The Burnout Syndrome in Medical Academia: Psychometric Properties of the Serbian Version of the Maslach Burnout Inventory—Educators Survey

The aim of this study was to assess the psychometric properties of the Maslach Burnout Inventory—Educators Survey (MBI-ES). The presence of burnout syndrome, its relationship with personality traits, intention to change career and work abroad were assessed in a cross-sectional multi-center trial conducted among educators at three medical faculties in the Western Balkans during 2019. Translation and cultural adaptation were made based on internationally accepted principles. Personality traits were assessed by the Big Five Plus Two questionnaire. In total, 246 medical faculty members, predominantly females (61%), were enrolled. The three-factor structure of the MBI-ES questionnaire (exhaustion, cynicism, and professional efficacy) was validated. Analysis of internal consistency yielded a Cronbach’s alpha of 0.785, indicating scale reliability. The majority of respondents (85.6%) reported moderate level of burnout. Aggressiveness, neuroticism, and negative valence were associated with emotional exhaustion and depersonalization, while extraversion, conscientiousness, openness, and positive valence correlated with personal accomplishment. Emotional exhaustion and depersonalization in a multivariate regression model were significantly associated with intentions to change career and work abroad (p < 0.05). The present study provided evidence for the appropriate metric properties of the Serbian version of MBI-ES. Presence of burnout syndrome, which was identified as a common problem in medical academia, and directly linked to personality traits, affected intention to career change and work abroad.

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Burnout among physicians in palliative care: Impact of clinical settings

Palliative & Supportive Care ◽

10.1017/s1478951515000991 ◽

2015 ◽

Vol 14 (4) ◽

pp. 402-410 ◽

Cited By ~ 14

Author(s):

Soazic Dréano-Hartz ◽

Wadih Rhondali ◽

Mathilde Ledoux ◽

Murielle Ruer ◽

Julien Berthiller ◽

...

Keyword(s):

Palliative Care ◽

Emotional Exhaustion ◽

Maslach Burnout Inventory ◽

Cross Sectional Study ◽

Personal Accomplishment ◽

Burnout Syndrome ◽

Clinical Settings ◽

Cross Sectional ◽

Mobile Team ◽

The Impact

AbstractObjective:Burnout syndrome is a work-related professional distress. Palliative care physicians often have to deal with complex end-of-life situations and are at risk of presenting with burnout syndrome, which has been little studied in this population. Our study aims to identify the impact of clinical settings (in a palliative care unit (PCU) or on a palliative care mobile team (PCMT)) on palliative care physicians.Method:We undertook a cross-sectional study using a questionnaire that included the Maslach Burnout Inventory (MBI), and we gathered sociodemographic and professional data. The questionnaire was sent to all 590 physicians working in palliative care in France between July of 2012 and February of 2013.Results:The response rate was 61, 8% after three reminders. Some 27 (9%) participants showed high emotional exhaustion, 12 (4%) suffered from a high degree of depersonalization, and 71 (18%) had feelings of low personal accomplishment. Physicians working on a PCMT tended (p = 0.051) to be more likely to suffer from emotional exhaustion than their colleagues. Physicians working on a PCMT worked on smaller teams (fewer physicians, p < 0.001; fewer nonphysicians, p < 0.001). They spent less time doing research (p = 0.019), had fewer resources (p = 0.004), and their expertise seemed to be underrecognized by their colleagues (p = 0.023).Significance of Results:The prevalence of burnout in palliative care physicians was low and in fact lower than that reported in other populations (e.g., oncologists). Working on a palliative care mobile team can be a more risky situation, associated with a lack of medical and paramedical staff.

