Occupational burnout in forensic pathology practice: Balancing caseload, emotional resilience, and quality of work.

Burnout has been commonly observed in health care workers. Though research has been conducted involving burnout among doctors in China, few studies have focused on residents during standardized residency training (SRT). The professional status of the residents during SRT remains largely unclear. The present study was conducted in order to clarify the prevalence and potential risk factors of burnout in residents during SRT.An electronic questionnaire comprised 2 parts. The first part was designed to collect some basic characteristic information. Maslach Burnout Inventory-Human Services Survey was included in the second part.As many as 71.05% residents had at least 1 scale of burnout. Emotional exhaustion (EE) was found in 55.6% residents, depersonalization (DP) in 29.7% and reduced personal accomplishment (RPA) in 41.6%. Being older than 27, senior SRT year, working time more than 60 hours per week and poor sleeping quality was independently associated with at least on scale of burnout. Being unable to receive timely supervisor support significantly increased the probability of DP and EE. Not having friends at work or feeling cared for by the hospital were independently related to all 3 symptoms of burnout as well as overall burnout.Burnout rate is high in residents under SRT from middle part of China. Organizational, professional, and social support was demonstrated critical by the potential roles in protecting against burnout. Residents with burnout were prone to considering turnover. Strategies for managing burnout related factors among residents should be focused in future studies.

Brief Observation: A National Study of Burnout Among Internal Medicine Clerkship Directors

Background: The term "burnout syndrome" was first introduced in the late 90s to describe the psychological and physical exhaustion among workers caused by chronic and repetitive exposure to occupational stressors. Among students, it can be defined by three dimensions characterized by emotional exhaustion (EE), cynicism, and reduced personal accomplishment (PA). Previous literature suggests that burnout may slowly evolve and develop over the years throughout medical schools. We aimed to evaluate the prevalence of burnout syndrome and depression among medical students, as well as their determinants. Methods: Data were collected from medical students of second-sixth year during the academic year of 2021- 2022 at King Abdulaziz University (KAU). A self-administered questionnaire formulated based on the information provided by the Maslach Burnout Inventory, Raosoft sample size calculator, and Statistical Package for the Social Sciences Statistics version 21 were used for data collection, sampling, and data analysis. Results: A total of 263 students were analyzed. The overall prevalence of burnout was 26.2%. Almost twothirds of the participants were females 62.4%. Female gender has prevalence of 32.9% compared to males 15.2% with p value of 0.001. The mean SD scores of the EE was 23.8 10.6, depersonalization (DP) 14.4 9.2 and PA 25.9 10.7 EE were prevalent among 33.5% of students, and DP was high among 56.7% of them. PA was low among 73.4% of students. Conclusion: This study proved that students in KAUH demonstrated significantly lower prevalence of burnout among its medical students, with a percentage of 26.2 only. Although statistically significant, this number is incomparable with previous similar studies done in different regions of Saudi Arabia. Burnout has been shown to be strongly associated with the female gender, and higher prevalence was noted among clinical years students compared to preclinical ones. These aforementioned findings suggest that burnout slowly evolves and develops over the years throughout medical school.

Background: Studies have shown that ignoring burnout in medical students lead to worsened disease condition and paying less attention to its progression. We aimed to determine the prevalence of burnout and its relationship with demographic factors in medical students during internship in Qazvin University, during 2014-2015.<br />Methods: 130 medical students participated in this study. They completed demographic questionnaire and Maslach Burnout Inventory at the beginning and end of their internship course. The relationship between each of the three components of burnout and demographic characteristics were analyzed. Job burnout scores were compared between the beginning and end of the internship course.<br />Results: in this study, a significant relationship was not observed between the prevalence of burnout and demographic variables (age, sex, marital status, place of residence, and smoking). The prevalence of burnout was significantly more at the end of internship course (P<0.05, X2=24.09). With respect to the components of burnout, we found that the participants’ scores in the three subscales of the burnout questionnaire was significantly higher after the internship course compared to before it (emotional<br />exhaustion t=-3.25, P=0.01; depersonalization t=-3.98, P<0.05; personal accomplishment t=-2.11,P=0.036).<br />Conclusion: the study showed that the prevalence of burnout syndrome and its components among medical students was high during internship. Due to the high cost of burnout, implementing appropriate strategies for reducing it is essential.<br />Keywords: MEDICAL STUDENT, BURNOUT, INTERNSHIP

