Frequency Of Burnout Research Articles

Electronic Health Record Usability, Satisfaction, and Burnout for Family Physicians

Electronic health record (EHR) work has been associated with decreased physician well-being. Understanding the association between EHR usability and physician satisfaction and burnout, and whether team and technology strategies moderate this association, is critical to informing efforts to address EHR-associated physician burnout. To measure family physician satisfaction with their EHR and EHR usability across functions and evaluate the association of EHR usability with satisfaction and burnout, as well as the moderating association of 4 team and technology EHR efficiency strategies. This study uses data from a cross-sectional survey conducted from December 12, 2021, to October 17, 2022, of all family physicians seeking American Board of Family Medicine recertification in 2022. Physicians perceived EHR usability across 6 domains, as well as adoption of 4 EHR efficiency strategies: scribes, support from other staff, templated text, and voice recognition or transcription. Physician EHR satisfaction and frequency of experiencing burnout measured with a single survey item ("I feel burned out from my work"), with answers ranging from "never" to "every day." Of the 2067 physicians (1246 [60.3%] younger than 50 years; 1051 men [50.9%]; and 1729 [86.0%] practicing in an urban area) who responded to the survey, 562 (27.2%) were very satisfied and 775 (37.5%) were somewhat satisfied, while 346 (16.7%) were somewhat dissatisfied and 198 (9.6%) were very dissatisfied with their EHR. Readability of information had the highest usability, with 543 physicians (26.3%) rating it as excellent, while usefulness of alerts had the lowest usability, with 262 physicians (12.7%) rating it as excellent. In multivariable models, good or excellent usability for entering data (β = 0.09 [95% CI, 0.05-0.14]; P < .001), alignment with workflow processes (β = 0.11 [95% CI, 0.06-0.16]; P < .001), ease of finding information (β = 0.14 [95% CI, 0.09-0.19]; P < .001), and usefulness of alerts (β = 0.11 [95% CI, 0.06-0.16]; P < .001) were associated with physicians being very satisfied with their EHR. In addition, being very satisfied with the EHR was associated with reduced frequency of burnout (β = -0.64 [95% CI, -1.06 to -0.22]; P < .001). In moderation analysis, only physicians with highly usable EHRs saw improvements in satisfaction from adopting efficiency strategies. In this survey study of physician EHR usability and satisfaction, approximately one-fourth of family physicians reported being very satisfied with their EHR, while another one-fourth reported being somewhat or very dissatisfied, a concerning finding amplified by the inverse association between EHR satisfaction and burnout. Electronic health record-based alerts had the lowest reported usability, suggesting EHR vendors should focus their efforts on improving alerts. Electronic health record efficiency strategies were broadly adopted, but only physicians with highly usable EHRs realized gains in EHR satisfaction from using these strategies, suggesting that EHR burden-reduction interventions are likely to have heterogenous associations across physicians with different EHRs.

Burnout syndrome among preschool teachers in Serbia.

Pedagogical work, especially with preschool children, is one of the most stressful professions, and the incidence of stress-related illnesses among preschool teachers is higher than in the general population. The aim of this cross-sectional study, conducted between October 2018 and April 2019, was to examine the prevalence of the burnout syndrome in a representative sample of 482 preschool teachers in Serbia and the factors associated with it. For this purpose, the participants completed a questionnaire composed of six sections: the socio-demographic and socio-economic characteristics, health and lifestyle characteristics, workplace and employment characteristics; Copenhagen Burnout Inventory (CBI); Beck Depression Inventory (BDI), and the Zung Self-Rating Anxiety Scale (SAS). The frequency of the total burnout was 27.1 %. The frequency of burnout on the CBI was 25.4 % for personal burnout, 27.0 % for work-related burnout, and 23.4 % for client-related burnout. Multivariate logistic regression analysis with total burnout as an outcome variable showed that being single (OR: 0.18; 95 % CI: 0.05-0.58), having poor (OR: 6.05; 95 % CI: 1.05-34.91), or average (OR: 3.60; 95 % CI: 1.57-8.25) self-rated health, not having didactic/play tools (OR: 2.71; 95 % CI: 1.21-6.04), having a higher score on the BDI (OR: 1.19; 95 % CI: 1.09-1.29) or SAS (OR: 1.10; 95 % CI: 1.03-1.18) was significantly associated with the total burnout among our participants. Our study shows the worryingly high prevalence of the burnout syndrome among preschool teachers in Serbia and points to its association with mental health issues, depression, and anxiety.

