Skip to Main Content

Counseling Psychology and Psychotherapy
2020. Vol. 28, no. 2, 46–69
doi:10.17759/cpp.2020280203
ISSN: 2075-3470 / 2311-9446 (online)

Burnout Level in Medical Residents Doing Internship in Emergency Medicine Hospital before the Pandemic

485

E.Y. Matyushkina, O.Y. Mikita, A.B. Kholmogorova

PDF (RUS)
Online translation in english
GS
Information
in Google Scholar

Abstract

The review of modern studies on the issue of professional burnout in young doctors and medical residents revealed the highest emotional distress in young residents doing internships in intensive care and emergency units. The paper presents the results of the study on 143 medical residents in the multi-profile hospital of emergency medicine. The methodical complex used included Maslach Burnout Inventory, Symptom Checklist‐90‐Revised (SCL-90-R) by L. Derogatis, and a survey on the attitude to professional troubles. Most young doctors pointed out the close relationship between problems with physical health and emotional wellbeing to their professional activity. The vast majority of the participants met the criteria for burnout, as indicated by high emotional exhaustion (69%) and depersonalization (85%) indications from the Maslach Inventory. Although most residents didn’t endorse any problems in communicating with the patients, their high level of depersonalization is more likely to attest to formalizing their relationships with the patients as opposed to having high social competence. The yielded results let us conclude that it is necessary to develop and implement into training programs for medical residents of the multi-profile hospital of emergency medicine programs promoting their communication competence, coping with distress, and preventing professional burnout.

General Information

Keywords: professional burnout of medical residents, emotional exhaustion, depersonalization, professional successfulness, emotional distress, mental health

Journal rubric: Empirical Researches

Article type: scientific article

DOI: https://doi.org/10.17759/cpp.2020280203

For citation: Matyushkina E.Y., Mikita O.Y., Kholmogorova A.B. Burnout Level in Medical Residents Doing Internship in Emergency Medicine Hospital before the Pandemic. Konsul'tativnaya psikhologiya i psikhoterapiya = Counseling Psychology and Psychotherapy, 2020. Vol. 28, no. 2, pp. 46–69. DOI: 10.17759/cpp.2020280203. (In Russ., аbstr. in Engl.)

