The moderating role of sociodemographic and work-related variables in burnout and mental health levels of Mexican medical residents

Abstract

Objective To explore the moderating effects of sociodemographic and work-related variables on levels of burnout and mental health among medical residents. Method A cross-sectional online survey was administered at the beginning of the second wave of COVID-19 at different public teaching hospitals where medical residents practiced in Mexico City. A total of 201 medical residents of different years completed the survey. Results Different univariate inferential analyses on the level of burnout and mental health indices showed significant differences between sex, marital status, previous reports of physical illness or psychological conditions, and residency ranking. However, the effect sizes of those differences were of low to medium size. A predictive path analysis revealed that the three stages of burnout (emotional exhaustion, depersonalization, and achievement dissatisfaction) negatively affect psychological wellbeing and positively affect psychological distress. Finally, even though sociodemographic variables showed some significant variation, the effect sizes were small and did not moderate the direct effect of burnout on mental health indices. Conclusions Medical residents deling with every day medical situations, will be exposed to stressors that might increase the probability to experience emotional exhaustion. This would negatively affect levels of wellbeing and positively affect distress, despite their sociodemographic characteristics.

Under the Covert Norm: A Qualitative Study on the Role of Residency Culture on Burnout

“…Despite these ndings, much remains unknown about the dynamics of sociocultural norms in medical residency. Previous work on the population of interest measured the psychological well-being of medical residents by uncovering burnout prevalence, allowing a framework from which to elaborate [20]. In this study, we intend to explore the role of the cultural norm in medicine as a structural risk factor for burnout through the resident's perspective.…”

Síndrome de >i<burnout>/i< em médicos residentes de cirurgia no HCFMRP-USP

“…Em médicos residentes iniciantes é comum observar sintomas depressivos comparados aos residentes dos últimos anos; no entanto, os residentes mais avançados acostumam experimentar mais estresse (DOMINGUEZ-ESPINOSA et al, 2022). A falta de experiência e apoio aos residentes dos primeiros anos pode estar associada com a prevalência de depressão nestes profissionais, enquanto que os residentes dos últimos anos podem ser mais suscetíveis à SB devido ao aumento das suas responsabilidades.…”

“…Espinosa et al (2022), apesar da enorme quantidade de informações tanto sobre SB como outras alterações de saúde mental em estudantes e residentes de medicina, pouco se conhece sobre a influência das variáveis socioeconômicas na suscetibilidade dos profissionais ao SB.…”