Depression, Anxiety, and Burnout, Their Association with Academic Dropout Ideation in Medical Residents

Objective: to analyze the association between depression, anxiety, and burnout with the risk of academic desertion, and ideation of academic desertion in medical residents. Methods: Cross-sectional study with a sample of 200 medical residents in Mexico City. Maslach, Beck, and Hamilton scales were used to assess burnout, depression, and anxiety, respectively. The main variable was academic desertion. Statistical analysis included descriptive and inferential methods; risk was assessed by odds ratio (OR). Multivariate models were used to explore associations, with statistical significance considered at p &lt;0.05. Results: The frequency of depression, anxiety, and burnout was 17% (n= 34), 26.5% (n= 53), and 19.5% (n= 39), respectively. The presence of depression was associated with up to a fourfold and sixfold increase in desertion and desertion ideation, respectively (OR= 4.04, 95% CI 1.41 - 11.5, p= 0.006, or 6.5, 95% CI 2.9 - 14.6, p= 0.000). Anxiety showed no association with turnover (OR= 1.02, 95% ci 0.26 - 4.01, p= 0.967). The presence of burnout doubled the risk (OR= 2.2, 95% CI 1.07 - 4.52, p= 0.001). In the multiple analysis, depression increased the risk of dropping out up to fourfold. Conclusion: The presence of depression was the disorder most associated with dropout and dropout ideation. It is necessary to establish prevention, and detection programs at medical residency sites.

Frequency of burnout in dental students and its relationship with stress level, depressive, and anxiety state

BackgroundThis study aimed to identify the prevalence of burnout in dental students at the Dentistry School of University of Qadisiya, Iraq. All students at the dentistry school were invited to participate in the study. Medical and dental education is a highly demanding endeavor. Burnout is associated with anxiety, depression, and stress levels. Addressing these psychological factors and manage them early will improve the well-being of students.Material and methodsA cross-sectional questionnaire survey was conducted with the participation of 147 dentistry school students. The students completed a sociodemographic data form, the Depression Anxiety Stress Scale-21 (DASS-21), and the Maslach Burnout Inventory (MBI).ResultsThe DASS-21 scale scores for all three components (depression, anxiety, and stress) were high in 74.1%, 90.4%, and 98% of the respondents, respectively. The results also showed that high scores of emotional exhaustion, depersonalization, and personal accomplishment were reported in 50.3%, 67.3%, and 89.8% respectively. MBI revealed a significant association with presence of an established diagnosis of a mental illness or a chronic illness, but not with sociodemographic characteristics. Students had a high stress perception but had relatively lower than depression and anxiety. Almost half of the students reported that they were moderately or severely depressed or anxious.ConclusionAll MBI subscales had statistically significant correlation with scores of mental health or chronic physical illnesses. The respondents reported high percentages of all components of MBI. Prevalence of depression, anxiety, and stress is much higher in dental students compared to the general population. They also have a very high prevalence of all components of the MBI. Further research is warranted to explore additional factors contributing to burnout and mental health issues among dental students and to develop effective strategies for prevention and intervention.

Burnout in cardiology: a narrative review.

The frequency of burnout is rising among cardiologists, affecting not only their well-being but also the quality of patient care. Computerization of practice, bureaucracy, excessive workload, lack of control/autonomy, hostile and hectic work environments, insufficient income, and work life imbalance are the main categories listed as contributing factors to cardiologists' burnout. Organization- and physician-directed interventions can be impactful; however, the effectiveness and feasibility of these interventions have rarely been assessed in cardiology. This review summarizes recent publications on burnout in cardiology, discusses the contributing factors and implications of burnout on physicians' health and patient safety, and explores possible interventions.

