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Updated: Sep 29, 2025

Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide
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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.

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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.

Keywords:
BurnoutMental healthPatient careResidency trainingResident doctors

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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.