Evidence map›Paper›PMID 34574982›Full record

ArticleHealthcare (Basel, Switzerland)2021

Training Characteristics, Personal Factors and Coping Strategies Associated with Burnout in Junior Doctors: A Multi-Center Study.

Nurhanis Syazni Roslan, Muhamad Saiful Bahri Yusoff, Asrenee Ab Razak, Karen Morgan, Nor Izzah Ahmad Shauki, Anjanna Kukreja, Norashidah Rahmat, Chin Ri Wei Andrew, Muhammad Fikri Shaharudin Basri, Abdullah Shamshir Abd Mokti and 3 more

Abstract read
In one paragraph

Article in Healthcare (Basel, Switzerland), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Nurhanis Syazni RoslanDepartment of Medical Education, School of Medical Sciences, Universiti Sains Malaysia, Kota Bharu 16150, Malaysia.ORCID 0000-0002-5833-1529
Muhamad Saiful Bahri YusoffDepartment of Medical Education, School of Medical Sciences, Universiti Sains Malaysia, Kota Bharu 16150, Malaysia.
Asrenee Ab RazakDepartment of Psychiatry, School of Medical Sciences, Universiti Sains Malaysia and Hospital USM, Universiti Sains Malaysia, Kota Bharu 16150, Malaysia.
Karen MorganPerdana University-Royal College of Surgeons in Ireland School of Medicine, Perdana University, Kuala Lumpur 50490, Malaysia.ORCID 0000-0001-6193-1747
Nor Izzah Ahmad ShaukiInstitute for Health Systems Research, National Institutes of Health, Ministry of Health, Shah Alam 40170, Malaysia.
Anjanna KukrejaDepartment of Medicine, University Malaya Medical Centre, Kuala Lumpur 59100, Malaysia.
Norashidah RahmatDepartment of Pathology, Hospital Sultanah Aminah Johor Bahru, Ministry of Health, Johor Bahru 80100, Malaysia.
Chin Ri Wei AndrewDepartment of General Surgery, Hospital Queen Elizabeth, Kota Kinabalu, Ministry of Health, Kota Kinabalu 88200, Malaysia.
Muhammad Fikri Shaharudin BasriDepartment of Medical Education, School of Medical Sciences, Universiti Sains Malaysia, Kota Bharu 16150, Malaysia.
Abdullah Shamshir Abd MoktiDepartment of General Medicine, Hospital Kuala Lumpur, Ministry of Health, Kuala Lumpur 50586, Malaysia.ORCID 0000-0001-5112-0414
Nur Haziyah Md YazidHospital Tunku Azizah, Jalan Raja Muda Abdul Aziz, Kampung Baru, Ministry of Health, Kuala Lumpur 50300, Malaysia.
Munirah IsmailInstitute for Health Management, National Institutes of Health, Ministry of Health, Shah Alam 40170, Malaysia.ORCID 0000-0002-5864-5384
Pangie BakitInstitute for Health Management, National Institutes of Health, Ministry of Health, Shah Alam 40170, Malaysia.

Funding

Universiti Sains Malaysia 304/PPSP/6315214
6 · The paper itself

Abstract

Physician burnout has been recognized as a public health crisis. However, there is a paucity of burnout studies in the context of medical internship. We assessed the prevalence and relationship between various training characteristics, personal variables, resilience, and coping with burnout in a cross-sectional study involving 837 interns from ten hospitals across Malaysian healthcare system. The instrument package included demographic questions, the Connor-Davidson Resilience Scale, Brief COPE and the Copenhagen Burnout Inventory. A total of 754 (90.1%) interns completed the inventories. We found a high prevalence of personal-related (73.3%), work-related (69.1%), and patient-related (43.4%) burnout among Malaysian interns. Multivariable analysis showed female gender (odds ratio (OR):1.50; 95% confidence interval (CI): 1.02-2.20), prior work experience (OR: 1.56; 95% CI: 1.05-2.30), and irregular spirituality routines (OR: 1.97; 95% CI: 1.30-2.99) were associated with increased odds of personal-related burnout. Irregular spirituality routines (OR: 2.24; 95% CI: 1.49-3.37) were associated with work-related burnout, while living with other people (OR: 1.77; 95% CI: 1.15-2.73) was associated with patient-related burnout. Lower resilience levels and avoidant copings were associated with personal-, work-, and patient-related burnout. Burnout prevalence among interns is high. The findings support the value of individual-targeted alongside organizational-targeted intervention in burnout reduction. As burnout is prevalent in both years of internship training, ongoing burnout prevention and wellbeing measures are deemed necessary.

Indexed as

burnoutcopinginternshipjunior doctormedical educationresidentresiliencewell-being

Identifiers

PMID34574982
PMCPMC8472197

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.