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2007, Number 3

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Rev Med Inst Mex Seguro Soc 2007; 45 (3)

The Burnout Syndrome in Medical Residents Working Long Periods

López-Morales A, González-Velázquez F, Morales-Guzmán MI, Espinoza-Martínez CE
Full text How to cite this article

Language: Spanish
References: 17
Page: 233-242
PDF size: 143.18 Kb.


Key words:

professional burnout, internship and residency, workday.

ABSTRACT

Objective: to evaluate the burnout syndrome in medical residents with working periods longer than 80 hours per week.
Methodology: an analytical cross-sectional study was conducted with medical residents working at Instituto Mexicano del Seguro Social hospital in Veracruz, México. The residents were classified in two groups. One group working for ≥ 80 h per week (study group, SG) and another group working ‹ 80 h per week (comparison group, CG) were studied. Participants were selected by simple random sampling. The clinical evaluation instrument was the scale of Maslach burnout inventory.
Results: 143 medical residents were included in the sample (SG n = 72, CG n = 71); the average age was 29.6 ± 2.5 years, 65 % were males and 51 % were unmarried. Their length of service was 2.2 ± 0.7 years. The mean working time was 100.5 ± 7.2 hours per week for the SG and 64.4 ± 9.3 hours for the CG. Burnout syndrome was present in 46 (63.8 %) medical residents with long workdays (p = 0.002); it was observed more frequently in those residents that were on call 3 times per week (p = 0.002) and among surgery residents (p = 0.035).
Conclusion: working periods longer than 80 h per week are related to the appearance of burnout syndrome.


REFERENCES

  1. Mitler MM, Dement WC, Dinges DF. Sleep medicine, public policy, and public health. En: Kryger MH, Roth T, Dement WC, editors. Principles and practice of sleep medicine. 3rd edition. Philadelphia: WB Saunders; 2000. p. 580-588.

  2. Baldwin D, Daugherty S, Tsai R, Scotti M. A National Survey of Resident’s Self-Reported Work Hours: Thinking beyond speciality. Acad Med 2003;78:1154-1163.

  3. Parshuram CS, Dhanani S, Kirsh JA, Cox PN. Fellowship training, workload, fatigue and physical stress: a prospective observational study. CMAJ 2004;170(6):965-970.

  4. Howard SK, Gaba DM, Rosekind MR, Zarcone VP. The risks and implications of excessive daytime sleepiness in resident physicians. Acad Med 2002;77:1019-1025.

  5. Levey RE. Sources of stress for residents and recommendations for programs to assist them. Acad Med 2001;76(2):142-150.

  6. Rollinson DC, Rathlev NK, Moss M, Killiany R, Sassower KC, Auerbach S, Fish SS. The effects of consecutive night shifts on neuropsychological performance of interns in the emergency department: a pilot study. Ann Emerg Med 2003; 41(3):400-406.

  7. Halbach MM, Spann CO, Egan G. Effect of sleep deprivation on medical resident and student cognitive function: a prospective study. Am J Obstet Gynecol 2003;188(5):1198-1201.

  8. Eastridge BJ, Hamilton EC, O’Keefe GE, Rege RV, Valentine RJ, Jones DJ, Tesfay S, Thal ER. Effect of sleep deprivation on the performance of simulated laparoscopic surgical skill. Am J Surg 2003;186(2):169-174.

  9. Jefatura de la Presidencia. Ley 44/2003, de ordenación de las profesiones sanitarias. Boletín Oficial del Estado (España), 22 de noviembre de 2003, núm. 280, p. 41442-41458. Disponible en http://www.boe.es/g/es/bases_datos/doc.php? coleccion=iberlex&id=2003/21340&txtlen=1000

  10. De Pablo R, Suberviola J. La prevalencia del síndrome de burnout o desgaste profesional en médicos de atención primaria. Aten Primaria 2000;22: 580-584.

  11. Maslach C. Burned-out. Can J Psych Nur 1979;6:5-9.

  12. Shanafelt T, Bradley K, Wipf J, Back A. Burnout and self-reported patient care in an internal medicine residency program. Ann Intern Med 2002;136:358-367.

  13. Bohle A, Baumgartel R, Gotz M, Muller E, Jocman D. Burnout of urologists in the county of Schleswing-Holstein, Germany: a comparison of hospital and private practice urologists. J Urol 2001;165:1158-1161.

  14. Grassi L, Magnani K, Psychiatric morbidity and burnout in the medical profession: an Italian study of general practitioners and hospital physicians. Psychother Psychosom 2000;69:329-334.

  15. Vermeulen M, Mustard C. Gender differences in job strain, social support at work, and psychological distress. J Occup Health Psychol 2000;5: 428-440.

  16. Thommasen H, Lavanchy M, Conelly I, Berkovitz J, Grzybowsky S. Mental health, job satisfaction, and intention to relocate. Opinion of physicians of rural British Columbia. Can Fam Phys 2001; 47:737-744.

  17. Rogers F, Shackford S, Subashini D, Crookes B, Sartorelli K, Charash W. Workload redistribution: a new approach to the 80-hour workweek. J Trauma 2005;58:911-916.




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Rev Med Inst Mex Seguro Soc. 2007;45