Training characteristics, personal factors and coping strategies associated with burnout in junior doctors: A multi-center study

Roslan, Nurhanis Syazni and Yusoff, Muhamad Saiful Bahri and Ab Razak, Asrenee and Morgan, Karen and Shauki, Nor Izzah Ahmad and Kukreja, Anjanna and Rahmat, Norashidah and Andrew, Chin Ri Wei and Basri, Muhammad Fikri Shaharudin and Abd Mokti, Abdullah Shamshir and Yazid, Nur Haziyah Md and Ismail, Munirah and Bakit, Pangie (2021) Training characteristics, personal factors and coping strategies associated with burnout in junior doctors: A multi-center study. Healthcare, 9 (9). ISSN 2227-9032, DOI

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Physician burnout has been recognized as a public health crisis. However, there is a paucity of burnout studies in the context of medical internship. We assessed the prevalence and relationship between various training characteristics, personal variables, resilience, and coping with burnout in a cross-sectional study involving 837 interns from ten hospitals across Malaysian healthcare system. The instrument package included demographic questions, the Connor-Davidson Resilience Scale, Brief COPE and the Copenhagen Burnout Inventory. A total of 754 (90.1%) interns completed the inventories. We found a high prevalence of personal-related (73.3%), work-related (69.1%), and patient-related (43.4%) burnout among Malaysian interns. Multivariable analysis showed female gender (odds ratio (OR):1.50; 95% confidence interval (CI): 1.02-2.20), prior work experience (OR: 1.56; 95% CI: 1.05-2.30), and irregular spirituality routines (OR: 1.97; 95% CI: 1.30-2.99) were associated with increased odds of personal-related burnout. Irregular spirituality routines (OR: 2.24; 95% CI: 1.49-3.37) were associated with work-related burnout, while living with other people (OR: 1.77; 95% CI: 1.15-2.73) was associated with patient-related burnout. Lower resilience levels and avoidant copings were associated with personal-, work-, and patient-related burnout. Burnout prevalence among interns is high. The findings support the value of individual-targeted alongside organizational-targeted intervention in burnout reduction. As burnout is prevalent in both years of internship training, ongoing burnout prevention and wellbeing measures are deemed necessary.

Item Type: Article
Uncontrolled Keywords: Junior doctor; Internship; Resident; Burnout; Well-being; Resilience; Coping; Medical education
Subjects: R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine
Divisions: Faculty of Medicine > Medicine Department
Depositing User: Ms Zaharah Ramly
Date Deposited: 14 Sep 2022 08:12
Last Modified: 14 Sep 2022 08:12

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