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Trainee burnout: when does the fire start?

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Newly qualified doctors experience significant stress from day one of induction, continuing through their clinical work regardless of shift patterns. Resilience, measured by the Short Grit Scale, can help mitigate this stress.

Keywords:
Education & training (see Medical Education & Training)

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Area of Science:

  • Occupational Health
  • Medical Education
  • Physiological Monitoring

Background:

  • Burnout is a significant issue in acute care, leading to depersonalization, ill health, and attrition.
  • Newly qualified doctors (PGY1) are particularly vulnerable to stress and burnout.
  • Quantifying physiological stress indicators in early-career physicians is crucial for understanding and mitigating burnout.

Purpose of the Study:

  • To quantify physiological variables indicative of stress in newly qualified doctors.
  • To correlate physiological stress data with burnout inventories and resilience scales.
  • To examine stress levels during induction, normal working days, and on-call shifts.

Main Methods:

  • Post Graduate Year 1 doctors (n=13) wore VivaLNK wellness devices for 14 days post-induction.
  • Minute-by-minute Heart Rate (HR), Respiratory Rate (RR), and Stress Index (SI) were recorded.
  • Data were correlated with Maslach Burnout Inventories, Short Grit Scales (SGS), and clinical rota duties.

Main Results:

  • No significant variations in HR, RR, or SI were observed between Induction, Normal Working Day (NWD), and On-call shifts.
  • Participant-specific temporal SIs correlated with shift duties, indicating consistent stress responses across different work periods (p<0.05).
  • Higher Short Grit Scale (SGS) scores were inversely related to lower Stress Index (SI) values (p=0.001).

Conclusions:

  • Stress and burnout in susceptible PGY1 doctors commence during induction and persist through clinical work, irrespective of shift patterns.
  • The Short Grit Scale (SGS) is an effective tool for identifying individuals susceptible to stress.
  • Targeted stress countermeasures can be facilitated by using resilience assessments like the SGS.