Journal of Clinical Orthopaedics | Vol 8 | Issue 1 | Jan-Jun 2023 | page: 18-24 | Sachin Kale, Pratik Dhabalia, Ajit Chalak, Abhiraj Patel, Abhineet Chand, Sonali Das
Author: Sachin Kale , Pratik Dhabalia , Ajit Chalak , Abhiraj Patel , Abhineet Chand , Sonali Das 
 Department of Orthopaedics, DY Patil Medical College and Hospital, Nerul, Navi Mumbai, Maharashtra, India.
Address of Correspondence
Dr. Abhiraj Patel,
Department of Orthopaedics, DY Patil Medical College and Hospital, Nerul, Navi Mumbai, Maharashtra, India.
Introduction: Burnout is a syndrome denoting the outcome of chronic work stress which has not been managed successfully. Burnout has only sometimes been at the forefront of studies in healthcare, where patient care and management have received more attention. This study focuses particularly on burnout of residents and healthcare workers during the COVID-19 pandemic that has changed the working environment.
Material and Methods: Questionnaires in the form of surveys have been used to receive feedback regarding work experience within the bubble of isolation and high patient load unique to COVID-19 pandemic. A full and complete analysis of the research is provided after the definition, description, and measurement of burnout are given.
Results: According to a review of the burnout literature, burnout affects medical students, residents, and practicing doctors, with prevalence rates ranging from 28% to 45% for each group. First-year residency during the COVID-19 pandemic, in particular, is plagued with unmanageable burnout symptoms and a depleted support system. Burnout among residents is said to be caused by time demands, a lack of control, poor work organization, naturally challenging employment settings, and interpersonal connections. Workplace solutions might take the form of burnout education, workload adjustments, diversifying job roles, stress management training, mentorship, emotional intelligence seminars, and training in emotional intelligence. In addition, developing interpersonal and professional relationships, meditation, therapy, and exercise are examples of self-directed behavioral, social, and physical activities..
Conclusion: Educators should consider including pertinent instructions and interventions during the process of instructing resident doctors. In addition, they should actively become aware of burnout. Early detection aids in better management of burnout.
Keywords: burnout, COVID-19, residency, work-life balance.
- Freudenberger HJ. Staff burnout. J Soc Issues 1974;30:159-65.
- Melamed S, Shirom A, Toker S, Berliner S, Shapira I. Burnout and risk of cardiovascular disease: Evidence, possible causal paths, and promising research directions. Psychol Bull 2006;132:327-53.
- Cohen JS, Patten S. Well-being in residency training: A survey examining resident physician satisfaction both within and outside of residency training and mental health in Alberta. BMC Med Educ 2005;22:21.
- Sherman MD. Distress and professional impairment due to mental health problems among psychotherapists. Clin Psychol Rev 1996;16:299-315.
- Solomon M. Therapeutic depletion and burnout in countertransference. In: Siegel J, editor. Couples Therapy. New York: WW Norton; 1997.
- Halbesleben JR, Rathert C. Linking physician burnout and patient outcomes: Exploring the dyadic relationship between physicians and patients. Health Care Manage Rev 2008;33:29-39.
- Kottler JA. On Being a Therapist. San Francisco, CA: Jossey-Bass; 1986.
- Ahola K, Honkonen T, Pirkola S, Isometsä E, Kalimo R, Nykyri E, et al. Alcohol dependence in relation to burnout among the Finnish working population. Addiction 2006;101:1438-43.
- Maslach C, Jackson SE, Leiter MP. Maslach Burnout Inventory Manual. 3rd Palo Alto, CA: Consulting Psychologists Press; 1996.
- Maslach C, Jackson SE, Leiter M. The Maslach burnout inventory. In: Zalaquett CP, Wood RJ, editor. Evaluating Stress: A Book of Resources. 3rd Lanham, MD: Scarecrow Press; 1997.
- Purdy RR, Lemkau JP, Rafferty JP, Rudisill JR. Resident physicians in family practice: Who’s burned out and who knows? Fam Med 1987;19:203-8.
- Dupree P, Day HD. Psychotherapists’ Job Satisfaction and Job Burnout as a Function of Work Setting and Percentage of Managed Care Clients. New York: Haworth Press; 1995.
- Nyssen AS, Hansez I, Baele P, Lamy M, De Keyser V. Occupational stress and burnout in anaesthesia. Br J Anaesth 2003;90:333-7.
- Shanafelt TD, Bradley KA, Wipf JE, Back AL. Burnout and self-reported patient care in an internal medicine residency program. Ann Intern Med 2002;136:358-67.
- Woodside JR, Miller MN, Floyd MR, McGowen KR, Pfortmiller DT. Observations on burnout in family medicine and psychiatry residents. Acad Psych 2008;32:13-9.
- Lemkau JP, Purdy RR, Rafferty JP, Rudisill JR. Correlates of burnout among family practice residents. J Med Educ 1988;63:682-91.
- West CP, Huschka MM, Novotny PJ. Association of perceived medical errors with resident distress and empathy: A prospective longitudinal study. JAMA 2006;296:1071-8.
- Eckleberry-Hunt J, Lick D, Boura J, Hunt R, Balasubramaniam M, Mulhem E, et al. An exploratory study of resident burnout and wellness. Acad Med 2009;84:269-77.
- Ramanan RA, Taylor WC, Davis RB, Phillips RS. Mentoring matters: mentoring and career preparation in internal medicine residency training. J Gen Intern Med 2006;21:340-5.
- Vuori I. Does physical activity enhance healthy? Patient Educ Couns 1998;33:S95-103.
- Sherman MD, Thelen MH. Distress and professional impairment among psychologists in clinical practice. Prof Psychol Res Pract 1998;29:79-85.
- Macaskill N, Macaskill A. Psychotherapists-in-training evaluate their personal therapy: Results of a UK study. Br J Psychother 1992;9:133-8.
|How to Cite this article: Kale S, Dhabalia P, Chalak A, Patel A, Chand A, Das S. Burnout in COVID-19 Residency. Journal of Clinical Orthopaedics Jan-Jun 2023;8(1):18-24.|