Burnout syndrome during residency in internal medicine and pediatrics in a country without working time directive

2014 ◽  
Vol 27 (3) ◽  
pp. 223-230 ◽  
Author(s):  
Duygu Yazgan Aksoy ◽  
Mine Durusu Tanriover ◽  
Sule Unal ◽  
Omer Dizdar ◽  
Umut Kalyoncu ◽  
...  
Keyword(s):  
Internal Medicine ◽  
Design Methodology ◽  
Working Time ◽  
Personal Accomplishment ◽  
Burnout Syndrome ◽  
Content Type ◽  
Item Questionnaire ◽  
Internal Medicine Residents ◽  
Clinically Significant ◽  
Working Time Directive

Purpose – The purpose of this paper is to demonstrate burnout syndrome among internal medicine and pediatrics residents in a country that does not have the working time directive (WTD) and also to determine the risk factors and consequent impact on efficient functioning in clinical areas. Design/methodology/approach – A 57-item questionnaire was given to internal medicine and pediatrics residents. Responses from 22 pediatrics and 33 internal medicine residents were evaluated. Findings – Demographic findings, burnout scores, having hobbies, social activities and reading books unrelated to medicine were similar between the two groups. Six pediatrics residents (27.3 per cent) and 11 (33.3 per cent) internal medicine residents met the criteria for clinically significant burnout. Personal accomplishment scores and reading books unrelated to medicine were found to be related to burnout. Originality/value – Burnout is a syndrome characterized by depersonalization, emotional exhaustion and a low sense of personal accomplishment. It is important to document burnout in countries where WTDs are not implemented. Further studies might demonstrate burnout's effect on patient safety, service quality and physician's performance.

scholarly journals Evaluation of an Online Program To Teach Microbiology to Internal Medicine Residents

2014 ◽  
Vol 53 (1) ◽  
pp. 278-281 ◽  
Author(s):  
Jeannette Guarner ◽  
Eileen M. Burd ◽  
Colleen S. Kraft ◽  
Wendy S. Armstrong ◽  
Kenya Lenorr ◽  
...  
Keyword(s):  
Internal Medicine ◽  
Infectious Disease ◽  
Knowledge Level ◽  
Online Program ◽  
Consultation Service ◽  
Content Type ◽  
Internal Medicine Residents ◽  
Average Improvement ◽  
Before And After ◽  
Case Based

Microbiology rounds are an integral part of infectious disease consultation service. During microbiology rounds, we highlight microbiology principles using vignettes. We created case-based, interactive, microbiology online modules similar to the vignettes presented during microbiology rounds. Since internal medicine residents rotating on our infectious disease elective have limited time to participate in rounds and learn microbiology, our objective was to evaluate the use of the microbiology online modules by internal medicine residents. We asked residents to complete 10 of 25 online modules during their infectious disease elective. We evaluated which modules they chose and the change in their knowledge level. Forty-six internal medicine residents completed assessments given before and after accessing the modules with an average of 11/20 (range, 6 to 19) and 16/20 (range, 9 to 20) correct questions, respectively (average improvement, 5 questions;P= 0.0001). The modules accessed by more than 30 residents included those related toClostridium difficile, anaerobes,Candidaspp.,Streptococcus pneumoniae, influenza,Mycobacterium tuberculosis, andNeisseria meningitidis. We demonstrated improved microbiology knowledge after completion of the online modules. This improvement may not be solely attributed to completing the online modules, as fellows and faculty may have provided additional microbiology education during the rotation.

scholarly journals Inter-hospital comparison of working time allocation among internal medicine residents using time-motion observations: an innovative benchmarking tool

BMJ Open ◽  
2020 ◽  
Vol 10 (2) ◽  
pp. e033021
Author(s):  
Simon Martin Frey ◽  
Marie Méan ◽  
Antoine Garnier ◽  
Julien Castioni ◽  
Nathalie Wenger ◽  
...  
Keyword(s):  
Internal Medicine ◽  
Time Allocation ◽  
Postgraduate Training ◽  
Working Time ◽  
University Hospital ◽  
Direct Patient Care ◽  
Time Motion ◽  
Internal Medicine Residents ◽  
Working Day ◽  
Hospital Comparison

