ASSESSING BURNOUT LEVELS: A COMPARATIVE ANALYSIS BETWEEN CLINICAL RESIDENTS AND MEDICAL STUDENTS AMIDST THE COVID-19 PANDEMIC IN A REFERRAL HOSPITAL

Main Article Content

Seyedeh Azadeh Hosseini
Omid Nabavian
Shahram Samadi
Leyla Sahebi
Alireza Montaseri
Babak Eslami
Shabnam Beigi
Parisa Kianpour

Keywords

Burnout syndrome, COVID-19, Internship and residency

Abstract

Background: The COVID-19 pandemic has significantly affected healthcare workers, leading to increased stress and burnout.


 


Objectives: A comparative study of burnout syndrome in the residents as frontlines and medical students as a control group.


 


Methods: This study conducted in Tehran, Iran, investigates burnout syndrome among specialized clinical residents and medical students during the pandemic, focusing on prevalence, contributing factors, and potential implications. Data was collected through an online survey, including demographic information and the Maslach Burnout Inventory (MBI), with statistical analyses using T-tests, ANOVA, and ANCOVA.


 


Results: Surveying 109 specialized residents and 109 medical students, the study reveals significant differences in burnout components. Specialized residents showed higher emotional exhaustion, depersonalization, and overall burnout compared to medical students (P-value<0.05). Working times and involvement in COVID patient care were identified as significant contributors to burnout, with gender differences associated with depersonalization. The impact of working times on emotional exhaustion, depersonalization, and burnout syndrome was also noted.


Conclusion: The study highlights the high prevalence of burnout among specialized residents and calls for targeted interventions. It emphasizes the importance of regulating work hours and introducing stress-reducing activities. The research calls for health authorities to implement measures to promote mental well-being among healthcare professionals, emphasizing the complex nature of burnout during pandemics.


 

