Triggering and protective factors of burnout in medical resident physicians in a lower-middle-income country: A cross-sectional study

Residents and interns are prone to emotional and physical exhaustion, also known as burnout. Burnout has not been studied much in physicians working in lower-middle income countries. We conducted this study to determine the burden of burnout among internal medicine residents and to identify triggeri...

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Published in:Annals of medicine and surgery 2021-07, Vol.67, p.102500-102500, Article 102500
Main Authors: Mahmood, Saad bin Zafar, Zahid, Aqusa, Nasir, Noreen, Tahir, Munaim, Ghouri, Uzma, Almas, Aysha
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Language:English
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Burnout
Cross-sectional Study
Medicine
Pakistan
Residents
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container_title Annals of medicine and surgery
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creator Mahmood, Saad bin Zafar
Zahid, Aqusa
Nasir, Noreen
Tahir, Munaim
Ghouri, Uzma
Almas, Aysha
description Residents and interns are prone to emotional and physical exhaustion, also known as burnout. Burnout has not been studied much in physicians working in lower-middle income countries. We conducted this study to determine the burden of burnout among internal medicine residents and to identify triggering and protective factors associated with burnout. A cross-sectional study was conducted at two institutes in Karachi from 2018 to 2019. All residents registered in the internal medicine program for at least 6 months were invited to participate via an online survey. An abbreviated version of the Maslach Burnout scale was used to measure burnout, and protective and triggering factors were recorded according to known factors. A total of 71 out of 92 (77%) residents participated. The mean (SD) age of the participants was 28 (3.1) years, 51 (71.8%) were females and 51 (71.8%) were junior residents. A total of 33 (46.5%) residents had burnout. Burnout and emotional exhaustion were more in female residents (p 
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Burnout has not been studied much in physicians working in lower-middle income countries. We conducted this study to determine the burden of burnout among internal medicine residents and to identify triggering and protective factors associated with burnout. A cross-sectional study was conducted at two institutes in Karachi from 2018 to 2019. All residents registered in the internal medicine program for at least 6 months were invited to participate via an online survey. An abbreviated version of the Maslach Burnout scale was used to measure burnout, and protective and triggering factors were recorded according to known factors. A total of 71 out of 92 (77%) residents participated. The mean (SD) age of the participants was 28 (3.1) years, 51 (71.8%) were females and 51 (71.8%) were junior residents. A total of 33 (46.5%) residents had burnout. Burnout and emotional exhaustion were more in female residents (p &lt; 0.05). None of the triggering factors attained statistical significance. The protective factors for burnout which showed significant association were good relationship with friends (OR 0.1–95% CI 0.0, 0.6), exercise and extra-curricular activities (OR 0.2–95% CI 0.0, 0.7), celebrating accomplishments (OR 0.2–95% CI 0.0, 0.7), having enough money (OR 0.2–95% CI 0.0, 0.4), and ability to plan for future (OR 0.1–95% CI 0.0, 0.6). More than a third of medicine residents suffered from burnout. We need to focus on rejuvenating activities for medicine residents to decrease burnout among them. If not addressed adequately this may result in a compromise in the quality of care being provided to patients. •More than a third of medicine residents suffered from burnout in our setup.•We need to focus on rejuvenating activities to decrease burnout.•Support of friends, celebrating accomplishment and enough money may reduce burnout.•Burnout was more prevalent in women physicians compared to men physicians•Level 2 physicians had higher burnout compared to the other levels of residency</description><identifier>ISSN: 2049-0801</identifier><identifier>EISSN: 2049-0801</identifier><identifier>DOI: 10.1016/j.amsu.2021.102500</identifier><identifier>PMID: 34188912</identifier><language>eng</language><publisher>England: Elsevier Ltd</publisher><subject>Burnout ; Cross-sectional Study ; Medicine ; Pakistan ; Residents</subject><ispartof>Annals of medicine and surgery, 2021-07, Vol.67, p.102500-102500, Article 102500</ispartof><rights>2021 The Authors</rights><rights>2021 The Authors. 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subjects Burnout
Cross-sectional Study
Medicine
Pakistan
Residents
title Triggering and protective factors of burnout in medical resident physicians in a lower-middle-income country: A cross-sectional study
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