Health care workers working in Covid-19 vacciantion centers due to their exponential demand experience burnout and stress. Burnout, a psychological syndrome is characterized by emotional exhaustion (EE), depersonalization (DP), and reduced personal accomplishment (PA). It can adversely affect professional and personal well being of an individual. Aim of this study was to check prevalence of burnout among health care workers, to identify personal and work-related factors, and to compare the risk factors associated with the different dimensions of burnout (EE, DP, and PA). This cross-sectional study was carried out among 180 employees of various COVID-19 vaccination centers. Three dimensions of burnout (EE, DP, and PA) were evaluated usinge Maslach Burnout Inventory (MBI), and association between burnout and other factors were assessed using logistic regression analysis with 95% confidence intervals (CI). Prevalence rate of burnout among health care workers was 73.3%. Emotional exhaustion being the highest dimension (38.4%) followed by Depersonalization (30.8%) and personal accomplishment (33.1%). Young employees (<30 years) had significantly higher prevalence of burnout compared to old employees (82.4% vs. 52.4%, p = 0.033). Additionally, employees working more than 8 hours/day (OR = 9.98, p = 0.032) and employess with less than 6 hours of sleep/night (OR = 0.39, p = 0.042) had more likely to experience burnout. There was an increase prevalence rate of burnout observedamong employees at COVID-19 vaccination centers. There was a significant association between personal and work-related factors such as age, working hours, and sleep patterns. Addressing these factors, particularly by promoting better work-life balance and mental health support, is essential to mitigate burnout and improve employee well-being.

9014 Background: Burnout among oncologists is a pressing global issue, with prevalence rates ranging from 25% to 70%. South Asia, in particular, has reported alarmingly high rates, primarily driven by heavy patient load, long working hours, administrative demands, and very limited resources. This study aims to explore the prevalence of burnout, its associated stress symptoms, coping mechanisms, and the role of institutional support, with a focus on practical strategies to mitigate burnout. Methods: A cross-sectional survey involving 342 oncologists and hematologists in India was conducted using the Maslach Burnout Inventory (MBI) framework. This framework assessed 3 key dimensions of burnout: emotional exhaustion (EE), depersonalization (DP), and reduced personal accomplishment (PA). Additional variables included stress symptoms, burnout severity, contributing risk factors, and coping strategies. Statistical analyses such as Pearson correlation, logistic regression, and factor analysis were performed. Odds Ratios (ORs) were calculated to assess impact of various risk factors, while factor loadings were used to identify underlying domains contributing to burnout. Results: Burnout Prevalence: Moderate-to-severe burnout was reported by 43% of respondents. Emotional exhaustion was experienced occasionally by 34.4% and frequently by 31.2%. Depersonalization affected 17.6%. Key Risk Factors: Long working hours increased burnout risk by 2.45 times (OR: 2.45, 95% CI: 1.72–3.48). Administrative workload strongly correlated with emotional exhaustion (r = 0.68, p &lt; 0.01). Core Domains (Factor Analysis): Systemic Challenges: High patient loads and administrative tasks (factor load &gt; 0.75). Individual Resilience: Practices like meditation and yoga reduced burnout (factor load &gt; 0.70). Organizational Support: Psychological resources and peer discussions were critical (factor load &gt; 0.80). Coping Strategies: Meditation reduced burnout likelihood (OR: 0.64, 95% CI: 0.42–0.96). Peer discussions and group therapy eased depersonalization symptoms (p &lt; 0.05). Specialty-Specific Insights: Medical Oncologists: Highest emotional exhaustion (45%). Radiation Oncologists: Moderate depersonalization (41%). Surgical Oncologists: Strongly benefited from peer support (factor load = 0.78). Conclusions: Burnout among oncologists requires immediate action. Effective solutions include reducing systemic burdens, providing institutional psychological support, and encouraging individual resilience strategies like meditation and peer discussions. Addressing burnout is critical to improving oncologists' well-being and ensuring quality patient care. Statistical associations of risk factors with burnout. Risk Factor OR (95% CI) p-value Long Working Hours 2.45 (1.72–3.48) &lt;0.01 Administrative Workload 2.10 (1.56–2.89) &lt;0.01 Lack of Work-Life Balance 1.85 (1.34–2.56) &lt;0.05 Poor Institutional Support 1.96 (1.40–2.75) &lt;0.05