Abstract 114 | pdf Downloads 44

References

Khan ZH, Samadi S, Makarem J, Mireskandari SM. Tests with proven value in diagnosis of COVID-19. Iran J Microbiol. 2020;12(3):261-262.
2. Memish ZA, Ahmed QA, Schlagenhauf P, Doumbia S, Khan A. No time for dilemma: mass gatherings must be suspended. Lancet. 2020 Apr 11;395(10231):1191-1192. doi: 10.1016/S0140-6736(20)30754-6. Epub 2020 Mar 30. PMID: 32240624; PMCID: PMC7146682.
3. Ferreira LN, Pereira LN, da Fé Brás M, Ilchuk K. Quality of life under the COVID-19 quarantine. Qual Life Res. 2021 May;30(5):1389-1405. doi: 10.1007/s11136-020-02724-x. Epub 2021 Jan 2. PMID: 33389523; PMCID: PMC7778495.
4. Guida C, Carpentieri G. Quality of life in the urban environment and primary health services for the elderly during the Covid-19 pandemic: An application to the city of Milan (Italy). Cities. 2021 Mar;110:103038. doi: 10.1016/j.cities.2020.103038. Epub 2020 Nov 27. PMID: 33262550; PMCID: PMC7691131.
5. Di Domenico SL, Coen D, Bergamaschi M, Albertini V, Ghezzi L, Cazzaniga MM, et al. Clinical characteristics and respiratory support of 310 COVID-19 patients, diagnosed at the emergency room: a single-center retrospective study. Intern Emerg Med. 2021 Jun;16(4):1051-1060. doi: 10.1007/s11739-020-02548-0. Epub 2020 Nov 11. PMID: 33175297; PMCID: PMC7656099.
6. Barello S, Palamenghi L, Graffigna G. Burnout and somatic symptoms among frontline healthcare professionals at the peak of the Italian COVID-19 pandemic. Psychiatry Res. 2020 Aug;290:113129. doi: 10.1016/j.psychres.2020.113129. Epub 2020 May 27. PMID: 32485487; PMCID: PMC7255285.
7. Jalili M, Niroomand M, Hadavand F, Zeinali K, Fotouhi A. Burnout among healthcare professionals during COVID-19 pandemic: a cross-sectional study. Int Arch Occup Environ Health. 2021 Aug;94(6):1345-1352. doi: 10.1007/s00420-021-01695-x. Epub 2021 Apr 17. PMID: 33864490; PMCID: PMC8052946.
8. Lasalvia A, Amaddeo F, Porru S, Carta A, Tardivo S, Bovo C, et al. Levels of burn-out among healthcare workers during the COVID-19 pandemic and their associated factors: a cross-sectional study in a tertiary hospital of a highly burdened area of north-east Italy. BMJ Open. 2021 Jan 17;11(1):e045127. doi: 10.1136/bmjopen-2020-045127. PMID: 33455940; PMCID: PMC7813385.
9. Torrente M, Sousa PA, Sánchez-Ramos A, Pimentao J, Royuela A, Franco F, et al. To burn-out or not to burn-out: a cross-sectional study in healthcare professionals in Spain during COVID-19 pandemic. BMJ Open. 2021 Feb 24;11(2):e044945. doi: 10.1136/bmjopen-2020-044945. PMID: 33627353; PMCID: PMC7907836.
10. Alipour F, Shahvari Z, Asghari F, Samadi S, Amini H. Educational system defects and observing professional behavior: A qualitative study. J Educ Health Promot. 2019 Aug 30;8:162. doi: 10.4103/jehp.jehp_22_19. PMID: 31544127; PMCID: PMC6745886.
11. Garcia-Gonzalez J, Ventura-Miranda MI, Requena-Mullor M, Parron-Carreño T, Alarcon-Rodriguez R. State-trait anxiety levels during pregnancy and foetal parameters following intervention with music therapy. J Affect Disord. 2018 May;232:17-22. doi: 10.1016/j.jad.2018.02.008. Epub 2018 Feb 13. PMID: 29471206.
12. Lai J, Ma S, Wang Y, Cai Z, Hu J, Wei N, et al. Factors Associated With Mental Health Outcomes Among Health Care Workers Exposed to Coronavirus Disease 2019. JAMA Netw Open. 2020 Mar 2;3(3):e203976. doi: 10.1001/jamanetworkopen.2020.3976. PMID: 32202646; PMCID: PMC7090843.
13. Phan LT, Nguyen TV, Luong QC, Nguyen TV, Nguyen HT, Le HQ, et al. Importation and Human-to-Human Transmission of a Novel Coronavirus in Vietnam. N Engl J Med. 2020 Feb 27;382(9):872-874. doi: 10.1056/NEJMc2001272. Epub 2020 Jan 28. PMID: 31991079; PMCID: PMC7121428.
14. Huang C, Wang Y, Li X, Ren L, Zhao J, Hu Y, et al. Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China. Lancet. 2020 Feb 15;395(10223):497-506. doi: 10.1016/S0140-6736(20)30183-5. Epub 2020 Jan 24. Erratum in: Lancet. 2020 Jan 30;: PMID: 31986264; PMCID: PMC7159299.
15. Kang L, Li Y, Hu S, Chen M, Yang C, Yang BX, et al. The mental health of medical workers in Wuhan, China dealing with the 2019 novel coronavirus. Lancet Psychiatry. 2020 Mar;7(3):e14. doi: 10.1016/S2215-0366(20)30047-X. Epub 2020 Feb 5. PMID: 32035030; PMCID: PMC7129673.
16. Thomas NK. Resident burnout. JAMA. 2004 Dec 15;292(23):2880-9. doi: 10.1001/jama.292.23.2880. PMID: 15598920.
17. Bakker AB, Schaufeli WB, Demerouti E, Janssen PPM, Hulst, van der R, Brouwer J. Using equity theory to examine the difference between burnout and depression. Anxiety, Stress and Coping. 2000;13(3):247-268. doi: 10.1080/10615800008549265
18. Prins JT, Gazendam-Donofrio SM, Tubben BJ, van der Heijden FM, van de Wiel HB, Hoekstra-Weebers JE. Burnout in medical residents: a review. Med Educ. 2007 Aug;41(8):788-800. doi: 10.1111/j.1365-2923.2007.02797.x. PMID: 17661887.
19. McCray LW, Cronholm PF, Bogner HR, Gallo JJ, Neill RA. Resident physician burnout: is there hope? Fam Med. 2008 Oct;40(9):626-32. PMID: 18830837; PMCID: PMC2903755.
20. van der Heijden F, Dillingh G, Bakker A, Prins J. Suicidal thoughts among medical residents with burnout. Arch Suicide Res. 2008;12(4):344-6. doi: 10.1080/13811110802325349. PMID: 18828037.
21. Dimitriu MCT, Pantea-Stoian A, Smaranda AC, Nica AA, Carap AC, Constantin VD, et al. Burnout syndrome in Romanian medical residents in time of the COVID-19 pandemic. Med Hypotheses. 2020 Nov;144:109972. doi: 10.1016/j.mehy.2020.109972. Epub 2020 Jun 7. PMID: 32531540; PMCID: PMC7276114.
22. Samadi S, Amirifard H, Eslami M, Khadembashiri MA, Khadembashiri MM, Najafi A. Evaluation of sleep quality and depressive symptoms among medical students during COVID-19 pandemic. Middle East Current Psychiatry. 2023 Sep 11;30(1):71.
https://doi.org/10.1186/s43045-023-00338-w
23. Samadi S, Khan ZH, Mireskandari SM, Karvandian K, Jafarzadeh A, Hajipour A. Preserving Resilience for Prevention of Burnout in Anesthesiology Residents as Frontline Healthcare Workers During the COVID-19 Outbreak: A Report of Real-life Experiences of Professionalism and Mentoring in Medical Education. Journal of Family and Reproductive Health. 2022 Dec 13;296–9.
24. Samadi S, Amirifard H, Eslami M, Khadembashiri MA, Khadembashiri MM, Najafi A. Evaluation of sleep quality and depressive symptoms among medical students during COVID-19 pandemic. Middle East Current Psychiatry. 2023 Sep 11;30(1):71.