International Journal of Behavioral Medicine

, Volume 14, Issue 3, pp 119–125 | Cite as

Burnout among dutch medical residents

  • J. T. PrinsEmail author
  • J. E. H. M. Hoekstra-Weebers
  • H. B. M. van de Wiel
  • S. M. Gazendam-Donofrio
  • F. Sprangers
  • Fr. C. A. Jaspers
  • F. M. M. A. van der Heijden


We examined levels of burnout and relationships between burnout, gender, age, years in training, and medical specialty in 158 medical residents working at the University Medical Center Groningen, the Netherlands. Thirteen percent of the residents met the criteria for burnout, with the highest percentage of burnout cases among medical residents in Psychiatry. Significantly more male residents than female residents suffered from severe burnout. Medical residents reported significantly lower mean scores on personal accomplishment than medical specialists and other health care workers; they also reported lower mean scores on emotional exhaustion than medical specialists. Male residents had significantly higher depersonalization scores than female residents. Positive significant relationships were found between personal accomplishment and age and years in training. Obstetrics & Gynecology residents reported significantly more personal accomplishment than residents in Psychiatry, Internal Medicine, Pediatrics, and Anesthesiology. Residents in Psychiatry had significantly lower scores on personal accomplishment than residents in Internal Medicine. Our findings show that burnout is present in a small but significant number of medical residents.

