Abstract

The Maslach Burnout Inventory for healthcare professionals (MBI-HSS) and its abbreviated version (aMBI), are the most common tools to detect burnout in clinicians. A wide range in burnout prevalence is reported in anesthesiology, so this study aimed to ascertain which of these two tools most accurately detected burnout in our anesthesiology residents. The MBI-HSS and aMBI were distributed amongst 86 residents across three hospitals, with a total of 58 residents completing the survey (67.4% response rate; 17 male and 41 female). Maslach-recommended cut-offs for the MBI-HSS and the aMBI with standard cut-offs were used to estimate burnout prevalence, and actual prevalence was established clinically by a thorough review of multiple data sources. Burnout proportions reported by the MBI-HSS and aMBI were found to be significantly different; 22.4% vs. 62.1% respectively (p < 0.0001). Compared to the actual prevalence of burnout in our cohort, the MBI-HSS detected burnout most accurately; area under receiver operating characteristic of 0.99 (95% confidence interval (CI): 0.92–1.0). Although there was a good correlation between the MBI-HSS and aMBI subscale scores, the positive predictive value of the aMBI was poor; 33.3% (95% CI:27.5–39.8%), therefore caution and clinical correlation are advised when using the aMBI tool because of the high rates of false-positives.

Highlights

  • Burnout is a work-related syndrome characterized by depersonalization, emotional exhaustion, and low personal accomplishment, leading to detrimental professional and personal consequences.Since May 2019, burnout has been recognized as an “occupational phenomenon” in the 11th revision of the International Classification of Disease published by the World Health Organization.Globally, it is estimated that 30–50% of clinicians experience symptoms of burnout [1], but it is unclear whether these symptoms translate into burnout syndrome

  • Long working hours (86.4%), inability to pursue personal interests (76.9%), difficult colleagues or seniors (76.9%), fear of making mistakes (76.9%), fear of being reprimanded (76.9%), lack of control over working patterns (76.9%) and nature of the specialty (76.9%) were frequently perceived stressors in burnt out anesthesiology residents

  • This study established that burnout in Singapore anesthesiology residents is 20.7% to

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Summary

Introduction

Burnout is a work-related syndrome characterized by depersonalization, emotional exhaustion, and low personal accomplishment, leading to detrimental professional and personal consequences.Since May 2019, burnout has been recognized as an “occupational phenomenon” in the 11th revision of the International Classification of Disease published by the World Health Organization.Globally, it is estimated that 30–50% of clinicians experience symptoms of burnout [1], but it is unclear whether these symptoms translate into burnout syndrome. Burnout is a work-related syndrome characterized by depersonalization, emotional exhaustion, and low personal accomplishment, leading to detrimental professional and personal consequences. Since May 2019, burnout has been recognized as an “occupational phenomenon” in the 11th revision of the International Classification of Disease published by the World Health Organization. It is estimated that 30–50% of clinicians experience symptoms of burnout [1], but it is unclear whether these symptoms translate into burnout syndrome. Undetected and unaddressed, clinician burnout can result in poorer patient satisfaction, impaired professionalism and communication, depression and suicidal ideations, professional errors and near misses, which.

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