes médicos: uma revisão bibliográfica

Síndrome de Burnout em residentes médicos: uma revisão bibliográfica

Optimist Prime- Emergency Medicine Residents are an Optimistic Group

Shifting Focus from Burnout and Wellness toward Individual and Organizational Resilience

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