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Burnout in Postgraduate Trainees and Consultants working in Psychiatry Departments of Teaching Hospitals in Lahore, Pakistan

Esculapio ◽

10.51273/esc21.2517117 ◽

2021 ◽

Vol 17 (1) ◽

pp. 83-87

Author(s):

Aysha Butt ◽

Sara Rehman ◽

Minahil Rahman

Keyword(s):

Emotional Exhaustion ◽

Maslach Burnout Inventory ◽

Cross Sectional Study ◽

Personal Accomplishment ◽

Burnout Syndrome ◽

Teaching Hospitals ◽

Cross Sectional ◽

Low Levels ◽

High Level ◽

Emotional Burnout

Objective: To gauge the prevalence of burnout among postgraduate trainees and consultants working in psychiatry department, Services Hospital Lahore, Pakistan. Methods: 31 trainee and consultant psychiatrists in Services Hospital Lahore, Pakistan participated in this cross-sectional study. Abbreviated Maslach Burnout Inventory (aMBI) measured burnout. It consisted of 9 items, relating to emotional exhaustion, depersonalization and personal accomplishment. Each item is scored on a seven-point Likert scale. For Emotional Exhaustion and Depersonalization, higher scores predicted greater burnout; Personal Accomplishment demonstrated the opposite, hence its scores were inverted. Participants with moderate scores in 2 or more dimensions were identified as suffering from burnout syndrome. Data was analyzed by SPSS 25.0. Result: Mean age of participants was 34.87 ± 8.06 years. 52% were female. 58% were consultants, with average experience of 7 years; 61% practiced in more than one place. 32.3% of participants had burnout syndrome. Emotional Exhaustion subscale showed the highest scores i.e. 7.06 ± 3.43. 71% of participants demonstrated moderate or high burnout in this scale. Average Depersonalization score was 2.94 ± 2.42, while that for Personal Accomplishment was 3.29 ± 2.25. Conclusion: A significant portion of the sample reported moderate and high level of emotional exhaustion. On the contrary, we found low levels of depersonalization in the sample. Most psychiatrists reported adequate levels of personal achievement. These results are reassuring because, despite the presence of emotional burnout, psychiatrists still have capacity to empathize and provide adequate patient care. Key Words: burnout, psychiatry, trainees, consultants, Lahore, Pakistan How to cite: But. A., Rahman S., Rahman Minahil. Burnout in Postgraduate Trainees and Consultants working in Psychiatry Departments of Teaching Hospitals in Lahore, Pakistan. Esculapio 2021;71(01):83-87

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Burnout Syndrome Among Hospital Healthcare Workers During the COVID-19 Pandemic and Civil War: A Cross-Sectional Study

Frontiers in Psychiatry ◽

10.3389/fpsyt.2020.579563 ◽

2020 ◽

Vol 11 ◽

Author(s):

Muhammed Elhadi ◽

Ahmed Msherghi ◽

Moutaz Elgzairi ◽

Ayiman Alhashimi ◽

Ahmad Bouhuwaish ◽

...

Keyword(s):

Civil War ◽

Emotional Exhaustion ◽

Healthcare Workers ◽

Maslach Burnout Inventory ◽

Well Being ◽

Cross Sectional Study ◽

Personal Accomplishment ◽

Burnout Syndrome ◽

Sectional Study ◽

Cross Sectional

Objective: We aimed to determine the prevalence of burnout among hospital healthcare workers in Libya during the coronavirus disease (COVID-19) pandemic and civil war.Methods: A cross-sectional study was conducted from April 18 to May 2, 2020 among Libyan healthcare workers. Data on participant characteristics were collected with a specifically designed questionnaire. Burnout was assessed with the abbreviated Maslach Burnout Inventory (aMBI) comprising three subscales: emotional exhaustion (EE), depersonalization (DP), and personal accomplishment (PA), with each sub-scale score range from 0 to 18. For EE and DP, scores of 10 to 18 were regarded as “moderate to severe burnout.” PA was scored inversely, where a score ≤ 10 indicated severe burnout.Results: The study yielded a sample size of 532 participants. Of these, 357 (67.1%) reported emotional exhaustion (EE Score ≥ 10), 252 (47.4%) reported depersonalization (DP score ≥ 10), and 121 (22.7%) reported a lower sense of personal accomplishment (PA score ≤ 10). Verbal abuse was experienced by 304 participants (57.1%) and physical abuse in 93 (17.5). Gender was associated with high emotional exhaustion and high depersonalization. Being 35 years or older was associated with high depersonalization. Professional specialty was significantly associated with high emotional exhaustion and depersonalization. Fear of COVID-19 infection was associated with high emotional exhaustion and high depersonalization.Conclusion: The rising prevalence of mental disorders and inadequate availability of health services facilities during the COVID-19 pandemic and civil war demonstrated the need for healthcare policies to address the well-being of healthcare workers to decrease the risk of loss, suicide, and medical negligence.