Frequency of Burnout and its Factors among Nurses Working at Tertiary Care Hospital Lahore

Nurses experience a high rate of burnout, which may be attributed to the physically and mentally exhausting profession. Consequently, it leads to a decrease in the quality of care. Objectives: The present study was employed to determine the frequency of burnout and its contributing factors among nurses. Methods: A cross-sectional study was conducted at the Mayo Hospital, Lahore. Both male and female nurses and at least one year of job experience were included in the study. Nurses who were working in management posts were excluded from the study. A self-administered, pre-tested, and validated questionnaire “Copenhagen Burnout Inventory” was used to assess burnout. Results: Most of the nurses reported moderate levels of personal, professional, and client-related burnout. Gender was significantly and negatively associated with emotional burnout (β -.182; p=0.004), and rotation of duty was also found to be significantly and negatively related to personal burnout (β -0.271; p˂0.01) among nurses. Similarly, work-related burnout, gender (β -0.198; p=0.002), and rotation (β -0.175 p=0.006) were found to be negatively and significantly associated with burnout, while duty shift was significantly positively (β=0.169; p=0.010) related to work-related burnout. Age was positively associated (β=0.096; p=0.029) with client-related burnout, while residence (β -0.17; p=0.022, and rotation (β -0.617; p=0.004) were found to be negatively and significantly associated with client-related burnout. Conclusions: A high frequency of burnout was recorded among study participants. The long duty shifts and rotations had a significant impact on nurses' burnout in the present study.

Frequency Of Burnout Among Healthcare Professionals In A Tertiary Care Hospital, After The COVID-19 Pandemic

Objective: In this study, we plan to estimate the frequency of burnout among healthcare providers in a specialized teaching Hospital. Methods: A questionnaire based on the Copenhagen Burnout Inventory (CBI) including personal, work and client subscale was administered to various healthcare workers including staff nurses, residents and consultants. Results: When the demographic data of 100 participants was analyzed it showed that there were 39 (39 %) males and 61(61 %) females. The mean age of participants was 32.2 years. Professional categories enrolled were 40 nurses, 32 consultants and 28 postgraduate trainees. The mean level of personal burnout was 47.15±15.73, 38.53 ± 17.64 and 41.06 ± 15.78 among nurses, postgraduate trainees and consultants respectively. The level of work-related burnout was 45.95 ± 19.01, 36.60 ± 14.93 and 36.75 ± 14.99 among nurses, postgraduate trainees and consultants respectively. Whereas client-related burnout was found to be 42.62 ± 16.63, 27.67 ± 12.22 and 30.71 ± 18.04 among nurses, postgraduate trainees and consultants respectively. Burnout severity was higher among nurses, and also more commonly seen among females as compared to males. Lastly, younger respondents were more burned out compared to older respondents. Conclusion: In conclusion, addressing burnout among healthcare professionals, particularly nurses, is crucial for the well-being of the healthcare force and the safety and quality of patient care. The study’s recommendation for personal and institutional interventions is an essential step in mitigating this issue and ensuring a healthier, more effective healthcare system. Keywords: Burnout severity, moderate burnout, Copenhagen Burnout Inventory.

Burnout syndrome among rheumatologists and rheumatology fellows in Arab countries: an ArLAR multinational study.

