Burnout in residency: are cardiology residents more affected?
Abstract Introduction Burnout syndrome is a state of mental and physical wear caused by stressful working conditions, characterized by depersonalization, tiredness and lack of personal fulfillment. Its consequences are severe, ranging from sleep disorders to higher suicide risk. Residents in training are more prone to suffering this syndrome, especially in Argentina where over 30% of cardiology residents work over 80 hours and sleep less than 35 hours a week. There is a lack of robust data in Argentina regarding the incidence of this syndrome in residents and whether cardiology residents are more prone to suffering it compared to other clinical specialties. Methods We conducted a national, multicentric, voluntary, self-administered survey to determine burnout levels in residents across multiple specialties. Burnout syndrome was defined using the Maslach inventory tool as having all three of the following: high scores in tiredness (>26) and depersonalization (>9), and low score in personal fulfillment (>34). Discreet variables were analyzed by median and interquartile range, while proportions were used for nominal variables. We used Chi-squared test to compare categorical variables. Results 312 residents from 15 Argentinian provinces completed the survey, of which 148 (47.4%) represented cardiology residents, 112 (35.9%) other clinical specialties, and 52 (16.7%) surgical specialties. 63.1% were female. 16% were first year residents, 25% second year, 23% third year and 25% fourth year, with 8% chief of residents. 41% were from the public setting. 24% of all residents screened had a positive test for burnout syndrome. Cardiology residents had a higher burnout incidence (27.7%) than residents of other specialties (17%) (OR 1.87; 95% IC 1.02–3.45; p=0.04). A numerical (but not statistically significant) trend for higher lack of personal realization was found (OR 1.67; 95% CI 0.97–2.88; p=0.06). Conclusion In this trial, a higher incidence of burnout syndrome was found in Argentine cardiology residents than in other clinical specialties. This may be explained by an almost significant increase in lack of personal realization. Trials with an increased sample size need to be carried out to reinforce this hypothesis and determine causation, in order to support and influence policymakers to create a less stresful work environment in order to prevent burnout syndrome. Funding Acknowledgement Type of funding source: None