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Risk and protective factors for burnout among physicians from standardized residency training programs in Shanghai: a
Lei Huang1,2, Jennifer Harsh Caspari3, Xiaoting Sun2
1Medical Education Division & Department of Psychiatry, Tongji Hospital, Tongji University School of Medicine, Shanghai, China.
BMC Health Services Research
|October 22, 2020
Summary
A high burnout rate of 71.4% affects medical residents in Shanghai. Occupational stress and work factors are key risks, while empathy and social support offer some protection.
Area of Science:
- Medical Education
- Occupational Health
- Psychology
Background:
- Physician burnout is a recognized issue globally.
- The standardized residency training (SRT) in China may increase burnout risk.
- Burnout prevalence among Chinese medical residents was previously unknown.
Purpose of the Study:
- To evaluate burnout prevalence in Shanghai's SRT medical residents.
- To identify risk and protective factors associated with resident burnout.
Main Methods:
- Prospective cross-sectional study of 330 resident physicians in Shanghai.
- Utilized a self-made questionnaire assessing demographics, work characteristics, and burnout.
- Employed bivariate analyses and hierarchical multiple regression models.
Main Results:
- Overall burnout rate was 71.4%, with 69.5% experiencing low personal accomplishment.
- Emotional exhaustion was predicted by night shifts, high occupational stress, and low social support.
- Depersonalization was linked to male gender, senior status, night shifts, high stress, and low empathy.
Conclusions:
- High burnout rates are prevalent among Shanghai's SRT residents.
- Occupational stress and work-related factors are significant burnout predictors.
- Empathy and social support show potential as protective factors; reducing demands and increasing resources may improve well-being.