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Síndrome de burnout en el personal de enfermería de unidades de cuidado crítico y de hospitalización

Enfermería Global ◽

10.6018/eglobal.398221 ◽

2020 ◽

Vol 19 (3) ◽

pp. 479-506

Author(s):

Militza Saraí Rendón Montoya ◽

Sandra Lidia Peralta Peña ◽

Eva Angelina Hernández Villa ◽

Reyna Isabel Hernández Pedroza ◽

María Rubi Vargas ◽

...

Keyword(s):

Emotional Exhaustion ◽

Rest Period ◽

Maslach Burnout Inventory ◽

Personal Accomplishment ◽

Nursing Personnel ◽

Burnout Syndrome ◽

Cross Sectional ◽

Work Shift ◽

Low Level ◽

Significant Difference

Introducción: El objetivo del estudio fue identificar la prevalencia del Síndrome de Burnout y sus dimensiones en el personal de enfermería de unidades de cuidado crítico y de hospitalización.Metodología: Se llevó a cabo un estudio observacional descriptivo, transversal en 90 enfermeras y enfermeros. Se utilizó el Cuestionario de Maslach Burnout Inventory para el personal de salud. Se realizó análisis exploratorio y análisis descriptivo e inferencial; se emplearon los estadísticos U de Mann Whitney y Kruskal Wallis.Resultados: Se encontró nivel medio de Síndrome de Burnout 82.2%; Agotamiento Emocional bajo 62.2%; nivel bajo de Despersonalización 57.8% y nivel bajo de Falta de Realización Personal 40%. Se evidenció diferencia estadísticamente significativa entre Síndrome de Burnout y turno de trabajo, doble turno al mes, períodos vacacionales al año y carga de trabajo; entre Agotamiento Emocional y tipo de servicio, ingreso quincenal, doble turno al mes, períodos vacacionales, tipo de contratación y carga de trabajo; entre Despersonalización y carga de trabajo; y entre Falta de Realización Personal y tipo de servicio, gusto por el servicio, turno de trabajo, ingreso quincenal, períodos de descanso en el turno, períodos vacacionales al año y tipo de contratación.Conclusiones: Un porcentaje mayor del personal de enfermería obtuvo nivel medio de Síndrome de Burnout. No se encontró diferencia estadísticamente significativa entre el síndrome de Burnout y sus dimensiones con las características sociológicas del personal de enfermería. Se encontró evidencia de que las características laborales son las que presentan mayor influencia en el desarrollo del Síndrome de Burnout. Introduction: The objective of the study was to identify the prevalence of the Burnout Syndrome and its dimensions in the nursing personnel working in the critical care and hospitalization units.Methodology: A descriptive, observational, and cross-sectional study was performed in 90 nurses. The Maslach Burnout Inventory for health personnel was used. An exploratory, descriptive, and inferential analysis was carried out; the Mann Whitney U and Kruskal Wallis tests statistics were used.Results: A medium level regarding the burnout syndrome, 82.2%, was found; emotional exhaustion decreased by 62.2%; low level of depersonalization, 57.8%, and low level of lack of personal accomplishment, 40%. There was a statistically significant difference between burnout syndrome and work shift, double work shift per month, vacation periods per year, and workload; between emotional exhaustion and type of service, two-week income, double work shift, vacation periods, type of procurement, and workload; between depersonalization and workload; and between lack of personal accomplishment and type of service, work shift, two-week income, rest period during the shift, vacation periods per year, and type of procurement. Conclusions: A higher percentage of nursing personnel had a mild burnout syndrome. No statistically significant difference between burnout syndrome and its dimensions and the sociological characteristics of the nursing personnel was found. Evidence that job characteristics are those that show more influence in the development of the burnout syndrome was found.

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Nursery teachers in preschool institutions facing burnout: Are personality traits attributing to its development?

PLoS ONE ◽

10.1371/journal.pone.0242562 ◽

2020 ◽

Vol 15 (11) ◽

pp. e0242562

Author(s):

Radica Tasic ◽

Nina Rajovic ◽

Vedrana Pavlovic ◽

Bosiljka Djikanovic ◽

Srdjan Masic ◽

...