Objectives: To determine the prevalence of burnout among physicians, nurses and medical secretaries of the ACeS Pinhal Litoral primay health care centres. Type of study: Cross-sectional study conducted between 15 October and 15 December 2014. Setting: ACeS Pinhal Litoral. Participants: Primary health care professionals. Methods: The Maslach Burnout Inventory (MBI-HSS), translated and validated for use in Portuguese, was used in this study. Results: A response rate of 60.1% of the 434 health professionals working in the ACeS was obtained. Regarding the dimensions of burnout, 41.0% had a high emotional exhaustion (EE) score, 28.4% had a high depersonalization (DP) score and 22.6% had a low personal accomplishment (PA) score. The prevalence of burnout in this sample was 5.7%. It was higher among nurses (9.9%) and medical specialists (7.2%). An association was found between burnout and the following factors: age (>45 years for DP and 20 years for DP and <=20 years for PA), intention to change profession (for all dimensions), intention to change institution (for EE and DP), and health unit (by bivariate analysis of Family Health Care Unit for DP and by multivariate analysis of Personalized Health Care Unit for DP). Conclusion: Individual and organizational factors are associated with the presence of burnout. Personal and institutional approaches are necessary for intervention in this issue.

Occupational burnout, which is more and more commonly encountered among medical professionals and investigated by researchers worldwide, may in particular affect health care workers during the COVID-19 pandemic. The aim of the study was to assess the risk of occupational burnout among physiotherapists working actively in clinical hospitals in south-eastern Poland during the COVID-19 pandemic. The level of burnout among the studied physiotherapists was assessed using the Polish version of the Maslach Burnout Inventory by Maslach (MBI). The study was conducted from 20 March to 3 May, 2020 among physiotherapists working professionally during the COVID-19 pandemic in the south east of Poland, during which time health services related to therapeutic rehabilitation were suspended. The study was conducted among 1,540 physiotherapists with a license to practice who worked in clinical departments. Considering the inclusion and exclusion criteria, 106 physiotherapists were qualified for the study. The current findings show that during the COVID-19 pandemic physiotherapists present high burnout rates in all three dimensions: EE (Mean 32.31; CI 29.47-35.15); DP (Mean 16.25; CI 14.48-18.03); PA (Mean 26.25; CI 24.41-28.10). As for gender-related effects, higher burnout rates were observed in the male workers, compared to the females, in all three domains: EE (Men: Mean 34.70; CI 29.90-39.50 -Women: Mean 31.03; CI 27.45-34.60); DP (Men: Mean 18.78; CI 15.98-21.59 -Women: Mean 14.90; CI 12.64-17.16) and PA (Men: Mean 24.54; CI 21.32-27.76 -Women: Mean 27.17; CI 24.90-29.44). The highest burnout rates, presented by the physiotherapists working in the profession for more than 20 years, were identified in the domain of EE (Mean: 35.30; CI 30.51-40.10) and in those with 10-15 years of experience, in the domains of DP (Mean: 18.31; CI 14.89-21.73) and PA (Mean: 23.97; CI 20.13-27.81). The highest rate of occupational burnout, reflected by the scores in all three domains (EE, DP, PA), was identified in Department I -Intensive Care and Anaesthesiology Department: EE - (Mean: 40.89, CI 35.27-46.52); DP - (Mean: 21.39, CI 17.90-24.88); and PA - (Mean: 23.07, CI 20.04-26.10), compared to the other departments. The subjects who rarely participated in courses or training programs showed the highest burnout rates (EE- Mean: 33.55, CI 29.33-37.77; DP- Mean: 16.71, CI 13.99-19.43; PA- Mean: 25.45, CI 22.47-28.43). Occupational burnout during the COVID-19 pandemic is noticeable among physiotherapists working in clinical departments. The current findings show high burnout rates in all three domains: emotional exhaustion (EE), depersonalization (DP) and personal accomplishment (PA). A comparative analysis of these findings with reference to related studies published before the pandemic shows that the burnout rates among physiotherapists may have significantly increased during the COVID-19 pandemic. However, given the scarcity of scientific evidence related to this specific problem in Poland and worldwide, it is necessary to continue research in occupational burnout affecting physiotherapists, particularly during the second wave of the pandemic, in order to gain a better understanding of the possible effects of social isolation and greater personal work-related health risks on the mental health of these medical professionals.

