Burnout syndrome among medical residents: A systematic review and meta-analysis

Abstract

BackgroundBurnout is a psychological syndrome that is very common among medical residents. It consists of emotional exhaustion (EE), depersonalization (DP) and reduced personal accomplishment (PA).ObjectiveTo estimate burnout among different medical residency specialties.MethodsA systematic review with meta-analysis was performed following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. A search of bibliographic databases and grey literature was conducted, from inception to March 2018. The following databases were accessed: Embase, PubMed, Web of Science, Google Scholar and Scopus, and 3,575 studies were found. Methodological quality was evaluated by Agency for Healthcare Research and Quality Methodology Checklist for Cross-Sectional/Prevalence Study. In the final analysis, 26 papers were included. Their references were checked for additional studies, but none were included.Results4,664 medical residents were included. High DP, EE and low PA proportions were compared. Specialties were distributed into three groups of different levels of burnout prevalence: general surgery, anesthesiology, obstetrics/gynecology and orthopedics (40.8%); internal medicine, plastic surgery and pediatrics (30.0%); and otolaryngology and neurology (15.4%). Overall burnout prevalence found for all specialties was 35.7%.ConclusionThe prevalence of burnout syndrome was significantly higher among surgical/urgency residencies than in clinical specialties.PROSPERO registrationCRD42018090270.

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Mental health outcomes of quarantine and isolation for infection prevention: A systematic umbrella review of the global evidence

“…including emotional exhaustion, which may result in suboptimal performance in workplaces, as found in this umbrella review. Several evidence-based reviews have reported a high burden of professional burnout among healthcare providers [50][51][52], which may exacerbate during quarantine and isolation for infection prevention. Such evidence suggests academic and professional approaches to sensitize the clinical students and healthcare providers to be aware of such issues in practical settings and adopt protective mental health measures before working in such stressful conditions.…”

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