Burnout is frequent among physicians and seems to be underestimated among rheumatologists. To estimate the frequency of burnout in a sample of rheumatologists practising in the Arab countries and determine its associated factors. This was a descriptive cross-sectional study conducted by the Arab League of Associations for Rheumatology (ArLAR research group) using an anonymous electronic questionnaire set up on the Google Forms platform. All Arab rheumatologists and rheumatology fellows were invited to participate in the spring of 2022 via ArLAR social media accounts, societies' WhatsApp groups, and mass emails. Burnout was defined by at least one positive domain of the Maslach Burnout Inventory (MBI) (Emotional exhaustion, Depersonalization, and Personal accomplishment). The final score was correlated to socio-demographic factors using a multivariable binary logistic regression. The study included 445 rheumatologists and rheumatology fellows with an average age of 45.2years (SD 11.5); 61.8% were men. The frequency of burnout among rheumatologists was 61.3% and was driven by low personal accomplishment scores (58.1%). Younger age (OR 1.92 (95%CI 1.20-3.08)), dissatisfaction with the specialty (OR 2.036 (95% CI 1.20-3.46)), and low income (OR 2.26 (95% CI 1.01-5.10)) were associated with burnout. The frequency of burnout in a sample of rheumatologists in Arab countries is very high, driven by low personal accomplishment scores and associated with a low income, dissatisfaction with the specialty and younger age. Some associated factors might be modifiable, thus reducing the burden of burnout on rheumatologists and on the healthcare system. Key Points • The frequency of burnout in a sample of Arab rheumatologists was 61.3% according to the MBI. • The score was mainly driven by low personal accomplishment scores (58.1%). • Younger age, dissatisfaction with the specialty, and low income were associated with burnout. • Acting upon modifiable risk factors would help reducing the burden of burnout on rheumatologists and on the healthcare system.

Determinants of Burnout Among Healthcare Professionals Working in the Labour Room of a Tertiary Care Hospital in South Punjab, Pakistan

Objective: To find out the frequency and determinants of burnout among healthcare workers and staff working in a labour room of a Gynaecology unit of a tertiary care hospital in South Punjab, Pakistan. Study Design: Cross-sectional study. Place and Duration of the Study: Department of Obstetrics and Gynaecology, Shaikh Zayed Hospital, Rahim Yar Khan, Pakistan, from Mar to May 2022. Methodology: A total of 93 healthcare workers, including doctors and nurses from the labour room of the study centre, were included. Possible causes of burnout were noted. The 16-item instrument OLBI was utilized. Results: Of the 93 study participants, 35(37.6%) were post-graduate residents. High exhaustion was reported by 61(65.6%) study participants, while high disengagement was noted in 44(47.3%). Burnout was reported by 38(40.9%) study participants. Age (p=0.006), marital status as married (p=0.004), designation as post-graduate resident (p&lt;0.001), patient expectations unfulfilled (p&lt;0.001), litigation anxiety (p&lt;0.001), lack of control of processes (p=0.017), role conflict (p=0.001) and communication gap among workers (p&lt;0.001) were found to have a significant association with burnout. Conclusion: The frequency of burnout among healthcare professionals and nurses working in the labour room of a tertiary care hospital in a developing country was high. Age, marital status as married, post-graduate residents, patients' expectations unfulfilled, litigation anxiety, lack of control of processes, role conflict and communication gap among workers were found to have a significant association with burnout.

The scope of psychosocial factors among resident physicians and their links to occupational burnout

Abstract Background High work demand, low authority and decision-making latitude and constantly changing situations put residents’ physicians under increased pressure, causing burnout resulting in reduced workability and wellness. The awareness of the most critical factors is crucial for the development of preventive occupational interventions to reduce burnout and stress. Methods A cross-sectional study was conducted. Data were collected with the Job Content Questionnaire (JCQ) and Copenhagen Burnout Inventory (CBI) from 233 hospital resident physicians. Results The descriptive analysis showed that the psychosocial work environment was negative in the resident physicians’ population - about a third (35.5%) of respondents had low job skill discretion and 40% complained about weak decision-making authority therefore 45% were classified as having low job control. More than one-third (39.1%) of respondents had high job demands and about a quarter had weak co-worker and supervisor support (24.9% and 24.5% respectively) and 37% felt insecure at work. The statistical analysis showed a high frequency of personal (PB), work-related (WB) and client-related burnout (CB) - 53.6%, 62.2%, and 33% respectively. The multiple stepwise regression models for each burnout dimension revealed that job skill discretion was found to have a buffering effect and reduced personal and work-related burnout odds by an average of 12% and 16% respectively. Each one-unit increase in job demands score increased the probability of all burnout dimensions by an average of 9% (PB), 13% (WB) and 18% (CB). The increase in scores of insecurity at work increased the probability of PB (B = 1.2) and CB (B = 1.3). The co-workers’ support reduced the probability of CB by 20%. Conclusions The result of this study indicated that promoting job skills discretion and co-workers’ support and reducing job demands and insecurity at work could be the most effective way to reduce occupational burnout among young physicians. Key messages • Physicians residents are particularly vulnerable to occupational burnout. • In solving the issue of professional burnout among young doctors, the focus must be directed to ensuring work control and optimizing workload.

