Unraveling BURnout Determinants among ENdocrinologists in Indian conText (UNBURDEN-IT)

Burnout is a growing concern among healthcare providers, with varying prevalence by specialty. While reports suggest that up to half of endocrinologists experience burnout, few systematic studies exist to identify the factors responsible.

We conducted an electronic survey of practicing endocrinologists across India. The survey included demographic information and a modified 10-item Mini-Z questionnaire.

The prevalence of self-reported professional burnout was 12.1% (n = 41) among 339 endocrinologists (236 males, 103 females) with a mean age of 42.5 years. About 25.4% reported a joyful workplace, 34.5% reported a highly supportive work environment, and 79.6% experienced a high work pace and documentation-related stress. Burnout was associated with younger age, fewer years in practice, increased working days, smoking, and lack of exercise (P < 0.03 for all). On logistic regression, smoking (OR: 8.18, 95%CI 1.97 - 33.9, P = 0.004) was positively associated with burnout, while daily exercise (OR: 0.3, 95%CI 0.11 - 0.78, P = 0.01) was negatively associated. Male endocrinologists (80.9%, P < 0.03) and those affiliated with academic institutions (86.5%, P < 0.03) expressed greater job satisfaction. Mini-Z scores positively correlated with age and years of practice (Pearson's rho = 0.21, P < 0.001) and negatively correlated with daily working hours (Pearson's rho = -0.15, P < 0.003) and days worked per week (Pearson's rho = -0.18, P < 0.003).

Professional burnout was lower among Indian endocrinologists compared to global data. The risk was higher among professionals early in their careers. Embracing a healthy lifestyle including exercise and refraining from smoking are effective coping strategies.