DOI: http://dx.doi.org/10.18203/2394-6040.ijcmph20221532

Burnout syndrome among resident doctors in a tertiary medical college in central India-a cross-sectional study

Jyotsna S. Deshmukh, Nidhi J. Vithalani

Abstract


Background: Practice of medicine is associated with a high level of occupational stress and burnout. Residents face lot of stress because of the workload and heavy duties as well as a large volume of scientific literature and practical tasks which must be learnt in a limited time. Very few studies from India have evaluated psychological issues, stress, and burnout among medical professionals with few studies focusing on resident doctors.

Methods: The invitation link of the survey in the form of Google forms was sent to all residents working in the institute. Although the survey was kept anonymous, personal details relating to the participant’s demographics, academic qualifications, working hours was recorded. The Copenhagen burnout inventory (CBI) scale was utilized to assess the prevalence of burnout. The data obtained were analysed using SPSS-20.0.

Results: The average age of respondents was 28 years. The 48.8% (77) residents work for 41-60 hours/week while 57.59% (91) residents have <2 years of experience in government hospital. The 39.24% (62) had the scores that indicate the total burnout. it was found that personal burnout scores, work related burnout scores and personal burnout scores are comparatively higher in 1st year of residency as compared to 2nd and 3rd year of residency. Overall burnout in 1st year residents was significantly high compared to 2nd and 3rd year residents.

Conclusions: Burnout syndrome was significantly high among resident doctors. Attention should be directed to identifying the symptoms of burnout syndrome and addressing them through strategies on various levels.


Keywords


Burnout, Residents, Occupational stress, CBI

Full Text:

PDF

References


Malek M, Mohammadi S, Attarchi M. Occupational stress and influencing factors, in medical residents of one of the educational hospitals of Tehran University of Medical Sciences. RJMS. 2011;18(87):24-35.

Maslach C, Jackson S. The measurement of experienced burnout. J Occup Behav. 1981;2:99-113.

Shanafelt TD, Boone S, Tan L, Dyrbye LN, Sotile W, Satele D et al. Burnout and satisfaction with work-life balance among US physicians relative to the general US population. Arch Intern Med. 2012;172:1377-85.

Dyrbye LN, Massie FS Jr, Eacker A, Harper W, Power D, Durning SJ et al. Relationship between burnout and professional conduct and attitudes among US medical students. JAMA, 2010;304:1173-80.

Schneider KM, Monga M, Kerrigan AJ. Stress in residency: reality or myth? Am J Obstet Gynecol. 2002;186:907-9.

Collier VU, McCue JD, Markus A. Stress in medical residency: status quo after a decade of reform? Ann Intern Med. 2002;136:384-90.

Seward JP. Occupational stress. In: LaDou J, editor. Current occupational & environmental medicine. 4th ed. New York: MC Grow Hill. 2007;579-94.

Hurell JJ, Aristeguieta C. Occupational stress. In: Levy BS, Wegman DH, Sherry LB, Rosemary KS, editors. Occupational and environmental health. 5th ed. Philadelphia: Lippincott Williams and Wilkins. 2006;382-96.

Butterfield PS. The stress of residency. A review of the literature. Arch Int Med. 1988;148(6):1428-35.

Chakraborti A, Ray P, Sanyal D, Thakurta RG, Bhattacharayya AK, Mallick AK et al. Assessing perceived stress in medical personnel: In search of an appropriate scale for the Bengali population. Indian J Psychol Med. 2013;35:29-33.

Iqbal S, Gupta S, Venkatarao E. Stress, anxiety and depression among medical undergraduate students and their socio-demographic correlates. Indian J Med Res. 2015;141:354-7.

Janjhua Y, Chandrakanta. Behavior of personality type toward stress and job performance: A study of healthcare professionals. J Family Med Prim Care. 2012;1:109-13.

Saini NK, Agrawal S, Bhasin SK, Bhatia MS, Sharma AK. Prevalence of stress among resident doctors working in Medical Colleges of Delhi. Indian J Public Health. 2010;54:219-23.

Supe AN. A study of stress in medical students at Seth G.S. Medical College. J Postgrad Med. 1998;44:1-6.

Menon V, Sarkar S, Kumar S. Barriers to healthcare seeking among medical students: A cross sectional study from South India. Postgrad Med J. 2015;91:477-82.

Seshadri S. Substance abuse among medical students and doctors: A call for action. Natl Med J India 2008;21:57-9.

Kristensen TS, Borritz M, Villadsen E, Christensen KB. Copenhagen Burnout Inventory: a new tool for the assessment of burnout. Work Stress. 2005;19:192-07.

Maslach C, Jackson SE, Leiter MP, Schaufeli WB, Schwab RL. Maslach Burnout Inventory. Palo Alto, CA: Consulting Psychologists Press. 1986. Available at: https://www.researchgate.net/ profile/Christina_ Maslach/publication/277816643_The_Maslach_Burnout_Inventory_Manual/links/5574dbd708aeb6d8 c01946d7.pdf. Accessed on 12 March, 2021.

Montero Marín J, Skapinakis P, Araya R, Gili M, García Campayo J. Towards a brief definition of burnout syndrome by subtypes: Development of the “Burnout clinical subtypes questionnaire” (BCSQ 12). Health Qual Life Outcomes. 2011;9:74.

Demerouti E, Bakker AB. The Oldenburg burnout inventory: A good alternative to measure burnout and engagement. In: Handbook of Stress and Burnout in Health Care. New York: Nova Science Publishers. 2008;65-78.

Divatia JV. Burnout in the ICU: Playing with fire? Indian J Crit Care Med. 2014;18:127-8.

Langade D, Modi PD, Sidhwa YF, Hishikar NA, Gharpure AS, Wankhade K et al. Burnout syndrome among medical practitioners across India: A questionnaire-based survey. Cureus. 2016;8:e771.

Shanafelt TD, Gradishar WJ, Kosty M, Satele D, Chew H, Horn L et al. Burnout and career satisfaction among US oncologists. J Clin Oncol. 2014;32:678-86.

Embriaco N, Azoulay E, Barrau K, Kentish N, Pochard F, Loundou A et al. High level of burnout in intensivists: Prevalence and associated factors. Am J Respir Crit Care Med. 2007;175:686-92.

Doctor-population ratio: In India, one allopathic doctor for 11,082 people, official data shows; Bihar, UP worst hit. Available at: https://www.financial express.com/india news/doctor population ratio in India one allopathic doctorfor11082people official data shows Bihar up worst hit/1213243. Accessed on 12 March, 2021.

Rao R, Modi PD, Sidhwa YF, Hishikar NA, Langade D. Burnout among dental professionals in India: A questionnaire-based survey. J Indian Dent Assoc. 2016;10:16-25.