Burnout and Health Related Quality of Life among emergency physicians working at emergency at Tertiary Care Hospital in Lahore Pakistan.

To determine frequency of burnout in emergency physicians and to identify its impact on their health-related quality of life (HRQOL). In this cross-sectional study, physicians from departments with emergency cover of Jinnah Hospital Lahore were included. Their burnout and HRQOL scores using Maslach Burnout Inventory (MBI) and Short Form (SF)-36 respectively were determined in March 2022. Burnout scores were graded as low, moderate and high and were correlated with domains of HRQOL using chi X2 and analysis of variance (ANOVA). One hundred fifty physicians were included with mean age 26.2 (±2.59), male to female ratio 0.78:1 (66/84) and House Officer (HO) to Postgraduate Resident (PGR) ratio 1.94:1 (99/51). High burnout was identified in 76 (50.7%) participants while 48 (32%) had moderate and 26 (17.3%) had low burnout. Males scored better than female physicians in vitality (0.008), general mental health (0.004), and mental component summary (0.01) domains of HRQOL. Doctors with high burnout had significantly lower scores in both physical component summary (p-value 0.004) and mental component summary (p-value < 0.0001) domains of HRQOL. Physicians working in emergency settings have high frequency of burnout and it adversely affects their mental and physical health related quality of life.

Burnout in Surgical Residents of Underrepresented in Medicine Backgrounds: Key Influencing Factors and Possible Solutions

IntroductionAlarming rates of burnout in surgical training pose a concern due to its deleterious effects on both patients and providers. Datum remains lacking on rates of burnout in surgical residents based on race and ethnicity. This study aims to document the frequency of burnout in surgical residents of racially underrepresented backgrounds and elucidate contributing factors. MethodsA 35-question anonymized survey was distributed to general surgery residents from 23 programs between August 2018 and May 2019. This survey was designed from the validated Maslach Burnout Inventory, and included additional questions assessing participant demographics, educational, and social backgrounds. Responses were analyzed utilizing chi-square tests and Wilcoxon rank sum tests. There was also a free response portion of the survey which was evaluated using thematic analysis. ResultsWe received 243 responses from 23 general surgery programs yielding a 9% (23/246) program response rate and 26% (243/935) response rate by surgical residents. One hundred and eighty-five participants (76%) identified as nonunderrepresented in medicine and 58 (24%) of participants identified as underrepresented in medicine. Fifty-three percent were male and 47% female. Overall, sixty-six percent of all surgical residents (n = 161) endorsed burnout with racially underrepresented residents reporting higher rates of burnout at 76% compared to 63% in their nonunderrepresented counterparts (P = 0.07). ConclusionsAlthough the generalizability of these results is limited, higher rates of reported burnout in racially underrepresented trainees noted in our study illuminates the need for continual dialogue on potential influencing factors and mitigation strategies.

Athletic Burnout and Its Association with Diet in Children and Adolescents.

