Frequency of Burn-out Among Moroccan Medical Residents

BackgroundBurnout is a state of mental and physical exhaustion related to work. It is manifested in a variety of professions and is prevalent in contexts in which health professionals are required to interact directly with the public.ObjectivesTo estimate the burnout syndrome (BOS) prevalence and to identify its associated factors among medical residents.MethodsA descriptive and analytic study conducted during a period from 2012 until 2014, including 184 residents exerting at the two university hospitals of Sfax, Tunisia. Data collection was conducted using an anonymous self-questionnaire, including demographic items and working conditions items. Maslach Burn-out Inventory (MBI) was used to assess BOS.ResultsThe average age was 25.14 ± 1.47 years. The sex-ratio was 0.65. The majority (154 residents) was single. Over than half (58.2%) of medical residents endure a high emotional exhaustion, 62.5% a high depersonalisation and 12.5% a low personal accomplishment. About eighty percent (79.3%) of them were in burn out with 37% at intermediate and 11.3% at a severe degree. No statistical association was found between the personal characteristics and BOS. Whereas, several factors related to employment status were correlated with the presence of BOS such us: number of working hours > 30 h/week, a number of free weekends < 2/month and a number of days off ≤ 30 days/year. In addition, we found that psychotropic and alcohol consumption were significantly associated to BOS with respectively P = 0.050 and P = 0.002.ConclusionBurnout is a worrying reality among young doctors. Individual as well as organizational interventions should be targeted to prevention.Disclosure of interestThe authors have not supplied their declaration of competing interest.

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Turning the tide: a quasi-experimental study on a coaching intervention to reduce burn-out symptoms and foster personal resources among medical residents and specialists in the Netherlands

BMJ Open ◽

10.1136/bmjopen-2020-041708 ◽

2021 ◽

Vol 11 (1) ◽

pp. e041708

Author(s):

Lara Solms ◽

Annelies van Vianen ◽

Jessie Koen ◽

Tim Theeboom ◽

Anne P J de Pagter ◽

...

Keyword(s):

The Netherlands ◽

Response Rate ◽

Medical Residents ◽

Personal Resources ◽

Control Group ◽

Self Compassion ◽

Individual Coaching ◽

Coaching Intervention ◽

Group Response ◽

Burn Out

ObjectivesPhysician burn-out is increasing, starting already among residents. The consequences of burn-out are not limited to physicians’ well-being, they also pose a threat to patient care and safety. This study investigated the effectiveness of a professional coaching intervention to reduce burn-out symptoms and foster personal resources in residents and specialists.DesignIn a controlled field experiment, medical residents and specialists received six coaching sessions, while a control group did not undergo any treatment. The authors assessed burn-out symptoms of exhaustion and cynicism, the personal resources psychological capital, psychological flexibility and self-compassion, as well as job demands and job resources with validated questionnaires (January 2017 until August 2018). The authors conducted repeated measures analyses of variance procedures to examine changes over time for the intervention and the control group.SettingFour academic hospitals in the Netherlands.ParticipantsA final sample of 57 residents and specialists volunteered in an individual coaching programme. A control group of 57 physicians did not undergo any treatment.InterventionCoaching was provided by professional coaches during a period of approximately 10 months aiming at personal development and growth.ResultsThe coaching group (response rate 68%, 57 physicians, 47 women) reported a reduction in burn-out symptoms and an increase in personal resources after the coaching intervention, while no such changes occurred in the control group (response rate 35%, 42 women), as indicated by significant time × group interactions, all p<0.01. Specifically, physicians increased their psychological capital (ηp2=0.139), their self-compassion (ηp2=0.083), and reported significantly less exhaustion (ηp2=0.126), the main component of the burn-out syndrome.ConclusionThis study suggests that individual coaching is a promising route to reduce burn-out symptoms in both residents and specialists. Moreover, it strengthens personal resources that play a crucial role in the prevention of burn-out.

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Mindfulness-based stress reduction or aerobics exercise for reducing burn-out in medical residents-a study protocol for a phase III, open-label, multi-center, randomized controlled trial: The MINDER study

Principles and Practice of Clinical Research Journal ◽

10.21801/ppcrj.2020.62.3 ◽

2020 ◽

Vol 6 (2) ◽

pp. 13-20

Author(s):

Ahmed Mubark Omer Elamin ◽

Bruno Fu Lon Chen ◽

Carlos Davila Peixoto ◽

Eduardo Barrera-Juarez ◽

Eltahir Mohammed Alhassan ◽

...

