Residency training in Greece: job dissatisfaction paves the way to brain drain

Moris, Demetrios; Karachaliou, Georgia‐Sofia; Kontos, Michael C.

doi:10.21037/atm.2017.03.03

Cited by 14 publications

(7 citation statements)

References 8 publications

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“…This is in line with previous studies regarding MR in Greece [17–19]. Dissatisfaction regarding training experience among Greek MR could be attributed to the reasons bellow: first of all, residency programs are not of equal volume, while spectrum of training varies, secondly, rotation of trainees is not legislated, thirdly there are no clear national guidelines for systematic training and, finally, biomedical research is encouraged only in university hospitals [20].…”

Section: Discussionsupporting

confidence: 84%

Impact of hospital educational environment and occupational stress on burnout among Greek medical residents

et al. 2019

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Objective A number of risk and protective factors have been described on the development of burnout syndrome amongst medical residents. The current study aims to investigate the impact of hospital educational environment and occupational stress on trainee doctors burnout. A cross-sectional study among 269 medical residents was conducted. Greek version of Postgraduate Hospital Educational Environment Measure (PHEEM-G) for the assessment of their educational environment, Greek Version of Job Stress Measure (JSM-G) for the stress assessment and Copenhagen Burnout Inventory (CBI) for burnout measurement were used. Results Medical residents’ perceptions about their educational environment are rather negative. Their job-related stress ranged between moderate and high levels, while burnout ranged in medium levels. A significant positive association was observed between total CBI and its subscales and stress. Positive evaluation of the clinical learning environment was inversely related with burnout levels. Job stress was correlated independently and positively with higher total burnout levels and its’ three dimensions. Work-related burnout was independently and negatively related with social support.

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Section: Discussionsupporting

confidence: 84%

Impact of hospital educational environment and occupational stress on burnout among Greek medical residents

et al. 2019

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“…Low-income countries, including Ghana, deal with the unique issue of brain drain – where healthcare providers leave their country of origin to pursue improved living and working conditions in high-income countries [ 11 ]. Workplace stress and burnout are motivators of brain drain, which increases the strain on health systems and remaining providers [ 12 , 13 ].…”

Section: Discussionmentioning

confidence: 99%

Predictors of burnout: the role of agency among obstetric providers in Kumasi, Ghana

Lawrence

Yeboah

Arthur-Komeh

et al. 2021

Global Health Action

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Burnout rates among sub-Saharan African healthcare providers are high. In particular, obstetric providers experience unique stressors surrounding poor neonatal and maternal outcomes. This study explores predictors of burnout among obstetric providers at the Komfo Anokye Teaching Hospital (KATH) in Kumasi, Ghana. A survey was electronically distributed to midwives, house officers, and Obstetrician Gynecologists (OBGYNs) at KATH in Ghana. Demographic and clinical practice information was collected. Burnout was assessed using a 4-point Likert scale. To evaluate perceived agency caring for critically ill obstetric patients, participants responded to three statements and responses were summed to create an Agency Scale. Logistic regression was used to evaluate predictors of burnout. Marginal effects were calculated for factors significantly associated with burnout. Participants were 48 physicians and 222 midwives. Mean age was 32.4 years, mean years in practice was 6.5 years, and 83% had completed their medical training. Nearly half (49.6%) have personal experience with maternal mortality and 28.3% manage more than 5 maternal mortalities annually. The majority of participants (n = 152, 62%) reported feeling burned out from their work. After adjusting for role, number of annual maternal mortalities managed, and personal experience with maternal mortality, participants with more years in practice were 15.8% more likely to report being burned out (marginal effect = 0.158). Even after adjusting for years in practice, participants who scored higher on the Agency Scale had a significantly lower likelihood of reporting burnout (OR 0.76, 95% CI 0.66–0.88, p < 0.001). For each step up the Agency Scale, participants were 6.4% less likely to report they felt burned out. Rates of burnout are high among obstetric providers, particularly among providers who have practiced longer. Supporting provider agency to manage critically ill patients may reduce burnout rates.

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“…We focus our efforts on Greece and its national workforce and scientific diaspora. Greece is a country that has sustained a very strong current of brain drain over the years (Ifanti, Argyriou et al, 2014;Moris, Karachaliou, & Kontos, 2017;Theodoropoulos, Kyridis et al, 2014;Trachana, 2013). Moreover, the country has been hit by a major economic crisis that has severely limited funding for research and development.…”

Section: Introductionmentioning

confidence: 99%

Comprehensive mapping of local and diaspora scientists: A database and analysis of 63,951 Greek scientists

Ioannidis

Koutsioumpa

Vakka

et al. 2021

Quantitative Science Studies

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Research policy and planning for a given country may benefit from reliable data on both its scientific workforce as well as the diaspora of scientists for countries with substantial brain drain. Here we use a systematic approach using Scopus to generate a comprehensive country-level database of all scientists in Greece. Moreover, we expand that database to include also Greek diaspora scientists. The database that we have compiled includes 63951 scientists who have published at least 5 papers indexed in Scopus. Of those, 35116 have an affiliation in Greece. We validate the sensitivity and specificity of the database against different control sets of scientists. We also analyze the scientific disciplines of these scientists according to the Science Metrix classification (174 subfield disciplines) and provide detailed data on each of the 63951 scientists using multiple citation indicators and a composite thereof. These analyses demonstrate differential concentrations in specific subfields for the local versus the diaspora cohorts, as well as an advantage of the diaspora cohort in terms of citation indicators especially among top-impact researchers. The approach that we have taken can be applied to map also the scientific workforce of other countries and nations for evaluation, planning and policy purposes. Peer Review https://publons.com/publon/10.1162/qss_a_00136

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Residency training in Greece: job dissatisfaction paves the way to brain drain

Cited by 14 publications

References 8 publications

Impact of hospital educational environment and occupational stress on burnout among Greek medical residents

Impact of hospital educational environment and occupational stress on burnout among Greek medical residents

Predictors of burnout: the role of agency among obstetric providers in Kumasi, Ghana

Comprehensive mapping of local and diaspora scientists: A database and analysis of 63,951 Greek scientists

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