AWARE: Anaesthesia trainee wellbeing at respective educational institutions: A national prospective study of burnout,
Ryan van der Merwe1,2, Thenjiwe Hlongwane3, Patricia Brown4
1Department of Anaesthesia, Faculty of Clinical Medicine, University of the Witwatersrand, Johannesburg, South Africa.
Background:
Anaesthesia trainees are at increased risk of burnout and depression - with occupational stress recognised as a trigger for both. Previous South African single-site studies have assessed these outcomes separately, but not within the same study.
Aim:
This study aimed to describe a composite mental well-being profile of South African anaesthesia trainees, focusing on burnout, depression screening, occupational stress and associated risk factors.
Setting:
The study was conducted among South African anaesthesia trainees from nine university-affiliated public teaching hospitals.
Methods:
Participants were recruited via convenience sampling through engagement with study representatives. Burnout, depression screening and occupational stress were measured using the abridged Maslach Burnout Inventory-Human Services Survey for Medical Personnel, the Harvard Department of Psychiatry National Depression Screening Day Scale and the Effort-Reward Imbalance questionnaire. The response rate was 37%.
Results:
Of the 194 trainees, 54 (28%) met burnout criteria, 88 (45%) screened positive for depression and 144 (74%) demonstrated chronic occupational stress. Forty-one (21%) trainees simultaneously met criteria for all three study outcomes, representing a distinctly vulnerable subcohort. Risk factors included: previous and/or current treatment for psychiatric illness, registrars in their second year of training and self-prescribing anxiolytics and antidepressants.
Conclusion:
Burnout rates in this population closely approximate international estimates; however, both depressive symptoms and occupational stress prevalence exceed international figures.
Contribution:
This first-of-its-kind study provided a composite insight into the mental well-being profile of South African anaesthesia trainees, identifying a bigger cohort at risk of burnout and/or depression in the near future.
