What a Shame: Increased Rates of OMS Resident Burnout May Be Related to the Frequency of Shamed Events During Training

Shapiro, Michael C.; Rao, Sowmya R.; Dean, Jason Richard; Salama, Andrew

doi:10.1016/j.joms.2016.08.040

Cited by 40 publications

(28 citation statements)

References 16 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…9 A few studies have reported that OMS residents and surgeons experience stress and burnout due to the nature of their work and the usual stressful work environment. 10,11,12,19,20 The current study aimed to assess the level of occupational stress among OMS residents and surgeons in Saudi Arabia. This will help to develop a proper national database, compare stress levels among residents and surgeons in Saudi Arabia to stress levels in residents and surgeons in other countries, and encourage future plans to positively enhance the welfare of the practitioners and eventually improve the work environment for OMS.…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

“…Alosaimi et al 18 conducted a study involving medical residents in Saudi Arabia and reported comparable or slightly higher risk of perceived stress than that reported among residents worldwide. Shapiro et al 19 assessed the relationship between shame events and burnout among OMS residents in the United States and they found a strong relationship between these events and increased burnout and stress levels. Brazilian OMS residents showed more burnout than the surgeons and this was attributed to the fact that residents are treated as students undergoing a learning process, with extenuating work days and obligatory tasks to perform; additionally, they must behave as complete professionals from whom responsibility, skill and efficiency are expected.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

<p>Assessment of Occupational Stress Among Oral and Maxillofacial Surgeons and Residents in Saudi Arabia: A Cross-Sectional Study</p>

Alkindi¹,

Alghamdi²,

Alnofaie³

et al. 2020

AMEP

View full text Add to dashboard Cite

Purpose: Considering the important role of oral and maxillofacial surgeons in healthcare services and the stressful nature of their job, this study aimed to assess the occupational stress among oral and maxillofacial surgeons and residents in Saudi Arabia. Materials and Methods: Cross-sectional questionnaires were developed, and they included the perceived stress scale and questions about potential sources of stress. A sample size of 180 was determined using a 0.05 level of significance and a precision of ±8%. The survey was distributed using a consecutive non-random sampling method to all oral and maxillofacial surgeons and residents in all regions in Saudi Arabia from May to December 2019. Results: One hundred and seventy-two responses were received. Males were the predominant gender. The perceived stress scale revealed a moderate stress level among surgeons and residents. However, residents had a significantly higher score (P = 0.005). Increased working days were significantly associated with higher stress levels (P = 0.006). Long on-call periods were significantly and positively correlated with increased stress levels among residents since their work schedule was not flexible (P = 0.000). The majority of surgeons and residents believe that they have unconducive and stressful work environments and that working as a maxillofacial surgeon is stressful. Conclusion: The study results suggest that there is increased occupational stress among oral and maxillofacial surgeons and residents in Saudi Arabia. This study highlights the need for stress management programs to minimize stress factors at the workplace and to ensure a healthy working environment for the practitioners.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

<p>Assessment of Occupational Stress Among Oral and Maxillofacial Surgeons and Residents in Saudi Arabia: A Cross-Sectional Study</p>

Alkindi¹,

Alghamdi²,

Alnofaie³

et al. 2020

AMEP

View full text Add to dashboard Cite

show abstract

“…Several studies report that positive, satisfying learning environments during training significantly reduces the level of physical and emotional stress as perceived by residents [46]. Instances of workplace shaming has had positive correlations with depression [49]. Mistreatment of the residents and medical students can lead to long term stress, may discourage them from being motivated to learn, and additionally have an impact on performance scores [50].…”

Section: Positive and Encouraging Learning Conditionsmentioning

confidence: 99%

Medical Student and Resident Burnout: A Review of Causes, Effects, and Prevention

