Exploring burnout and the association with the educational climate in pediatric residents in Thailand

Abstract

Background This study, undertaken in Bangkok, Thailand, explored the extent to which paediatric residents in a non-Western setting experienced burnout and the potential association with factors in the medical educational climate and work-related quality of life. Methods An exploratory sequential mixed methods design was employed in a cross-sectional study. The initial, quantitative phase used the validated Maslach Burnout Inventory, the Postgraduate Hospital Educational Environmental Measure (PHEEM) and Work-Related Quality of Life scale (WRQoL). Regression analysis was used to identify the correlation between burnout and educational climate. Thereafter, residents in all years with high levels of burnout on subscales were interviewed individually. Results Forty-one paediatric residents completed the three questionnaires. None had high levels related to burnout in all three domains (emotional exhaustion, high level of depersonalization and perceived low personal accomplishment), seven (17%) showed high levels in two out of three domains. Emotional exhaustion and educational climate (perceptions of role autonomy, perceptions of teaching, perceptions of social support) were correlated with work-related quality of life. In the interviews, the main themes related to burnout were inappropriate tasks, teachers and teaching styles, the perception of knowledge insecurity relating to task performance, time dimensions, life crisis during training, role expectations and work allocation clarity, and facilities such as accommodation. Conclusions The study, in a non-Western setting, demonstrated a positive relation between educational climate and work-related quality of life. To help reduce the risk of burnout, the following factors were identified: minimize unnecessary or duplicated workload, schedule time arrangements to avoid extension of regular duty hours, and clearly define role expectations. The impact of inappropriate tasks, teachers and teaching styles (including unsafe environment) on the incidence of burnout was also highlighted. Additional studies focusing on teaching styles, safe learning climate and mistreatment in a non-Western context are needed.

Implementación de una actividad física en residentes de pediatría y síndrome de Burnout

“…De acuerdo a un metaanálisis la prevalencia general del Burnout en residentes de todas las especialidades médicas, fue de 37,5% y en los residentes de pediatría en (9) particular fue del 30% . Puranitee y cols, no encontraron Burnout en un grupo de 51 residentes de Pediatría en Tailandia, mientras que en Arabia Saudita, Hameed y cols, encontraron 81% de casos de Burnout en 181 residentes de todas las (10,11) especialidades .…”

Pediatric Resident’s Perception of Night Float System Compared to 24 Hours System, a Prospective Study

“…Another research emphasized the effect of stressful on-call duties, and long duty hours on the increase in the incidence of burnout [5]. In addition, a study suggested minimizing work hours and assigning health care workers to speci c rules in order to prevent physician burnout [16]. Moreover, a survey advised a time off to improve residents' well-being as it showed that long duty hours could cause residents burnout which can cause depression, substance abuse, and suicide attempt [2][3]5].…”

The Effect of the Educational Environment on the rate of Burnout among Postgraduate Medical Trainees – A Narrative Literature Review

“…Papers included in this narrative review used different instruments to measure the educational environment and burnout. [47][48][49][50][51][52] van Vendeloo et al 47 performed a national Dutch crosssectional online survey in 2015. They used the Scan of Postgraduate Educational Environment Domains (SPEED) to measure the learning environment on content, organization and atmosphere, and the Dutch version of the Maslach Burnout Inventory (UBOS-C) to measure burnout.…”