ISSN: 2161-0711

Journal of Community Medicine & Health Education
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  • Research Article   
  • J Community Med Health Educ 2018, Vol 8(2): 596
  • DOI: 10.4172/2161-0711.1000596

Professional Risk Factors for Burnout among Medical Residents

Deschamps F1,2, Castanon J1, Laraqui O1, Manar N1, Laraqui C1*, Gregoris M1 and Dramé M3,4
1Department of Occupational Health, Reims University Hospitals, , Reims, France
2Laboratory of Psychology, University of Reims, , France
3Department of Medicine, University of Reims Champagne-Ardenne, Reims, France
4Department of Research and Innovation, University Hospitals of Reims, Robert Debré Hospital, , Reims, France
*Corresponding Author : Laraqui C, Department of Occupational Health, Reims University Hospitals, Reims, France, Tel: +212522445584, Email: chlaraqui51@gmail.com

Received Date: Feb 22, 2018 / Accepted Date: Mar 09, 2018 / Published Date: Mar 12, 2018

Abstract

Study background: We aimed to identify professional risk factors for burnout among residents in medicine and surgery.
Materials and methods: Epidemiological, observational, and cross-sectional study among trainee physicians working in the Champagne-Ardenne region, from 31 March to 3 May 2015. Burnout was assessed using the Maslach Burnout Inventory (MBI). Variables recorded included the location of the residency, the type of unit (hospitalisation ward, emergency department, consultations), workload, and exposure to patients’ suffering. Karasek’s Job Content Questionnaire was also administered. For each component of the MBI, univariate and binary logistic regression was performed to identify risk factors.
Results: In total, 191 out of 644 eligible residents (29.7%) completed the survey. The majority were working in conditions likely to pose a risk to their health: 42.4% were exposed to job strain, and 19.9% had iso-strain. Overall, 62.8% of residents presented at least one component of burnout as assessed by the MBI. By multivariate analysis, risk factors for emotional exhaustion were high psychological demands (Odds Ratio (OR) 1.16; 95% confidence interval (95% CI) 1.05-1.29) and iso-strain (OR 3.25; 95% CI 1.29-8.22), while high psychological demands were also a risk factor for depersonalization (OR 1.14; 95% CI 1.07-1.22). Working in a hospitalisation unit (OR 3.66; 95% CI 1.30-10.3) and not meeting patients’ families (OR 11.7; 95% CI 3.08-44.4) were risk factors for a feeling of low personal accomplishment, whereas increased decision latitude had a protective effect (OR 0.95; 95% CI 0.91-0.99).
Conclusion: This study identifies occupational risk factors for burnout among residents in training, and provides a useful basis for preventive measures aimed at changing the organisational structure in the hospital setting with a view to improving mental health among trainee physicians.

Keywords: Burnout; Medical students; Risk factors; Psychosocial factors

Citation: Deschamps F, Castanon J, Laraqui O, Manar N, Laraqui C, et al. (2018) Professional Risk Factors for Burnout among Medical Residents. J Community Med Health Educ 8:596. Doi: 10.4172/2161-0711.1000596

Copyright: © Deschamps F, Castanon J, Laraqui O, Manar N, Laraqui C, et al. (2018) Professional Risk Factors for Burnout among Medical Residents. J Community Med Health Educ 8: 596.

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