Amir¹,

Kim²,

Duane³

et al. 2018

J Fam Med Dis Prev

View full text Add to dashboard Cite

Professional burnout is a multi-dimensional phenomenon, which may result from prolonged unhealthy occupational stress. Symptoms in burnout cluster in three domains: emotional exhaustion, feeling isolated, and low work satisfaction. Medical students and residents are at particular risk because of their dual student pressures and in-training clinical care responsibilities. Common sources of personal and professional stressors include lack of time for leisure activities, inordinate workloads and sleep deprivation, emotional drain stemming from sick and dying patients, and training coinciding with major events of life. Symptoms of burnout include distress and depression, anxiety/worry, dropping out, substance abuse, and suicidality. If not managed appropriately, burnout can result in a lowered quality of life, negative impacts on patient care, and in extreme cases, professional impairment. The literature not only provides guidance regarding structural components and preventive programs that are effective in reducing burnout risk in medical students and residents but also summarizes the leading sources of professional stress amongst medical trainees, their impact on professional performance and personal lives as well as potential impact of interventional programs. In this manuscript, we performed a narrative review that considers the causes and effects of burnout, protective factors against burnout, and eventual prevention of burnout. Through analysis of the literature, implementation of widespread monitoring of burnout levels, prevention programs, and the consideration of changes in the structural components of the medical student and residency curriculum is recommended across medical schools.

show abstract

“…Resulting from a global, negative evaluation of the self, shame can cause significant distress and promote avoidance, hiding, defensiveness and self‐blame 2 . The modest body of research on experiences of shame in medical education has focused on graduate medical education, 3‐6 with studies showing that shame in residents can be a ‘sentinel emotional event’ 6 that triggers negative outcomes, including psychological distress (eg, burnout), isolation, poor job performance, impaired empathy, unprofessional behaviour and disengagement from learning 5,6 . However, shame experiences are not confined to residency training; medical students are likely susceptible to shame because they are exposed to many of the same shame triggers, including mistreatment, 7 academic struggle and transition periods 8,9 .…”

Section: Introductionmentioning

confidence: 99%

‘I'm unworthy of being in this space’: The origins of shame in medical students

et al. 2020

View full text Add to dashboard Cite

Objectives Shame results from a negative global self‐evaluation and can have devastating effects. Shame research has focused primarily on graduate medical education, yet medical students are also susceptible to its occurrence and negative effects. This study explores the development of shame in medical students by asking: how does shame originate in medical students? and what events trigger and factors influence the development of shame in medical students? Methods The study was conducted using hermeneutic phenomenology, which seeks to describe a phenomenon, convey its meaning and examine the contextual factors that influence it. Data were collected via a written reflection, semi‐structured interview and debriefing session. It was analysed in accordance with Ajjawi and Higgs' six steps of hermeneutic analysis: immersion, understanding, abstraction, synthesis, illumination and integration. Results Data analysis yielded structural elements of students' shame experiences that were conceptualised through the metaphor of fire. Shame triggers were the specific events that sparked shame reactions, including interpersonal interactions (eg, receiving mistreatment) and learning (eg, low test scores). Shame promoters were the factors and characteristics that fuelled shame reactions, including those related to the individual (eg, underrepresentation), environment (eg, institutional expectations) and person‐environment interaction (eg, comparisons to others). The authors present three illustrative narratives to depict how these elements can interact to lead to shame in medical students. Conclusions This qualitative examination of shame in medical students reveals complex, deep‐seated aspects of medical students' emotional reactions as they navigate the learning environment. The authors posit that medical training environments may be combustible, or possessing inherent risk, for shame. Educators, leaders and institutions can mitigate this risk and contain damaging shame reactions by (a) instilling a true sense of belonging and inclusivity in medical learning environments, (b) facilitating growth mindsets in medical trainees and (c) eliminating intentional shaming in medical education.

show abstract

What a Shame: Increased Rates of OMS Resident Burnout May Be Related to the Frequency of Shamed Events During Training

Cited by 40 publications

References 16 publications

<p>Assessment of Occupational Stress Among Oral and Maxillofacial Surgeons and Residents in Saudi Arabia: A Cross-Sectional Study</p>

<p>Assessment of Occupational Stress Among Oral and Maxillofacial Surgeons and Residents in Saudi Arabia: A Cross-Sectional Study</p>

Medical Student and Resident Burnout: A Review of Causes, Effects, and Prevention

‘I'm unworthy of being in this space’: The origins of shame in medical students

Contact Info

Product

Resources

About