Children today are constantly exposed to several risk factors and high levels of stress that can impact their mental, emotional, and physical health, which can trigger burnout. The objective of this study was to determine the prevalence and frequency of burnout in young amateur athletes and to study the role of the Mediterranean diet on burnout risk. An observational, cross-sectional, and descriptive study of 183 basketball players between 8 and 15 years old was carried out. Adherence to the Mediterranean diet was assessed using the KIDMED questionnaire and the risk of burnout was assessed with the Athlete Burnout Questionnaire. Medians, minimums and maximum values for quantitative variables and absolute frequencies and percentages for qualitative variables were obtained. The results show a higher percentage of burnout among girls. The children who meet the established threshold for burnout spend more time watching television. Participants with better adherence to the Mediterranean diet have lower burnout values in both genders and those with a higher risk of burnout have a worse adherence to the Mediterranean diet. Therefore, it is important to implement a balanced diet appropriate to the individual needs of the athlete.

Substance Use Among Physician Assistant Students: A National Study on the Prevalence of Alcohol, Tobacco, Illicit Substances, and Medication Use.

The purpose of this study was to discover the substance use prevalence among physician assistant students (PA-S) compared with the age-relevant general US population and to examine the frequency of stress, burnout, anxiety, and depression during the didactic and clinical phases, while accounting for the impact of the COVID-19 pandemic. A 20-item survey instrument was created. Self-reported data included demographics, anxiety, burnout, tobacco, illicit substances, and prescription medication use. Outcome-based inventories included a modified Perceived Stress Scale, Patient Health Questionnaire-2 (PHQ-2), and Alcohol Use Disorder Identification Test-Concise. The survey was emailed to all US programs (∼270 programs; ∼25,000 students), with 54 programs approving dissemination to their students (n∼4,760). Of the 1432 responses (30% response rate, 96% completion rate), the final validated sample was 1378 students (56.1% didactic, 43.8% clinical). When compared with the national population, PA-S prevalence for tobacco (5.2%) and illicit substance use (9.9%) were notably lower; alcohol (53.5%) was comparable; and prescription medication (7.0%) is only reported for PA students due to the lack of a national comparison. A higher frequency of substance use was observed during the didactic (52.5%) vs clinical (47.5%) phases. Stress was the dominant factor in both phases (93.5% didactic, 86.1% clinical). Respondents reported that the COVID-19 pandemic had minimal impact on reported rates, other than alcohol. Although PA-S substance use prevalence is at or below the national population, PA programs are encouraged to review their policies and provide conversations and resources for students who may have one or more risk factors and experience a negative effect from current substance use.

The Relationship between Job Stress and Job Burnout among Primary Health Care Workers (Behvarz) at Saveh University of Medical Sciences

Background &amp; Aims Due to having multiple tasks in ensuring the health of patients, primary healthcare workers are under many stresses that may lead to job burnout. The present study aims to determine the relationship between occupational stress and job burnout of primary healthcare workers. Materials &amp; Methods This descriptive, correlational study was conducted in 2019 on 128 primary healthcare workers in Saveh and Zarandieh cities, who were selected by a census method. Data was collected by a demographic form, the Maslach Burnout Inventory (MBI), and Spielberger’s job stress survey (JSS). Descriptive statistics were used to describe the data, and independent t-test, analysis of variance, and Pearson correlation test were used to analyze data in SPSS software, version 18. Results The mean score of JSS was 140.7±48.6, which was lower the median score (150). The mean frequency score was 23.43±8.3 for the MBI dimension of emotional exhaustion, 17±4.78 for depersonalization, and 14.43±6.74 for personal accomplishment. Occupational stress had a positive and significant relationship with the frequency of emotional exhaustion (r=0.59, P&lt;0.001) and depersonalization (r=0.22, P&lt;0.001), and a negative and significant relationship with the frequency of personal accomplishment (r=-0.47, P&lt;0.001). This indicates that with the increase of occupational stress, the frequency of job burnout in two dimensions of emotional exhaustion and depersonalization increases, while the frequency of personal accomplishment decreases. Conclusion Primary healthcare workers in the study region have moderate occupational stress and a high level of job burnout in the areas of depersonalization and personal accomplishment. Considering the high level of job burnout and its relationship with occupational stress in these healthcare workers, and the fact that these factors can have a negative impact on the quality of healthcare services, it is necessary to carry out necessary interventions to reduce and manage occupational stress and job burnout of primary healthcare workers.

