Factors of Burnout Among Obstetrics and Gynecology Residents and Fellowships in Times of COVID-19 Crisis: A Mixed-Method Research by Thai University Students

Authors

  • Wiyada Luangdansakul Faculty of Medicine, Naresuan University, Phitsanulok, 65000
  • Yuthapong Buddharaksa Department of Community Medicine, Faculty of Medicine, Naresuan University, Phitsanulok 65000
  • Inthiporn Kositanurit Department of Anesthesiology, Faculty of Medicine, Naresuan University, Phitsanulok 65000
  • Nithra Kitreerawutiwong Faculty of Public Health, Naresuan University, Phitsanulok 65000

Keywords:

Burnout, Obstetrics and Gynecology, Residency, Fellowship, COVID-19 Crisis

Abstract

This research aimed to assess the prevalence of burnout syndrome (BS), contributing and protective factors for BS during the coronavirus disease 2019 (COVID-19) pandemic. We performed cross-sectional mixed-method research among Obstetrics and Gynecology (OB-GYN) residents and Fellowships at Bhumibol Adulyadej Hospital between December 2021 and March 2022. The Thai version of the Maslach Burnout Inventory-Human Services Survey was used to assess burnout before in-depth interviews. Based on review of the literatures, semi-structured interviews were undertaken. The data were analyzed using descriptive statistics and a content analysis approach. Results: A total of 19 participants were interviewed. Overall prevalence of OB-GYN residents and fellowships-BS was 63.2%. Significant contributing factors to BS: (i) high workload and work-life balance, (ii) workload on education (iii) research during training, (iv) cultural Values of Medicine, and (v). feared contracting COVID-19. The protective factors for BS reduction were: (i) peer and family support, (ii) support and protection from physician mentors and (iii) need free time. Conclusions: Prevalence of BS in OB-GYN residents and fellowships was 63.2%. Factors contributing to BS may predict the condition and protective factors to help develop guidelines for BS prevention.

References

นครินทร์ ชุนงาม. (2563). สุขภาพจิตและภาวะหมดไฟในการทำงานของแพทย์ในโรงพยาบาลทั่วไป และโรงพยาบาลชุมชนจังหวัดนครราชสีมา. วารสารสุขภาพจิตแห่งประเทศไทย, 28(4), 348-359.

ประไพพิมพ์ สุธีวสินนนท์ และ ประสพชัย พสุนนท์. (2559). กลยุทธ์การเลือกตัวอย่างสำหรับการวิจัยเชิงคุณภาพ. วารสารปาริชาต มหาวิทยาลัยทักษิณ, 29(2), 32-48.

พจนานุกรมการสาธารณสุขไทย พ.ศ. 2561 ฉบับ 100 ปี การสาธารณสุขไทย. (2561). นนทบุรี: กระทรวงสาธารณสุข.

มนัสนันท์ หัตถศักดิ์ (2563). การศึกษาความสัมพันธ์ระหว่างบุคลิกภาพ รูปแบบการด าเนินชีวิต และแรงจูงใจใฝ่สัมฤทธิ์ของนักศึกษาในสถาบันอุดมศึกษา เขตกรุงเทพมหานคร. วารสารมนุษยศาสตร์และสังคมศาสตร์ มหาวิทยาลัยพะเยา, 8(2), 162-175.

ศิริพร แสงศรีจันทร์,พยาม การดี, กันยานันต๊ะแก้ว และรัตนา ทาสิทธิ์. (2556). ความสัมพันธ์ระหว่างปัจจัยด้านนิสิตกระบวนการเรียนการสอน ปัจจัยเกื้อหนุนกับความสุขของนิสิตพยาบาลมหาวิทยาลัยพะเยา. วารสารมนุษยศาสตร์และสังคมศาสตร์ มหาวิทยาลัยพะเยา, 1(2), 20-28.

