Medical residents are facing burnout, who are at stake? A cross-sectional study in three university hospitals in Istanbul

Yıl 2022, Cilt: 6 Sayı: 2, 393 - 400, 31.05.2022

Hüseyin Küçükali Osman Hayran Zeynep Cemile Ankaralı Canan Cengiz Ravza Nur Karakaya Fatıma Zehra Yüce

https://doi.org/10.30621/jbachs.984675

Cited By: 1

Öz

Objective: Residency has become a vulnerable period for burnout among physicians because many common and specific stress factors in healthcare. Our study aims to evaluate the burnout level among medical residents in three tertiary care hospitals and to identify the relationship between socio-demographic and occupational factors with the burnout level.
Methods: We conducted a cross-sectional study in December 2019. Data was collected using self-administered questionnaires from 490 residents (64.2% of 763 eligible) who work at hospitals of three medical oriented universities in Istanbul, Turkey.
Results: Mean scores for subscales of Maslach Burnout Inventory (Turkish adaptation) are 19.1±7.7 for Emotional Exhaustion, 7.3±4.3 for Depersonalization, and 20.7±5.1 for Personal Achievement. Female residents or residents who pursue surgical specialties or have more night shifts, experience more Emotional Exhaustion than their counterparts. Depersonalization increases accordingly with the increase of years in residency and the number of night shifts. Residents working at the hospital of foundation universities feel higher Personal Achievement than those of the state university.
Conclusion: The burnout level of the participants is concerning and appears to be influenced by several modifiable occupational factors. Particularly, the impact of each year of residency training and the number of shifts should be considered carefully.

Anahtar Kelimeler

Burnout, Medical Residents, Medical Education, Physician, Surgeon, Tertiary Care

Kaynakça

• Ishak WW, Lederer S, Mandili C, Nikravesh R, Seligman L, Vasa M, Ogunyemi D, Bernstein CA. Burnout during residency training: a literature review. J Grad Med Educ. 2009;1(2):236–42. doi:10.4300/JGME-D-09-00054.1
• Low ZX, Yeo KA, Sharma VK, Leung GK, McIntyre RS, Guerrero A, Lu B, Sin Fai Lam, Chun Chiang, Tran BX, Nguyen LH, Ho CS, Tam WW, Ho RC. Prevalence of Burnout in Medical and Surgical Residents: A Meta-Analysis. Int J Environ Res Public Health. 2019;16(9):1479. doi:10.3390/ijerph16091479
• World Health Organization. International classification of diseases for mortality and morbidity statistics (11th Revision) [Internet]. 2018 [cited 2020 Mar 15]. Available from: https://icd.who.int/browse11/l-m/en
• Rodrigues H, Cobucci R, Oliveira A, Cabral JV, Medeiros L, Gurgel K, Souza T, Gonçalves AK. Burnout syndrome among medical residents: A systematic review and meta-analysis. PLoS One. 2018;13(11). doi:10.1371/journal.pone.0206840
• Sibeoni J, Bellon-Champel L, Mousty A, Manolios E, Verneuil L, Revah-Levy A. Physicians' Perspectives About Burnout: a Systematic Review and Metasynthesis. J Gen Intern Med. 2019;34(8):1578–90. doi:10.1007/s11606-019-05062-y
• Ozyurt A, Hayran O, Sur H. Predictors of burnout and job satisfaction among Turkish physicians. QJM. 2006;99(3):161–9. doi:10.1093/qjmed/hcl019
• Küçükali H, Akgöğ A. We do not know enough about burnout among medical residents in Turkey: a rapid review of the literature. Erciyes Med J. 2021. doi:10.14744/etd.2021.25564
• Pirincci E, Vicdanli SS. Burnout Levels of Assistant Physicians Working at a Turkish University Hospital. Southeast Asian J Trop Med Public Health. 2015;46(2):330–8.
• Turgut N, Karacalar S, Polat C, Kıran Ö, Gültop F, Kalyon ST, Sinoğlu B, Zincirci M, Kaya E. Burnout Syndrome During Residency. Turk J Anaesthesiol Reanim. 2016;44(5):258–64. doi:10.5152/TJAR.2016.28000
• Göçen Ö, Yılmaz A, Aslanhan H, Celepkolu T, Tuncay S, Dirican E. Assistant Physicians Knowledge and Attitudes about Defensive Medical Practices, Work-Related Stress and Burnout Levels. Turkish Journal of Family Medicine and Primary Care. 2018;12(2):77–87. doi:10.21763/tjfmpc.432454
• Maslach C, Jackson SE. Burnout in health professions: a social psychological analysis. In: Sanders GS, Suls J, editors. Social Psychology of Health and Illness. Hillsdale, NJ: Lawrence Erlbaum Associates; 1982. p. 227–51.
• Maslach C, Jackson SE. Maslach Burnout Inventory: Manual. 2nd ed. Palo Alto, CA: Consulting Psychologists Press; 1986.
• Maslach C, Schaufeli WB, Leiter MP. Job burnout. Annu Rev Psychol. 2001;52397–422. doi:10.1146/annurev.psych.52.1.397
• Ergin C. Doktor ve hemşirelerde tükenmişlik ve Maslach tükenmişlik ölçeğinin uyarlanması. In: Bayraktar R, Dağ İ, editors. VII. Ulusal Psikoloji Kongresi Bilimsel Çalışmaları. Ankara: Türk Psikologlar Derneği; 1992. p. 143–54.
• Maslach C, Jackson SE, Leiter MP. Maslach Burnout Inventory Manual. 3rd ed. Palo Alto, CA: Consulting Psychologists Press; 1996.
• Çolak Oray N, Balcı B, Özlem EN, Özaçar E, Abalı L, İbış MA, Öncel T. Dokuz Eylül Üniversitesi Tıp Fakültesi Tıpta Uzmanlık Öğrencilerinin Mesleki Tükenmişlik Düzeyleri. Dokuz Eylül Üniversitesi Tıp Fakültesi Dergisi [Internet]. 2013 [cited 2020 Mar 15];27(2):67–73. Available from: https://dergipark.org.tr/tr/pub/deutip/issue/4666/63555
• Çan E, Topbaş M, Yavuzyılmaz A, Çan G, Özgün Ş. Karadeniz Teknik Üniversitesi Tıp Fakültesindeki Araştırma Görevlisi Hekimlerin Tükenmişlik Sendromu İle İş Doyumu Düzeleri Ve İlişkili Faktörler. Journal of Experimental and Clinical Medicine. 2009;23(1):17–24. doi:10.5835/jecm.v23i1.53