References

  1. Vodop’yanova N.E., Starchenkova E.S. Sindrom vygoraniya: diagnostika i profilaktika. 2-e izd. [Burnout Syndrome: Diagnosis and Prevention. 2nd ed.]. Saint Petersburg: Piter, 2009. 223 p.
  2. Vodop’yanova N.E. Psikhodiagnostika stressa [Psychodiagnosis of stress]. Saint Petersburg: Piter, 2009. 336 p.
  3. Govorin N.V., Bodagova E.A. Psikhicheskoe zdorov’e i kachestvo zhizni vrachei [Mental health and quality of life of medical doctors]. Tomsk, Chita: Ivan Fedorov, 2013. 126 p.
  4. Dovzhenko T.V., Petrova G.A., Yudeeva T.Yu. Primenenie klinicheskoi shkaly samootcheta SCL-90-R v klinike rasstroistv affektivnogo spektra (metodicheskoe posobie dlya vrachei) [The use of the clinical self-reporting scale SCL-90-R in the clinic of affective spectrum disorders: manual for doctors]. Moscow, 2003. 37 p.
  5. Leonova A.B. Stress i psikhicheskoe zdorov’e professionalov [Stress and mental health of professionals]. In Tkhostov A.Sh., Rasskazova E.I. (eds.). Rukovodstvo po psikhologii zdorov’ya [Manual of the healthcare psychology]. Moscow: MGU Publ., 2019, pp. 638—691.
  6. Matyushkina E.Ya., Roi A.P., Rakhmanina A.A., et al. Professional’nyi stress i professional’noe vygoranie u meditsinskikh rabotnikov [Occupational stress and burnout among healthcare professionals] [Elektronnyi resurs]. Sovremennaya zarubezhnaya psikhologiya [ Journal of Modern Foreign Psychology], 2020. Vol. 9 (1), pp. 39—49. Available at: https://psyjournals.ru/jmfp/2020/n1/Matyushkina_et_al.shtml (Accessed 15.05.2020). doi:10.17759/jmfp.2020090104. (In Russ., аbstr. in Engl.).
  7. Tarabrina N.V. Praktikum po psikhologii posttravmaticheskogo stressa [Workshop on the Psychology of Post-Traumatic Stress]. Saint Petersburg: Piter, 2001. 272 p.
  8. Chuang C.-H., Tseng P.-C., Lin C.-Y., et al. Burnout in the intensive care unit professionals: a systematic review [Elektronnyi resurs]. Medicine, 2016. Vol. 95 (50). Available at: https://journals.lww.com/md-journal/Fulltext/2016/12160/Burnout_ in_the_intensive_care_unit_professionals_.37.aspx (Accessed 15.05.2020). doi:10.1097/MD.0000000000005629
  9. Dyrbye L.N., Burke S.E., Hardeman R.R., et al. Association of clinical specialty with symptoms of burnout and career choice regret among US resident physicians. JAMA, 2018. Vol. 320 (11), pp. 1114—1130. 10.1001/jama.2018.12615
  10. Dyrbye L.N., Massie F.S., Eacker A., et al. Relationship between burnout and professional conduct and attitudes among US medical students. JAMA, 2010. Vol. 304 (11), pp. 1173—1180. doi:10.1001/jama.2010.1318
  11. Dyrbye L.N., Shanafelt T.D., Sinsky C.A., et al. Burnout among health care professionals. A call to explore and address this underrecognized threat to safe, high-quality care [Elektronnyi resurs]. National Academy of Medicine Perspectives, 5.07.2017. Available at: https://nam.edu/burnout-among-health-care-professionals-a-call-to-explore-and-address-this-underrecognized-threat-to-safe-high-quality-care/ (Accessed 1.05.2020).
  12. Een op de vijf jonge artsen heeft last van burn-out klachten [Elektronnyi resurs]. GGZ nieuws, 19.11.19. Available at: http://www.ggznieuws.nl/1-op-de-5-jonge-artsen-heeft-last-van-burn-out-klachten (Accessed 28.04.2020).
  13. Lin M., Battaglioli N., Melamed M., et al. High prevalence of burnout among US emergency medicine residents: results from the 2017 National Emergency Medicine Wellness Survey. Annals of Emergency Medicine, 2019. Vol. 74 (5), pp. 682—690. doi:10.1016/j.annemergmed.2019.01.037
  14. Maslach C., Jackson S.E. Maslach Burnout Inventory (MBI): Manual. Palo Alto, CA: Consulting Psychologists Press, 1986. 34 p.
  15. Rodrigues H., Cobucci R., Oliveira A., et al. Burnout syndrome among medical residents: a systematic review and meta-analysis [Elektronnyi resurs]. PloS One, 2018. Vol. 13 (11). Available at: https://www.ncbi.nlm.nih.gov/pmc/articles/ PMC6231624/ (Accessed 5.05.2020). doi:10.1371/journal.pone.0206840
  16. Raimo J., LaVine S., Spielmann K., et al. The correlation of stress in residency with future stress and burnout: a 10-year prospective cohort study. Journal of Graduate Medical Education, 2018. Vol. 10 (5), pp. 524—531. doi:10.4300/ JGME-D-18-00273.1
  17. Shanafelt T.D., Boone S., Tan L., et al. Burnout and satisfaction with work-life balance among US physicians relative to the general US population. Archives of Internal Medicine, 2012. Vol. 172 (18), pp. 1377—1385. doi:10.1001/ archinternmed.2012.3199
  18. Shanafelt T.D., West C.P., Sinsky C., et al. Changes in burnout and satisfaction with work-life integration in physicians and the general US working population between 2011 and 2017. Mayo Clinic Proceedings, 2019. Vol. 94 (9), pp. 1681—1694. doi:10.1016/j.mayocp.2018.10.023
  19. Shanafelt T.D., Dyrbye L.N., Sinsky C., et al. Relationship between clerical burden and characteristics of the electronic environment with physician burnout and professional satisfaction. Mayo Clinic Proceedings, 2016. Vol. 91 (7), pp. 836—848. doi:10.1016/j.mayocp.2016.05.007
  20. Stehman C.R., Testo Z., Gershaw R., et al. Burnout, drop out, suicide: physician loss in emergency medicine, part I. Western Journal of Emergency Medicine, 2019. Vol. 20 (3), pp. 485—494. doi:10.5811/westjem.2019.4.40970

Information About the Authors

Elena Y. Matyushkina, PhD in Psychology, Assistant Professor at the Clinical Psychology and Psychotherapy Chair, Moscow State University of Psychology & Education, Moscow, Russia, ORCID: https://orcid.org/0000-0002-6027-1510, e-mail: Elena.matyushkina@gmail.com

Olesya Y. Mikita, PhD in Psychology, Head of Educational and Clinical Department, Researcher, Department of Kidney and Pancreas Transplantation, N.V. Sklifosovsky Research Institute of Emergency Medicine, Moscow, Russia, ORCID: https://orcid.org/0000-0001-6697-1625, e-mail: mikita-o@yandex.ru

Alla B. Kholmogorova, Doctor of Psychology, Professor, Dean of the Faculty of Counseling and Clinical Psychology, Moscow State University of Psychology & Education, Leading Researcher, Moscow Research Institute of Psychiatry (A Branch of the National Medical Research Centre for Psychiatry and Narcology), Moscow, Russia, ORCID: https://orcid.org/0000-0001-5194-0199, e-mail: kholmogorova@yandex.ru

Metrics

Views

Total: 857
Previous month: 19
Current month: 17

Downloads

Total: 485
Previous month: 7
Current month: 2