Al-Ma’mari, N. a. O., Naimi, A. I., & Tulandi, T. (2016). Prevalence and predictors of burnout among obstetrics and gynecology residents in Canada. Gynecological Surgery, 13(4), 323-327. Form https://doi.org/10.1007/s10397-016-0955-3.

Alrawashdeh, H. M., Al-Tammemi, A. a. B., Alzawahreh, M. K., Al-Tamimi, A., Elkholy, M., Al Sarireh, F., Abusamak, M., Elehamer, N. M. K., Malkawi, A., Al-Dolat, W., Abu-Ismail, L., Al-Far, A., & Ghoul, I. (2021). Occupational burnout and job satisfaction among physicians in times of COVID-19 crisis: a convergent parallel mixed-method study. BMC Public Health, 21(1), 811. Form https://doi.org/10.1186/s12889-021-10897-4.

Aziz, H., James, T., Remulla, D., Sher, L., Genyk, Y., Sullivan, M. E., & Sheikh, M. R. (2021). Effect of COVID-19 on surgical training across the United States: a national survey of general surgery residents. J Surg Educ, 78(2), 431-439. Form https://doi.org/10.1016/j.jsurg.2020.07.037.

Becker, J. L., Milad, M. P., & Klock, S. C. (2006). Burnout, depression, and career satisfaction: cross-sectional study of obstetrics and gynecology residents. Am J Obstet Gynecol, 195(5), 1444-1449. Form https://doi.org/10.1016/j.ajog.2006.06.075.

Bourne, T., Shah, H., Falconieri, N., Timmerman, D., Lees, C., Wright, A., Lumsden, M. A., Regan, L., & Van Calster, B. (2019). Burnout, well-being and defensive medical practice among obstetricians and gynaecologists in the UK: cross-sectional survey study. BMJ Open, 9(11), e030968. Form https://doi.org/10.1136/bmjopen-2019-030968.

Charoentanyarak, A., Anothaisintawee, T., Kanhasing, R., & Poonpetcharat, P. (2020). Prevalence of burnout and associated factors among family medicine residency in Thailand. J Med Educ Curric Dev, 7, 2382120520944920. Form https://doi.org/10.1177/2382120520944920.

Gualano, M. R., Sinigaglia, T., Lo Moro, G., Rousset, S., Cremona, A., Bert, F., & Siliquini, R. (2021). The burden of burnout among healthcare professionals of intensive care units and emergency departments during the COVID-19 pandemic: a systematic review. International Journal of Environmental Research and Public Health, 18(15), 8172. Form https://www.mdpi.com/1660-4601/18/15/8172.

Halbesleben, J. R., & Rathert, C. (2008). Linking physician burnout and patient outcomes: exploring the dyadic relationship between physicians and patients. Health Care Manage Rev, 33(1), 29-39. Form https://doi.org/10.1097/01.Hmr.0000304493.87898.72.

Ironside, K., Becker, D., Chen, I., Daniyan, A., Kian, A., Saheba, N., & Hollander, R. (2019). Resident and faculty perspectives on prevention of resident burnout: a focus group study. Perm J, 23. Form https://doi.org/10.7812/tpp/18-185.

Iserson, K. V. (2018). Burnout syndrome: global medicine volunteering as a possible treatment strategy. J Emerg Med, 54(4), 516-521. Form https://doi.org/10.1016/j.jemermed.2017.12.062.

Khalafallah, A. M., Lam, S., Gami, A., Dornbos, D. L., Sivakumar, W., Johnson, J. N., & Mukherjee, D. (2020). A national survey on the impact of the COVID-19 pandemic upon burnout and career satisfaction among neurosurgery residents. J Clin Neurosci, 80, 137-142. Form https://doi.org/10.1016/j.jocn.2020.08.012.

Koutsimani, P., Montgomery, A., & Georganta, K. (2019). The relationship between burnout, depression, and anxiety: a systematic review and meta-analysis [systematic review]. Frontiers in Psychology, 10. Form https://doi.org/10.3389/fpsyg.2019.00284.