ObjectiveTo survey the prevalence of burnout in a national sample of endocrinologists in China and to examine its correlates, with a special focus on gender differences.MethodsAn anonymous online survey was conducted among endocrinologists in 31 provincial government-owned “People’s Hospitals” of each province in mainland China. Demographic and work-related factors were collected from participants. The Maslach Burnout Inventory-Human Services Survey (MBI-HSS) was used to assess burnout, including emotional exhaustion (EE), depersonalization (DP), and reduced personal accomplishment (PA).ResultsA total of 711 endocrinologists (72.1% were female and mean age was 39.63 ± 8.51 years old) completed the survey. Burnout was reported by 32.8% of the participants. There were no significant gender differences in the overall prevalence of burnout or EE, DP, and PA (all p > 0.05). A multi-level linear regression revealed: (1) In male participants, PA was significantly associated with age (β = 0.03, p = 0.003), DP was inversely associated with age (β = −0.06, p = 0.005), EE was significantly associated with shorter sleep duration (β = −0.25, p = 0.006), and longer work hours (β = 0.01, p = 0.016). (2) In females, PA was significantly associated with age (β = 0.01, p = 0.038), EE and DP were both significantly associated with shorter sleep duration (β = −0.19, p = 0.001; and β = −0.15, p = 0.011, respectively). EE and DP were also associated with work hours (β = 0.02, p < 0.001; and β = 0.01, p < 0.001, respectively).ConclusionNearly one-third of endocrinologists in China experienced burnout. Although there were no significant gender differences in the prevalence of overall burnout or EE, DP, and PA scores, male and female participants differed in factors associated with EE, DP, and PA. Interventions need to be tailored to target different aspects in male and female endocrinologists and target different subgroups.

The aim was to study the prevalence of burnout among various groups of healthcare professionals in Singapore. An anonymous online survey questionnaire was conducted using the Maslach Burnout Inventory - Human Services to measure three categories of burnout: emotional exhaustion (EE), depersonalisation (DP) and personal accomplishment (PA) from July 2019 to January 2020 in a healthcare cluster in Singapore. The survey was completed by 6,048 healthcare professionals out of a target survey population of 15,000 (response rate 40.3%). The study revealed 37.8% of respondents had high EE score ≥27, 29.7% of respondents had high DP score ≥10, and 55.3% of respondents had low PA score ≤33. Respondents with either high EE score or high DP score constituted 43.9% (n=2,654). The Allied Health group had the highest mean EE score, which was significantly higher than those of Medical, Nursing and Non-clinical groups (P<0.05). The Medical group had the highest mean DP score and this was significantly higher than the Nursing, Allied Health and Non-clinical groups (P<0.05). The Non-clinical group had the lowest PA, which was significantly lower than the Medical, Nursing and Allied Health groups (P<0.005). There was high prevalence of burnout among healthcare professionals in Singapore, especially the allied health professionals. There were significant differences in the 3 categories of burnout (EE, DP and PA) among the different groups of healthcare professionals. There is an urgent need to address the high burnout rate.

BackgroundNo data exist in the published literature on burnout in physicians from Central Asia. The aim of this analysis was to assess burnout prevalence in doctors and nurses of a cardiological hospital in Almaty, Kazakhstan and ascertain whether smoking, alcohol and physical activity may predict job-associated burnout.MethodsThe staff of the City Cardiological Centre of Almaty (N = 259, 82% females) filled in the questionnaire with the questions on demographics, lifestyle, including smoking, alcohol and physical activity, as well as fatigue (using Fatigue Severity Scale (FSS)) and burnout using Maslach Burnout Inventory (MBI) Human Services Survey for Medical Personnel. We compared the scores of emotional exhaustion (EE), depersonalization (DP) and personal accomplishment (PA) between doctors and nurses.ResultsWe found significant differences in the smoking prevalence, alcohol use and regular physical activity, but no mean scores of burnout between men and women. High DP was prevalent in 52% doctors and 45% nurses, whereas high EE was found in 32 and 26% and PA in 16 and 32%, accordingly. In contrast with EE and DP, PA score was greater in nurses (median 38, interquartile range (IQR) 17) compared to doctors (median 41, IQR 9). Age, sex, work duration, smoking or physical activity could not predict higher burnout, whereas FSS score was associated with higher burnout of all dimensions (p < 0.05), and never-alcohol could predict higher PA burnout (p < 0.05).ConclusionsIn Kazakhstan cardiologists, high prevalence of DP burnout should target specific preventive strategies and the association of alcohol use with PA needs further deeper insight.