Key words

medical residents burnout personal accomplishment 


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  1. Arena, D. M., & Page, N. E. (1992). The imposter phenomenon in the clinical nurse specialist role.Image J Nurs Sch, 24, 121–125.PubMedCrossRefGoogle Scholar
  2. Baruch-Feldman, C., Brondolo, E., Ben-Dyan, D., & Schwartz, J. (2002). Sources of social support and burnout: Job-satisfaction and productivity.J Occup Health Psychol, 7, 84–93.PubMedCrossRefGoogle Scholar
  3. Bernard, N. S., Dollinger, S. J., & Ramaniah, N. V. (2002). Applying the big five personality factors to the imposter phenomenon.J Pers Assess, 78, 321–333.PubMedCrossRefGoogle Scholar
  4. Brenninkmeyer, V., & van Yperen, N. W. (1991). Diagnostiek met de Utrechtse Burnout Schaal, (Diagnostics with the Utrecht Burnout Scale).Ned Tijdschr Psychol (Dutch Journal of Psychology),54, 105–108.Google Scholar
  5. Fothergill, A., Edwards, D., & Burnard, P. (2004). Stress, burnout, coping, and stress management in psychiatrists: Findings from a systematic review.Int J Soc Psychiatry, 50, 54–65.PubMedCrossRefGoogle Scholar
  6. Garza, J. A., Schneider, K.M., Promenence, P., & Mong, M. (2004). Burnout in residency: A statewide study.South Med J, 97, 1171–1173.PubMedCrossRefGoogle Scholar
  7. Geurts, S., Rutte, C., & Peeters, M. (1999). Antecedents and consequences of work-home interference among medical residents.Soc Sci Med, 48, 1135–1148.PubMedCrossRefGoogle Scholar
  8. Gundersen, L. (2001). Physician burnout.Ann Intern Med, 17, 145–148.Google Scholar
  9. Halbesleben, J. R. B., & Buckley, M. R. (2004). Burnout in organizational life.J Management, 30, 859–879.CrossRefGoogle Scholar
  10. Korkeila, J. A., Töyry, S., Kumpulainen, K., Toivola, J. M., Räsänen, K., & Kalimo, R. (2003). Burnout and self-perceived health among Finnish psychiatrists and child psychiatrists: A national survey.Scand J Public Health, 31, 85–91.PubMedCrossRefGoogle Scholar
  11. Le Blanc, P. M., Bakker, A. B., Peeters, M. C. W., van Heesch, N. C A., & Schaufeli, W. B. (2001). Emotional job demands and burnout among oncology care providers.Anxiety, Stress and Coping, 14, 243–263.CrossRefGoogle Scholar
  12. Lee, R. T., & Ashforth, B. E. (1996). A meta-analytic examination of the correlates of the three dimensions of job burnout.J Appl Psychol, 81, 123–133.PubMedCrossRefGoogle Scholar
  13. Martini, S., Arfken, C. L., Churchill, A., & Balon, R. (2004). Burnout comparison among residents in different medical specialties.Acad Psychiatry, 28, 240–242.PubMedCrossRefGoogle Scholar
  14. Maslach, C., Jackson, S. E., & Leiter, M. P. (1996).Maslach Burnout Inventory manual, 3rd ed., Palo Alto, CA: Consulting Psychologists Press.Google Scholar
  15. Maslach, C., Schaufeli, W. B., & Leiter, M. P. (2001). Job Burnout.Annu Rev Psychol, 52, 397–422.PubMedCrossRefGoogle Scholar
  16. McManus, I. C., Winder, B. C., & Gordon, D. (2002). The causal links between stress and burnout in a longitudinal study of UK doctors.Lancet, 359, 2089–2090.PubMedCrossRefGoogle Scholar
  17. Middel, B., Stewart, R., Bouma, J., van Sonderen, E., & van den Heuvel, W. J. (2001). How to validate clinically important change in health-related functional status. Is the magnitude of the effect size consistently related to magnitude of change as indicated by a global question rating?J Eval Clin Pract, 7, 399–410.PubMedCrossRefGoogle Scholar
  18. Olkinuora, M., Asp, S., Juntunen, J., Kauttu, K., Strid, L., & Aärimaa, M. (1990). Stress symptoms, burnout and suicidal thoughts among Finnish physicians.Soc Psychiatry Psychiatr Epidemiol, 25, 81–86.PubMedGoogle Scholar
  19. Oriel, K., Plane, M. B., & Mundt, M. (2004). Family medicine residents and the imposter phenomenon.Fam Med, 36, 248–252.PubMedGoogle Scholar
  20. Pool, J. (1998). Het (zware) werk van de specialist; de prevalentie en preventie van burnout onder medisch specialisten, (the (difficult) job of the specialist: prevalence and prevention of burnout among medical specialists).Med Contact, 53, 620–623.Google Scholar
  21. Raviola, G., Machoki, M. I., Mwaikambo, E., & Delvecchio Good, M. (2002). HIV, disease plague, demoralization and “burnout”: Resident experience of the medical profession in Nairobi, Kenya.Cult Med Psychiatry, 26, 55–86.PubMedCrossRefGoogle Scholar
  22. Schaufeli, W., & van Dierendonck, D. (2000).Utrechtse Burnout Schaal UBOS, handleiding, (Manual for the Utrecht Burnout Scale), Swets en Zeitlinger.Google Scholar
  23. Shanafelt, T. D., Bradley, K. A., Wipf, J. E., & Back, A. L. (2002). Burnout and self-reported patient care in an internal residency program.Ann Intern Med, 136, 358–367.PubMedGoogle Scholar
  24. Simon, R. (2002). Revisiting the relationships among gender, marital status and mental health,AJS, 107, 1065–1096.PubMedCrossRefGoogle Scholar
  25. Thomas, N. (2004). Resident burnout.JAMA, 292, 2880–2889.PubMedCrossRefGoogle Scholar
  26. Tyssen, R., Vaglum, P., Gronwold, N. T., & Ekeberg, O. (2000). The impact of job stress and working conditions on mental health problems among junior house officers: A nationwide Norwegian prospective cohort study.Med Edu, 34, 374–384.CrossRefGoogle Scholar
  27. Valk, M. M. A., & Werner, A. (2003). Burnout in medical professionals: A cost-effectiveness study of a multidisciplinary intervention program.Ned Milit Geneeskd Tijdschr (Dutch Journal of Military Medicine), 1, 21–23.Google Scholar
  28. van Dierendonck, D., Schaufeli, W. B., & Buunk, B. P. (2001). Towards a process model of burnout: Results from a secondary analysis.European Journal ofWork and Organization Psychology, 10, 41–52.CrossRefGoogle Scholar
  29. Visser, M. R. M., Elsendoorn, G. M., Smets, E. M. A., Oosterveld, P., Hoos, A. M., & de Haes, J. C. J. M. (1999). Motiverende en demotiverende aspecten vanhet beroep van medisch specialist; een landelijk onderzoek, (Motivating and demotivating aspects in the profession of medical specialists, a national survey). Amsterdam: Publication of University Medical Center.Google Scholar
  30. Visser, M. R. M, Smets, E. M. A., Oort, F. J., & de Haes, J.C.J. M. (2003). Satisfaction and burnout among Dutch medical specialists.CMAJ, 168, 271–275.PubMedGoogle Scholar
  31. Zapf, D., Seifert, C., Schmutte, B., Mertini, H., & Holz, M. (2001). Emotion work and job stressors and their effect on burnout.Psychol Health, 16, 527–545.CrossRefGoogle Scholar

Copyright information

© International Society of Behavioral Medicine 2007

Authors and Affiliations

  • J. T. Prins
    • 1
    Email author
  • J. E. H. M. Hoekstra-Weebers
    • 2
    • 3
  • H. B. M. van de Wiel
    • 4
  • S. M. Gazendam-Donofrio
    • 5
  • F. Sprangers
    • 6
  • Fr. C. A. Jaspers
    • 7
  • F. M. M. A. van der Heijden
    • 8
    • 9
  1. 1.The Department of Psychosocial ServicesUniversity Medical Center Groningen, University of GroningenGroningenThe Netherlands
  2. 2.University Medical Center Groningen, University of GroningenThe Netherlands
  3. 3.The Comprehensive Cancer Center North-NetherlandsGroningenThe Netherlands
  4. 4.University Medical Center Groningen, University of GroningenThe Netherlands
  5. 5.University Medical Center GroningenUniversity of GroningenThe Netherlands
  6. 6.Dutch Association of Medical Residents/The Dutch Junior Doctor’s Committee (LVAG)The Netherlands
  7. 7.University Medical Center Groningen, University of GroningenThe Netherlands
  8. 8.Dutch Association of Medical Residents/The Dutch Junior Doctor’s Committee (LVAG)The Netherlands
  9. 9.The Vincent van Gogh Institute for PsychiatryVenrayThe Netherlands

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