Looseley, A., Wainwright, E., Cook, T. M., Bell, V., Hoskins, S., O'Connor, M., Taylor, G., & Mouton, R. (2019). Stress, burnout, depression and work satisfaction among UK anaesthetic trainees; a quantitative analysis of the satisfaction and wellbeing in anaesthetic training study. Anaesthesia, 74(10), 1231-1239. Form https://doi.org/10.1111/anae.14681.

Mahoney, M. J. (1997). Psychotherapists' personal problems and self-care patterns. Professional Psychology: Research and Practice, 28, 14-16.

Maslach, C., & Leiter, M. P. (1997). Maslach Burnout Inventory. Maslach Burnout Inventory Manual, 191-218.

Maslach C, J. S., Leiter M. . (2018). Maslach burnout inventory. Mind Garden, Inc.

Melamed, S., Shirom, A., Toker, S., Berliner, S., & Shapira, I. (2006). Burnout and risk of cardiovascular disease: evidence, possible causal paths, and promising research directions. Psychol Bull, 132(3), 327-353. Form https://doi.org/10.1037/0033-2909.132.3.327.

Morgan, H. K., Winkel, A. F., Nguyen, A. T., Carson, S., Ogburn, T., & Woodland, M. B. (2019). Obstetrics and gynecology residents' perspectives on wellness: findings from a national survey. Obstet Gynecol, 133(3), 552-557. Form https://doi.org/10.1097/aog.0000000000003103.

Rigby, F. B., Bynum, B., Santen, S. A., Anabazhagan, A., & Karjane, N. (2019). Burnout in OB/GYN students and residents. Clin Obstet Gynecol, 62(3), 413-431. Form https://doi.org/10.1097/grf.0000000000000467.

Rothenberger, D. A. (2017). Physician burnout and well-being: a systematic review and framework for action. Diseases of the Colon & Rectum, 60(6), 567-576. Form https://doi.org/10.1097/dcr.0000000000000844.

Rutherford, K., & Oda, J. (2014). Family medicine residency training and burnout: a qualitative study. Canadian medical education journal, 5(1), e13-e23. Form https://pubmed.ncbi.nlm.nih.gov/26451218.

Thomas, N. K. (2004). Resident burnout. Jama, 292(23), 2880-2889. Form https://doi.org/10.1001/jama.292.23.2880.

Treluyer, L., & Tourneux, P. (2021). Burnout among paediatric residents during the COVID-19 outbreak in France. European Journal of Pediatrics, 180(2), 627-633. Form https://doi.org/10.1007/s00431-020-03907-x.

Walsh, G., Hayes, B., Freeney, Y., & McArdle, S. (2019). Doctor, how can we help you? Qualitative interview study to identify key interventions to target burnout in hospital doctors. BMJ Open, 9(9), e030209. Form https://doi.org/10.1136/bmjopen-2019-030209.

White, E. M., Wetle, T. F., Reddy, A., & Baier, R. R. (2021). Front-line nursing home staff experiences during the COVID-19 pandemic. J Am Med Dir Assoc, 22(1), 199-203. Form https://doi.org/10.1016/j.jamda.2020.11.022.

Winkel, A. F., Honart, A. W., Robinson, A., Jones, A. A., & Squires, A. (2018). Thriving in scrubs: a qualitative study of resident resilience. Reprod Health, 15(1), 53. Form https://doi.org/10.1186/s12978-018-0489-4.

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Published

2023-09-11

How to Cite

Luangdansakul, W., Buddharaksa, Y., Kositanurit, I., & Kitreerawutiwong, N. (2023). Factors of Burnout Among Obstetrics and Gynecology Residents and Fellowships in Times of COVID-19 Crisis: A Mixed-Method Research by Thai University Students. Trends of Humanities and Social Sciences Research, 11(2), 62–82. Retrieved from https://so03.tci-thaijo.org/index.php/Humanties-up/article/view/260101

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Research Article