Unmasking Resident Physician Burnout During the COVID-19 Era

Zhang, Sherry; Ramalingam, Nirmala; Chandran, Chitra

doi:10.7812/tpp/23.024

Cited by 4 publications

(2 citation statements)

References 13 publications

(65 reference statements)

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“…In line with recent findings, our study further shows that frequent interaction with infected patients is a risk factor for burnout, EE dimension in specific. The impact of interacting with COVID-19 patients on levels of burnout and mental health outcomes of residents has been systematically documented in the literature (48). This was indeed one of the highlights of the General Medical Council national survey in 2021 reporting that one third of trainees said they felt burnt out to a high or very high degree because of their work, compared to around a quarter in previous years (49), with 43% of respondents finding their work emotionally exhausting to a high or very high degree (49).…”

Section: Discussionmentioning

confidence: 99%

The Relationship Between Self-Determination and Burnout: Mental Health Outcomes in Medical Residents

Mobarak,

Haddad,

Salameh

et al. 2024

Preprint

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BackgroundBurnout is a pervasively increasing threat to personal and professional wellbeing and performance. It is yet understudied in relation to basic psychological needs (BPN), especially in at-risk population such as medical residents. This study intends to explore the differential relationship between various aspects of burnout including depersonalization (DP), emotional exhaustion (EE) and lack of personal achievement (PA) and subsets of BPN satisfaction or frustration namely autonomy, relatedness, and competence, with the framework of the Self-Determination Theory (SDT) in healthcare.MaterialsA total of 110 medical residents in various Lebanese hospitals were included. Demographics and standardized scales were used to measure basic psychological need satisfaction and frustration (BPNSFS), burnout (MBI), depression and anxiety (PHQ-4). Residents were also asked about subjective evaluation of academic training and level of impact by ongoing crises (COVID-19 pandemic, Beirut port explosion and financial breakdown).ResultsResult point to alarming prevalence of burnout and mental distress in our sample. It also indicates a differential correlation between gender, financial security and various subsets of burnout. It lastly points to association of DP with overall satisfaction scale (Beta=0.342,p=0.001) and PHQ-4 scores (Beta=-0.234,p=0.017), while feeling burdened to attend lectures and having been physically affected by the Beirut blast correlated with a sense of PA (Beta=0.332,p=0.010, Beta=0.187,p=0.041 respectively) and PHQ-4 (Beta=0.341,p=0.000), interacting with COVID-19 patients (Beta=0.168,p=0.020) and feeling protected in the working environment (Beta=-.231,p=0.002) showed a significant association with EE.DiscussionWithin the SDT framework, this study highlights the complex interplay between collective crises, subjective evaluations or work conditions and other demographics with aspects of burnout in medical residents. It mostly points to the need address this at an individual but also an institutional level to buffer distress in future healthcare providers.

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Section: Discussionmentioning

confidence: 99%

The Relationship Between Self-Determination and Burnout: Mental Health Outcomes in Medical Residents

Mobarak,

Haddad,

Salameh

et al. 2024

Preprint

View full text Add to dashboard Cite

show abstract

“…9 Studies of residents in non-EM specialties have also pointed to increased isolation, depression, and burnout experienced as a result of the pandemic. [10][11][12][13][14] It remains unclear to what extent these findings apply to EM residents. This study aimed to investigate how the experience of EM residents during the first year of the COVID-19 pandemic impacted their mental health, perception of personal safety, and career choice regret.…”

Section: Introductionmentioning

confidence: 99%

Suicidal ideation, perception of personal safety, and career regret among emergency medicine residents during the COVID‐19 pandemic

