Burnout in medical residents: A growing concern
Here is an interesting article i came across recently that speaks at length about burnout and its management amongst resident doctors.
Medicine is an exacting branch of science. This can be attributed to the requirement of dedication and precision on the part of the health-care providers. The need for urgent care and long hours at work further add to the stress.
Prolonged exposure to stressful work environment can take a toll on the physical and mental well-being of an individual. This long-standing stress in medical professionals can often lead to burnout. Burnout can be explained as a state of exhaustion, lack of motivation and disillusionment with one's job or career which arises out of poor coping with work-related stress.
Multiple studies in the recent years have tried to understand the clinical features and predisposing factors for this condition. Different authors have tried to explain the concept of burnout using a constellation of behavioral and somatic symptoms. The concept was first introduced by Freudenberger in his 1974 article “Staff burnout.”
He described burnout as a consequence of excessive stress leading to chronic fatigue and lack of enthusiasm. Maslach and Jackson were, however, the first to give a detailed description of the burnout syndrome along with formulating the most widely accepted instrument to measure it, Maslach Burnout Inventory.
According to Maslach, burnout can present in three dimensions, namely, emotional exhaustion, depersonalization, and lack of personal satisfaction. Emotional exhaustion leads to irritability, low frustration tolerance and excessive fatigue. Depersonalization can be explained as an indifferent attitude towards work and patients. This is an attempt to distance oneself from the patients using an apathetic attitude. The lack of personal accomplishment arises in burnout leading to a constant feeling of being a failure and low self-esteem.
This current study evaluated stress and burnout in surgical and anesthesia residents using Perceived Stress Scale and Burnout Clinical Subtype Questionnaire 12-item version.
The latter is a comparatively newer and simpler tool to evaluate burnout and classifies the syndrome into three subtypes: frenetic, under-challenged, and worn out. These subtypes correlate with the original three dimensions given by Maslach and Jackson.
According to the results, the residents had high levels of perceived stress and burnout. However, these two findings could have been further analyzed to reveal any correlation.
More here: http://www.jpgmonline.com/article.asp?issn=0022-3859;year=2018;volume=64;issue=3;spage=136;epage=137;aulast=Bhatia