ObjectivesThe vast majority of residents’ working time is spent away from patients. In hospital practice, many factors may influence the resident’s working day structure.Using an innovative method, we aimed to compare working time allocation among internal medicine residents using time-motion observations. The first study goal was to describe how the method could be used for inter-hospital comparison. The secondary goal was to learn about specific differences in the resident’s working day structure in university and non-university hospital settings.DesignTwo separate time-motion studies. Trained peer-observers followed the residents during weekday day shifts with a tablet, able to record 22 different activities and corresponding context (with patient, phone, colleague or computer).SettingInternal medicine residencies at a university (May–July 2015) and a non-university (September–October 2016) community hospital.Participants28 residents (mean age: 29 years, average postgraduate training: 30 months) at university hospital, 21 residents (mean age: 30 years, average postgraduate training: 17 months) at non-university hospital.OutcomesTime spent with patients and time dedicated to activities directly related to patients; description of main differences of time allocation between hospitals.ResultsCumulatively 1051 hours of observation (566 (university hospital)+486 (non-university hospital)) and 92 day shifts (49+43) were evaluated. Daily working time was 11.5 versus 11.3 hours. A median daily period of 195 min (IQR 179–211, 27.9%) and 116 min (IQR 98–134, 17.2%) (p<0.001) was dedicated to direct patient care, respectively.ConclusionsWe successfully identified differences potentially related to each hospital structure and organisation. Inter-hospital comparisons could help set up interventions aiming to improve workday structure and experience of residents.

Why do clients enrol and continue at sports centres?

2019 ◽  
Vol 9 (3) ◽  
pp. 273-283 ◽  
Author(s):  
Sergio Rodríguez Cañamero ◽  
Jorge García-Unanue ◽  
José Luis Felipe ◽  
Javier Sánchez-Sánchez ◽  
Leonor Gallardo
Keyword(s):  
Design Methodology ◽  
Research Priorities ◽  
The Internet ◽  
Recruitment Method ◽  
Content Type ◽  
Item Questionnaire ◽  
Secondary Objective ◽  
Practical Implications

Purpose The purpose of this paper is to analyse the ways clients find out about a sport centre and the factors that lead them to enrol and influence their satisfaction with their membership. A secondary objective was to determine the reasons for continuing to attend a sport centre and how they influenced satisfaction towards achievement. Finally, the authors aimed to identify differences between reasons for enroling and reasons for continuing at a sport centre. Design/methodology/approach A specially developed 16-item questionnaire was sent to 125,000 clients and 21,043 responses were obtained. Findings Clients who found out about the centre through a recommendation or the internet were 25 per cent more likely to be satisfied with it than those who knew of the centre due to proximity. Similarly, clients who had a specific motive to continue using the centre, for example, to prepare for a sports competition were twice as likely to be satisfied with their membership as any other group (p<0.001). Research limitations/implications It identifies a set of research priorities for the journal and the field. Practical implications In conclusion, the option of staying fit is established as the most effective recruitment method for retaining clients at the sport centre. Originality/value This paper intends to do is to establish the bases of information and knowledge for the treatment of high motives, as well as for managers of sports centres to remodel their strategies of marketing to attracting customers.

scholarly journals The Effect of Burnout on Medical Errors and Professionalism in First-Year Internal Medicine Residents

2016 ◽  
Vol 8 (4) ◽  
pp. 597-600 ◽  
Author(s):  
Jason Kwah ◽  
Jennifer Weintraub ◽  
Robert Fallar ◽  
Jonathan Ripp
Keyword(s):  
Internal Medicine ◽  
Emotional Exhaustion ◽  
Medical Errors ◽  
Maslach Burnout Inventory ◽  
Personal Accomplishment ◽  
First Year ◽  
Medication Prescription ◽  
Internal Medicine Residents ◽  
Laboratory Test Results ◽  
Discharge Summaries

ABSTRACT Background  Burnout is a common issue in internal medicine residents, and its impact on medical errors and professionalism is an important subject of investigation. Objective  To evaluate differences in medical errors and professionalism in internal medicine residents with and without burnout. Methods  A single institution observational cohort study was conducted between June 2011 and July 2012. Burnout was measured using the Maslach Burnout Inventory to generate subscores for the following 3 domains: emotional exhaustion, depersonalization, and sense of personal accomplishment. By convention, burnout was defined as a high emotional exhaustion or depersonalization subscore. Medication prescription error rate was the chosen measure of medical errors. Professionalism was measured cumulatively through examining discharge summaries completed within 48 hours, outpatient charts completed within 72 hours, and the average time to review outpatient laboratory tests. Results  Of a total of 54 eligible first-year residents, 53 (98%) and 32 (59%) completed the initial and follow-up surveys, respectively. Residents with year-end burnout had a lower rate of medication prescription errors (0.553 versus 0.780, P = .007). Discharge summaries completed within 48 hours of discharge (83.8% versus 84.0%, P = .93), outpatient charts completed within 72 hours of encounter (93.7% versus 94.3%, P = .31), and time (minutes) to review outpatient laboratory test results (72.3 versus 26.9, P = .28) were similar between residents with and without year-end burnout. Conclusions  This study found a small decrease in medical errors in residents with year-end burnout compared to burnout-free residents and no difference in selected measures of professionalism.

