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Risk of burnout and stress in physicians working in a COVID team: A longitudinal survey
Tommaso Dionisi1, Luisa Sestito1, Claudia Tarli1,2
1Department of Internal Medicine and Gastroenterology, Catholic University of Rome, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy.
Insights
Physicians in COVID wards experience stress and burnout. Specialty and position impact risk, with internal medicine physicians showing lower emotional exhaustion. This study assessed burnout using validated questionnaires over four weeks.
Area of Science:
- Medicine
- Psychology
Background:
- The COVID-19 pandemic created significant stress and burnout risks for physicians.
- Assessing physician burnout in COVID-19 wards is crucial for understanding occupational risks.
Purpose of the Study:
- To evaluate perceived stress and burnout risk among physicians working in COVID wards.
- To identify factors contributing to physician burnout during the pandemic.
Main Methods:
- A longitudinal survey of 51 physicians in a COVID team at Gemelli Hospital, Italy.
- Utilized the Maslach Burnout Inventory (MBI) and Perceived Stress Questionnaire (PSQ) over four weeks.
- Assessed short-term (PSQs) and long-term (PSQl) perceived stress.
Main Results:
- Physicians not board-certified in internal medicine had higher Emotional Exhaustion (EE) scores.
- Depersonalization (DP) scores decreased over time, and attending physicians had lower DP than residents.
- Long-term stress (PSQl) predicted higher EE and DP, and lower Personal Accomplishment (PA).
Conclusions:
- Medical specialty and clinical position are potential risk factors for burnout in COVID teams.
- Internal medicine physicians demonstrated a lower risk of developing emotional exhaustion throughout the study.
Background And Aims:
The COVID-19 pandemic represents a source of stress and potential burnout for many physicians. This single-site survey aimed at assessing perceived stress and risk to develop burnout syndrome among physicians operating in COVID wards.
Methods:
This longitudinal survey evaluated stress and burnout in 51 physicians operating in the COVID team of Gemelli Hospital, Italy. Participants were asked to complete the Maslach Burnout Inventory (MBI) and the Perceived Stress Questionnaire on a short run (PSQs) (referring to the past 7 days) at baseline (T0) and then for four weeks (T1-T4). Perceived Stress Questionnaire on a long run (PSQl) (referring to the past 2 years) was completed only at T0.
Results:
Compared with physicians board-certified in internal medicine, those board-certified in other disciplines showed higher scores for the Emotional Exhaustion (EE) score of the MBI scale (P < .001). Depersonalisation (DP) score showed a reduction over time (P = .002). Attending physicians scored lower than the resident physicians on the DP scale (P = .048) and higher than resident physicians on the Personal Accomplishment (PA) scale (P = .04). PSQl predicted higher scores on the EE scale (P = .003), DP scale (P = .003) and lower scores on the PA scale (P < .001). PSQs showed a reduction over time (P = .03). Attending physicians had a lower PSQs score compared with the resident physicians (P = .04).
Conclusions:
Medical specialty and clinical position could represent risk factors for the development of burnout in a COVID team. In these preliminary results, physicians board-certified in internal medicine showed lower risk of developing EE during the entire course of the study.
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