Challenges of residency training and early career doctors in Nigeria Phase II: Update on objectives, design, and rationale of study

Eze, Ugochukwu A; Tolani, Musiliu Adetola; Adeniyi, Makinde Adebayo; Ogbonna, VivianIfeoma; Isokariari, Ogechukwu; Martin, Christine; Kanmodi, Kehinde Kazeem; Abdulraheem, Khadija; Egbuchulem, I.K.; Yahya, Abdulmajid Ibrahim; Oduyemi, Ibiyemi; Nwatah, Vincent Ebuka; Grillo, Elizabeth O.; Babalola, Ronke; Isibor, Efosa; Lawal, Qudus O; Alatishe, Taiwo; Buowari, Dabota Yvonne; Ariyo, Olumuyiwa Elijah; Mosanya, Ugochukwu; Adeyemi, Tope Emmanuel; Ogunsuji, Oluwaseyi; Agaja, Oyinkansola; Williams, Alicia; Obazenu, Lawson; Sokomba, Aliyu; Olaopa, Olusegun; Durowade, Kabir Adekunle; Ilesanmi, Olayinka Stephen; Adebayo, Oladimeji

doi:10.4103/njm.njm_137_20

Cited by 3 publications

(6 citation statements)

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“…Similar to CHARTING I Study [ 1 ] the data collection tools included purpose-designed, structured questionnaires [ 3 ].…”

Section: Methodsmentioning

confidence: 99%

“…Early Career Doctors (ECDs) are medical doctors in the cadre of pre-registration House Officers, Medical/Dental Officers below the rank of Principal Medical/Dental Officer (PMO/PDO), and Resident Doctors (RDs) in Nigeria [ 1 , 2 ]. Being a heterogenous group of medical practitioners in this low-middle income country, ECDs are faced with a lot of demographic, workplace-related and psychosocial problems [ 3 , 4 ]. Amongst the psychosocial problems is burnout.…”

Section: Introductionmentioning

confidence: 99%

“…The long work hours, coupled with high burnout rates of Nigerian ECDs, is against the backdrop of a very low physician-to-patient ratio, limited slots/opportunities for training and career development, as well as poor renumeration [ 3 , 13 ]. A fallout of these, is the ongoing massive medical brain drain in the country, which if unchecked, has the potential of further worsening the already abysmal healthcare indices in the country [ 14 , 15 ].…”

Section: Introductionmentioning

confidence: 99%

“…There is therefore an urgent need to investigate and understand the full-scale of the problems faced by Nigerian ECDs, with a view to proffering relevant solutions, as well as address issues pertaining to their health and well-being. This need midwifed the Challenges of Residency Training and Early Career Doctors in Nigeria (CHARTING) Study, the largest, multi-centre, and multidisciplinary research on Nigerian ECDs, by the Research Collaborative Network (RCN), an ad hoc committee of NARD, established in 2018 [ 3 ]. The first phase of the Study (CHARTING I) examined the demographic, workplace and psychosocial issues affecting ECDs in Nigeria [ 3 ].…”

Section: Introductionmentioning

confidence: 99%

“…This need midwifed the Challenges of Residency Training and Early Career Doctors in Nigeria (CHARTING) Study, the largest, multi-centre, and multidisciplinary research on Nigerian ECDs, by the Research Collaborative Network (RCN), an ad hoc committee of NARD, established in 2018 [ 3 ]. The first phase of the Study (CHARTING I) examined the demographic, workplace and psychosocial issues affecting ECDs in Nigeria [ 3 ]. This second phase (CHARTING II) sought to examine other components of these issues, not explored in the first phase [ 4 ].…”

Section: Introductionmentioning

confidence: 99%

See 4 more Smart Citations

Health, well-being, and burnout amongst Early Career Doctors in Nigeria

Bernard Ubom,

Adebayo,

Adeoye

et al. 2023

PLoS ONE

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Background Early Career Doctors (ECDs) in Nigeria are faced with many individual and systemic problems, which consequently adversely affect their health, well-being, patient care and safety. Objective This study, the second phase of the Challenges of Residency Training and Early Career Doctors in Nigeria (CHARTING II) Study, sought to examine the risk factors and contributors to the health, well-being and burnout amongst Nigerian ECDs. Methods This was a study of health, well-being and burnout amongst Nigerian ECDs. Outcome variables included burnout, depression, and anxiety, which were respectively assessed using the Copenhagen Burnout Inventory (CBI) and Oldenburg Burnout Inventory (OLBI), Patient Health Questionnaire (PHQ-9) depression scale, and Generalized Anxiety Disorder (GAD-7) scale. The quantitative data obtained was analysed using the IBM SPSS, version 24. Associations between categorical outcome and independent variables were assessed using chi square, with level of significance set at < 0.05. Results The mean body mass index (BMI), durations of smoking and alcohol consumption of the ECDs were 25.64 ± 4.43 kg/m2 (overweight range), 5.33 ± 5.65 years and 8.44 ± 6.43 years respectively. Less than a third (157, 26.9%) of the ECDs exercised regularly. The most common disease conditions affecting the ECDs were musculoskeletal (65/470, 13.8%) and cardiovascular diseases (39/548, 7.1%). Almost a third (192, 30.6%) of the ECDs reported experiencing anxiety. Male and lower cadre ECDs were more likely than female and higher cadre ECDs to report anxiety, burnout and depression. Conclusion There is an urgent need to prioritize the health and well-being of Nigerian ECDs, so as to optimize patient care and improve Nigeria’s healthcare indices.

