PREVALENCE AND RISK FACTORS OF BURNOUT SYNDROME IN MEDICAL STUDENTS AND RESIDENTS.

Main Article Content

Muhammad Kamran khan
Khalil Azam
Raees Ahmed
Rabia Asghar
Aasma Kiyani

Keywords

Burnout, Professional; Students, Medical; Internship and Residency; Risk Factors

Abstract

Background: Burnout--emotional exhaustion, depersonalization, reduced personal accomplishment--among medical trainee are being widely acknowledged. The intense demands of the academic years along with long work out hours make students and residents prone to stress. It would be important to know the prevalence and predictors of burnout in order to adopt preventive measures and improve the quality of training and mental health.


Objectives: To ascertain the prevalence of burnout in medical students and residents, and to identify demographic, academic, psychosocial and work aligning stressors that affect burnout risk profile using standardised validated tools for assessment.


 


Keywords: A Cross-sectional study.


 


Place and duration of study: Department of psychiatry Nowshera Medical College One Year from Jan 2024 to Jan 2025


Methods: A cross-sectional study was carried out on 100 subjects (50 medical students, 50 residents) in years of. Burnout was measured by the Maslach Burnout Inventory (MBI). Demographic, work-related and psychosocial aspects were recorded. Statistical calculations were done using SPSS v24. 0 with descriptive statistics, chi-square, t-tests, and logistic regression. Significance was set at p80 hours per week (p=0.002), sleeping <6 hours/night (p=0.01), and the perception of high stress (p<0.001). Residents were more likely to suffer from emotional exhaustion compared to students (p=0.04). Strong social support was attenuating (p=0.03). Logistic regression analysis revealed workload and stress as independent predictors of burnout.The current cross-sectional study aims to determine the prevalence of burnout syndrome in medical students and residents. Important risk factors were long hours at work, lack of sleep, and high stress; social support was protective. These results highlight the necessity of organized programs, such as duty-hour regulation, mental health service utilization, peer-support program involvement and stress management education. Institutional efforts should be directed at prevention to decrease burnout and protect trainee health as well as improve both the quality of medical education and patient care.


 

