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Burnout syndrome among medical residents: A systematic review and meta-analysis

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Listed:
  • Hugo Rodrigues
  • Ricardo Cobucci
  • Antônio Oliveira
  • João Victor Cabral
  • Leany Medeiros
  • Karen Gurgel
  • Tházio Souza
  • Ana Katherine Gonçalves

Abstract

Background: Burnout is a psychological syndrome that is very common among medical residents. It consists of emotional exhaustion (EE), depersonalization (DP) and reduced personal accomplishment (PA). Objective: To estimate burnout among different medical residency specialties. Methods: A systematic review with meta-analysis was performed following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. A search of bibliographic databases and grey literature was conducted, from inception to March 2018. The following databases were accessed: Embase, PubMed, Web of Science, Google Scholar and Scopus, and 3,575 studies were found. Methodological quality was evaluated by Agency for Healthcare Research and Quality Methodology Checklist for Cross-Sectional/Prevalence Study. In the final analysis, 26 papers were included. Their references were checked for additional studies, but none were included. Results: 4,664 medical residents were included. High DP, EE and low PA proportions were compared. Specialties were distributed into three groups of different levels of burnout prevalence: general surgery, anesthesiology, obstetrics/gynecology and orthopedics (40.8%); internal medicine, plastic surgery and pediatrics (30.0%); and otolaryngology and neurology (15.4%). Overall burnout prevalence found for all specialties was 35.7%. Conclusion: The prevalence of burnout syndrome was significantly higher among surgical/urgency residencies than in clinical specialties. PROSPERO registration: CRD42018090270.

Suggested Citation

  • Hugo Rodrigues & Ricardo Cobucci & Antônio Oliveira & João Victor Cabral & Leany Medeiros & Karen Gurgel & Tházio Souza & Ana Katherine Gonçalves, 2018. "Burnout syndrome among medical residents: A systematic review and meta-analysis," PLOS ONE, Public Library of Science, vol. 13(11), pages 1-17, November.
    • Handle: RePEc:plo:pone00:0206840
    DOI: 10.1371/journal.pone.0206840
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    References listed on IDEAS