Keyword(s):

Personality Traits ◽

Health Care Professionals ◽

Maslach Burnout Inventory ◽

Cross Sectional Study ◽

Burnout Syndrome ◽

Cluster Sampling ◽

Cross Sectional ◽

Professional Efficacy ◽

Serbian Version ◽

Positive Valence

Introduction The aim of the study was to assess the prevalence of burnout syndrome among nursery teachers in Belgrade's preschool institutions, and to assess the role of personality traits in its development. Materials and methods A cross-sectional study was conducted in all Belgrade’s preschool institutions. A stratified cluster sampling method was used to obtain a representative sample. Burnout was measured using the Maslach Burnout Inventory- General Survey (MBI-GS). The MBI-GS adaptation was based on an internationally accepted methodology for translation and cultural adaptation. Psychometric properties of the Serbian version of the MBI-GS were analyzed through the examination of factorial structure and internal consistency. A shortened version of Big Five Plus Two questionnaire was used to measure Personality traits. Results Three hundred two health care professionals were enrolled. The mean age was 38±9.2 years and all were female. Confirmatory factor analysis validated the three-factor structure of the questionnaire (exhaustion, cynicism and professional efficacy). Overall, 251 (83.1%) respondents were found to have moderate burnout. In multiple regression analysis, positive valence and conscientiousness were significantly associated with professional efficacy. Aggressiveness, neuroticism, openness, and age, were significantly associated with exhaustion. Aggressiveness, neuroticism and additional jobs showed association with cynicism. Conclusion Present study provided the evidence for the appropriate metric properties of the Serbian version of MBI-GS. Most nurses demonstrated moderate burnout level. Personality traits are characteristics that affect presence of burnout syndrome in healthcare professionals working in preschool institutions.

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Association between Burnout Syndrome and medical training by specialty in first-year residents

Salud Mental ◽

10.17711/sm.0185-3325.2020.031 ◽

2020 ◽

Vol 43 (5) ◽

pp. 227-233

Author(s):

José Manuel Rosas-Navarro ◽

Sergio Armando Covarrubias-Castillo ◽

José Carlos Villalobos-Lizardi ◽

Daniel Alejandro Muñoz-Chacón ◽

Rogelio Bazúa O’Connor

Keyword(s):

Emotional Exhaustion ◽

Analytical Study ◽

Medical Training ◽

Maslach Burnout Inventory ◽

Personal Accomplishment ◽

Burnout Syndrome ◽

First Year ◽

Contributing Factors ◽

Cross Sectional ◽

Group Type

Introduction. Burnout syndrome (BOS) comprises emotional exhaustion, depersonalization, and reduced personal accomplishment in those affected. Instruments such as the Maslach Burnout Inventory (MBI) can help to identify those affected. Physicians in training have been described as an at-risk group for this syndrome. Objective. Describe the association between BOS and medical training by specialty in first-year residents. Method. This is a cross-sectional analytical study of specialty residents at the Hospital Civil de Guadalajara. Sociodemographic data were obtained and the MBI was administered to identify BOS. Samples were compared, and a comparative analysis performed to identify factors associated with BOS. Results. Eighty-eight residents were included, with 21.6% (n = 19) presenting BOS, 53.4% displaying emotional exhaustion (n = 47), 53.7% showing depersonalization (n = 47), and 39.8% reduced personal accomplishment (n = 35). Presenting BOS was not associated with sociodemographic characteristics or type of specialty. Work hours (ro = .229, p = .032), and a higher number of on-call hours/week (ro = .34, p = .001) were associated with higher BOS. Discussion and conclusion. The prevalence of BOS was lower than expected. Over half scored for emotional exhaustion and depersonalization, which could be explained by a self-reporting bias. There was no association between the group/type of specialty and BOS. This study creates new knowledge that works as an institutional situational diagnosis, helps to determine the scope of the problem, and encourages to consider the contributing factors to its origin and maintenance.