Abstract 45 | Pdf Downloads 6

References

1. Almutairi H, Alsubaiei A, Abduljawad S, Alshatti A, Fekih-Romdhane F, Husni M, et al. Prevalence of burnout in medical students: A systematic review and meta-analysis. The International journal of social psychiatry. 2022;68(6):1157-70.
2. Bhugra D, Molodynski A. Well-being and burnout in medical students: challenges and solutions. Irish journal of psychological medicine. 2024;41(2):175-8.
3. Bolatov AK, Seisembekov TZ, Smailova DS, Hosseini H. Burnout syndrome among medical students in Kazakhstan. BMC psychology. 2022;10(1):193.
4. Capdevila-Gaudens P, García-Abajo JM, Flores-Funes D, García-Barbero M, García-Estañ J. Depression, anxiety, burnout and empathy among Spanish medical students. PloS one. 2021;16(12):e0260359.
5. Chmielewski J, Łoś K, Łuczyński W. Mindfulness in healthcare professionals and medical education. International journal of occupational medicine and environmental health. 2021;34(1):1-14.
6. Dias AR, Fernandes SM, Fialho-Silva I, Cerqueira-Silva T, Miranda-Scippa Â, Almeida AG. Burnout syndrome and resilience in medical students from a Brazilian public college in Salvador, Brazil. Trends in psychiatry and psychotherapy. 2022;44:e20200187.
7. Fontana MCP, Generoso IP, Sizilio A, Bivanco-Lima D. Burnout syndrome, extracurricular activities and social support among Brazilian internship medical students: a cross-sectional analysis. BMC medical education. 2020;20(1):81.
8. Gilbey P, Moffat M, Sharabi-Nov A, Cohen O, Kroszynski GN, Karnieli-Miller O, et al. Burnout in Israeli medical students: a national survey. BMC medical education. 2023;23(1):55.
9. Gil-Calderón J, Alonso-Molero J, Dierssen-Sotos T, Gómez-Acebo I, Llorca J. Burnout syndrome in Spanish medical students. BMC medical education. 2021;21(1):231.
10. Greenmyer JR, Montgomery M, Hosford C, Burd M, Miller V, Storandt MH, et al. Guilt and Burnout in Medical Students. Teaching and learning in medicine. 2022;34(1):69-77.
11. Haykal KA, Pereira L, Power A, Fournier K. Medical student wellness assessment beyond anxiety and depression: A scoping review. PloS one. 2022;17(10):e0276894.
12. Ilić IM, Ilić MD. The relationship between the burnout syndrome and academic success of medical students: a cross-sectional study. Arhiv za higijenu rada i toksikologiju. 2023;74(2):134-41.
13. Jezzini-Martinez S, Martinez-Garza JH, Quiroga-Garza A, Quiroz-Perales XG, Gil-Flores L, de la Fuente-Villarreal D, et al. Assessment of burnout syndrome and associated factors among medical students during the COVID-19 pandemic. Journal of affective disorders reports. 2023;14:100616.
14. Joshi VR, Younger JM, Das S, Goud BKM, Pramanik K. Factors influencing burnout in millennial medical students during the COVID-19 pandemic! Irish journal of medical science. 2023;192(2):513-9.
15. Kilic R, Nasello JA, Melchior V, Triffaux JM. Academic burnout among medical students: respective importance of risk and protective factors. Public health. 2021;198:187-95.
16. Kunzler AM, Helmreich I, König J, Chmitorz A, Wessa M, Binder H, et al. Psychological interventions to foster resilience in healthcare students. The Cochrane database of systematic reviews. 2020;7(7):Cd013684.
17. Ma TL, Dong T, Soh M, Artino AR, Landoll RR, Schreiber-Gregory DN, et al. Profiles of Military Medical Students' Well-being, Burnout, and Retention. Military medicine. 2023;188(Suppl 2):35-42.
18. March-Amengual JM, Cambra Badii I, Casas-Baroy JC, Altarriba C, Comella Company A, Pujol-Farriols R, et al. Psychological Distress, Burnout, and Academic Performance in First Year College Students. International journal of environmental research and public health. 2022;19(6).
19. McKerrow I, Carney PA, Caretta-Weyer H, Furnari M, Miller Juve A. Trends in medical students' stress, physical, and emotional health throughout training. Medical education online. 2020;25(1):1709278.
20. Muaddi MA, El-Setouhy M, Alharbi AA, Makeen AM, Adawi EA, Gohal G, et al. Assessment of Medical Students Burnout during COVID-19 Pandemic. International journal of environmental research and public health. 2023;20(4).
21. Peng P, Hao Y, Liu Y, Chen S, Wang Y, Yang Q, et al. The prevalence and risk factors of mental problems in medical students during COVID-19 pandemic: A systematic review and meta-analysis. Journal of affective disorders. 2023;321:167-81.
22. Prata TSC, Calcides DAP, Vasconcelos EL, Carvalho AA, Melo EV, Oliva-Costa EF. Prevalence of Burnout Syndrome and associated factors in medical students under different educational models. Revista da Associacao Medica Brasileira (1992). 2021;67(5):667-74.
23. Rosales-Ricardo Y, Ferreira JP. Effects of Physical Exercise on Burnout Syndrome in University Students. MEDICC review. 2022;24(1):36-9.
24. SenthilKumar G, Mathieu NM, Freed JK, Sigmund CD, Gutterman DD. Addressing the decline in graduate students' mental well-being. American journal of physiology Heart and circulatory physiology. 2023;325(4):H882-h7.
25. Seo C, Di Carlo C, Dong SX, Fournier K, Haykal KA. Risk factors for suicidal ideation and suicide attempt among medical students: A meta-analysis. PloS one. 2021;16(12):e0261785.
26. Serrano FT, Calderón Nossa LT, Gualdrón Frías CA, Mogollón GJ, Mejía CR. Burnout syndrome and depression in students of a Colombian medical school, 2018. Revista Colombiana de psiquiatria. 2023;52(4):345-51.
27. Shrestha DB, Katuwal N, Tamang A, Paudel A, Gautam A, Sharma M, et al. Burnout among medical students of a medical college in Kathmandu; A cross-sectional study. PloS one. 2021;16(6):e0253808.
28. Taylor CE, Scott EJ, Owen K. Physical activity, burnout and quality of life in medical students: A systematic review. The clinical teacher. 2022;19(6):e13525.

Most read articles by the same author(s)