Occupational stress and burnout experience among healthcare workers compounded by the COVID-19 pandemic in Africa: a scoping review protocol

BackgroundThe emergence of coronavirus disease 2019 (COVID-19) pandemic has brought an unprecedented burden on health systems and personnel globally. This pandemic potentially can result in increased frequency of stress and burnout experienced among healthcare workers (HCWs), especially in lower-and-middle-income countries with inadequate health professionals, yet little is known about their experience. This study aims to describe the range of research evidence on occupational stress and/burnout among HCWs compounded by the COVID-19 pandemic in Africa, as well as identify research gaps for further investigations to inform health policy decisions towards stress and/burnout reduction in this era and when a future pandemic occurs.MethodArksey and O’Malley’s methodological framework will be used to guide this scoping review. Literature searches will be conducted in PubMed, CINAHL, SCOPUS, Web of Science, Science Direct, and Google Scholar for relevant articles published in any language from January 2020 to the last search date. The literature search strategy will include keywords and Boolean and medical subject heading terms. This study will include peer-reviewed papers about Africa, with a focus on stress and burnout among HCWs in the COVID-19 era. In addition to the database searches, we will manually search the reference list of included articles as well as the World Health Organization’s website for relevant papers. Using the inclusion criteria as a guide, two reviewers will independently screen the abstracts and full-text articles. A narrative synthesis will be conducted, and a summary of the findings reported.DiscussionThis study will highlight the range of literature HCWs’ experience of stress and/or burnout including the prevalence, associated factors, interventions/coping strategies, and reported effects on healthcare services during the COVID-19 era in Africa. This study’s findings will be relevant to inform healthcare managers plan to mitigate stress and/or burnout as well prepare for such future pandemics. This study’s findings will be disseminated in a peer-review journal, scientific conference, academic and research platforms, and social media.

Investigating burnout of Rehabilitation Medicine trainees: an Australian cross-sectional study

Background: In Rehabilitation Medicine, there is an increased incidence of burnout compared with other specialties, with burnout affecting over 50% of rehabilitation physicians. There remains limited research investigating burnout in Rehabilitation Medicine trainees. Aim: To investigate the frequency of burnout, and associations between burnout and workplace and demographic factors, among Australian registered Rehabilitation Medicine trainees. Methods This cross-sectional study administered the Mini-Z Burnout Survey via the Qualtrics survey platform. The presence of burnout was determined on responses to Survey Item 3. Binary logistic regression evaluated associations between burnout presence and workplace and demographic (age, sex, and stage of training) variables. An open-ended question addressing workplace stresses underwent qualitative content analysis. Results: Of the potential 220 registered trainees, 18.2% (39) consented to participate. Burnout was reported by 54.6% (18/33) of respondents with complete data. Logistic regression analyses revealed 2 Mini-Z items were significantly associated with burnout; job stress (odds ratio=22.9; 95% CI=3.5–145.8, P<0.001) and a hectic/chaotic work atmosphere (odds ratio=5.0; 95% CI=1.01–24, P=0.045). There was no significant association between burnout and the remaining Mini-Z items or between burnout and the demographic variables. Content analysis of responses to the open-ended question identified 3 themes: training issues; work place demands; personal health/work-life balance concerns. Conclusion: This Australian-first study identified significant burnout in a cohort of Rehabilitation Medicine trainees. The sources of stress identified can be used to modify workplace environments and education requirements and promote well-being among trainees.

Confirming the nature of autistic burnout.

Autistic burnout is something autistic people have been talking about for a while (see #AutBurnout and #AutisticBurnout on social media). Recently, researchers published two different definitions of autistic burnout. We wanted to test these definitions. We wanted to confirm the duration and frequency of autistic burnout. That is, how long and how often do people get autistic burnout? We surveyed 141 autistic adults who had autistic burnout. We used descriptive statistics, content analysis and reflexive thematic analysis to analyse the survey responses. Autistic adults strongly agreed with the definition published by Higgins et al. How long and how often people get autistic burnout was not clear. Participants told us they have both short and long episodes. Participants told us that autistic burnout leads to exhaustion. They needed to withdraw from being with other people. They needed to stay away from autism unfriendly places. Many had been misdiagnosed as having depression, anxiety, bipolar disorder, borderline personality disorder or other conditions. We need increased awareness of autistic burnout. Autistic people need more help. More research is needed, we need to have bigger studies to understand autistic burnout.