Visitors’ use of corridors in internal medicine wards

Facilities ◽  
2019 ◽  
Vol 37 (5/6) ◽  
pp. 313-329 ◽  
Author(s):  
Lusi Morhayim
Keyword(s):  
Internal Medicine ◽  
Architectural Design ◽  
Design Methodology ◽  
Future Research ◽  
Floor Plan ◽  
Content Type ◽  
Burn Out ◽  
Internal Medicine Wards ◽  
Practical Implications ◽  
And Task

Purpose This paper aims to analyze visitors’ waiting behavior in corridors of an internal medicine ward in relation to concepts of territoriality and privacy. Design/methodology/approach Waiting activities, visitors’ room numbers and duration of activities were recorded on a floor plan. Results were tallied according to behavioral and architectural zones in which the activity took place. Findings Locations that are near patient rooms that provide visual and auditory access are largely used as territorial areas for non-privacy-required activities. Ends of corridors, secondary corridors and staircases were mainly used for activities that required some level of privacy such as grieving. Research limitations/implications As is true with post-occupancy evaluations in other single buildings, this research may not be generalizable to all internal medicine wards. Future research could measure whether responding to visitors’ spatial needs could result in lower density and sense of crowding in the corridors, as well as reduce stress and task interruptions and increase efficiency of patient-check rounds. Practical implications The findings indicate that internal medicine wards should include waiting areas near the patient rooms for visitors to be able to keep visual and auditory connection with their patients, as well as areas that provide privacy. This may help lower density, sense of crowding, distraction of medical staff, stress and burn-out and errors, as well as increase the efficiency of patient checks. Originality/value The ways in which architectural design of internal medicine corridors can support visitors’ activities and environmental needs such as territoriality and privacy is an issue that is rarely examined. This paper also adds an example from a non-Western culture, to a literature that is dominated by examples from Western cultures.

Prevent rough sleeping; create a psychologically informed environment

2015 ◽  
Vol 36 (1) ◽  
pp. 36-42 ◽  
Author(s):  
Claire Ritchie
Keyword(s):  
Design Methodology ◽  
Mental Distress ◽  
Social Care ◽  
Good Practice ◽  
Psychological Needs ◽  
Personal Accomplishment ◽  
Content Type ◽  
Health And Wellbeing ◽  
Care Services ◽  
Health And Social Care

Purpose – The purpose of this paper is to inspire services to create Psychologically Informed Environments (PIEs) to support people experiencing homelessness, complex trauma and multiple exclusion. Design/methodology/approach – It outlines key elements of PIEs and how these have been implemented at the Waterloo Project; a 19 bed hostel and integrated health and social care partnership in Lambeth. It considers the importance of meeting individuals emotional and psychological needs to support them out of homelessness. Findings – The service review found a reliable reduction in residents’ mental distress and improved health and wellbeing. Repeat homelessness, anti-social and self-harming behaviour decreased whilst engagement with services, self-care and esteem increased. There are early indications of cost benefits to health and social care services. Staff reported professional development and an increase in their sense of personal accomplishment. Originality/value – The paper aims to share learning, good practice and the outcomes of a psychologically informed approach to working with individuals who have not had their needs met by existing services. It illustrates the actual and potential social and economic impact and value on both individuals and public services.

Accountants’ satisfaction following unification of Canadian accounting bodies

2018 ◽  
Vol 14 (3) ◽  
pp. 250-272
Author(s):  
Tamaishwar Looknauth ◽  
Charles H. Bélanger
Keyword(s):  
Professional Identity ◽  
Design Methodology ◽  
Face Validity ◽  
Content Type ◽  
Five Dimensions ◽  
Item Questionnaire ◽  
Management Accountants ◽  
Level Of Satisfaction ◽  
Significant Difference ◽  
Chartered Accountants

