Burnout among Trainees in King Abdullah Medical City Training Center, Makkah

Maan Abdulmalik Waggass^1,

¹Consultant Physician, King Abdullah Medical City, Makkah, Saudi Arabia

Cite this paper:
Maan Abdulmalik Waggass. Burnout among Trainees in King Abdullah Medical City Training Center, Makkah. American Journal of Medical Sciences and Medicine. 2022; 10(3):69-77. doi: 10.12691/ajmsm-10-3-1

Abstract

Background: Burnout is a rising concern amongst healthcare professionals and has been studied and classified as a psychological disorder, resulting from physical and emotional overload involved in the training periods. Objective: This study aims to identify the burnout among trainees, based on individual trainee response, and examine the possible existing relationships between the magnitudes of burnout syndrome and selected variables. Subjects and Methods: It is a Cross-Sectional design undertaken in a training center at specialized hospital, Makkah, Saudi Arabia. Valid sample collected from 420 trainees using Maslach Burnout Inventory (MBI), which was designed with the goal of assessing an individual's experience of burnout survey. Results: shows that the personal achievement was impacted the mostly, which shows that the participants have less personal achievement, that is, less competence and successful achievement in one's work with people. Depersonalization comes as second affected dimension of burnout that means unfeeling and impersonal response toward recipients of one's service & care. Lastly, emotional exhaustion was the third dimension in prevalence among the trainees. Finally, the Pearson correlation test result shows that moderate positive significant link between the emotional exhaustion, depersonalization with Burnout among trainees. In addition, result showed a significant relationship between the dimensions of burnout and training level. In regards to smoking status and training level showed a significant relationship with the severity of burnout. Conclusion and Recommendations: healthcare organizations should focus on the need of assessing trainees’ burnout, as that will provide basic understanding of the perceptions of their burnout level during training periods. Personal and institutional based reforms focused on improving the work environment of residents & trainees, may lead to a significant reduction in the levels of burnout. More studies are needed to understand the coping mechanisms to prevent and reduce the effects of burnout among trainees.

Keywords:
burnout dimensions severity

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References:

[1]	Dimitriu, M.C.T., Pantea-Stoian, A., Smaranda, A.C., Nica, A.A., Carap, A.C., Constantin, V.D., Davitoiu, A.M., Cirstoveanu, C., Bacalbasa, N., Bratu, O.G., Jacota-Alexe, F., Badiu, C.D., Smarandache, C.G., Socea, B., (2020). Burnout syndrome in Romanian medical residents in time of the COVID-19 pandemic. Medical Hypotheses 144, 109972.
[2]	Zis, P., Anagnostopoulos, F., and Sykioti, P. (2014). Burnout in Medical Residents: A Study Based on the Job Demands-Resources Model. The Scientific World Journal, 2014.
[3]	Freudenberger, H.J. (1974), Staff Burn‐Out. Journal of Social Issues, 30: 159-165.
[4]	Shah, K., Chaudhari, G., Kamrai, D., Lail, A., and Patel, R. (2020). How Essential Is to Focus on Physician’s Health and Burnout in Coronavirus (COVID-19) Pandemic? PMID: 32377486. 12, e7538.
[5]	Alhaffar, B. A., Abbas, G., and Alhaffar, A. A. (2019). The prevalence of burnout syndrome among resident physicians in Syria. Journal of Occupational Medicine and Toxicology, 14(1), 1-8.
[6]	Lee, Y. Y., Medford, A. R. L., and Halim, A. S. (2015). Burnout in physicians. Journal of the Royal College of Physicians of Edinburgh, 45(2), 104-107.
[7]	Zubairi, A. J., and Noordin, S. (2016). Factors associated with burnout among residents in a developing country. Annals of Medicine and Surgery, 6, 60-63.
[8]	Dyrbye, L., and Shanafelt, T. (2016). A narrative review on burnout experienced by medical students and residents. Medical Education, 50(1), 132-149.
[9]	Maslach, C., Jackson, S. E., Leiter, M. P., Schaufeli, W. B., and Schwab, R. L. (1986). Maslach burnout inventory (Vol. 21): Consulting psychologists press Palo Alto, CA.
[10]	Simbula, S., and Guglielmi, D. (2010). Depersonalization or cynicism, efficacy or inefficacy: what are the dimensions of teacher burnout? European journal of psychology of education, 25(3), 301-314.
[11]	Dyrbye, L.N., West, C.P., Satele, D., Boone, S., Tan, L., Sloan, J., Shanafelt, T.D., (2014). Burnout among U.S. medical students, residents, and early career physicians relative to the general U.S. population. Acad Med 89, 443-451.
[12]	Campbell, J., Prochazka, A.V., Yamashita, T., Gopal, R., (2010). Predictors of persistent burnout in internal medicine residents: a prospective cohort study. Acad Med 85, 1630-1634.
[13]	Pantaleoni, J. L., Augustine, E. M., Sourkes, B. M., and Bachrach, L. K. (2014). Burnout in pediatric residents over a 2-year period: A longitudinal study. Academic Pediatrics, 14(2), 167-172.
[14]	Juan, C.-W. (2019). How to Prevent Burnout in Medical Residents: Literature Review. American Journal of Biomedical Science and Research, 5(2), 151-154.
[15]	Dimitriu, M.C.T., Pantea-Stoian, A., Smaranda, A.C., Nica, A.A., Carap, A.C., Constantin, V.D., Davitoiu, A.M., Cirstoveanu, C., Bacalbasa, N., Bratu, O.G., Jacota-Alexe, F., Badiu, C.D., Smarandache, C.G., Socea, B., (2020). Burnout syndrome in Romanian medical residents in time of the COVID-19 pandemic. Medical Hypotheses 144, 109972.
[16]	Simons, S., (2008). Workplace bullying experienced by Massachusetts registered nurses and the relationship to intention to leave the organization. ANS Adv Nurs Sci 31, E48-59.
[17]	Halbesleben, J. R. B. (2008). Handbook of Stress and Burnout in Health Care: Nova Science Publishers.
[18]	Gómez-Urquiza, J. L., la Fuente-Solana, D., Emilia, I., Albendín-García, L., Vargas-Pecino, C., and Ortega-Campos, E. M. (2017). Prevalence of burnout syndrome in emergency nurses: A meta-analysis. Critical care nurse, 37(5), e1-e9.
[19]	Guo, Y. f., Luo, Y. h., Lam, L., Cross, W., Plummer, V., and Zhang, J. p. (2018). Burnout and its association with resilience in nurses: A cross‐sectional study. Journal of Clinical Nursing, 27(1-2), 441-449.
[20]	Egenes, K. J. (2017). History of nursing. Issues and trends in nursing: Essential knowledge for today and tomorrow, 1-26.
[21]	Hozo, E. R., Sucic, G., and Zaja, I. (2015). Burnout syndrome among educators in pre-school institutions. Materia socio-medica, 27(6), 399.
[22]	Vodopianova, N., Starchenkova, E., Stolyarchuk, E., Nikiforov, G., Ponomareva, A., and Myasnikova, S. (2019). Professional risks of burnout syndrome among surgeons. Paper presented at the II International Scientific-Practical Conference “Psychology of Extreme Professions” (ISPCPEP 2019).
[23]	Olson, K., Kemper, K., and Mahan, J. (2015). What factors promote resilience andprotect against burnout in first-year pediatric and medicine-pediatricresidents? Journal of Evidence-Based Complementary and Alternative Medicine, 20(3), 192-198.
[24]	Woodside, J.R., Miller, M.N., Floyd, M.R., McGowen, K.R., Pfortmiller, D.T., (2008). Observations on burnout in family medicine and psychiatry residents. Acad Psychiatry 32, 13-19.
[25]	Burhamah, W., AlKhayyat, A., Oroszlányová, M., Jafar, H., AlKhayat, A., Alabbad, J., (2021). The predictors of depression and burnout among surgical residents: A cross-sectional study from Kuwait. Ann Med Surg (Lond) 65, 102337.
[26]	Llera, J., Durante, E., (2014). Correlation between the educational environment and burn-out syndrome in residency programs at a university hospital. Archivos argentinos de pediatria.
[27]	Dyrbye LN, Thomas MR, Shanafelt TD, (2006). Systematic review of depression, anxiety, and other indicators of psychological distress among U.S. and Canadian medical students. Acad Med; 81: 354-73.
[28]	Mina S. Makary,, Jonathan Alexander, (2020). Radiologist Wellness and Burnout in the COVID-19 Era [WWW Document]. Diagnostic Imaging. URL. https://www.diagnosticimaging.com/view/radiologist-wellness-and-burnout-in-the-covid-19-era.
[29]	Gavidia M, (2020). Sleep, Physician Burnout Linked Amid COVID-19 Pandemic [WWW Document]. URL. https://www.ajmc.com/view/sleep-physician-burnout-linked-amid-covid19-pandemic.
[30]	West, C.P., Dyrbye, L.N., Erwin, P.J., Shanafelt, T.D., (2016). Interventions to prevent and reduce physician burnout: a systematic review and meta-analysis. Lancet 388, 2272-2281.
[31]	Nishimura, Y., Miyoshi, T., Obika, M., Ogawa, H., Kataoka, H., and Otsuka, F. (2019). Factors related to burnout in resident physicians in Japan. International Journal of Medical Education, 10, 129-135.
[32]	F, D., J, C., O, L., N, M., C, L., M, G., and M, D. (2018). Professional Risk Factors for Burnout among Medical Residents. Journal of Community Medicine and Health Education, 08(02).