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“…Similar to CHARTING I Study [ 1 ] the data collection tools included purpose-designed, structured questionnaires [ 3 ].…”

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Health, well-being, and burnout amongst Early Career Doctors in Nigeria

Bernard Ubom,

Adebayo,

Adeoye

et al. 2023

PLoS ONE

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Burnout: A Predictor of Oral Health Impact Profile Among Nigerian Early Career Doctors

Ogunsuji

Adebayo

Kanmodi³

et al. 2023

Preprint

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Introduction There have been reported association of oral health disorders with burnout, stress, and mental health. Arguably, with these reported associations, and the current prevalence of burnout amongst Nigerian doctors, exploring the role of burnout on oral health amongst Nigerian doctors is timely. This study aims to determine the relationship between burnout and oral health-related quality of life amongst Early Career Doctors (ECDs) in Nigeria, while also identifying the role other possible predictors plays in this relationship. Methods This was a cross-sectional study conducted amongst Nigerian ECDs as part of Challenges of Residency Training in Nigeria (CHARTING) II project. A total of 632 ECDs were recruited across thirty-one tertiary hospitals in the 6 geopolitical zones of the country using a multistage cluster sampling technique. A self-administered paper-based semi-structured questionnaire was given to each participant that consented. The tools used to assess burnout and Oral health-related quality of life (OHRQoL) were Copenhagen Burnout Inventory (CBI) and Oral Health Impact Profile (OHIP-14) respectively. Independent samples T-test, ANOVA and Multiple linear regression were used to draw inferences from the data collected. Results Overall mean OHIP-14 score of all participants was 11.12 (±9.23). The scores for the 3 dimensions of burnout were below 50% with CBI-Personal Burnout having the highest score of 49.96 (±19.15). Significant positive correlations (p < 0.001) were found between OHIP-14 and all the dimensions of burnout, as the burnout scores were increasing, there was a corresponding increase in the OHIP scores thus poorer OHRQoL. The regression model shows that the predictors of OHIP were CBI-PB (p = 0.003), use of fluoride paste (p = 0.039), use of tobacco (p = 0.005) and being a denture user (p = 0.047). Conclusion This study shows a positive correlation between burnout and OHIP of ECDs. We found that as burnout was increasing, OHIP increased thus implying poorer oral health related quality of life amongst ECDs. The use of fluoride toothpaste, tobacco and denture are other factors we found that could affect the OHIP of ECDs.

show abstract

Burnout: A predictor of oral health impact profile among Nigerian early career doctors

et al. 2023

Self Cite

View full text Add to dashboard Cite

There have been reported association of oral health disorders with burnout, stress, and mental health. Arguably, with these reported associations, and the current prevalence of burnout amongst Nigerian doctors, exploring the role of burnout on oral health amongst Nigerian doctors is timely. This study aims to determine the relationship between burnout and oral health-related quality of life amongst Early Career Doctors (ECDs) in Nigeria, while also identifying the role other possible predictors plays in this relationship. This was a cross-sectional study conducted amongst Nigerian ECDs as part of Challenges of Residency Training in Nigeria (CHARTING) II project. A total of 632 ECDs were recruited across thirty-one tertiary hospitals in the 6 geopolitical zones of the country using a multistage cluster sampling technique. A self-administered paper-based semi-structured questionnaire was given to each participant that consented. The tools used to assess burnout and Oral health-related quality of life (OHRQoL) were Copenhagen Burnout Inventory (CBI) and Oral Health Impact Profile (OHIP-14) respectively. Independent samples T-test, ANOVA and Multiple linear regression were used to draw inferences from the data collected. Overall mean OHIP-14 score of all participants was 11.12 (±9.23). The scores for the 3 dimensions of burnout were below 50% with CBI-Personal Burnout having the highest score of 49.96 (±19.15). Significant positive correlations (p < 0.001) were found between OHIP-14 and all the dimensions of burnout, as the burnout scores were increasing, there was a corresponding increase in the OHIP scores thus poorer OHRQoL. The regression model shows that the predictors of OHIP were CBI-PB (p = 0.003), use of fluoride paste (p = 0.039), use of tobacco (p = 0.005) and being a denture user (p = 0.047). This study shows a positive correlation between burnout and OHIP of ECDs. We found that as burnout was increasing, OHIP increased thus implying poorer oral health related quality of life amongst ECDs. The use of fluoride toothpaste, tobacco and denture are other factors we found that could affect the OHIP of ECDs.

show abstract

Challenges of residency training and early career doctors in Nigeria Phase II: Update on objectives, design, and rationale of study

Cited by 3 publications

References 6 publications

Health, well-being, and burnout amongst Early Career Doctors in Nigeria

Health, well-being, and burnout amongst Early Career Doctors in Nigeria

Burnout: A Predictor of Oral Health Impact Profile Among Nigerian Early Career Doctors

Burnout: A predictor of oral health impact profile among Nigerian early career doctors

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