Objective To investigate of the status quo of head nurses' professional practice environment and job burnout in classⅢ hospitals, and to discuss the influence of professional practice environment on job burnout. Methods From June to July 2016, a total of 335 head nurses from classⅢ hospitals of Hu'nan province were selected by cluster sampling method. All the participants were investigated by the Chinese version of Professional Practice Environment Scale for Head Nurses and Maslach Burnout Inventory. SPSS 18.0 software was applied to establish a database and to carry out statistical analysis. The influencing factors were analyzed by single factor analysis of variance and linear regression analysis. Results A total of 335 questionnaires were distributed, including 331 valid questionnaires. The total score of 331 head nurses professional practice environment score was (214.72±22.64) . In the Maslach Burnout Inventory, the emotional exhaustion (EE) score was (26.02±11.03) , depersonalization (DP) score was (9.31±4.30) and personal accomplishment (PA) was (34.66±12.98) . Single factor analysis showed that the differences of EE score and DP score in head nurses in different age stages were statistically significant (F=6.429, 4.652; P<0.01) . There was statistical significance in the difference of EE score of head nurses in different marital status (F=3.787, P<0.05) . There were statistical significance in the differences of EE score and DP score of head nurses with different nursing management years (F=2.448, 2.670; P<0.05) . The differences of EE score in head nurses in different departments, the highest education and the professional titles were statistically significant (F=3.951, 3.047, 3.256; P<0.05) . The results of linear regression analysis showed that the 4 dimensions of cultural heritage, organization culture construction, relationship with doctors and relationship with nurses were the key variables influencing job burnout scores. Conclusions The status quo of professional practice environment is not optimistic, the tendency of job burnout is obvious, and the professional practice environment has an impact on the job burnout of head nurses. Key words: Nursing, supervisory; Occupational burnout; Professional practice environment

The purpose of this study is to examine occupational burnout of resident physicians at a public university hospital in Turkey. The Maslach Burnout Inventory was used for measuring burnout levels - emotional exhaustion, depersonalisation, and personal accomplishment - of physicians. All available 510 resident physicians were surveyed in this study. Approximately, 53% of the participants responded to all of the questions in this instrument. Our findings indicate that burnout levels of resident physicians vary significantly based on medical specialties of the participants. Emotional exhaustion and depersonalisation are significant repressors for personal accomplishment. Implications of occupational burnout on organisational culture are also discussed.

Introduction: The prevailing issue in the global healthcare sector is burnout syndrome, characterized by depersonalization, personal accomplishment, and emotional tiredness. Because their work is so demanding, physical therapists are prone to burnout. There is a dearth of studies on burnout among physical therapists in Karachi, Pakistan, even though it negatively impacts both professional and patient treatment. Methodology: A validated instrument for measuring burnout, the Maslach Burnout Inventory (MBI), will be employed to measure personal accomplishment, depersonalization, and emotional exhaustion. A structured survey form will used to gather data on perceived organizational support, job-related variables, and demographic traits. Descriptive statistics and sophisticated regression techniques will be used in conjunction with data analysis to uncover burnout drivers and investigate potential moderating factors. Result: 281 physiotherapists were evaluated with the Maslach Burnout Inventory-Human Services Survey, and high levels of burnout components, were found: emotional exhaustion(44.1%),depersonalization (35.2%), and lower personal accomplishment (34.5%). Chi-square analysis provided evidence of significant correlations between prevalence of burnout, employment sector, professional experience, and type of employment (p &lt; 0.01), with full-time professionals and workers in public hospitals showing significantly higher burnout. In particular, full-time working physiotherapists had 2.15 times greater chances of reporting high emotional exhaustion than part-time working ones (OR = 2.15; 95% CI: 1.21–3.83). Correlation was found between positive relationships of high scores on emotional exhaustion items (r = 0.80) and between depersonalization indicators (r = 0.76), indicating uniform patterns of occupational stress. Neither gender nor age was found significantly related to overall burnout rates (p &gt; 0.05). The results emphasize that organizational context and workload are substantial predictors of burnout among Karachi physiotherapists. Conclusion: A large number of physiotherapists in Karachi are suffering from severe emotional and psychological stress due to the prevalence of burnout syndrome. To prevent burnout, the study emphasizes the necessity of strong support networks, efficient task management, and ongoing professional development. Also conduct more research, especially longitudinal studies, to investigate causal linkages and create focused solutions.

1117 – Psychopathological dimensions of burn out syndrome: depression and anxiety correlates