Purpose This paper aims to assess the levels of satisfaction of legacy designation accountants, namely, Chartered Accountants (CAs), Certified General Accountants (CGAs) and Certified Management Accountants, under the new Chartered Professional Accountants (CPA) banner; to measure differences in satisfaction among the three designations; and to identify the factors associated with the levels of satisfaction. Design/methodology/approach A 30-item questionnaire was designed, pilot tested for face validity and further tested for reliability using a Cronbach’s alpha. The questionnaire consisted of three parts: sociodemographic questions, bipolar questions to fit the SERVQUAL model of satisfaction and questions about professional identity and general perceptions of the new CPA organization. Findings Legacy accountants in Ontario had a lower level of satisfaction than they expected before unification. A pre- and post-unification comparison found statistically significant differences on all five dimensions of the SERVQUAL model and on overall service. Responses to questions about professional identity and general perceptions of the new organization were mixed. An analysis of variance test revealed a statistically significant difference in satisfaction between CAs and the two other designations – CAs were the least satisfied. A varimax rotated factor analysis indicated that the SERVQUAL’s five dimensions appear to be good predictors of service quality. Research limitations/implications Merging professional cultures can be as challenging as merging companies. Increased membership volume needs to translate into additional benefits and services. As indicated by the respondents, the new CPA entity has much work to do, particularly with the former CAs. Originality/value This is the first study to examine satisfaction, specifically following the merger of the three accounting designations.

scholarly journals Correlation of burnout syndrome with specific coping strategies, behaviors, and spiritual attitudes among interns at Yale University, New Haven, USA

2015 ◽  
Vol 12 ◽  
pp. 41 ◽  
Author(s):  
Benjamin R. Doolittle ◽  
Donna M. Windish
Keyword(s):  
Internal Medicine ◽  
Coping Strategies ◽  
Emotional Exhaustion ◽  
Maslach Burnout Inventory ◽  
Active Coping ◽  
Personal Accomplishment ◽  
Burnout Syndrome ◽  
New Haven ◽  
Yale University ◽  
Survey Instruments

Purpose: This study aimed to determine the correlation of burnout syndrome with specific coping strategies, behaviors, and spiritual attitudes among interns in internal medicine, primary care, and internal medicine/pediatrics residency programs at two institutions. Methods: Intern physicians completed anonymous voluntary surveys prior to starting the internship in June 2009 and in the middle of the internship in February 2010. Three validated survey instruments were used to explore burnout, coping, and spiritual attitudes: the Maslach Burnout Inventory, the COPE Inventory, and the Hatch Spiritual Involvement and Beliefs Scale. The interns were in programs at the Yale University School of Medicine and a Yale-affiliated community hospital, New Haven, Connecticut, USA. Results: The prevalence of self-identified burnout prior to starting the internship was 1/66 (1.5%) in June 2009, increasing to 10/53 (18.9%) in February 2010 (P<0.0001). From June 2009 to February 2010, the prevalence of high emotional exhaustion increased from 30/66 (45.5%) to 45/53 (84.9%) (P<0.0001), and that of high depersonalization increased from 42/66 (63.6%) to 45/53 (84.9%) (P=0.01). Interns who employed the strategies of acceptance and active coping were less likely to experience emotional exhaustion and depersonalization (P<0.05). Perceptions of high personal accomplishment was 75.5% and was positively correlated with total scores on the Hatch Spiritual Involvement and Beliefs Scale, as well as the internal/fluid and existential/meditative domains of that instrument. Specific behaviors did not impact burnout. Conclusion: Burnout increased during the intern year. Acceptance, active coping, and spirituality were correlated with less burnout. Specific behaviors were not correlated with burnout domains.

Construction and validation of the employability questionnaire for accounting graduates

2022 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Nabil Ahmed Mareai Senan ◽  
M.M. Sulphey
Keyword(s):  
Design Methodology ◽  
Accounting Education ◽  
Statistical Techniques ◽  
Review Of The Literature ◽  
Content Type ◽  
Item Questionnaire ◽  
Five Factors ◽  
Confirmatory Factor ◽  
Accounting Graduates

PurposeGlobally, serious doubts are now expressed about the quality of accounting education, and employers are concerned about the lack of employability among graduates. There is a lack of a validated tool to measure employability in the Saudi Arabia context. Such a tool is required to assess the level of employability so that required corrective measures could be taken. The purpose of the study is to construct and validate a questionnaire to measure employability of accounting graduates.Design/methodology/approachThe data for the study was collected from various accounting professionals using a pool of 50 items from 420 randomly collected samples. The researchers used different statistical techniques, including exploratory and confirmatory factor analysis, to construct and validate the 29 item questionnaire.FindingsBased on the purpose of the study, a questionnaire for measuring the employability of accounting graduates was constructed. The questionnaire developed and scientifically validated through various scientific techniques has 20 items under five factors. The questionnaire is ideal for measuring employability of accounting graduates.Originality/valueA fair review of the literature revealed a dearth of a validated tool to measure employability of accounting graduates. The study has constructed and validated a questionnaire to measure employability of accounting graduates, thereby bridging the gap in literature. This questionnaire, it is expected, would facilitate the conduct of further empirical examinations about employability of accounting graduates.

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