Akhavan,

Zhan,

Lall

et al. 2024

AEM Education and Training

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ObjectivesThe COVID‐19 pandemic was disruptive for trainees and may have affected career decisions for some learners. This study examined the impact of the pandemic on emergency medicine (EM) resident perceptions of their mental health, perceptions of personal safety, and career choice regret.MethodsThis was a cross‐sectional survey study administered following the 2021 American Board of Emergency Medicine In‐Training Examination (ITE). Survey measures included suicidal ideation (SI), COVID concerns in terms of infection prevention and control (IPC) training, COVID risk to self and/or COVID risk to family, and COVID‐related career regret. COVID concerns were compared by gender and race/ethnicity using Pearson's chi‐square tests. Multivariable logistic regression models were used to test the association between SI and COVID concerns, resident characteristics, and program characteristics.ResultsA total of 6980 out of 8491 EM residents (82.2%) from 244 programs completed the survey. Only 1.1% of participants reported insufficient training in COVID IPC practices. Participants were concerned about COVID risk to themselves (40.3%) and to their families (63.3%) due to their job roles. These concerns were more common among women or nonbinary (vs. men); all other races/ethnicities (vs. non‐Hispanic Whites); senior residents (vs. PGY‐1, PGY‐2 residents); and residents who were married or in relationships (vs. single or divorced). A total of 6.1% of participants reported that COVID made them reconsider choosing EM as their career. Career regret in this cohort was higher than that in the proportion (3.2%) expressing career regret in the 2020 ITE (p < 0.001). Career regret was more common among women or nonbinary (vs. men); all other races/ethnicities (vs. non‐Hispanic Whites); and senior residents (vs. PGY‐1, PGY‐2 residents). The overall SI rate was 2.6%, which did not differ from that of the 2020 sample of EM residents (2.5%, p = 0.88).ConclusionsMany EM residents reported concerns about COVID risks to themselves and their families. Although the rate of SI remained unchanged, more EM residents reported career regret during the COVID pandemic.

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The relationship between self-determination and burnout: Mental health outcomes in medical residents

Mobarak,

Haddad,

Salameh

et al. 2024

PLoS ONE

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Background Burnout is a pervasively increasing threat to personal and professional wellbeing and performance. It is yet understudied in relation to basic psychological needs (BPN), especially in at-risk population such as medical residents. This study intends to explore the differential relationship between various aspects of burnout including depersonalization (DP), emotional exhaustion (EE) and lack of personal achievement (PA) and subsets of BPN satisfaction or frustration namely autonomy, relatedness, and competence, with the framework of the Self-Determination Theory (SDT) in healthcare. Materials A total of 110 medical residents in various Lebanese hospitals were included. Demographics and standardized scales were used to measure basic psychological need satisfaction and frustration (BPNSFS), burnout (MBI), depression and anxiety (PHQ-4). Residents were also asked about subjective evaluation of academic training and level of impact by ongoing crises (COVID-19 pandemic, Beirut port explosion and financial breakdown). Results Result point to alarming prevalence of burnout and mental distress in our sample. It also indicates a differential correlation between gender, financial security and various subsets of burnout. It lastly points to association of DP with overall satisfaction scale (Beta = 0.342, p = 0.001) and PHQ-4 scores (Beta = -0.234, p = 0.017), while feeling burdened to attend lectures and having been physically affected by the Beirut blast correlated with a sense of PA (Beta = 0.332, p = 0.010, Beta = 0.187, p = 0.041 respectively) and PHQ-4 (Beta = 0.341, p = 0.000), interacting with COVID-19 patients (Beta = 0.168, p = 0.020) and feeling protected in the working environment (Beta = -.231, p = 0.002) showed a significant association with EE. Discussion Within the SDT framework, this study highlights the complex interplay between collective crises, subjective evaluations or work conditions and other demographics with aspects of burnout in medical residents. It mostly points to the need address this at an individual but also an institutional level to buffer distress in future healthcare providers.

show abstract

Unmasking Resident Physician Burnout During the COVID-19 Era

Cited by 4 publications

References 13 publications

The Relationship Between Self-Determination and Burnout: Mental Health Outcomes in Medical Residents

The Relationship Between Self-Determination and Burnout: Mental Health Outcomes in Medical Residents

Suicidal ideation, perception of personal safety, and career regret among emergency medicine residents during the COVID‐19 pandemic

The relationship between self-determination and burnout: Mental health outcomes in medical residents

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