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Correlation Between Burnout Syndrome and Anxiety in Military Personnel

Serbian Journal of Experimental and Clinical Research ◽

10.2478/sjecr-2018-0004 ◽

2020 ◽

Vol 21 (1) ◽

pp. 59-65 ◽

Cited By ~ 1

Author(s):

Aleksandra R. Vojvodic ◽

Gordana Dedic

Keyword(s):

Emotional Exhaustion ◽

Military Personnel ◽

Maslach Burnout Inventory ◽

Armed Forces ◽

Cross Sectional Study ◽

Personal Accomplishment ◽

Burnout Syndrome ◽

Cross Sectional ◽

Psychological Disturbances ◽

The Military

AbstractProfessional military personnel are exposed to a large number of stressors every day at a higher rate than the civilian population, which can lead to psychological disturbances, primarily anxiety, as well as burnout syndrome. The aim of our investigation was to determine the correlation between burnout syndrome and anxiety in military personnel of the Serbian Armed Forces.The cross-sectional study included a total of 311 professional military personnel (officers, non-commissioned officers and professional soldiers), between 23 to 53 years of age (35.3±7 years, on the average) without previous diagnosis of mental disorder. For purpose of this study we used Maslach Burnout Inventory (MBI) and Beck Anxiety Inventory (BAI). MBI contains three subscales, which measure three components of burnout: Emotional exhaustion (EE), Depersonalization (DP) and Personal accomplishment (PA). The statistical analysis included parametric and non-parametric descriptive statistics.The highest level of burnout was measured on the sub-scales Emotional exhaustion (EE) in military personnel from 23 to 30 years old (p<0.05), while anxiety increased with age of military personnel (p<0.001). Total scores on the subscales Emotional exhaustion (EE) and Depersonalization (DP) increased, while on the subscale Personal accomplishment (PA) decreased with the increase of the total BAI score (p<0.001).There was a correlation between burnout syndrome and anxiety in professional military personnel of Serbian Armed Forces. Improving the financial situation, paid recreational breaks and reduction of professional obligations could decrease anxiety and affect the prevention of the occurrence of burnout syndrome in the military environment.

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Burnout and Its Relationship with Demographic and Job-Related Variables among Dentists in Lithuania: A Cross-Sectional Study

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph18083968 ◽

2021 ◽

Vol 18 (8) ◽

pp. 3968

Author(s):

Eglė Slabšinskienė ◽

Andrej Gorelik ◽

Aistė Kavaliauskienė ◽

Apolinaras Zaborskis

Keyword(s):

Job Satisfaction ◽

Emotional Exhaustion ◽

Maslach Burnout Inventory ◽

Cross Sectional Study ◽

Personal Accomplishment ◽

Cross Sectional ◽

Satisfaction Index ◽

Sum Score ◽

Sum Scores ◽

High Level

Although burnout has been described as a serious hazard for personal and professional lives and has been surveyed among dentists in many countries, no study has been published regarding burnout among dentists in Lithuania. This study aimed to evaluate the burnout level among Lithuanian dentists and its association with demographic variables, job satisfaction, and other job-related variables. The data were collected among dentists online or during professional conferences while using an anonymous questionnaire (n = 380). The Maslach Burnout Inventory (MBI) was used to evaluate the burnout level. A Poisson regression was applied for the analysis of relationships between variables. We observed that 42.3% of the respondents had a high emotional exhaustion (EE) (95% confidence interval (CI): 37.4–42.3%), while 18.7% (95% CI: 15.0–22.9%) and 28,2% (95% CI: 23.4–32.6%) had high depersonalization (DP) and low personal accomplishment (PA), respectively. Nonetheless, 15.3% (95% CI: 11.8–18.9%) of the study population experienced a high level of overall burnout. An original job satisfaction index was elaborated. It was significantly associated with sum scores of all burnout dimensions: with the EE sum score (Ratio of Sum Score Means (RSSM) 1.54; 95% CI: 1.46–1.62), DP sum score (RSSM 1.59; 95% CI: 1.45–1.74), and PA sum score (RSSM 0.88; 95% CI: 0.84–0.92). It was concluded that Lithuanian dentists can be characterised by high burnout intensity and high prevalence of burnout, being especially evident in emotional exhaustion. The dentist with low job satisfaction appeared to be the most vulnerable to all burnout dimensions.