BURNOUT IN DOCTORS WORKING IN TERTIARY CARE HOSPITAL IN PESHAWAR, PAKISTAN

Objective: To determine the frequency of burnout in postgraduate doctors working in a Tertiary Care Hospital in Peshawar, PakistanMethodology: This cross-sectional study was conducted in tertiary care hospital in Peshawar from June 2019 to December 2019. Using the Non-probability convenient sampling technique 252 doctors from different specialties participated in this study, by filling out the questionnaire. The questionnaires had three parts, questions related to Socio-demographic data, questions related to the workplace, and Maslach Burnout Inventory (MBI). For analysis of data related to MBI, we added up each component (emotional exhaustion, depersonalization, and reduced personal accomplishment). The values obtained were interpreted according to reference values of the Center of Advanced Studies on Burnout Syndrome (NEPASB). Data was analysed using SPSS 20.Results: In this study, out of these 252 doctors 25.39% were having high burnout while 32.93% were found to be at high risk of burnout. On the MBI scale 34.92% % showed a high score for Emotional exhaustion, 95.23 % of doctors scored high in Depersonalization, and 95.63% % scored low in Personal accomplishment. Amongst specialties burnout score was highest in orthopedics (80.14) followed by obstetricians and Gynecologists (75.35). Burnout was reported in 68.85% of young doctors aged 25-30, females (71.58%) were affected with burnout more as compared to male gender.Conclusion: This study concluded that about one-third of doctors were at high risk of developing burnout, while 25% were already affected by burnout.

Implementation and Assessment of Mentoring and Professionalism in Training (MAP-IT): A Humanistic Curriculum as a Tool to Address Burnout in Surgical Residents

Mentoring and Professionalism in Training (MAP-IT), a humanistic mentorship program, has demonstrated positive impact in non-surgical fields. This study assesses the feasibility of implementing MAP-IT in surgical residency and adapts MAP-IT to include residents-as-teachers (RAT). We hypothesize that MAP-IT will benefit surgical residents by building humanistic teaching skills, increasing resilience, reducing burnout, and improving connectedness. MAP-IT was implemented monthly during protected educational time. Faculty surgeons who had previously completed MAP-IT served as facilitators. Small groups consisted of 12 trainees, two faculty facilitators, and one resident facilitator. Each session comprised 60 minutes of reflection,readings, and discussion surrounding humanistic mentoring skills. The Maslach Burnout Inventory-Human Services Survey (MBI-HSS), Connor Davidson Resilience Scale (CD-RISC), and Humanistic Teaching Practices Effectiveness Questionnaire (HTPE) were administered before and after participation in MAP-IT. Qualitative interviews and surveys assessed residents' perspectives of the MAP-IT program. MAP-IT was implemented at Northwell-North Shore/LIJ in Manhasset, NY in a general surgery residency program hosted by two tertiary care hospitals within a large health system. 55 residents participated as learners, five residents served as resident-facilitators, and 10 surgical faculty served as paired-facilitators of the MAP-IT course. 31.6% of residents had participated in a reflective medicine curriculum prior to MAP-IT, and these residents reported greater resilience and less burnout. This disparity was eliminated after participation in MAP-IT. Frequency of burnout was reduced from 64.1% to 46.1% after MAP-IT participation. Post-program, residents reported greater effectiveness in humanistic teaching practices when compared to baseline assessments. Quantitative and qualitative feedback demonstrated that MAP-IT was well received by resident participants and addressed a gap in their surgical training. A humanistic mentorship program involving RAT can be effectively implemented in surgical residency, is well-received by residents, and addresses a need surgical training by building skills and improving resident well-being.