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Current Psychiatry
Ain Shams University
March 2006
 
Vol. 13 No 1
 
Official Journal of the Institute of PsychiatryISSN 002-2144
 
Volume 13 No 1 March 2006
 
Burnout Syndrome among Saudi Medical Residents: A Controlled StudyMotives for Substance Use Disorders: A Trans-cultural StudyBurnout Syndrome among Resident Physician in Suez Canal UniversityHospitalAmphetamine Related Symptoms: Descriptive Analysis and ReasoningSleep Profile in Children with Pervasive Developmental DisordersAcute Phase Reactants (Proteins) in SchizophreniaEmotional Disturbances and Quality of Life in Type-1Diabetic Childrenand Adolescents: Relation to Glycemic Control and Microvascular ComplicationsDiagnostic Value of Regional Cerebral Blood Flow Changes on Spect andHippocampal Atrophy on MRI in Diagnosis of Alzheimer's disease andVascular DementiaThe Practice of Electroconvulsive Therapy (ECT) in a Sample of Egyptian PatientsAssessment of Neurochemical Alterations that Occur in Bipolar PatientsFollowing Medication Using Proton Magnetic Resonance Spectroscopy.Bipolar Mood Disorder amongChildren of Attention DeficitHyperactivity Disorder 
 
Current PsychiatryVol. 13 No.1 March 2006 
1
Burnout Syndrome among Saudi Medical Residents: A ControlledStudy
 Rahemi J., Saadani M., Kinsara A.
Abstract:
To investigate resident burnout among different medical specialties. Method: MaslachBurnout Inventory forms had been fulfilled by 71 residents from eight different medicalspecialties. All residents were from Saudi Board Program. Results: A greater percentage of senior residents (34%) were doing recreational activities than junior residents (28%). Eighty percent of residents were not satisfied with the number of working hours. There was nosignificant difference between junior and senior residents regarding to the number of calls per week. There was no significant difference between junior and senior residents regarding to thethree mean values of the subscales of MBI (t-values = -0.8, -0.9, -1.5 and significance = 0.5,0.4, 0.1). Medical residents had a significant lower mean values regarding to accomplishmentsubscale (35±10) than the other 4 main sections of residents (f = 2.2, p = 0.04). Surgicalresidents got significantly higher mean scores in two items of MBI than medical residents.These two items are sense of fatigue and dealing with their patients as objects. The test whichhad been used was t-test (t = 2.4 and 3.5) respectively, significances were 0.02 and 0.001Conclusions: Junior Medical residents are the least who suffer from burnout, followed bysenior medical residents. Obstetrics, Gynecology and Surgical residents are the most sufferer from burnout symptoms among all specialties included in this study. Numbers of workinghours, number of on calls per week, and residents who live away from their places of work are issues need to be discussed with the decision makers.
 Introduction:
Maslach defined burnout syndrome as aloss of interest and care for users andconsequently the development of arelationship characterized by detachmentand coldness within an environmentalmodel including situational factors likesocial and environmental context and thenature of the job (Maslach C, et al 2001).Maslach distinguishing three components of  burnout: emotional depletion, indifferentattitudes to colleagues and users, andnegative self-evaluation of job performance(Thomas NK, 2004).The 80 hours-per-week limits implementednationally on residents' work have beensought, in part, as a response to resident burnout, which has been linked todecreased job performance (Lemkau J, et al1994) (i.e., increased medical errors), lowcareer satisfaction, and a decrease inempathic concern, including feeling lesshumanistic (Nyssen AS, et al 2003). Usingthe Maslach Burnout Inventory (MBI)(Maslach C, et al 1996), a validated andreliable tool, one survey of an internalmedicine residency program found that76% of the respondents met criteria for  burnout (Iacovides A, et al 2003). Twoyears after New York State implementedrevisions to the state health code (section405), which required reduction in on-callwork and increased supervision, residentsreported diminished fatigue and better  patient care (Geurts S, et al 1999). Home-related Stressors for residents may also play
 
Current PsychiatryVol. 13 No.1 March 2006 
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a vital role in work-related fatigue (LeveyRE, 2001).Burnout differs from depression, in that it isconfined to the workplace. However, if generalization to the home environmentoccurs, burnout may progress to clinicaldepression, although such a temporalrelationship is not well established(LevineRE, et al 2003, Veasey S, et al 2002,Beckman JA & Fang JC, 2002 ).Based on these results, we undertook checking a sample of residents to measuretheir burnout and explore the associationwith specialty, the effects of recreationalactivities, their frequencies, satisfactionwith working hours, number of calls per week, the distance of residentsHousing from the working place, stager intraining e.g. junior or senior, and whichspecialties are more vulnerable to burnoutsyndrome?.
Subjects and methods:
 Subjects of this study are all residentsworking at King Abdul-Aziz Medical City(KAMC) during March 2005. Confoundingvariables were assessed among all residentse.g. age, sex, marital status, recreationalactivities, their frequencies, distance of their living away from KAMC, number of on calls & working hours.There were 71 residents, who weredistributed as the following:Three residents from ENT, Two residentsfrom ophthalmology, One resident fromER, Ten residents from General Surgery,Ten residents from Obstetrics andGynecology, Nine residents fromRadiology, Seventeen residents from pediatrics, Nineteen residents fromMedicineMBI was used as a measure to assess thequantity of burnout among all residents(who are under the supervision of SaudiBoard Program) and working at KAMC.Given the stress that accompanies this kindof uncertain job situation when hospitals areundergoing restructuring, nurses are particularly prone to developing psychological burnout. Maslach burnoutInventory consists of three differentaspects: emotional exhaustion,depersonalization, and reduced personalaccomplishment. Emotional exhaustion isdefined as feelings of being emotionallyoverextended and drained by others.Depersonalization is a callous responsetoward people who are the recipients of one's services. Lack of personalaccomplishment is a decline in one'sfeelings of competence and successfulachievement in one's work with people.Burnout is considered a special type of  prolonged exposure to occupational stressand results from interpersonal demands atwork (Maslach C, et al 1996)MBI consists of 22 statements representing3 main components:A-Emotional exhaustion are represented bystatements. Their numbers are:4,5,7,9,10,11,12,15,17,18,19,21,22B-Depersonalization are represented bystatements. Their numbers are:1,2,3,4,6,7,8,9,12,13,14,16,17,18,19,20,21C-Accomplishment are represented bystatements. Their numbers are:1,2,3,5,6,8,10,11,13,14,15,16,20,22
Statistical Analysis:
All analyses were conducted with SPSSsoftware. Means, standard deviations (SD)and Qui square are reported. Comparisons between two quantitative means’
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