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Addressing the relationship between perceived fear of COVID-19 virus infection and emergence of burnout symptoms in a sample of Egyptian physicians during COVID-19 pandemic: a cross-sectional study

Middle East Current Psychiatry ◽

10.1186/s43045-020-00079-0 ◽

2020 ◽

Vol 27 (1) ◽

Author(s):

Mohamed Abdelghani ◽

Hayam M. El-Gohary ◽

Eman Fouad ◽

Mervat S. Hassan

Keyword(s):

Quality Of Life ◽

Depressive Symptoms ◽

Virus Infection ◽

Emotional Exhaustion ◽

Maslach Burnout Inventory ◽

Cross Sectional Study ◽

Personal Accomplishment ◽

Sectional Study ◽

Cross Sectional

Abstract Background Physicians during the COVID-19 pandemic are working under relentless stress. This study aimed to identify the impact of the perceived fears of COVID-19 virus infection on the quality of life and the emergence of burnout syndrome among physicians in Egypt during the COVID-19 outbreak. This cross-sectional study was conducted between May 10th and June 9th, 2020, and included 320 Egyptian physicians who were working during the outbreak of the COVID-19 pandemic. The participants were interviewed using the Fear of COVID-19 scale (FCV-19S), Hospital Anxiety and Depression Scale (HADS), Maslach Burnout Inventory, and World Health Organization Quality of Life Scale (WHOQOL-BREF) for assessment of the perceived fears of COVID-19 virus infection, associated anxiety and depressive symptoms, burnout symptoms, and quality of life, respectively. Results Overall, most physicians were females (63%). Ideas about death, moderate-to-severe anxiety, and depressive symptoms were reported by 11, 28, and 29% of physicians, respectively. For burnout symptoms, high emotional exhaustion, high depersonalization, and low personal accomplishment were reported by 20, 71, and 39% of physicians, respectively. The perceived fear of COVID-19 virus infection was positively correlated with anxiety, depression, and burnout emotional exhaustion, and depersonalization symptoms, and negatively correlated with personal accomplishment and all quality of life domains. Conclusions Egyptian physicians experienced higher levels of COVID-19-related fears, anxiety, and depressive and burnout symptoms. There was a robust correlation between these perceived fears, and higher burnout symptoms, and poor quality of life among physicians. Specific interventions should be tailored to minimize the physical and mental burdens on the physicians during the COVID-19 pandemic.

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Burnout Impact of COVID-19 Pandemic on Health-Care Professionals at Assiut University Hospitals, 2020

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph18105368 ◽

2021 ◽

Vol 18 (10) ◽

pp. 5368

Author(s):

Shimaa A. Elghazally ◽

Atef F. Alkarn ◽

Hussein Elkhayat ◽

Ahmed K. Ibrahim ◽

Mariam Roshdy Elkhayat

Keyword(s):

Health Care ◽

Health Care Providers ◽

Emotional Exhaustion ◽

Health Care Professionals ◽

Maslach Burnout Inventory ◽

Adverse Outcomes ◽

Personal Accomplishment ◽

Burnout Syndrome ◽

Care Providers ◽

University Hospitals

Background: burnout syndrome is a serious and growing problem among medical staff. Its adverse outcomes not only affect health-care providers’ health, but also extend to their patients, resulting in bad-quality care. The COVID-19 pandemic puts frontline health-care providers at greater risk of psychological stress and burnout syndrome. Objectives: this study aimed to identify the levels of burnout among health-care professionals currently working at Assiut University hospitals during the COVID-19 pandemic. Methods: the current study adopted an online cross-sectional design using the SurveyMonkey® website for data collection. A total of 201 physicians were included and the Maslach Burnout Inventory (MBI) scale was used to assess the three burnout syndrome dimensions: emotional exhaustion, depersonalization, and reduced personal accomplishment. Results: about one-third, two-thirds, and one-quarter of the respondents had high emotional exhaustion, high depersonalization, and low personal accomplishment, respectively. Younger, resident, and single physicians reported higher burnout scores. The personal accomplishment score was significantly higher among males. Those working more than eight hours/day and dealing with COVID-19 patients had significantly higher scores. Conclusion: during the COVID-19 pandemic, a high prevalence of burnout was recorded among physicians. Age, job title, working duration, and working hours/day were significant predictors for burnout syndrome subscale results. Preventive and interventive programs should be applied in health-care organizations during pandemics.

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