Abstract
Burnout in health care professionals has gained significant attention over the last few decades. As a result of the intense emotional demands of the work environment, clinicians are particularly susceptible to developing burnout above and beyond usual workplace stress. Residency training, in particular, can cause a significant degree of burnout, leading to interference with individuals' ability. Overall, burnout is associated with a variety of negative consequences including depression, suicidal ideation, physical symptoms related to fatigue, risk of medical errors, and negative effects on patient safety. The purpose of this review is to provide medical educators and administrators with an overview of the factors that contribute to burnout, the impact of burnout, specialty wise variation, and suggestions for interventions to decrease burnout. Unlike medical institutions and the universities running postgraduate courses in developed countries, the importance of the post and the role of residency coordinator is underestimated in most of the medical schools in India. Residency coordinator has greater role to play between various key persons involved in residency training programme.
Highlights
The rates of depression,[4] suicidal ideation, plans, and attempts were noted to be high in burnout states
Burnout is a triad of emotional exhaustion, depersonalization, and a sense of decreased personal accomplishment
Burnout can contribute to multiple physical symptoms, psychological symptoms, and substance abuse, all of which can impact a resident's quality of life, ability to provide sustainable and safe patient care, quality of learning and teaching, and the overall morale of a residency program
Summary
A broadly applicable description defines burnout as a state of mental and physical exhaustion related to work or care giving activities. Physical symptoms alone may interfere with one's sense of well-being and ability to function fully at work.[7,8,9] Psychological symptoms such as low or irritable mood, cynicism, and decreased concentration can negatively affect productivity.[10] Burnout rates in medical students range from 28% to 45%.11,12. Several studies have explored possible reasons for burnout in residency training. In these studies, residents report that time demands, lack of control over time management, work planning, work organization, inherently difficult job situations, and interpersonal relationships are stressors that may contribute to burnout.15,16,17 1.3. A 2006 study by Rosen et al[18] reported that at the beginning of intern
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