Burnout and training satisfaction of medical residents in Greece: will the European Work Time Directive make a differenc
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RESEARCH
Burnout and training satisfaction of medical residents in Greece: will the European Work Time Directive make a difference? Research
Pavlos Msaouel*†1, Nikolaos C Keramaris†1, Athanasios Tasoulis1, Dimitrios Kolokythas1, Nikolaos Syrmos1, Nikolaos Pararas1, Eleftherios Thireos2,3 and Christos Lionis3
Abstract Background: The aim of this study is to determine the prevalence of burnout in Greek medical residents, investigate its relationship with training satisfaction during residency and survey Greek medical residents' opinion towards the European Work Time Directive (EWTD). Methods: A Multi-centre, cross-sectional survey of Greek residents was performed. The Maslach Burnout Inventory (MBI) was used to measure burnout, which was defined as high emotional exhaustion, combined with high depersonalization or low personal accomplishment. In addition, seven questions were designed for this study to evaluate self-reported resident training satisfaction and three questions queried residents' opinion on the EWTD and its effects on their personal and social life as well as their medical training. Univariate, bivariate and multivariate statistical models were used for the evaluation of data. Results: Out of 311 respondents (77.8% response rate), 154 (49.5%) met burnout criteria and 99 (31.8%) indicated burnout on all three subscale scores. The number of residents that were dissatisfied with the overall quality of their residency training were 113 individuals (36.3%). Only 32 residents (10.3%) believed that the EWTD implementation will not have any beneficial effects for them. Conclusions: Both burnout and training dissatisfaction were common among Greek residents. Systemic interventions are thus required within the Greek health system, aimed at reducing resident impairment due to burnout and at improving their educational and professional perspectives. Although residents' opinion on the EWTD was not associated with burnout levels, the EWTD was found to be predominantly supported and anticipated by Greek residents and should be implemented to alleviate their workload and stress. Background Resident burnout
Residency is a stressful stage of physician training during which residents work for long hours while their responsibility towards the lives of patients simultaneously increases, ideally along with their knowledge and experience. However, this is not always the case: accumulation of responsibilities disproportional to residents' knowledge and experience can be rather common and, combined with physical exhaustion, can set the scene for * Correspondence: [email protected] 1 †
Greek Junior Doctors and Health Scientists Society, Greece Contributed equally
Full list of author information is available at the end of the article
burnout [1-3]. Resident burnout has been associated with worse health status, substance abuse, tendency towards depression, higher anxiety and suicidal thoughts [1,2,4-7]. Nevertheless, two extensive reviews of the literature by Thomas (2004) [1] and by Prins et al. (2007) [2] dem
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