Keyword(s):

Randomized Controlled Trial ◽

Study Protocol ◽

Stress Reduction ◽

Controlled Trial ◽

Medical Residents ◽

Phase Iii ◽

Open Label ◽

Randomized Controlled ◽

Burn Out ◽

Mindfulness Based Stress Reduction

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Psychostimulant Subtances Use Among Resident Doctors

Acta Medica Transilvanica ◽

10.2478/amtsb-2020-0058 ◽

2020 ◽

Vol 25 (4) ◽

pp. 6-8

Author(s):

Diana-Andreea Iacob

Keyword(s):

Energy Drinks ◽

Medical Residents ◽

Burn Out ◽

Type Test

Abstract The use of psychostimulants is more and more common lately, especially in the medical guild. The term “burn-out” is an occupational phenomenon, not a disease, and 25-60% of doctors in different specialties have the burn-out syndrome. The method was to complete a questionnaire-type test by 204 medical residents. The results shows us that 72.1% (147) of the respondents drinks coffee, 25.9% of them smokes cigarettes during hospital hours and 13.7% consumes energy drinks. Furthemore 5.9% drinks alcohol during shifts. Among of all, those who are consumers of at least one psychostimulant substance, the risk of them having at least one of the symptoms of burnout is 1.3 times higher than those who do not consume anything at work (RR-1.3453, p = 0.0152). Psychostimulant substances are consumed to improve the efficiency and resistance at work. It’s important to manage the time in order to avoid extreme fatigue and distress.

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Training for primary care. Use of the general medical clinic as a site for training medical residents

Archives of Internal Medicine ◽

10.1001/archinte.133.3.448 ◽

1974 ◽

Vol 133 (3) ◽

pp. 448-451

Author(s):

L. V. Perlman

Keyword(s):

Primary Care ◽

Medical Residents ◽

Medical Clinic ◽

General Medical Clinic ◽

A Site

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Risiken und Nebenwirkungen von Sparprogrammen auf die stationäre Medizin in der Schweiz

Praxis ◽

10.1024/0369-8394.94.28.1103 ◽

2005 ◽

Vol 94 (28) ◽

pp. 1103-1111 ◽

Cited By ~ 1

Author(s):

Schüpfer ◽

Babst

Keyword(s):

Oder Eine ◽

Burn Out ◽

Rationierung Im Gesundheitswesen

Verschiedene Ansätze zur Reform des schweizerischen Gesundheitswesens werden diskutiert, ohne dass ein klarer Entscheid für eine mehr planwirtschaftliche oder eine mehr wettbewerbliche Ausrichtung vorliegt. Trotz gleichbleibendem Leistungsauftrag bezüglich Angebot, Menge und Qualität, werden die Mittel für die öffentlichen Spitäler bei zum Teil sinkenden Preisen (= Tarifen) reduziert. Das Rationalisierungspotential beim Personal ist dabei weitestgehend ausgeschöpft, weshalb nun zunehmend eine verdeckte Rationierung einsetzt. Dieser Leistungsabbau führt zu Qualitätsverlust in der Behandlung der Patienten, zu Burn-out beim Pflegepersonal und zu Frustrationen bei den verantwortlichen Kaderärzten. Die bedrohte Qualitäts- und Sicherheitslage erfordert deshalb vom Leistungserbringer Schritte in Richtung einer Qualitätstransparenz zur Monitorisierung der Folgen einer einseitigen auf Kosten fokussierten Gesundheitspolitik und die Einführung eines integralen Risikomanagements zur Gewährleistung grösstmöglicher Sicherheit für den Patienten in einem System mit beschränkten Ressourcen. Es wird zudem eine Bewertung möglicher Auswege aus der Falle der verdeckten Rationierung vorgenommen. Diskutiert werden folgende Lösungsansätze: 1. explizite Rationierung, 2. Ansätze für eine grundlegende Reform des Gesundheitswesens in der Schweiz, 3. Restrukturierung der Leistungserbringer unter Berücksichtigung von Skaleneffekten und 4. Wettbewerb. In jedem Fall aber hat sich auch die Rechtssprechung den beschränkten Mitteln anzupassen und ihre Optik sollte die politische und ökonomische Sicht der Rationierung im Gesundheitswesen, als neues Element neben der Patientensicherheit mit berücksichtigen. Die Ärzte dürfen nicht allein in die Rolle der Rationierer gedrängt werden, sie wollen und können diese Rolle nicht übernehmen. Dies ist Aufgabe der Politik.

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