Main Article Content
To determine the frequency of burnout in postgraduate doctors working in a Tertiary Care Hospital in Peshawar, Pakistan
This cross-sectional study was conducted in tertiary care hospital in Peshawar from June 2019 to December 2019. Using the Non-probability convenient sampling technique 252 doctors from different specialties participated in this study, by filling out the questionnaire. The questionnaires had three parts, questions related to Socio-demographic data, questions related to the workplace, and Maslach Burnout Inventory (MBI). For analysis of data related to MBI, we added up each component (emotional exhaustion, depersonalization, and reduced personal accomplishment). The values obtained were interpreted according to reference values of the Center of Advanced Studies on Burnout Syndrome (NEPASB). Data was analysed using SPSS 20.
In this study, out of these 252 doctors 25.39% were having high burnout while 32.93% were found to be at high risk of burnout. On the MBI scale 34.92% % showed a high score for Emotional exhaustion, 95.23 % of doctors scored high in Depersonalization, and 95.63% % scored low in Personal accomplishment. Amongst specialties burnout score was highest in orthopedics (80.14) followed by obstetricians and Gynecologists (75.35). Burnout was reported in 68.85% of young doctors aged 25-30, females (71.58%) were affected with burnout more as compared to male gender.
This study concluded that about one-third of doctors were at high risk of developing burnout, while 25% were already affected by burnout.
Work published in JPMI is licensed under a
Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.
Hooper C, Craig J, Janvrin DR, Wetsel MA, Reimels E. Compassion satisfaction, burnout, and compassion fatigue among emergency nurses compared with nurses in other selected inpatient specialties. Journal of emergency nursing. 2010 Sep 1;36(5):420-7.
Eaton L. Health workforce burn-out. World Health Organization. Bulletin of the World Health Organization. 2019 Sep 1;97(9):585-6.
World Health Organization. Burn-out an “occupational phenomenon”: International Classification of Diseases. World Health Organization Available From: https://wwwwhoint/mental_health/evidence/burn-out/en. 2019 May 28.
Denis Campbell . Third of UK doctors report burnout and compassion fatigue. The Guardian.Mon 27 Jan 2020 23.30 GMT
Lo D, Wu F, Chan M, Chu R, Li D. A systematic review of burnout among doctors in China: a cultural perspective. Asia Pacific family medicine. 2018 Dec;17(1):1-3.
Chaudhry MA, Khokhar MM, Waseem M, Alvi ZZ, ul Haq AI. Prevalence and associated factors of burnout among military doctors in Pakistan. PAFMJ. 2015 Oct 31;65(5):669-73.
Kumar S. Burnout and doctors: prevalence, prevention and intervention. InHealthcare 2016 Jun 30 (Vol. 4, No. 3, p. 37). MDPI.
Khan WA, Khan SA, Khattak H, Shah SH, Tanoli ZK, Ashraf B, Afridi SR, Afridi IU, Khan M, Hassan Z. Professional burnout among doctors in rehman medical institute, peshawar, khyber pakhtunkhwa. Journal of medical students. 2016 Sep 22;2(1).
Berg S. WHO adds burnout to ICD-11. What it means for physicians. American Medical Association Physician Health. Jul, 2019. [Accessed October 2, 2020]. https://www.ama-assn.org/practice-management/physician-health/who-adds-burnout-icd-11-what-it-means-physicians
The Lancet. Physician burnout: a global crisis. Lancet 2019; 394: 93.
Rich A, Viney R, Needleman S, Griffin A, Woolf K. ‘You can't be a person and a doctor’: the work–life balance of doctors in training—a qualitative study. BMJ open. 2016 Dec 1;6(12):e013897.
Mahmood K. Time to act-alarming rise in suicides among medical professionals in Pakistan. J Coll Physicians Surg Pak. 2016 Dec 1; 26:947-9.
Schaufeli WB, Leiter MP. Maslach burnout inventory manual. Journal of Organizational Behavior. 1996.
Tamayo MR, BT Tróccoli. Construction and factorial validation of the Burnout Characterization Scale (ECB). Psychology Studies (Natal). 2009;14:213-21.
Saini R, KaurS, Das K. Assessment of stress and burnout among intensive care nurses at a tertiary care hospital. Journal of Mental Health and Human Behaviour : 2011; 16(1). 12.
Shirazi RR, BcikiY, Zamanian F, Esapour K. Study of the relationship between organizational commitment and job Burnout among physical education teachers of golestan province, iran. Australian Journal of Basic and Applied Sciences 2011; 5(10): 1379-1384.
Aftab N, Shah AA, Mehmood R. Relationship of self efficacy and burnout among physicians. Academic Research International March 2012: 2(2): 539-48.
Houkes I, Winants Y, Twellaar M, Verdonk P. Development of burnout over time and the causal order of the three dimensions of burnout among male and female GPs. A three-wave panel study. BMC Public health. 2011 Dec;11(1):1-3.
Al-Dubai SAR, Rampal KG. Prevalence and associated factors of burnout among doctors in Yemen. J Occup Health 2010; 52: 58-65.
. Gabbe SG, Melville J, Mandel L, Walker E. Burnout In chairs of obstetrics and gynecology. Am J ObstetGynecol 2002; 186: 601-12.
. Campbell DA, Sonnad SS, Eckhauser FE, Campbell KK, Greenfield LJ. Burnout among American surgeons. Surgery 2001; 130: 696-705.
Ozyurt A, Hayran O, Sur H. Predictors of burnout and job satisfaction among Turkish physicians. Q J Med 2006; 99: 161-69.
. Klersy C, Aliria C, Martinelli V. Burnout in health care providers of dialysis service in Northern Ital – A multicentre study. Nephrology dialysis transplantation 2007; 22: 2283-90.
Waheed K, Liaqat N, Ejaz S, Khanum A, Ijaz S, Butt A, Randhawa FA, Naheed I, Javed S. Burnout among gynaecological residents in lahore, Pakistan: A cross-sectional survey. Age. 2017;27(1.69).
Ghetti C, Chang J, Gosman G. Burnout, psychological skills, and empathy: balint training in obstetrics and gynecology residents. J Grad Med Educ. 2009; 1:231-5)
Arora M, Diwan AD, Harris IA. Prevalence and factors of burnout among Australian orthopaedic trainees: a cross-sectional study. Journal of Orthopaedic surgery. 2014 Dec;22(3):374-7.
Hussain SS, Rahim R. Bullying of postgraduate medical trainees in tertiary care hospitals. Journal of Postgraduate Medical Institute (Peshawar-Pakistan). 2014 Jul 25;28(3).
Fred HL, Scheid MS. Physician burnout: causes, consequences, and (?) cures. Texas Heart Institute Journal. 2018 Aug;45(4):198.
Magalhães E, Oliveira ÁC, Govêia CS, Ladeira LC, Queiroz DM, Vieira CV. Prevalence of burnout syndrome among anesthesiologists in the Federal District. Revista brasileira de anestesiologia. 2015 Apr;65(2):104-10.