Abstract

Background: Burnout is a syndrome characterized by emotional exhaustion, depersonalization, and a low sense of personal accomplishment. The aim of this study was to identify burnout incidence in pediatric residents and evaluate possible risk factors for burnout.Methods: Using a cross-sectional study design, we approached all pediatric residents in the Saudi Pediatrics Residency Program in Riyadh, Saudi Arabia (n=457) between January and March 2019. The Maslach Burnout Inventory-Human Services Survey was used to assess burnout incidence. In addition, demographic factors, schedule burden, career choice satisfaction, and work-life balance were assessed.Results: The response rate was 57.8% (264/457). Males represented 46.6%. Only 14% of the residents in the study were satisfied with their work-life balance, and 62% were satisfied with their career choice of pediatrics. The overall high burnout incidence was 15.9%, the high emotional exhaustion incidence was 63.6%, the high depersonalization incidence was 27.7%, and the low sense of personal accomplishment incidence was 48.5%. In the multivariate analysis, an increase in the average number of on-calls per month (odds ratio [OR]=1.66, 95% CI 1.12-2.46; P=0.012) and satisfaction with salary (OR=0.47, 95% CI 0.33-0.66; P<0.001) showed significant associations with high overall burnout.Conclusion: We found a high level of emotional exhaustion and a low sense of personal accomplishment among respondents. However, less than one-third of residents had feelings of depersonalization or overall high burnout. Residency program directors may need to make modifications in their programs to ensure a good work-life balance for residents that will help ensure that these physicians provide safe and sustained patient care.

Highlights

  • Practicing medicine while studying can be challenging, and studies have shown that the incidence of burnout among pediatric residents ranges from 17% to 67.8%.1 Burnout is a syndrome characterized by emotional exhaustion, depersonalization, and a low sense of personal accomplishment.[2]

  • Satisfaction with work-life balance, career, and salary is shown in the Figure

  • High emotional exhaustion was reported by 63.6% of residents (n=168), while a low sense of personal accomplishment was expressed by 48.5% (n=128)

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Summary

Introduction

Practicing medicine while studying can be challenging, and studies have shown that the incidence of burnout among pediatric residents ranges from 17% to 67.8%.1 Burnout is a syndrome characterized by emotional exhaustion, depersonalization, and a low sense of personal accomplishment.[2]. Burnout is a syndrome characterized by emotional exhaustion, depersonalization, and a low sense of personal accomplishment.[2] Symptoms include anger, blame, helplessness, hopelessness, treating patients as impersonal objects, loneliness, and frustration with patients and with the health care system.[3] Overburdened schedules, increased on-call scheduling, lack of mentorship, an unsupportive family or partner, dissatisfaction with work-life balance, and a lack of self-care are all risk factors that can precipitate burnout.[4,5,6]. Burnout is a syndrome characterized by emotional exhaustion, depersonalization, and a low sense of personal accomplishment. The overall high burnout incidence was 15.9%, the high emotional exhaustion incidence was 63.6%, the high depersonalization incidence was 27.7%, and the low sense of personal accomplishment incidence was 48.5%. Residency program directors may need to make modifications in their programs to ensure a good work-life balance for residents that will help ensure that these physicians provide safe and sustained patient care

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