Abstract
Background
Academic burnout has adverse effects on residents' professional behavior as well as personal aspects of their lives and can ultimately affect their performance in the workplace. This study aimed to determine the prevalence of burnout among surgical residents in Imam Khomeini hospital and the relationship between factors such as sex, marital status, living place, specialized field, and anxiety with burnout.
Methods
We conducted a cross-sectional study in 2021. A validated version of the Maslach burnout inventory for students (MBI-SS), the Beck Anxiety Inventory, and a questionnaire on contributing factors were used. Statistical analysis for the prevalence of burnout and comparison between scores of groups were performed.
Results
Of 130 surgical residents who answered the survey, 26% met the criteria for burnout. There was a significantly higher prevalence of burnout among PGY1 residents. Of these residents, 85.4% and 62.3% had high scores on emotional exhaustion and cynicism, respectively. We observed an association between different surgical disciplines and anxiety with burnout.
Conclusions
The prevalence of burnout among surgical residents was notable and higher than expected. There was a reliable association between anxiety and burnout. A longitudinal study on a group of students with a consideration of associated factors is suggested.
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Data availability
The datasets used and analyzed in the current study are available on reasonable request from the corresponding author.
References
Freudenberger HJ (1975) The staff burn out syndrome in alternative institutions. Psychother Theory Res Pract 12(1):73
Quick JCE, Tetrick LE (2011) Handbook of occupational health psychology. American Psychological Association, Washington
Surawicz CM (2014) J. Edward Berk distinguished lecture: avoiding burnout: finding balance between work and everything else. Offi J Am College Gastroenterol ACG 109:511–514
Maslach C (2003) Burnout: the cost of caring. Ishk, California
Prins JT, Gazendam-Donofrio SM, Tubben BJ et al (2007) Burnout in medical residents: a review. Med Educ 41:788–800
Friedberg MW, Chen PG, Van Busum KR, et al (2014) Factors affecting physician professional satisfaction and their implications for patient care, health systems, and health policy. Rand Health Q. 3
Sablik Z, Samborska-Sablik A, Drożdż J (2013) Universality of physicians’ burnout syndrome as a result of experiencing difficulty in relationship with patients. Arch Med Sci 9:398–403
Dyrbye LN, West CP, Satele D et al (2014) Burnout among US medical students, residents, and early career physicians relative to the general US population. Acad Med 89:443–451
Levey RE (2001) Sources of stress for residents and recommendations for programs to assist them. Acad Med 76:142–150
Sepehermanesh Z, Ahmadvand A (2015) Prevalence of burnout in the residents of Kashan and Isfahan universities of medical sciences in 2012.
Sheikhmoonesi F, Khani F, Khademloo M et al (2017) Prevalence of burnout among resident physicians in Mazandaran university of medical sciences. Iran Glob J Health Sci 9:50–56
Low ZX, Yeo KA, Sharma VK et al (2019) Prevalence of burnout in medical and surgical residents: a meta-analysis. Int J Environ Res Public Health 16:1479
Beck AT, Epstein N, Brown G et al (1988) An inventory for measuring clinical anxiety: psychometric properties. J Consult Clin Psychol 56:893
Kaviani H, Mousavi AS (2008) Psychometric properties of the Persian version of beck anxiety inventory (BAI). Tehran Univ Med J 66:136–140
Maslach C, Jackson SE, Leiter MP (1997) Maslach burnout inventory. Scarecrow Education, USA
Schaufeli WB, Martinez IM, Pinto AM et al (2002) Burnout and engagement in university students: a cross-national study. J Cross Cult Psychol 33:464–481
Rostami Z, Abedi MR, Schaufeli WB et al (2014) The psychometric characteristics of Maslach burnout inventory student survey: a study students of Isfahan University. Zahedan J Res Med Sci 16(55):58
Sharififard F, Asayesh H, Hosseini MHM et al (2020) Motivation, self-efficacy, stress, and academic performance correlation with academic burnout among nursing students. J Nurs Midwifery Sci 7:88
Moradi Y, Baradaran HR, Yazdandoost M et al (2015) Prevalence of Burnout in residents of obstetrics and gynecology: a systematic review and meta-analysis. Med J Islam Repub Iran 29:235
Martini S, Arfken CL, Churchill A et al (2004) Burnout comparison among residents in different medical specialties. Acad Psychiatry 28:240–242
Fitzpatrick O, Biesma R, Conroy RM et al (2019) Prevalence and relationship between burnout and depression in our future doctors: a cross-sectional study in a cohort of preclinical and clinical medical students in Ireland. BMJ Open 9:e023297
Kimo Takayesu J, Ramoska EA, Clark TR et al (2014) Factors associated with burnout during emergency medicine residency. Acad Emerg Med 21:1031–1035
Montgomery A (2014) The inevitability of physician burnout: implications for interventions. Burn Res 1:50–56
Shanafelt TD, Noseworthy JH (2017) Executive leadership and physician well-being: nine organizational strategies to promote engagement and reduce burnoutMayo Clinic Proceedings. Elsevier, Amsterdam, pp 129–146
Dewa CS, Loong D, Bonato S et al (2014) How does burnout affect physician productivity? a systematic literature review. BMC Health Serv Res 14:1–10
Gundersen L (2001) Physician burnout, American college of physicians. Ann Intern Med 135(2):145
Golberstein E, Eisenberg D, Gollust SE (2008) Perceived stigma and mental health care seeking. Psychiatr Serv 59:392–399
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Tehran University of Medical Sciences.
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MA and NM arranged the research idea. Data collection and analysis were conducted by BM. The manuscript was written by RS, KTV, and AK and reviewed and edited by MA, NM and KTV. All authors read and approved the final manuscript.
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All methods were carried out in accordance with the Declaration of Helsinki by the World Medical Association. The study protocol was approved by the ethics committee of Tehran University of Medical Sciences.
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Ashouri, M., Mansourian, B., Safari, R. et al. Burnout in Surgical Residents of an Academic Hospital in Iran: A Cross-Sectional Study. World J Surg 47, 72–77 (2023). https://doi.org/10.1007/s00268-022-06787-4
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DOI: https://doi.org/10.1007/s00268-022-06787-4