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    1. Geurts, Sabine & Rutte, Christel & Peeters, Maria, 1999. "Antecedents and consequences of work-home interference among medical residents," Social Science & Medicine, Elsevier, vol. 48(9), pages 1135-1148, May.
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    1. Juan Luis Delgado-Gallegos & Rene de Jesús Montemayor-Garza & Gerardo R. Padilla-Rivas & Héctor Franco-Villareal & Jose Francisco Islas, 2020. "Prevalence of Stress in Healthcare Professionals during the COVID-19 Pandemic in Northeast Mexico: A Remote, Fast Survey Evaluation, Using an Adapted COVID-19 Stress Scales," IJERPH, MDPI, vol. 17(20), pages 1-12, October.
    2. Minhang Liu & Xiuhan Zhao & Zongyu Liu, 2022. "Relationship between Psychological Distress, Basic Psychological Needs, Anxiety, Mental Pressure, and Athletic Burnout of Chinese College Football Athletes during the COVID-19 Pandemic," Sustainability, MDPI, vol. 14(12), pages 1-13, June.
    3. Ramón Martín-Brufau & Alejandro Martin-Gorgojo & Carlos Suso-Ribera & Eduardo Estrada & María-Eugenia Capriles-Ovalles & Santiago Romero-Brufau, 2020. "Emotion Regulation Strategies, Workload Conditions, and Burnout in Healthcare Residents," IJERPH, MDPI, vol. 17(21), pages 1-12, October.
    4. Amr A. Fadle & Ahmed A Khalifa & Dalia G. Mahran & Shimaa Sayed Khidr & Hatem G Said & Osama Farouk, 2023. "Burnout syndrome (BOS) among resident doctors in an Egyptian tertiary care university hospital: Prevalence and determinants during the COVID-19 pandemic," International Journal of Social Psychiatry, , vol. 69(2), pages 396-405, March.
    5. Abdullah Nimer & Suzan Naser & Nesrin Sultan & Rawand Said Alasad & Alexander Rabadi & Mohammed Abu-Jubba & Mohammed Q. Al-Sabbagh & Khaldoon M. Jaradat & Zaid AlKayed & Emad Aborajooh & Salam Daradke, 2021. "Burnout Syndrome during Residency Training in Jordan: Prevalence, Risk Factors, and Implications," IJERPH, MDPI, vol. 18(4), pages 1-10, February.
    6. Isabel Saavedra Rionda & Laura Cortés-García & María de la Villa Moral Jiménez, 2021. "The Role of Burnout in the Association between Work-Related Factors and Perceived Errors in Clinical Practice among Spanish Residents," IJERPH, MDPI, vol. 18(9), pages 1-13, May.
    7. Ewa Niewiadomska & Beata Łabuz-Roszak & Piotr Pawłowski & Agata Wypych-Ślusarska, 2022. "The Physical and Mental Well-Being of Medical Doctors in the Silesian Voivodeship," IJERPH, MDPI, vol. 19(20), pages 1-16, October.
    8. Valentina Alfonsi & Serena Scarpelli & Maurizio Gorgoni & Alessandro Couyoumdjian & Francesco Rosiello & Cinzia Sandroni & Roberto Corsi & Filomena Pietrantonio & Luigi De Gennaro, 2023. "Healthcare Workers after Two Years of COVID-19: The Consequences of the Pandemic on Psychological Health and Sleep among Nurses and Physicians," IJERPH, MDPI, vol. 20(2), pages 1-15, January.
    9. Harrison J. Klein & Sarah M. McCarthy, 2022. "Student wellness trends and interventions in medical education: a narrative review," Palgrave Communications, Palgrave Macmillan, vol. 9(1), pages 1-8, December.
    10. Jianfei Xie & Jie Li & Sha Wang & Lijun Li & Kewei Wang & Yinglong Duan & Qiao Liu & Zhuqing Zhong & Siqing Ding & Andy S. K. Cheng, 2021. "Job burnout and its influencing factors among newly graduated nurses: A cross‐sectional study," Journal of Clinical Nursing, John Wiley & Sons, vol. 30(3-4), pages 508-517, February.
    11. Zhi Xuan Low & Keith A. Yeo & Vijay K. Sharma & Gilberto K. Leung & Roger S. McIntyre & Anthony Guerrero & Brett Lu & Chun Chiang Sin Fai Lam & Bach X. Tran & Long H. Nguyen & Cyrus S. Ho & Wilson W. , 2019. "Prevalence of Burnout in Medical and Surgical Residents: A Meta-Analysis," IJERPH, MDPI, vol. 16(9), pages 1-22, April.
    12. Ehsan Zarei & Fariba Ahmadi & Muhammad Safdar Sial & Jinsoo Hwang & Phung Anh Thu & Sardar Muhammad Usman, 2019. "Prevalence of Burnout among Primary Health Care Staff and Its Predictors: A Study in Iran," IJERPH, MDPI, vol. 16(12), pages 1-10, June.
    13. María Dolores Ruiz‐Fernández & Juan Diego Ramos‐Pichardo & Olivia Ibáñez‐Masero & José Cabrera‐Troya & María Inés Carmona‐Rega & Ángela María Ortega‐Galán, 2020. "Compassion fatigue, burnout, compassion satisfaction and perceived stress in healthcare professionals during the COVID‐19 health crisis in Spain," Journal of Clinical Nursing, John Wiley & Sons, vol. 29(21-22), pages 4321-4330, November.
    14. John Kavanaugh & Mark E. Hardison & Heidi Honegger Rogers & Crystal White & Jessica Gross, 2022. "Assessing the Impact of a Shinrin-Yoku (Forest Bathing) Intervention on Physician/Healthcare Professional Burnout: A Randomized, Controlled Trial," IJERPH, MDPI, vol. 19(21), pages 1-11, November.

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