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Burnout among resident doctors: An observational study
Sudha Shahi1, Dhundi Raj Paudel1, Tika Ram Bhandari2
1Otorhinolaryngology Head and Neck Surgery, National Academy of Medical Sciences, Bir Hospital, Kathmandu, Nepal.
Annals of Medicine and Surgery (2012)
|March 21, 2022
Summary
Burnout affects over 40% of resident doctors in Nepal, with specific surgical and obstetrics/gynecology specialties and long work hours increasing risk. Addressing physician burnout is crucial for well-being and patient care.
Area of Science:
- Medical Education
- Occupational Health
- Psychiatry
Background:
- Burnout, a syndrome of emotional exhaustion and depersonalization, significantly reduces professional efficiency.
- No prior studies have specifically investigated residency burnout and its risk factors within Nepal.
- This research focuses on the impact of demographic and practice characteristics on burnout among resident doctors.
Purpose of the Study:
- To determine the prevalence of burnout among resident doctors in Nepal.
- To identify specific demographic and practice-related factors associated with burnout in this population.
Main Methods:
- A prospective cross-sectional survey was conducted in 2019 among resident doctors at the National Academy of Medical Sciences, Nepal.
- Validated Maslach Burnout Inventory (MBI) tools were used to assess burnout.
- Demographic variables and practice characteristics were collected and analyzed.
Main Results:
- Out of 410 resident doctors, 347 responded (response rate 84.6%).
- Overall, 42.4% of residents reported burnout, with high emotional exhaustion (16.6%), high depersonalization (15.9%), and low personal achievement (9.8%).
- Significant risk factors for burnout included general surgery (OR 12.6), obstetrics and gynecology (OR 14.0), anesthesiology (OR 11.5), and working ≥80 hours/week (OR 2.5).
Conclusions:
- Burnout is prevalent among trainee resident doctors and may be preventable.
- Developing strategies at individual, institutional, and societal levels is essential to identify and minimize burnout.
- Prioritizing resident mental health is critical to prevent adverse personal consequences and improve patient outcomes.
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