Abstract

Medical education is highly stressful, stepping into a new environment, huge course syllabus which has to be mastered in a short period of time besides continuous assessments, examinations and other social and personal issues makes medical student prone to develop negative emotional symptoms. Burnout is a type of psychological stress. Occupational burnout or job burnout is characterized by exhaustion, lack of enthusiasm and motivation, feelings of ineffectiveness, and also may have the dimension of frustration or cynicism, and as a result reduced efficacy within the workplace. To assess the burnout of postgraduate medical students of tertiary level hospital. A cross sectional study was conducted on 198 medical students at Tribhuvan University Teaching Hospital (TUTH) in Kathmandu. Socio- Demographic Performa and Maslach Burnout Inventory were psychometric tools used. Statistical Package for Social Sciences (SPSS), Inc., and Chicago, IL, USA version 21 for windows was used. Among 198 postgraduate medical students, 52% (N= 112) had severe level of burnout present. Burnout was divided into respective sub- scale of personal accomplishment, depersonalization and emotional exhaustion, where 29% had severe level of depersonalization, 28% had severe level of emotional exhaustion and 25% of them had higher level of personal accomplishment. These measures were administered to 198 post graduate medical students (male=107, female=91) at Tribhuwan University Teaching hospital. Among the participants, more than half of them had been burnout.

Highlights

  • IntroductionFindings from studies of medical students and young doctors suggest that their own health care is poor [1]; reports show high rates of mental health problems including depression, anxiety [2]; and emotional exhaustion or ‘burnout’ [3]

  • Health professionals have huge responsibility in providing proper health service

  • The results showed that personal accomplishment had significant relation with age group and type of department

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Summary

Introduction

Findings from studies of medical students and young doctors suggest that their own health care is poor [1]; reports show high rates of mental health problems including depression, anxiety [2]; and emotional exhaustion or ‘burnout’ [3]. This even applies to developing country like Nepal, where there is low availability of medical professionals, for instance 0.17 doctors per 1,000/population and 0.50 nurses per 1,000/population (WHO, 2013). Burnout is result of the high-stress work environment and emotional demands of the job. There are six risk factors for burnout: mismatch in workload, mismatch in control, lack of appropriate awards, loss of a sense of positive connection with others in the workplace, perceived lack of fairness, and conflict between values. [5]

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